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HomeMy WebLinkAbout50733-Z of sou ryo`o Town of Southold * * P.O. Box 1179 io 53095 Main Rd CouNV.a Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45936 Date: 02/04/2025 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2060 Shipyard Ln East Marion, NY 11939 Sec/Block/Lot: 3 8.-7-9.4 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 04/15/2024 Pursuant to which Building Permit No. 50733 and dated: 05/23/2024 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: Boost Construction Corp Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 50733 09/19/9-024 PLUMBERS CERTIFICATION: 010 iz d Si afore el a,�� TOWN OF SOUTHOLD moo- BUILDING DEPARTMENT a TOWN CLERK'S OFFICE o • 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#: 50733 Date: 5/23/2024 Permission is hereby granted to: Parkside Heights Co c/o Kontokosta PO BOX 67 Greenport, NY 11944 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. At premises located at: 2060 Shipyard Ln, East Marion SCTM #473889 Sec/Block/Lot# 38.-7-9.4 Pursuant to application dated 4/16/2024 and approved by the Building Inspector. To expire on 11/22/2025. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00 CO- SWIMMING POOL $100.00 Total: $400.00 Building Inspector pF SO!/r�,ol � o Town Hall Annex . Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlinCaD-town.southold.ny.us Southold,NY 1 1 971-0959 Q MUM BUILDING DEPARTMENT TOWN OF SOUTHOLD. CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Parkside Heights Co Address: 2060 Shipyard Ln city:East Marion st: NY zip: 11939 Building Permit#: 50733 Section: 38 Block: 7 Lot: 9.4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: WD Electric Clifford Edwards License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor 1st Floor Pool X New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service t ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO 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 LJ Sump Pump EJ Other Equipment: Pump 220GFI, Waterbond on Pipe_ Notes: Pool Inspector Signature: Date: September 19, 2024 S.Devlin-Cert Electrical Compliance Form Copy / r3f SOUTyO! - 50733 # # TOWN OF SOUTHO.LD BUILDING DEPT. ��m� 631-765-1802 tN ECTION. [ /FOUNDATION 1ST RE AR [ ] 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: Ole, Dk- INSPECTOR * _TOWN OF SOUTHOLD BUILDING D T. 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: 00 IAM DATE INSPECTOR OF SOGIyO� # TOWN 'OF SOUTHOLD BUILDING DEPT. coum, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULfnONICAULKING [ ] FRAMING /STRAPPING .FINAL Yffg,.-� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] -FIRE RESISTANT CONSTRUCTION [ ] FIRE'RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ . ] PRE C/O [ ] RENTAL RE ARKS: o' u- guk, 49'a 7 -��c &O(An- - Gh W-c4 cd4a, mvsr- ie, DATE -A INSPECTOR O��OF 50GlyO S�D 73-5 42000 5 to yar2l( # TOWN OF SOU.THOLD -BUILDING DEPT.. orm,�' 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) [XI ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE-C/O [ ] RENTAL R ARKS: Poo 6Gt -ro/ ipLkvKia 6L l� mt k, pab ar-oun of l 4o Be 'ban de ID 00 hogA DATE INSPECTOR oF soulyolo * # TOWN OF SOUTHOLD. BUILDING DEPT. um, 631-765-1802 �0-1,�� ANSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND. [ . ]YtULATIOWCAULKING [ ] FRAMING/STRAPPING' [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE.SAFETY INSPECTION ] FIRERESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) - [ ] CODE VIOLATION ' [ ] PRE C/O [ ] RENTAL REMARKS: . mv- Svj Inc - — 0�-L�OA� DATE . 'INSPECTOR OF SOUIyO� 50 -7 d Z & o ► P # TOWN OF""SOUTHOLD BUILDING DEP�: o�+Ni� 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) ELECTRICAL (FINAL) [ ]. CODE VIOLATION ] PRE C/O [ ] RENTAL REMARKS: DATE INSPECTOR ` OF SOUTyO� TOWN OF SOUTHOLD BUILDING DEPT.. cou�m,��''i� 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]" INSULATION/CAULKING [ ] FRAMING/STRAPPING [ eFINAL five [ ] =FIREPLACE-& CHIMNEY [ ] FIRE SAFETY INSPECTION [ . ] FIRE RESISTANT CONSTRUCTION "[ ] "FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] " RENTAL REMARKS: ).e ' In 6 on- he DATE /a 'ate-a INSPECTOR OF SOUT�o� TOWN OF SOUTHOLD BUILDING DEPT. utm, 631-765-1802 o� INSPECTION ' [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ r.FINAL ULATION/CAULKING FRAMING /STRAPPING [ Podt.- P`0-1 AA.0- [ .] FIREPLACE &-CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]- FIRE RESISTANT CONSTRUCTION' [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O. [ ] RENTAL REMARKS: DATE t INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS 0 �l�• D Gon /l v¢.. FOUNDATION (1ST) V � ------------------------------------ C FOUNDATION (2ND) z o - ROUGH FRAMING& PLUMBING H r 7 r INSULATION PER N.Y. STATE ENERGY CODE .� A&Cew- . 7 f a✓ KI FINALillo" Ofk2K &Afdw OL vsi of L o-a�. tin Cf— 44suh4 csh v- how oul . ADDITIONAL COMMENTS a� c Q � Qt ,� C 0 b. m r- r � ro H O z x H x d C=7 "b k-3 .. w #f�� Ila =_ `I`tJVVV OFCUTHOLD�-BUI `DING DI+rPARTMEiT -Town Hall Annex,5437S'MA* Aoad:P C?.Bcilc 1 179 Sautlipld,NY 1 197I=U959` Q�v4� Telephone(b31)7b5�1802 1~ax (631)7 5-95t12 htti2s:l/ww�u.:southeildtou�rinycv Fate.Received APPLICAT ON FOR BUILDING PERMOT For Offite Use Only t PER1VilT jA NO.. `� suildirig lnspedor:: p,PR 1 5 2024 Applications and forms must be filled out In their enfltery incomplete c , applications.y�rill not be::accepied. Where the Appiicant.is not the owner;an �Li° "�? Ownees.Autborizatidn.fotm(Rage:Z):Shati betdmpleted.. �pt�'aal�4e 4+.E• Date.. Z •:.'z *ar--^ �ry y ,^g Name // � .f �l� � : �• . PrajectAddiress; b ( Srlpy L- f" `; ... ) 1 . Phone A O(wl, � -_�Q_. Email: 'Bpq! TCONST E UCTioo.NC012 _F - u:w Mailing Address '� (� c/IV I PF P- ...�G'(1y:AX 2D 141 PI)OLE CONTACT PERSON MarlingAddress... I / LL' -- t�.Q V Phone:## iV IT&�Mu. 4b': DESIGN PROFESSIONAL INFORRIIAT..ION: Name: i✓ N :SL.0 .N i2OV P Lr(� Mailing Address 5�7 V fj-i^(,. D , (r}`�S ft��L E.� 1170(, Phon46#t ?.�( $g?3'1�J� O Erna l;: C4NTRAC70R INFORMATION:. r.y "/ 1g T l ra A3 X 4t Mailing�lddresx Z o Co-, S `' Phone#: Email: QI S�CRIPTION OFPROR05 D CONSTFlilCTIaIV e nr Structure QAdditidn QAlteeatloh !QRepair QOemblition Estimated Cost of Project 35-, 000 `QOther oo� Will ilia lot bare graded? I�Y'es . No Wi1i excess 1•ill.be cenoved`fram premrses? 'ClYes: L�V:o: a EM OEM- MIT _ r�'. `. ,- ark, '�'` -.,...>,4".. .':` .s.<�- ,.v` - �?'--#� :Existing use of:property: /1psl t� l Intended use of property: Zone or use district in which premises is situated.: Are thdrei any covenants'and'restrictions with respect to this property. 01wo I.F YES,PK0VlD1;A.COPY. Check Box After Reading: The own Aft pit4ss4401 is m.spansitiieloraltdraln.4 ano storm watt?IMPS as WoOdod>rV Ch.PWr23Softhe Town Code APPUCATION IS HEREeY MADE to the B0ah.�Department for tfn>1ssuancepf s BulldlnQ permit punvarK to ihe8ulidtn6 Zone Oichnince of the town of to ithold,Suffolk,tounty New York aact otherapgiica6le:laws;ar�linanies or.Regulations for the tcMtructlon.pf build..ts,. aciftons,afternions orfot removal pi demotitloit as hgtetn de cilbed The applicant.agmes to obmpiy wtth:ail applicable laws,ordinances;bul4ft code, dousing code and ntol000ns:and.to:atlmit authoHted in"spectaM on premises and in buildings)foe'netPsssgrY:inspectiora.Eaise statements made Nr?Tn.are: punishatile.as a pass A:misilerneanor pursuant to Seurat(tloAS.of the:NeW:Yark state Penaitaw, Applrcatron Subrtiitted 6 [�utharized Agerst O.Owner y(print name) I,(�Ol�(I IC/� NI Ur 09 Kil Signature of Apphcanr '� Date STATE OF.N.EW YORK): Ss. iCOUNTY W � ) be'l` g duly:sworn,deposesand says that'(s)he is`the applicant (fVame,of ind v dUZI sloping co'ntract):abpve named;. .(S)he is the QLOve�c (Gantractor,;Agent,Corporate Officer,etc) of said owner or owners,and is duly'authorized to perform or have perform.ed the_said SNotk and'to make and:file this applications;that all statements contained:ir`this app(icatlon:are true to the best ofhis/her;knowledge and belief;:and that the work tiill be performed in the manner:set forth in the application fie therewith. Sworn before.me.this 'rj�day of �� ,:20'2 a . pub i r DANNY L CORDOVA NOTARY PUBLIC,STATE OF NEW YORK Registration No.O1C06226841 !PROPERTY OWN:ER:AUTWRIZATI Qualified in Nassau County (Where the applicant is.not the owner): emission Expires August 16,2026 51e S _ res"riling at 22.c+��,�u1i I�er Ay eo 4,f�,i n4 ln. &Idd do heeeby'authorUe d kL to apply on my behalfto.the.Town ofSouthold Building.D:epartment foe approval as described.herein.. Owner's Signature Date _.__. Print pwner's Name 2 b00&1C0n o► 306 `I✓�'OS�FfO(�co,� BUILDING DEPARTMENT- Electrical Inspector m r �O Gy TOWN OF SOUTHOLD `t4 0 1 Town Hall Annex- 54375 Main Road O Box 1179 y T Southold, New York 11971 9 1� 1 0 � 4 2024 Telephone (631) 765-1802 - FAX ( 1 76 =9502 jamesh(a�southoldtownny.gov seand(a�southoldtownny. v -go- Building Department APPLICATION FOR ELECTRICAL INSPECTION Town of Southold ELECTRICIAN INF RMATION (All Information Required) Date: (?j Company Name: TCf 9 k- t?. Electrician's Name: License No.: El C. email: Elec. Phone No: j'� --3 request an email copy of Certificate of Compliance Elec. Address.: �-) i _) JOB SITE INFORMATION (All Information Required) Name: LWW �ti' -. 2 c Address: M'ON 6tf 5q Cross Street: Phone No.: Bldg.Permit# [t email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑ Rough In ❑ Final Do you need a Temp Certificate?: 0 YES ❑ NO Issued On Temp Information: (All information required) Service Size M1 Ph❑3 Ph Size: �f�OA # Meters Old Meter# [gNew Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Y2j,. c: I��b�1�- PERMIT# Address: Switches :. . - Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W/D Panel Pumpr-��Q Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond cA h1�� Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments �OSUfFOL BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD E C E DWE Town Hall Annex - 54375 Main Road Box 1179 Southold, New York 11971 9 �l� �y� Apr Telephone (631) 765-1802 - FAX ( 1 76950� 4 2024 lamesh(@-southoldtownny.gov — seand(a_southoldtownny.gov Building Department APPLICATION FOR ELECTRICAL INSPECTION Town of Southold ELECTRICIAN INF RMATION (Ail Information Required) Date: (- �4 Company Name: W -D D L- CA � (2, t? Electrician's Name: License No.: El c. email: Elec. Phone No: j� 1 request an email copy of Certificate of Compliance Elec. Address.: 0--1-e,1G JOB SITE INFORMATION (All Information Required) Name: W6-C.( �te-SIYAIOCI Address: 760 S Cross Street: Phone No.: Bldg.Permit#: �50 -7 5 email:LuAo r-i Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO []Rough In ❑ Final Do you need a Temp Certificate?: I V1 YES ❑ NO Issued On Temp Information: (All information required) Service SizeF�1 Ph❑3 Ph Size: 0 A # Meters Old Meter# E]"New Service[:]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 R2 H Frame R Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION Pd� Io"14-C) �t L—I-D-) 1�- nco CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `� F03/19/2024 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 Takach&Associates,Inc. Takach&Associates,Inc. PH .631-366-2774 FAX lc ,631-366-2739 ONE 112 Terry Road EMAIL csr4aptakachinsurance.co. INSURERS AFFORDING COVERAGE NAIC# Smithtown NY 11787 INSURER A: Merchants Mutual Insurance Company 23329 INSURED INSURER B: INSURER C: KG QUALITY RENOVATION INC INSURERD: 206 SOUTH 4TH STREET INSURER E: ShelterPoint Life Insurance Company 81434 LINDENHURST NY 11757 INSURERF: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRIX COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A CLAIMS-MADE FX OCCUR DAMAGE TO RENTED 500,000 X BOP 9100018 12/15/2023 12/15/2024 MED EXP(Any oneperson) $15,000 PERSONAL&ADV INJURY $Included GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY❑PRO- LOC PRODUCTS-COMP/OP AGG $2,000,000 JFCTOTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED I I RETENTION T'Tr $ WORKERS COMPENSATION PER OTH- A PR AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNERIEXECUTIVE❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E NYS DISABILITY&PFL D649325 10/12/2023 10/12/2024 NYS LIMITS DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) JOB LOCATION:2060 SHIPYARD LANE,EAST MARION,NY 11939 Certificate holder is included as additional insured to the fullest extent permitted by law when required by a written executed contract subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 ROUTE 25 ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 1179 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIV I'�""' <SR> ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD I PORK workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured KG QUALITY RENOVATION INC 631-592-8819 ATTN: KAZIMIERZ GOLEBIEWSKI 206 SOUTH 4TH STREET LINDENHURST,NY 11757 1c.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is specifically limited to or Social Security Number certain locations in New York State,i.e.,Wrap-Up Policy) 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder)TOWN OF SOUTHOLD ShelterPoint Life Insurance Company 53095 ROUTE 25 3b.Policy Number of Entity Listed in Box"1a" PO BOX 1179 DBL649325 SOUTHOLD, NY 11971 3c.Policy effective period 10/12/2023 to 10/11/2024 4. Policy provides the following benefits: A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: i A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. // Date Signed 3/19/2024 By Ue, U(� (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only if sox 48,4C or 58 have been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. DB-120.1 (12-21) (iiiiiiiiiiiiiiiii�����1� NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 A A A A A A 203931156 % TAKACH&ASSOCIATES INC 112 TERRY ROAD N % SMITHTOWN NY 11787 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER K G QUALITY RENOVATION INC TOWN OF SOUTHOLD 206 SOUTH 4TH STREET 53095 ROUTE 25 LINDENHURST NY 11757 PO BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 11440 351-3 493131 12/19/2023 TO 12/19/2024 3/19/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1440 351-3, 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, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:IIWWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. KAZIMIERZ GOLEBIEWSKI(PRESIDENT) OF K G QUALITY RENOVATION INC A ONE PERSON CORPORATION THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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. NEW YORK STAT SUR NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:745902461 U-26.3 FILE.-2022-122 S�A SHIP YARD LANE EDGE OF ASPHALT S35041 '30"E GRASS 150.00' 623. 169 0 6 0 6 �aa.s b PORCN 9 3.6 a 30.0'r 6.3 z.19 �� 23:8,— — —46.2 M N0. 2060 M N FRAME O PROPOSED 0 I 73.8' I �y PORCH RAMl m � 23.1 o N I o I N c) PATIO 0 PROPOSED I w I' IN-GROUND POOL I = LLJ 32.0' Uj 1 Q 0 20.0' I I15.0' O 0 I I 0 z cfl I I c� HEAVILY I o Ln I OVERGROWN AREA I Ln Z (n I _ I I I I I I I L — — — — — — — — — — — — J 0 0 u� 1.3'W 0.3'W BLUESTONE FRAME CURB SHED GRAVEL GRASS N35041 '309'W 150.00' PARCEL-rDr' PARKS&RECREATIONAREA NOTES SUAMflT ESTATES SECTION 1 1. THE OFFSETS OR DIMENSIONS SHOWN HEREON, FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR SUFFOLK COUNTY,FILE NO.9426 A SPECIFIC PURPOSE AND USE. THEREFORE THEY ARE NOT INTENDED TO MONUMENT PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES. ADDITIONAL _- STRUCTURES OR ANY OTHER IMPROVEMENTS. 2. THIS SURVEY IS FOR BUILDING DEPARTMENT USE Surveyed sed: Vlarcfi1,1 ; 024 ONLY, NOT FOR ANY OTHER PURPOSE. Propose O d- t updated 3. EASEMENTS NOT SHOWN ARE NOT GUARANTEED. �� Certification indicated hereon signify that this survey was Survey a $ed:;glr. embait=4� 022 prepared in accordance with the existing Code of '. _% (n 1 Practice for Land Surveys adopted by the New York Survey d� ug �~jOf;G . G State Association of Professional Land Surveyors. Said 7*I+tT 7—�I T T a certifications shall run only to the person for whom the a Z OpRof dOL.,•zlfl�L YING PLLC survey is prepored', and on his behalf to the title- company, company, governmental agency and lending institution GRLEC704 LODaZLEI�TS)�{I listed hereon, and to the oseignees of the lending I�1Ew Y0 .451 ,:��uE..S[51 -institution. �;,�ShN `J Certifications ore not transferable to additional institutions v��1 �wI or subsequent owner. Unauthorized alteration or addition 59-43 57thR 1,qnl to a survey map bearing a licensed land surveyors seal MAMPETH INY - SU is a violation of section 7209. sub-division 2, of the New York State Education Law. Tel'718-687-2217 Only copies from the original of this survey marked with an original of the land surveyors embossed seal shoe be EMAIL.'GEOTEENY@YAHOO.COM considered to be valid true copies. DISTRICT 1000 SECTION 038.00 BLOCK 07.00 TAX LOT(S) 009.004 EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY STATE OF NEW YORK 243 III II GENERAL NOTES NOTE: NOTES: 1. The A.I.A. General Conditions for Construction (A.I.A. Doc.A201)are hereby made an administrative part of THIS PROJECT COMPLIES WITH THE 2020 RESIDENTIAL CODE OF these drawings, as if herein written in full, 1.ALL WATER EITHER OVERFLOWING OR EMPTYING FROM THE SWIMMING POOL ZONING CALCULATIONS 2. Written dimensions shall have precedence over scaled dimensions. SHALL BE DISPOSED OF ON THE LOT WHEREON LOCATED WITH PROVISIONS MADE NEW YORK STATE. 3. Larger scale details shall have precedence over smaller scale drawings. It is the intentions of the drawings to FOR PREVENTING SUCH WATER FROM FLOWING ONTO THE LAND OF ANY ADJOINING ' f provide for a complete job in all respects and no extras will be allowed for materials and or labor required to PROPERTY OR INTO ANY ABUTTING STREET. complete the work, as indicated. 1 4. Prior to the start of construction, the contractor shall inspect the site and verify all dimensions and conditions. 2. OWNER SHALL BE RESPONSIBLE FOR CHEMICALLY OR MECHANICALLY TREATING LOT AREA:4b-1$7�94-5F" Contractor shall be responsible for notifying the person or office responsible for these plans regarding any WATER IN THE MANNER SUFFICIENT TO MAINTAIN BACTERIAL STANDARDS discrepancies or variations between noted dimensions and field conditions. No credits or extras will be allowed ESTABLISHED BY THE PROVISIONS OF THE NEW YORK STATE SANITARY CODE. FIRST FLOOR : 2,380.00 S.F(A) for discrepancies up to 2'0" in any measurement. SECOND FLOOR : 1,742.00 S.F(B) 5.All work shall be in accordance with the Residential Code of New York State , Energy Conservation Code of 3. OWNER SHALL BE RESPONSIBLE FOR THE MAINTENANCE OF THE POOL FRONT PORCH : 332.00 S.F(C) o New York State and any local codes, ordinances, rules and regulations having jurisdiction. Contractor shall IN ACCORDANCE TO THE PROVISIONS OF THE NEW YORK STATE SANITARY CODE REAR PORCH : 307.00 S.F(D) GUS DRIVE arrange for all necessary permits and inspections including the Certificate of Occupancy. AND THE RULES AND REGULATIONS OF THE SUFFOLK COUNTY HEALTH DEPARTMENT. 6. Contractor shall be responsible for adequately bracing and protecting all work during construction against LOT COVERAGE(A+C+D): 3,019.00 S.F. (7.5 o /D) damage, breakage, collapse, distortion and misalignment according to applicable codes, standards and good 4. OWNER SHALL BE RESPONSIBLE FOR THE POOL BEING LOCATED, DESIGNED, F.A.R. (A+B+C+D): 2,350.00 S.F. (11.9%) gG practice. 7. Contractor shall disconnect, cap and re-route any existing water, sanitary or utility lines in area of new OPERATED AND MAINTAINED IN A MANNER SO AS TO AVOID NUISANCE OR UNDUE foundation and shall use hand excavation in areas of suspected underground utilities and services. If any lines INTERFERENCE WITH THE ENJOYMENT RIGHTS OF ADJOINING OR NEARBY are broken or damaged, the contractor will repair and replace the same at his own expense and arrange for PROPERTY OWNERS. REAR YARD AREA: 30,546 S.F. proper inspection of his work. 8. The installation of all products and materials shall meet all local fire department's requirements and 5. LIGHTS USED TO ILLUMINATE POOLS SHALL BE SO ARRANGED AND SHADED AS TO POOL AREA: 512 S.F. regulations, proof of which shall be furnished to the fire marshal prior to the installation of such materials and REFLECT AWAY FROM ADJOINING OR NEARBY PREMISES. REAR YARD PAVED AREA: 987.35 S.F. products. 9. Provide all blocking and supports as required for framing of new and existing areas. Install and remove(after 6. PROVIDE SELF-CLOSING AND LATCHING DEVISES AT ALL GATES LEADING TO THE SECTION:36 BLOCK:7 LOT:9.004 completion) all temporary supports, headers, and dust screens to adequately sustain all loads and protect AREA WHERE THE POOL IS LOCATED. GATES MUST BE KEPT IN A SHUT POSITION AT existing work from damage of any kind, including dust. ;,,`. ALL TIMES. 10. Flash, caulk, and seal all junctions of new roofs, walls and penetrations, to form a watertight assembly. All flashing is to be 16 ounce copper sheeting unless noted otherwise, and extend at least 8"above intersecting 7. PROVIDE ALARMS AT ALL ENTRY DOORS AND GATES WITH A MINIMUM OF 120 dB surfaces. WARNING NOISE. zo 11.All electrical work shall conform to runes and regulations of the National Electric Code and NY State Board of ai Fire Underwriters. The final certificate of approval must be presented to the owner prior to final payment. N 12.All structural lumber shall be hem-fir#k2 grade or equal having a minimum stress of Fb 1100 psi ce E 1.5 x 10.6 unless noted otherwise. There should be double framing around all floor, ceiling, and roof openings. 13.All footings, piers, pilasters, etc. shall have a minimum stress of 3500 psi at 28 days and shall rest on undisturbed soil having a minimum bearing capacity of 2 tons per square foot. N 55 16' 00" E 293.04' 14. Provide access and ventilate all enclosed crawl and attic spaces as per code(measured in total free area). - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ 15. The entire premises, inside and out, shall be cleaned of all debris and excess materials, to the satisfaction of the owner, including labels and protective coatings on all materials. 16. Request for final payment must be accompanied with a waiver of liens, signed by all sub-contractors and ' material suppliers, in addition to the general contractor. I 17.All items of work identified on the drawings by name, note or material designation are new, unless otherwise noted. ' 1 18.All new materials and installations shall be in accordance with manufacturePs latest printed specifications and I with all code requirements. co b 19.All work shall be performed in accordance with the best standard trade practices. All trades shall cooperate i N i o to facilitate job scheduling and completion. 20. Proprietary names identifying items of work are used to designate the standard of construction. Items of equal quality may be submitted for review and approval. ' 6' HIGH MTL. w 21. Contractor shall be responsible for all damage to adjoining remaining areas as a result of his work and shall I FENCE (UNSCALABLE) repair any damaged surfaces to their pre-existing conditions or as may be required to complete the entire scope of work. SEAL 22. Indications of work to be removed are general only, and are not intended to show all items that may require I removal. Such items shall be removed, relocated, and/or reinstalled as required for installation of new work. , Fboard 5. ' St4 K23. Landscaping to be removed and relocated as required by the new work shall be hand excavated allowing for an adequate root ball as required by proper nursery practices. 6' HIGH MTL.FENCEdiving (UNSCALABLE) .6'LAWN r (per R�✓ISI door w/ ..�.HI.6ILIRY I BY alarm I '9�, 2946b •�O F_v pEStPIGTp4 fAiE ECO 2' 6' 6' 6'-10841SK0AMER 6' 6, 133.14' 4.0' 16.0' 50.0' ' F OF NE`N 6'R /6"R I I 6.0' i GRAVEL BED 2 0, i 4' o I PROPOSED ❑❑❑❑E ❑❑11[10� N 9.0' N INGROUND M PEACRH .6' I 0o O O NPOL R� co o (16X32,) GRAVEL BED LAWN 4. 36'-9' �o ROP. door w/ / I r POOL SELF-CLOSING ® alarm door a// ®rm v I MTL. GATE W/ iUJ PATIO SECURITY O 6' HIGH MTL. LATCH °O 3.6' IL 34.5' c� o 6 _4, ' (UNSCALABLE) steps 5� ~ 2 STY. N z ' TYPE-2DMNG I FRAME 3.0' LL 6"R �6"R LAWN DWELLING ' 6'-RETURN 6' 6'-RETURN 6' 2' 6'-RETURN I 1fT'2060 cli zo `° 50.0' ' _ 1 STY. 1 THESE ARE FINISHED DIMENSIONS READY FOR THE LINER 6' HIGH MTL. 2 DIMENSIONS ARE FROMINSIDE POOL PANELS FENCE j .6' .0 ANSHASPSACC REGULATIONS ' ' 00 3 ROPE AND FLOAT ASSEMBLY SHOULD BE INSTALLED STALLED ACCORDANCE WITH CURRENT AL`SCRI AVIV WNG PART/ 1 BOLT,PACK BOLT FLANGE HIaIL,o HPS1916 9 (UNSCALABLE) 4 HYDRA LINER TRACK FOR STEPS IS INSTALLED WITH THE BARS FACING THE RISER WALL CN THE 2 SBRACE EL BRACE FG..D OVERVYITHTJW' _.KL STEEL,HPSFOB HPSFOB HPSFOB w C- STEP 3 PANEL RA,,yT PAN 2 LONG,7D0 SERIES HP5E102P GDD0241z 2 M ST EXGVATK)N NO 4 PANEL,STRAIGHT PANE HP 4'LONG 700 SERIES SE1Dd� 00002723 3 IEL 5 PANEL STRAIGHT PANEL,6'LONG,108d 70D SERIES NP='0634 Du'irof, 1 5 ROUGH EXCAVATION SHOULD BE 7 DEEPER IN EACH INSTANCE. fi PANEL STRAIGHT PAN EL 6 LONG,700 SF1 HPSEt160 OY0213t 8 fi SOIL TO HAYS MINIMUM BEARING CAPACITY OF 1500 PSF 7 FA`.E__'RA-T PA`.l_6 LDNG\�0 73,;S`ERIES HPSE1O61 OOOL6322 3 APP 0 ED AS NOTED I �" ~ w 7 LOCATE TOP OF POOL AT LEAST 6•ABOVE THE SURROUNDING LAND ELEVATION B STAKE STAnE,t4GGA HPSSTAKE 000034" 22 (� Z W 9 HL16RI5R80d2 STANDARD LNER,16 X32 RECTANGLE 6•RADIUS 8 DEEP 47 WALL HL16326R?042 1 B. SEE•OVER,DIG DETAR•,IN INSTALLATION MANUAL,FOR EXCAVATION AROUND POOL 10 HS,10N STEP,B,TN1NSEgT4T'-AD HS110N HSt1DN 1 I 193.64' v 9. FlLLVO IDS UNDER BASE OF PANELS AND TAMP WELL 11 PANELWFCGE AEDGE21V'%21'2'X9'ASSY HPSDF,CA OP]672t 4 DA .,5a3 a4R-P0 sQ �3 ' °° 19. 0 BACK FILL WITH NON-EXPANSIVE MATERIAL R.WEIDHT UNLESS OTHE NWISE SPEC,FIED,DEBI DBY GRFA ION TE _ 11 BACKFOLL ALL CURftE^77 ANSI IAPSP7ICCGUIDELNES FOR RESIDENTIAL POOLS vauuE DIMENSIONSIAREININCHES EMCMAHAN AIJ21 020 ATLAS STEEL Ytdt` TOLERANCES DETAI.ED BY DETAILED DATE O OE�HTANL NOIES DECIMALS X: 1 EMCMAHAN 7R112026 XXx 0, co0 O THIS DOCUMENT IS FOR ILLUSTRATIVE PURPOSES ONLY THE DEALER OR CONTRACTOR'AMO L XXX:001 usi RLVISEDBY LAST REYSED BATE Tmi RECTANGLE, M9HUS, , -, r wo, w/ I^CC 61 BY. U) SELLS OR INSTALLS YOUR POOL IS AN INDEPENDENT CONTRACTOR AND IS NOT AN AGEN E OF THE tEATTREAT XXXXx �,wLu�O L21Y1021 HS110N,3•INLET,1-1094,700 SERIESco MANUFACTURER THE CONST.RUCTIONMETHODS ILLUSTRATED HERE ARE SUGGESTIONSAND M H MATERIAL T� I al NOTIFY BUILDING DEPARTMENT AT APPLY ONLY TO NORMAL GROUND CONDRIONS THERE MAYBE ADDITIONAL PRECAUTKNIS M ANGULAR Xx05 {} TEXiLBtE THIRD AN GEE PROJECTION 631-765-1802 8AM TO 4PM FOR THE `- ANDIORMETHODSOFCONSTRUCTION PROPER INSTALLATION IS THE RESPONSIBILITY OF THE ^E` PnaT KCMBEa SCALE s 1 �L{yo FOLLOWING INSPECTIONS: DEALERIBUILDER'CDNTRACTGR 'C 0 00057433 ,:,, A CM LL: A.r,1A, y „I .,.. ..AL .Yap B49' z l ui 1. FOUNDATION-TWO REOUIRED I ICY) rn M U FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUtvPI,"' 3 W o 3. INSULATION I Q } 4. FINAL-CONSTRUCTION MUST COMPLY WITH ALL CODES OF z �3' I f BE COMPLETE FOR C.O. NEW YORK STATE &TOWN CODE a o Of z -4" ►i ALL CONSTRUCTION SHALL MEET THE S �- - J u,j AS REQUIRED AND CONDITIONS OF a w J REQUIREMENTS OF THE CODES OF NEW Q Q a'-0• I YORK STATE. NOT RESPONSIBLE FOR ISO 1 LD TOWN ZBA U) rWN PLANNING BOARD N OLD TO U) to t DESIGN OR CONSTRUCTON ERRORS N w m J11iOL.D TOWN TRUSTEES N XS,DEC � OCCUPANCY OR OROL.DHPC USE IS UNLAWFUL C"D I WITHOUT CERTIFICAT 1 TYPE-2 DIV114G R6" OCCUPANCY I J (4 PLCS) I I O z N RETAIN STOPA WATER RUNOFF � U �j 0 CA �- PURSUANT 32'-°'- I OF THE TOW JOCODE TER 236 CD W J AREA PERIMETER VOLUME SO.FT. FT. U.S.GALLONS 5,1.79 96.14 ,9462.70 34• PAVED DRIVEWAY U) D o -L I W O NOIES: 1 THESE ARE FNISHEDDIMENSIONS READY FOR THE LINER _J 2. DIMENSIONS ARE FROM INSIDE POOL PANELS 4'-8' I _J ♦'n w II ROPE AND FLOAT ASSEMBLY SHOULD BE INSTALLED IN ACCORDANCE WITH C 3 URRENT v ANBVASPSOCC REGULATIONS � � � V 4. HYDRA LINER TRACK FOR STEPS IS INSTALLED WITH THE BARB FACING THE RISER WA-L ON THE LE TRICAL p Q STEP WAVATKX7N0¢$; i _ +^ e INS 5 ROUGH EXCAVATION SHOULD BE 7 DEEPER IN EACH INSTANCE 4'-°" 6'-°" ----14'-0" 8'-°" t R¢A� +a wT0 N B SOIL TOHAVEMINIMUMREARING CAPACITY OF 1500PSF. p�7y' �}_I^.a•,v,.y �� RE�lIREO W FPOOLATLEASTB•ABOVETHE SURROUNDINGLANDELEVATION I ,•, [� SE POOL TO C r, I W 7 LOCATE HAVE E! CLO B SEE•OVER DIG DETAR•FOR EXCAVATION AROUND POOL. n7�,� +� W 9 FlLL VOIDS lR4DER BASE OF PANELS AND TAMP WELL �wElcHr UNLESSOTHERWISE SPECIFED DESK,NED BY cREAnaI OAIE L,L�/���1 'c -UPON CODE'• I1 10. BACKFILLWRHNONEXPANSNEM1tATERIAL vaLIME DIMENSIONS ARENINCHES � 0t3 f7LEJIVIPOOW L 'BEFORE�yq�E N,; - - w O z C7 E... Z op 11. FOLLOW ALL CURRENT ANSIIAPSP7ICC GUIDELINES FOR RESIDENTIAL POOLS 1946170 NCM TOLERANCES AILED BY OETAAEn DATE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .��-- DECIMALS X. 1 EMCMAHAN 3.4172024 MPORTAN-NOM N XX,E 01 LAST AEVISEO BY LAST REVIBEDOATE TITLE , THISDOCUMENT IS FOR ILLUSTRATIVE PURPOSES ONLY THE DEALER OR CONTRACTOR WHO O XXX,E 001 811,�e�R 12712=9 �3F1fECTARG , ,X, REAT TREAT XXXXs DEEP,42"WALL S 55 16' 00" W 293.04' w SELLS OR INSTALLS YOUR POOL IS AN IN CONTRACTOR AND IS NOT AN AGENT OF THE >� MATERIAL SUGGESTIONS ANGULAR: X*03 MAN UFACTUPER THE CONSTRUCTION METHODS ILLUSTRATED HERE ARE SUGG (0 U �) O APPLY ONLY TO NORMAL GROUND CONDITIONS THERE MAYBE ADDITIONAL PRECAUTIONS M iExt1HE THIRD ANGLE PROJECTgNSITE AND'OR METHODSOF CONSTRUCTION PROPER INSTALLATION IS THE RESPONSIBILITY OF THE i0 SQE2P 16326R8O42 LAN DEALER'BUILDER7CONTRACTOR = O � A ypEg• SCALE:� RG• A A DWG N SCALE: 1"= 10' NOTE SURVEY DATA HAS BEEN TAKEN FROM A SURVEY 1 r E -,E MA J . 2.���D,;., DL�,�o. .�IHL,._:.w� s y0U -. u9z' PREPARED BY: CITY BOROUGH LAND SURVEYING PLLC NOTE: REFER TO MANUFACTURERS IN-GROUND POOL INSTALLATION MANUAL FOR INSTALLATION OF POOL 59-43 57TH ROAD, MASPETH, N.Y. 11378 1