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HomeMy WebLinkAbout50545-Z S0FF01KC Town of Southold 8/31/2024 a P.O.Box 1179 o - C* z 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45510 Date: 8/31/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 13115 Main Bayview Rd, Southold SCTM#: 473889 _ Sec/Block/Lot: 88.-2-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/8/2024 pursuant to which Building Permit No. 50545 dated 4/11/2024 was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: accessory in-ground swimming pool fenced to code as applied for. The certificate is issued to Nadel,Joshua&D'Agostino,Joanne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50545 8/20/2024 PLUMBERS CERTIFICATION DATED rize gnature �Sofeot,��o TOWN OF SOUTHOLD �o BUILDING DEPARTMENT y TOWN CLERK'S OFFICE oy • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 50545 Date: 4/11/2024 Permission is hereby granted to: Nadel, Joshua 13115 Main Bayview Rd Southold, NY 11971 To: construct accessory in-ground swimming pool as applied for. Pool equipment shall be located in the rear yard with minimum 15' setbacks to lot lines. i i I i At premises located at: 13115 Main Bayview Rd, Southold SCTM #473889 Sec/Block/Lot# 88.-2-14 Pursuant to application dated .3/8/2024 and approved by the Building Inspector. To expire on 10/1112025. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00 CO- SWIMMING POOL $100.00 Total: $400.00 Building Inspector o�'�'oF soveyol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 �p • �o JameshCaD-southoldtownny.gov COU BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Joshua Nadel Address: 13115 Main Bayview.Road city:Southold st: New York zip: 11971 Building Permit#: 50545 section: 88 Block: 2 Lot: 14 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Custom Lighting Electrician: Benjamin Doroski License No: 38893-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool X New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures 11 Sump Pump Other Equipment: 1 pool panel, 1 240v pump, 1 salt gen, 1time clock, 1 100watt transformer,5 lights, 1 surge protector, 1 gas heater Notes: POOL Inspector Signature: Date: August 20, 2024 13115 main bayview rd OF SOUIyOIo ID U t)l 19 1 V` I D V �v` 041q v`ems ` # # TOWN OF SOUTHOLD BUILDING DEPT. 'cou 631-765-1802 INSPECTION [ - ] FOUNDATION 1ST/REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) Vj ELECTRICAL (FINAL) [ ] CODE VIOLATION [ . ] PRE C/O [ ]' RENTAL REMARKS: `dL0;1of f Co vL I 1_ -orwter Ad 1464�&d DATE INSPECTOR _ ' OF SOUK,°� # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 S � ' ' INSPECTION [ ] FOUNDATION 1ST/REBAR [ ] ROUGH PLBG. ] FOUNDATION 2ND [/IFINAL7 SULON/CAULKING FRAMING /STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ . ] FIRE RESISTANT CONSTRUCTION . [ ] FIRE RESISTANT PENETRATION . [ .] ELECTRICAL (ROUGH) [ ]. ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL4 R ARKS: 1 V4 W DATE �� INSPECTOR #�Of 50UTy�# "50 5 1-f 11 I. 6 It t-,> ! - (A m I- �6Q y TOWN. OF SOUTHOLD -BUILDING DEPT. o ,� 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] .FINAL [ ].'FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS:. T2044-V 1 W, Ue- m cler cnct an d, f )V7 Zocz dcc vqv0J k C4 0 �- DATE 2 y INSPECTOR w -► ,. .w .► r a r a � f .� s i .,� - . , ,; � � � � �.. . ,,�- �� *` • .,. l �_}n �s . , � t �.,� t' — �. } - =�� .r � �. . ,r 'p► �" .:..�. '� 'u� �_ U. A U G 2 0 2024 Building Department Town of Southold or ja i • • s r r i �i r� D 5 rWVWA UaffT '"MRIM RAINPROOF� ER mvr 120 VAC,R0 M1,10 A MAX. 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CA Vey i ROUGH FRAMING& C�] PLUMBING i i � r INSULATION PER N.Y. ; y STATE ENERGY CODE I WSW f W S i d FINAL ADDITIONAL COMMENTS � wlg o--fl- 4-i 0-7O�-7� -- �•ab-� CA* •a '`a•�l C ' phavos of- tau.r wcAr 414 pm -L.64 on 3o t%-, clt31r, m H � O y� �F'y x d r� b H i TOWN OF SOUTHOLD-BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https://Nvw<+v.southoldtownnygov Date Received APPLICATION BUILDING I For Office Use Only PERMIT NO. 5�6 Building Inspector: MAR 8 2024 aJ Applications,and;fom-is Must be filled out in their-entirety:,incomplete applications v+iill not a a`ccepteii; Where the Applicant,is`not`the.owner;.an: ,,:Owner's A,uthorization.fo ro(Page,2)shall be completed;:'= �; . s �' % ; +•'.=Y Ec-- �, . Date:3/2/2024 11 011UNERCS)OPPROPERT1ftx � . : `-, ` > - Name:Josh Nadel°, Joanne D'Agostino____ ___' SCTM # 1000-88-2-14 Project Address:13115 Main Ba view Rd Southold NY 11971 w.... , ,....... ....,...__........ . _..,..._... a. :..,.mall . Phone. , 917-843-2920 • foshuanadel@gmail.com_ #• _.._.�._w._...�... E,:,............ .�..°._._....._.... Mailing Address:13115 Main Bayview_Road Southold 11971 "CONTACT PERSON Name:Coastal Plantings Inc - MailingAddress:PO Box 484 Peconic NY 11958 631 7 ^ _ ._ ".i i • lplantingscom " Phone#: 34-7443 Email:info@coasta - ....,_,...,.-..,,.�.__�....�..M..,.n�..v_,.._..:...�� ,.°.....,�., .....,.�,___.�_�.,.� :-DESIGN PROFESSIONAL.INFORMATION: G Name: Mailing Address: Phone#: Email: CONTRACTOR:INt:t1RM4T10N �.��.��, � ���,�:;-::u-:����� :�� 's• <�-�>-: :•� Name:Jason's Pools Mailing Address:PO Box 1331 Hampton^,Bays NY 11946 Phone#:631-324-7844 Email:jason @.jasonspools com g"L�LSCRlP'f1C11 C}F`PItoP:o5EQ-CONSTRIJCI"IC1N =" ` "q' � ' " %." "..°x 3- ,•.I "�f°',' x ,f ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: D Other New Pool Build $50,000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ®Yes ❑No 1 n RO RTY,N ORMATION Existing use of property: Intended I'eSlCletlCe Intended use of property:Re$Idellla1 Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes [I No IF YES, PROVIDE A COPY. 8".'ChI ck-Igo)i Af� r Reidin ., The owner/contractor/desii�n professional is responsible for alt d�aiaageraacl starin water issues as praulded i yx. `t' Chapter 236 of the'Town.Code:APPIiCAMON IS HEREBY MADE#a the Building Department.for the issuance of a-Building Permit pursuant tc the Suilding zone Ordinance of tbe.Tewn of Southold,Suffolk;County;New York•and other aplilica6le Laws,Ordinances or Regulations;forthe constructi�n;of builclirigs,;,.' ; .`additions alteratlans orfor`removal or demolition.as herein described:The a 'licant°a tees to,com l wi# all"a licaiile laws;ordinances;;b idiri -cone, housing code and'reguia#ions_and-to admit au#harized inspectors on premises and in:buil'ing�sj;for neeessary inspec#ipris:False s#atements�ri2de tieraiii are punishable as a`Class,"A rnisdemeaoo"r-pursuanCtu Sec#itori z10.45;of the New York State penal i Application Submitted By(pri t name):Ian Zuhoski ®Authorized Agent ❑Owner Signature of Applicant: �� Date: 3/2/2024 STATE OF NEW Y_O-RK) COUNTY OF mil. -7 Gi i 1(21k being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the ���G� (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. BARBARA H. TANDY Sworn before me this Notary Public,State Of New York No. 01 TA6086001 4 � Qualified In Suffolk County day of Y�lll�/T t/y' , 20 Commission Expires g0 `I111 Notary Public I PROPERTY OWNER,AUTHORIZATION (Where the applicant is not the owner) I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 i I I I Building:Wartment Application AUTHORIZATION. (where the Applicant is not the Owner) I residing at 1 �1� • �`'� .P /tJ .cJ � � (Print property owner's name) (Mailing-Address) i do hereby authorize __ G RZvf (Agent) to apply on my behalf to the ,. I Southold Building Department. i 41 '.. 0� 's Signat AJAI �A (Print Owner's Name) � �nsp . 51aalay "V UILDING DEPARTMENT-Electrical Inspector g TOWN OF SOUTHOLD s .. �Tow� Hall Annex-54375 Main Road - PO Box 1179 � ,.*Southold, New York 11971-0959, jepho'ne (631) 765-1802 = FAX(61) 765-9502 ro gerra-southoldtownny.aov- seandt'aD-southoldtownny_aov APPLICATION FOR ELECTRICAL INSPECTION ?''.", = ELECTRICIAN INFORMATION (All Informatio"n Required) Date: ` Company Name: Custom Lighting of Suffolk Inc Electrician's Name: Benjamin Doroski License No.: 38893-ME Elec. email: CLOS5170@gmail.com Elec. Phone No: 631-298-4588 01 request an email copy of Certificate of Compliance; Elec. Address.: PO Box 1698 Mattituck NY 1.1952 i JOB SITE INFORMATION (All Information Required) Name: Joshua Nadel Address: 13115 Main Bayview Rd Southold Cross Street: Sterling Woods Rd Phone No.: Bldg.Permit ocj�cj email: `" 4 Tax Map District: 1000 Section: Block: Lot:; } V BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Pool Bonding t PCbU e4yu C L 44 u : r -.Square Footage:.. Circle All That Apply: Is job ready for inspection?: ❑✓ YES ® NO ❑✓ Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES®NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service[:]Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals D 1 2 H Frame D Pole Work done on Service? DY DN Additional Information: PAYMENT DUE WITH APPLICATION C'dI�� ol i 100 loa-`P41MA5 ,ja5 Olt p +wtt c[ocK 1 Sur�e p4ecf ar J 1 15 460 OP '90 RWA GFZ J a 0 Amp 5P 1 ao 14cuP 5rL A)' S.C.T.N. No. DISTRICT. 1000 SECTION: 88 BLOCK: 2 LOT(S): 14 , MAp OF woos ACRES sEcrfoN �2575 174.17 ALED JuNE 26, 1956 S67°46'007E ls L wow PAL MCE Ello asp C1>! W a X — u ' x � ovER io _ fG Sag, cowl a _.b C�11C. PATIO } ? o p I m itlrr. o+lur1c _ �wrrsCARMW s= sa r' o ti r' #6.2' 61X COVERED CA W 3 U.P. N c, Ac W � O a c d 's to z m � A w 132.00' 0.41i wool? MFENCE AtOfI N65013'20"W U.P. W.1k 168.00 !1P. AREA: 56,1 fi2.9 S.F. OR 1_29 ACRES MAIN BAYVIEW ROAD UNAUTHM12ED AL&WA IION OR AD&77G I TO THIS SURVEY IS A WOLA WN OF SECTION 7209 OF THE NEW YORK STA 7r EDUCATION LAW' COP'£S OF 7MS SURVEY MAP NOT BEARWO THE LAND SURVEYORIS EMBOSSED SEAL SHALL Nor BE CONSIDERED 70 BE A VAU0 WE COPY, GUARANTEES INDICATED HEREON SHALL RUN ONLY TO 7HE PERSON FOR wv4om THE SURVEY IS PREPARED AND ON HIS BEHALF TO 7W nTLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSn7Un0Y USTED HEREON, AND TO THE ASSFOVEES OF 214E LENDING WSMTJOV. GUARANTEES ARE NOT TRANSFERABLE THE OFFSETS OR DMIENSIONS SHOMW HEREON FROM THE PROPERTY LRVLrS TO 774E STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT 7HE PROPERTY LfNES OR TO GUIDE THE EREC77ON OF FENCES: ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMEN7S AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT' GUARANTEED UNLESS PHYSICALLY EwDEN7 ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: JOSHUA NADEL; MAP OF: JOANNE D'AGOSTIND; FILED: FIDELITY NATIONAL TITLE INSURANCE; 9ETHPAGE FEDERAL CREDIT UNION; SITUATED AT: SOUTHOLD Towns OF:SOUTHOLD KENNETH M WGYCHUK LAND St3RYEYING, PLLC SWFFOLK COUNTY, NEW YORK Professional Laud Surveying and Design Pop& P.O. Box 153 Aquebogue, New York 11931 PHONE (631)288-1568 FAX (631) 298-15M FILE 0 16—14 SCALE: 1"=,30' DATE: FEB. 1, 2016 N.Y.S LISC NO 050882 m4ftUdXmW the ncarft of Robert J_ Mews: it KaftnaM M. woYchuk I NYSIF New York State Insurance Fund i PO Box 66699,Albany, NY 12206 nysif.com I CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 NA^^"^ 451778267 I TOMPKINS INSURANCE AGENCIES, INC. 90 MAIN STREET BATAVIA NY 14020 SCAN TO VALIDATE AND SUBSCRIBE i POLICYHOLDER CERTIFICATE HOLDER I COASTAL PLANTINGS INC TOWN OF SOUTHOLD P O BOX 484 PO BOX 1179 PECONIC NY 11958 { SOUTHOLD NY 11971 i , J POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z2245 015-9 49173 07/01/2023 TO 07/01/2024 12/12/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO, 2245 015-9, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTP3://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENiT OF FAILURE TO GIVE SUCH NOTIFICATIONS. 1 THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR, PAR��I NERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. i NEW YORK STAT S7 NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:484043224 1 ® I DATE(MM/DD/YYYY) A���' CERTIFICATE OF LIABILITY INSURANCE 11117123 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Matthew Bonocore&Michael Bonocore A.J. BONOCORE AGENCY,INC. A�N o t: (631)234-5595 FAX No): 223 Wall St#148 ADDRESS: matthewbonocore@ajbonocore.com Huntington,NY 11743 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Hartford Underwriters Insurance Company 30104 INSURED INSURER B: Coastal Plantings Inc INSURER C Zuhoski Nursery LLC INSURER D 27400 County Rd 48 INSURER E: Cutcho ue NY 11935 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED _ CLAIMS-MADE NK OCCUR PREMISES Ea occurrence $ 300,000 I �X I Contractual Liability MED EXP(Any one person) $ 15,000 A `j Primary&Non-Contributory Y Y 12 SBM BA3B1F 11/09/23 11/09/24 PERSONAL&ADV INJURY $ 1,000,000 GEEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ccident $ 1,000,000 a X- ANY AUTO BODILY INJURY(Per person) $ i OWNED SCHEDULED Y Y 12 UEC GE2301 11/09/23 11/09/24 BODILY INJURY(Per accident) $ _l A AUTOS ONLY AUTOS $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident X COMP X COLL i $ UMBRELLA LIAB -EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) i E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is Additional Insured as their interest may appear. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACOFkd CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD I'I 1 fib„.l'=•: ,,-�4 Y. „;V,,:`�' _^ — „ Subject: Fwd: License HI-66764 has been renewed Date: Friday,April 26,2024 at 1:47:13 PM Eastern Daylight Time i From: Ian Zuhoski To: Kristen Zuhoski Get Outlook for iOS From: Monthly CA Licensing Renewals <monthlycalicensingrenewals@suffolkcountynygov> Sent: Friday, April 26, 2024 1:42:30 PM To: Ian Zuhoski <Izuhoski@coastalplantings.com> Subject: Lice een renewed Cemail HI-66764,has been renewed and will next expire on 04/01/2026. You will receive nder to renew your license approximately 30 days before that date. ore information please contact Suffolk County Consumer Affairs at irs@ suffollccountyny_.gov. Please leave us feedbac a icensing@suffolkcount ny_.gov -------------------------------------------------------------- -- DIVISION OF CONSUMER AFFAIRS Suffolk County Department of Labor, Licensing Consumer Affairs Wayne T. Rogers -- Commissioner EDWARD P. ROMAINE -- Suffolk County Exe' tive c � yy�. �1 1 S . D�l r I CN ' C Suffolk Count Government 2r-"grtaient of Consurner Affairs � License and Complaint Violation Look Up Use the form below to search for License and Complaint ,Violation information. Please note:Specific License Type search will only show license data, no complaint or violation data. 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Contact Us Accela Citizen Access (ACA) Online Portal Copyright @ 2024, Suffolk County Government APPROVED AS No 'D DATE• /A.P.# ��� FEE V f BY: COMPLIES wrn+: SUCTION NOT) BUILDING DEPA TMENT AT ANDDOHOCODE SECTION 303.2.1-303.4 SWIMMING POOLS, SPAS, SUCTION BENCH 631-765-1802 8AM TO 4 t FOR THE SECTION R326 OF THE RESIDENTIAL CODE OF NEW YORK SECTION 3109 CF THE BUILDING CODE OF NEW YORK FOLLOWING INSPECTIO. S: SECTION N1103.12 (R403.121 RESIDENTIAL POOLS AND PERMANENT RESIDENTIAL SPAS 1. FOUNDATION-TikfO E0)"^rr) SECTION 3109.3.1.2 - 3109.7.4 POOLS AND SPA GATES, RIERS FOR POURED CONC1 I- SECTION G106 ENTRAPMENT PROTECTION SECTION G107 MS 2. ROUGH-FRAMING;& F SECTION E4201-EE4312 ELECTRICAL CONNECTIONS FOR if) 3. INSULATION POOLS MP 4. FINAL-CONSTRUCT N MUST BE COMPLETE FOR .0. FI TER ALL CONSTRUCTION SH LL MEET THE POOL NOTES: REQUIREMENTS OF THE DES OF NEW 1. POOL AND PROPERTY TO CONFORM TO CURRENT STATE AND LOCAL CODE, YORK STATE. NOT RES NSIBLE FOR ENERGY CONSERVATION I R403.101 AND ELECTRICAL CODES. H ATER DESIGN OR CONSTRUCTC N ERRORS 2. POOL SHALL CONFORM TO ANSI / NSPI STANDARDS R326.3.1 3. SECTION R326.7 POOL ALARMS TO BE INSTALLED AS REQUIRED BY CODE. RETURN COMPLY WITH ALL ODES OF 4. INSTALL TEMPOARY PERIMETER BARRIERS AROUND CONSTRUCTION AREA NEW YORK STATE &T WN CODES TOING BE SE��LOSING AND SELF LATCCHHI�RIER LOCKING PER CODE,R R326.5. ALL GATE ACCESS AS REQUIRED AND CO ITIONS OF5. 3500 PSI POURED CONCRETE WALLS, MIN. 40" 50' SOUTHOLD TO ZBA 6. FINE WASHED SAND BASE WITH PORTLAND MIX AT BOTTOM I n �7 SOIL CONDITIONS AND SITE MANAGEMENT TO BE RESPONSIBILITY CF SOUTHOW O PLANNING BOARD CONTRACTOR. PROVIDE SOIL TEST IN POOR SOIL CONDITIONS. SOUTH TO N TRUSTEES B. SEE SITE AND OTHER ATE AND LOCAALREWRE<EMSLTOABENVERIFFIIEDKPR VARIANCES, NX ,DEC CONSTRUCTION. 9. DRAIN COVERS TO MEET CODE REQUIREMENTS MFI. MOLD HP 10. POOL PATIO SURFACE TO SLOPE AWAY FROM POOL 1/4%'-0" AND AWAY FROM F:SCHD HOUSE IF CONNECTED. PROVIDE ADDITIONAL DRAINAGE IF NECESSARY. 11. INSTALL CLEAN BACKFILL, FREE OF CLAY AND ORGANIC MATTER. COMPACT SOIL AS REQUIRED PRIOR TO PATIO INSTALLATION. 12. SUCTION CUTLETS PER ANSI / APSP-7. VERIFY IN FIELD PRIOR TO CONSTRUCTION. 13. SURCHARGE NOT PERMITTED WITHIN 4' FROM SHALLOW AND 6' FROM DEEP ENDS. 14. DIVING BOARD TO BE DETERMINED BY INSTALLER AND OWNER. 30' 10' 6' 4' RETAIN STORM WATER RUN FF 1B. POOL EQUIPMENT LOCATION TO BE DETERMINED IN FIELD (MAINTAIN MINIMUM SETBACKS AS REQUIRED). PURSUANT TO CHAPTER 23 LINER OF THE TOWN CODE. /3 REBAR ,. 2-TO MJSTE -0----- FfATER . ��. (41 RRIZCNTPL 6'X 9'CRYWELL C FILTER 4 PUK/P vi I SKIMMER LINER I . ', 13 REBAR 4 (41 VERTICAL 0 a I PENTAIR AUTOMATION,LED LIGHTS, 1/4"FOAM . •1.' 48 � OF NE(,I, FILTRATION,140k ELECTRIC FEATER I POOL PADOIM.� 4 P I !! J DEFR �O L------PTO 4 '0 OPTIONAL DUAL MAIN DRAIN ® UCR PSI * ., N bosons POOLS OCCUPANCY OR I I WITH HOR TUBE ,�R GDf�REE r L___.�_l CCl1ECTCR TUBE IN GRAVEL BASE . �a USE IS UNLAWFU PIPING SCHEMATIC m NOT TO SCALE WALL DETAIL °A 0 POOL TYPE 15 x 50 Rectangle REV. SCALE N.T.S. WITHOUT CERTI CA_ �SS,ON � DATE 3 4 24 U NOT TO SCALE 13115 Main Bayview Rd. DF2AWING NUMBER Southold, NY 1 OF 2 7F OCCUPANCY ELECTRICAL %%-". . , INSPECTION REQUIRED E14GLQSE POOL TO CODE ),JJPON COMPLETION. f.._.,:,:BEFORE"WATER'T=,; NOTES: 1. CONFORM WITH ANSI/APSP/ICC-5 SEC 6 2. NO SOIL DISCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION 3. POOL/SPA MUST BE SURROUNDED BY A CONTINUOUS BARRIER CONSTRUCTED IAW REQ.OF SEC 326.4.2.1-R326.4.2.6 OF THE NYS RESIDENTIAL CODE(2020)AND ALL SECTIONS OF THE SOUTHOLD CODE 4. WALLS MAY SERVE AS PART OF THE POOL/SPA BARRIER AS PER SEC 326.4.2.8 AND ALL WINDOWS HAVE A SELF LATCHING DEVICE 5. ACESS GATES SHALL COMPLY WITH SEC R326.5.2 OF THE NYS RESIDENTIAL CODE(2020)AND BE SELF CLOSING,SELF LATCHING AND BE SECURELY LOCKED WHEN POOUSPA IS NOT IN USE OR SUPERVISED. ALLL GATES ARE TO OPEN AWAY FROM THE SPA AREA. 6. DURING CONSTRUCTION THE_CONTRACTOR SHALL ERECT A TEMPORARY BARRIER AROUND THE EXCAVATION IAW CODE OF THE TOWN OF SOUTHOLD. 7. POOUSPA MUST BE EQUIPED WITH AN APPROVED POOL ALARM CAPABLE OF DETECTING ENTRY INTO THE WATER AND SOUNDING AN AUDIBLE ALARM WHEN DETECTED THAT IS AUDIBLE AT THE POOUSPA SIDE AND INSIDE THE DWELLING.THE ALARM MUST BE INSTALLED,MAINTAINED AND USED IN ACCORDANCE WITH TEH MAUFACTURERS INSTRUCTIONS.THE ALARM MUST MEET ASTM F2208"STANDARD SPECIFICATION FOR POOL ALARMS". THE DEVICE MUST OPERATE INDEPENDENT(NOT ATTACHED TO OR DEPENDENT ON)OF PERSONS. 8. POOUSPA SUCTION FITTINGS(EXCEPT FOR SURFACE SKIIMERS)MUST BE PROVIDED WITH A COVER THAT CONFORMS TO ASME/ANSI Al 12.19.8M OR A MINIMUM 18"X23"DRAIN GRATE OR A CHANNEL DRAIN SYSTEM.POOUSPA CIRCULATION SYSTEM MUST BE EQUIPTED WITH ATMOSPHERIC VACUUM RELEIF.SUCH VACUUM RELIEF SYSTEMS SHALL CONFORM WITH ASME Al 12.19.17 OR BE A GRAVITY SYSTEM APPROVED BY THE TOWN OF SOUTHOLD. POOUSPA SHALL BE PROVIDED WITH A MINIMUM OF 2 SUCTION FITTINGS OF THE ABOVE MENTIONED TYPE.THE SUCTION FITTINGS SHALL BE SEPARATED BY A MINIMUM OF T AND MUST BE PIPED SUCH THAT WATER IS DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A VACUUM RELIEF-PROTECTED LINE TO THE PUMP(OR PUMPS).VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN ACCESSIBLE POSITION,MINIMUM OF 6"AND NO GREATER THAN 12"BELOW THE MINIMUM OPERATIONAL WATER LEVEL OR BE AN ATTACHMENT TO THE SKIMMER/SKIMMERS. A REQUIRED SPA ATMOSPHERIC VACUUM RELEIF SYSTEM SHALL BE INSTALLED AS PER NYS RESIDENTIAL CODE R326.6.3(2020)AND IN ACCORDANCE TO TOWN CODE 9. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEC),PRINCIPALLY ARTICLE 680 AND THE NYS RESIDENTIAL CODE SECTION 4102 THROUGH 4106.ALL ELECTRICAL DEVICES MUST BE APPROVED BY UNDERWRITERS LABORATORIES AND BE PROTECTED BY A GOUND FAULT CURRENT INTERRUPER(GFCI).CURRENT CARRYING ELECTRICAL CONDUCTORS EXCEPT FOR THOSE PROVIDING POWER TO POOUSPA LIGHTING AND SPA EQUIPMENT SHALL MEET THE SEPARATION REQUIREMENTS OF TABLE E4203.5. ALL METAL ENCLOSURES,FENCES OR RAILINGS NEAR OR ADJACENT TO THE POOUSPA THAT MAY BECOME ELECTRICALLY CHARGED DUE TO CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELY GROUNDED. 10. WATER SOURCE FILLING THE POOUSPA SHALL BE EQUIPPPED WITH A BACKFLOW PROTECTION DEVICE IAW NYS PLUMBING CODE 608. 11. ALL PIPING IS DIAGRAMMATIC UNLESS OTHERWISE STATED. 12. WALKS, IF PROVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM THE POOL/SPA EDGE. 13. A MEANS OF EGRESS FROM THE POOUSPA MUST BE PROVIDED IAW ANSI/NSPI-5 SECTION 6. - ---- i 14. CONTRACTOR TO PLACE THE POOUSPA IAW TOWN OF SOUTHOLD CODE SETBACKS. 15. ALL DRAINAGE FROM THE POOUSPA SHALL BE MAINTAINED ON THE SUBJECT PROPERTY. 16 THE DESIGN IS BASED ON A DRAINAGE SOIL WITH<10%SILT.GROUND WATER SHALL NOT EXIST WITHIN THE EXCAVATION.IF GROUND WATER EXISTS WITHIN 60"FROM GRADE,DEWATERING FACILITIES WILL BE REQUIRED. 17 ALL GAS AND OIL WATER HEATERS(IF INSTALLED)FOR THE IN-GROUND POOUSPA SHALL BE NATIONAL APPLIANCE ENERGY CONSERVATION ACT(NAECA)COMPLIANT.POOUSPA HEATERS SHALL BE TESTED IAW ANSI Z21.56 AND SHALL BE INSTALLED IAW MANUFACTURERS SPECIFICATIONS.OIL FIRED POOUSPA HEATERS SHALL BE TESTED IAW UL726.POOUSPA HEATERS SHALL BE LOCATED OR GUARDED TO PROTECT AGAINST ACCIDENTAL CONTACT OF HOT SURFACES BY PERSONS.POOUSPA HEATERS SHALL BE PROVIDED WITH TEMPERATURE AND PRESSURE-RELIEF VALVES.A BYPASS LINE SHALL BE INSTALLED FROM THE INLET TO OUTLET TO ADJUST WATER FLOW THROUGH THE HATER.POOUSPA HEATERS SHALL BE PROVIDED WITH THE FOLLOWING ENERGY CONSERVATION MEASURES: 17.1 ALL POOUSPA HEATERS SHALL BE EQUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR EASY ACCESS TO ALLOW SHUTTING OFF THE OPERATION OF THE HEATER WITHOUT ADJUSTING THE THERMOSTAT SETTING AND TO ALLOW RESTARTING WITHOUT RELIGHTING THE PILOT LIGHT. AT LEAST ONE THERMOSTAL MUST BE PROVIDED FOR EACH HEATING SYSTEM.HEATED POOUSPAS SHALL BE EQUIPTED WITH A POOUSPA COVER.(EXEMPT FROM THIS ARE OUTDOOR POOLS)DERIVING 20%OF THE ENERGY FOR HEATING THE POOUSPA FROM RENEWABLE SOURCES OVER AN OPERATING SEASON. 17.2 TIME CLOCKS SHALL BE INSTALLED SO THE PUMP CAN BE SET TO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERIODS,AND CAN BE SET TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOUSPA WATER IN A CLEAN AND SANITORY CONDITION IAW APPLCIABLE SANITORY CODE OF NEW YORK STATE. 18 BACKFILL WILL BE DONE WITH CLEAN EARTH FREE OF ROOTS AND DEBRIS. BACKFILL HEIGHT AND WATER LEVEL TO BE WITHIN 8"OF EACH OTHER. PLACE CONCRETE ON SANDY LOAM SOIL. CLAY TO BE REMOVED AND REPLACED WITH SANDY LOAM. 19 THERE IS NO MAIN DRAIN IN THIS POOL/SPA. SUCTION FOR THE POOL SPA WATER CICULATION IS PROVIDED BY THE SKIMMERS ONLY. THIS MEETS REQUIREMENTS OF NYS CODE SEC 326.5 FOR ENTRAPMENT PROTECTION 20 THE POOUSPA WAS DESIGNED REFERENCES AS THE FOLLOWING: Jasons Pools 20.1 THE RESIDENTIAL BUILDING CODE OF NEW YORK STATE(2020)SEC R326 20.2 THE ENERGY CONSERVATION CONSTRUCTION CODE OF NEW YORK STATE(2020)SEC R403.10 co 5., DEFRirO�� 13115 Main Bayview Rd 20.3 THE FUEL GAS CODE OF NEW YORK STATE(2020) ,* Y a `� Southold,NY 20.4 THE NEW YORK STATE SANITORY CODE. m ; LU 20.5 ANSI/APSP/ICC-5 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS AND SPAS. a '-t POOL/SPA NOTES SCALE: NTS 20.6 BOCA CODE SECTION 421. �OA,4O0 2 JAMES DEERKOSKI, P.E. DATE: 31412024 20.7 CODE OF THE TOWN OF SOUTHOLD . SSION 260 DEER DRIVE MATTITUK, NEW YORK 11952 DRAWING NUMBER 2 OF 2