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Home My WebLink About33657-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33834 ~te: 07/17/09 THIS CERTIFIES that the building SWIMMING POOL Location of Property: 355 WINDJAS~ER DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 4 Lot 40 Sutx]ivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 29, 2008 purser to which Building Permit NO. 33657-Z dated JANU~_RY 29, 2008 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 GROUNqD SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. R~ne certificate is issued to GREGORY & DEBORA/q ROSE ( OWNER ) of the aforesaid building. S~DI~K CO~ DEP~R~T OF }~LTH ~PPROIr~J~ N/A ELRt-rRIC_AL U~K'~IFIC_ATE NO. 4226 06/25/04 PLIERS CERTIFICATION DATED N/A ~//tho~~at ure Rev. 1/81 Form No. 6 TO'VVN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the lbllowing: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ,/ New Construction: /,/"' Old or Pre-existing Building: (chdck one) Location of Property: ~'- ~-- ~..,//,//,/'/~'~d~'/QT¢7/~"/,,~¢/ t~_/'. ~hse No. Street Owner or Owners of Prope~y: ~~/ ¢ g ~~ SuffBlk County Tax Map No 1000, Section D~ Block Ham, r~t Subdivision Filed Map. Permit No. ~-~{-.~"-) Date of Permit. Applicant: Lot Lot: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: ~ (check one) ~¢ature Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street * Center Moriches. New York I 1934 · Tel: 631-878-3500 · Fax: 631-878-3764 Application: 4226 Issued to:Rose Address:355 Windjammer Road Village: Southhold Date:6-25-04 Introduced By: Bethel Electrical Cont. Lic#: 2880-E was exmnined and approved up to the above date and w~ in compliance with the NEC Switches Receptacles Fixtures G.FA. Heater Whirlpool 2 4 1 1 1 Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon Range/Amps Monoxide Furnace Oi~ Gas Heat Zones Smoke Bel~ Detectors Transformers ~ough Insp: Meter Amps Phase Motors 6~22-04 :inal Inep: 6-24-05 3 :)thor Equipment: Inground Pool 3ut,Res Section: 79 Block: 4 Lot: 40 This certificate rrn~'~ not be" altered in any manner FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33657 Z Date JANUARY 29, 2008 Permission is hereby granted to: for : GREGORY & WF ROSE 355 WINDJAMMER DRIVE SOUTHOLD,NY 11971 CONSTRUCTION OF IN-GROUND POOL IN THE REQUIRED REAR YARD FENCED TO CODE. THIS PERMIT REPLACES EXPIRED BP # 30337. at pre-r~ises located at 355 WINDJAMMER DR SOUTHOLD County Tax Map No. 473889 Section 079 Block 0004 pursuant to application dated JANUARY 29, 2008 and approved by the Building Inspector to expire on __ __ __ Fee $ 150.00 JU~~ /~~ized ~n_a tjlr~ Lot No. 040 ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30337 Z Date MAY 20, 2004 Permission is hereby granted to: GREGORY ROSE & WF 355 WINDJAMMER DRIVE SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD, FENCED TO CODE at premises located at 355 WINDJAMMER DR SOUTHOLD County Tax Map No. 473889 Section 079 Block 0004 Lot No. 040 pursuant to application dated MAY 18, 2004 and approved by the Building Inspector to expire on NOVEMBER 20, 2005. Fee $ 150.00 ! Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~SULATION [ ] FRAMING / STRAPPING [/,/] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ~ ] FIRE RESISTAI~I' PENETRATION REMARK~~ DATE FIELD INSPECTION REPORT C(~MMENTS ~ FOUNDATION (1ST) ~J~ ~ FO~DATION (2~) ~ ROUGH ~G & ~S~A~ON P~ N.Y. ~ STATE ENERGY CODE ~ ~ ~D~ON~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTNIENT TOWN HALL t SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Expiration ///30,20 05' PERMIT NO. Building Inspector ~¥ I 8 ~ BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~[U~I:_'~'~ Phone: ~.~,° }~0'{0 ' APPLICATION FOR BUILDING PERMIT -' Date~ INSTRUCTIONS ,200~ a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on pre ,raises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced'bctbre issuance of Building Permit. d. Upon approval of tiffs application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, a~d to admit authorized inspectors on premises and in building for necessary inspecti~ 1' f /'} f~ 0NSTRUCTIONSHfiLL 0 CU CYOR ALL (M'ailing add~ess o~'-applicant) MEET THE REQUiREMENTS O.-r SE_ _ IS UNLAWFUL ~}d~e~l~JP~q~(r~l~[tl~e~/~et~la~n~i~l~l~:'--~',~'o, ~t..n, il- ~, = general contractor, electrician, plumber or builder OCCUPANCY APPROVED AS Name of owner ofpremises ~ or ~j~,-;Z- ~' t (As on the tax roll NOTIFY BULL- \ ' ~~~- ~ r~v--~13~a~-~, 765-1802 ~ ~,1 ~ ~ .) 'I ~CR THE FOLLOC/IhG IF,; ~, ,,~No: anXd~it 1 e o'-~F6orpor at e officer) Builders Licehse No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: be_, House Number Street 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3, INSULATION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCT~%i SHALL MEET TIlE REQUIREMENTS ,F THE CODES OF NEW O__4~tj~T~. NOT RESPONSIBLE FOR -[I-~ilet County Tax Map No. 1000 Section Subdivision (Name) Block H Filed Map No. Lot Lot State existing use and occupancy of premises and intended use and occupancy of proposed (:onstruction: a. Existing use and occupancy ~-~'~.[~5 ~. "i-[ ~ ' b. Intended use and occupancy .~ ~'-~!_'~ ~'T'[ ~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition r~ .Altera~n__ OtherWork ~.~[0[~.l~4i~J(a J/t~Ol_ (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Real' .Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front Rear .Depth Height Number of Stories 9. Size of lot: Front O]~g:>~Rear Depth 7~ 10. Date of Purchase [9?6 Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 13. Will lot be re-graded? YES__ NO 2~'~'ill excess fill be removed from premises? YES ,~NO 14. Names of Owner of premises~~,~Address]~$ _[01~l~T~,~ [}k. phone No. Name of Architect ?~f~_ _ ~_~}/},l[3t~_t}fl,~ - Addressll~t~lt~g~~one No~0__~ Name of Contractor[~[~ll~'["~J~ Address~loOg[$['[~ [~t~Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet cfa tidal wetland? * YES__ NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. - : 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topograpki~al data on survey. STATE OF NEW YORK) ,' COUNTY OF '. 0.~ ~ ~) ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S ei the (Contractor, Agent, Corp0raf-e, 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 knowledge and belief; and that the work will be performed in the manner set forth in the. application filed therewith. Sworn tc~r~ ~thi~.. __ Notary g~ 800TH Nota~ Public, 8tat~ of N*w York No. 01 ~0092004, Suffolk County Term E~pires May 12, 2007 ~ ~n, a~ure of Applicant OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD VILLAGE E S W FORML~ (~WtI~ ER~ ) DIST. SUB. -['YPE OF BUILDING LOT RES. ~/~ ;EAS. VL. COMM. CB. MICS. Mkt. Value LAND IMP~ TOTAL DATE AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Tillable Woodland Meadowlend House,~ot,,.., Value Per Value Ac re Total FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK COLOR TRIM Extension Extenslon Extension Porch B reezewoy Garage Patio O.B. Total Foundation //~Basement ]Ext. Walls Fire Plarvqe° Type Roof Recreation Room Dormer Both !Floors Interior Finish Heat Rooms 1st Floor ([nette DR. BR. Rooms 2nd Floor Driveway FIN. B ~IAIE Ol~' NEW ¥OKK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS ',VORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name and address of Insured (Use street address only) Dtm_dte Manufacturing Corp 3510 Veterans Memorial Highway Bohemia, NY 11716 Work Location of Insured (Only required if coverage is specifically limited to certain locations in New YorkState, i.e. a Wrap-Up Policy) lb. Business Telephone Number of Insured 621-qXS- q0D- -13 . - 1 c.-N-YS'Uner~lrlByment Insurance Employer Regls~atlon Number of Insured 0592920-5 2. Name and Address of the Entity Requesting Proof of Coverag~ (Entity Being Listed as the Certificate Holder) Town of Southold Main Street Southold, NY 11971 1 d. Federal Employer Identification Number of Insured or Social Security Number 3a. Name of Insurance Carrier American International Co 3b. Po}icy Number of entity listed in box "1 a": WC1051176 3c. Policy effective period: 04/01/04 t°04/01/05 3d. The Proprietor, Partners or Executive Officers are: [] included. (Only check box if all parmeratofficers included) X [] all excluded or certain partners/officers excluded. 3e. Demolition is: (Definition of Demolition on Reverse) [] included. x [] excluded. Approved by: Approved by: Title: rkis certifies that the insurance carder indicated above in box "3" insures the business referenced above in box "la" for workers' compensation under the New York State Workers' Compensation Law. (To use this form, New York (NY) must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its iicensed agent will send thi~ Certificate of Insurance to the entity listed above as the certificate holder in box "2". The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days I~" there are reasons other than nonpayment of premiums that cancel the policy o~ eliminate the insured from the coverage indicated Oh ~his Certificate. (These notices may be sent by regular mail.) Otherwise, this Certificate is valid for a maximum of one year after this form is approved by the insurance carrier or its licensed agent. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder, the business mast provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the bus ness is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. 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 the coverage as depicted on this form. Kevin McDonough /~) ~m/~thoc~ representative or licensed age n/~13rls~il~ce carrier) ~irgnat~r,e) (Date) esment of Walter Rose Agency, Inc (845) 783-2555 Telephone Number of author/zed representative or licensed agent of insurance carrier: Please Note: Only insurance carriers and their licensed agents are authorized to issue the C-105.2 form Insurance brokers are NOT authorized to issue it. C-105.2 (12-03) ~' STATE OF NEW YORk ESTADO DE NUEVA YORK WORKERS' COMPENSATION BOARD JUNTA DE COMPENSACION OBRERA ~ NOTICE OF COMPLIANCE AVISO DE CUMPLIMIENTO DISABILITY BENEFITS LAW LEY DE BENEFICIOS PeR INCAPACIDAD TO BMpLOYEES A LOS EMPLEADOS 1 If you are unable to work because of an illness or injury not 1. Si usted no puede trabajar debido a enfermedad o lesi6n no work-re,Bred, you may be entitled to receive weekly benefits rdacionada con el trabajo, peoria tenor dereoho a recibir from your employer, or his or her insurance company, or beneficios semenales de su patrbn o de la cornpa~ia de from the Special Fund for Disability Benefits. segurOSlnoapacidad.de 61/ella o del Fondo Especial para Beneficios per 2 TO Calm benefits you must file a claim form.within 30 days 2. P~ra reclemar beneficios usted debe Dresentar una forma de from ~fir~_date of y~L~_¢s~biliW, but in no event more r~l~maci0n, dentro ge than 26 weeks from such date. ~5'inoaDacidad. pore en ningun case mas de 26 semanas de 3 Use one of the foUowing claim forms: ~Tc~a'fecha. -If, when your disability begins, you are employed or are 3. Use una de las ~iguientes formes de reciamaciEn: unemployed for four weeks or less. use WHITE ctaim form -Si, cuando comlence su incapacidad usted est~ empleado o ha estado desempleado per cuatro semanas o menos use la {Form DB 450), which you may obtain from your employer, forms de redamacibn BLANCA (form DB~t50), la cual puede ~ his or her insurance carder, your health provider or any ob ener de su patten o de la compa~ia de s~:juros de ~ 0fiEce of the Workers' Compensation Board, and send it to o de su roveedor de cuidados de salud, o ~ oficina ope ia Junta de CompensaciEn Obrera, yenviela a su ~ your employer or the insurance carder named below. 4f, when your disability begins, you have been unemployed pa rbn o a la compaMia de seguros nombreda a~oajo. ~ more than four weeks, use the GREEN claim form (Form -S~ cuando cemience su incapacidad, usted ha estado desempeedo mCs de cuatro semanas, use la forms de DB-300), which you may obtain from any Unemployment reclamaci~n VERDE (form DB-300), la cual puede obtener en ~ Insurance Oflqce, your health provider, or any o,~ce of the CUB qu er Oficina de Seguro de Desempleo de su proveedor Workers' Compensation Board. Send completed claim form de salud, o bien de cualouier oficma de a Junta de ~ the Workers' Compensation Boerd, Disability Benefits Compensacidn Obrera Envle la forms de reclamacion, Bureau, Albany, New York 12241. debioamente terminada, a Workers' Compensation Board, Before claim, health provider Disab IMPQRTANT; filing your your ~MPORTANTE Antes de presentat usted su reclamacibn, es must complete the "Health Care Provideds Statement" on necesaro que su roveedor de salud compite !a declaracion ~ the claim form, showing your period of disability, del mBdico ("Health Care Provider's Statement ) en la forms ~ 4 You are entitled to be treated by any physician,chiropractor, de re Bmacion, indicendo el periodo de su incapacidad. ~,.~, dentist, nurse-midwife, podiatrist or psychologist of your 4 Usted tiene derecho ~ choice However, unlike workers' compensation, your quiropr~ctico, dentists enfermera-par~era, podiBtra .o medical bills will not be paid unless your employer and/or esicflogo quo usted eJ~B Pore, contradoa la compensamon ~ union provide for the payment of such bills under a su patrbn y/o Union hags el page de tal~s cuentas mBdicas Disability Benefits Plan or Agreement. bale un Piano Convenio de Beneficies per Incapacidad 5. If are iii or injured durina the time you are receiving Jesionado durante el you , ; Unemployment insurance Benefits, file a claim for Disabili~ est~ recibiendo beneficios del Seguro de Desempieo, ~ Benefits as soon as you sustain the injury or illness, by presente una rectamacibn para Beneficios per Incapacldad, following the instructions outlined above, si~uiendo !as instrucciones Bmba descritas, tan pronto como 6. if you are out of work in excess of seven days, your sutra la [esiEn o employer ~s required to send you s Disability Benefits 6 Si usted est6 desempleado per mas de siete dias, su pstrfn · est~ obligado a enviade la DeciaraciEn de Derechos de Statement of Rights (Form DB 271). Beneficios per Incapaddad Form 88-271). 7. Other information aboul Disability Benefits may be obtained 7. Otras informaciones relatives a Benefidos per Incapacidad by writing or calling the nearest Workers' Compensation puc-den obtenerse escdbiendo o I1amando a la oficine m~s Board Office cercana de ia Junta de CompensaciEn Obrera. WORKERS' COMPENSATION BOARD OFFICES Albany 122~1 - 100 Broadw~,y-Menands- (518) 474-6681 Bingnamton, 13901 - State Office Bldg. S4 Hawley St- (607) 721 8353 Suffa~o 14202 - Statler Towers - 107 De,aware Ave - (716) 842-2156 Hauppauge. 11788 - 220 Rabro Drive - Suite 100 - (631) 952-5000 Hernpstead. 11550 - 175 Futton Avenue - (516) 560-7745 New York C;~. 11248-0005 - 180 Livingston St Brooklyn - (718) 802-896~ PeekskilL 10566 41 North Division St - (914) 78~5775 Rochester 14614 - 130 Main seeet West (716) 238-8380 Syracuse. 13203 - 935 James SI (315) 42~2934 disposicJones de la lay de ~3eneficios por Inc3pacidad) Disabilit~ Benefits. when due, will be paid by (Los Beneficios bet Incapacidad. cuando debidos seran pagados per): Zurich American Insurance Company (800) 887-91 Disability OpemBons (631) 845-2200 P.O Box 9102 PlaJnview, NV 11803-9002 EffectiYe4F/~.rr/q ? TO TNDEFTN!TE THE WORKERS' COMPENSATION BOARD BMPLOYEE$ AND SERVES PEOPLE WITH DISABILmES WITHOUT DISCR~MINATLON LA JUNTA DE COMPENSACiON OBRER~, EMPLEA ¥ SIRVE The benefits provided are (Los beneficios provistos son) Class(es) of employees covered (Clase(s) de empleados ampar~dos) ALL Name of employer (Nombre del Patron) DUNRITE MANUFACTURING CORP. prr,.cri~ ~/ Ohair THIS NOTICE MUST BE POSTED CONSPICUOUSLY tN AND Wo~.,.-' c,,~. ~-~ ABOUT THE EMPLOYER'S PLACE OR PLACES OF BUSINESS. DB-120 (8-00} 8t,t~. of N~¢ ¥ot~ Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York I 19714)959 Fax (631 ) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTItOLD August 2nd,2006 Gregory Rose 355 Windjammer Drive Southold, N.Y. 11971 RE: 355 Windjammer Drive SCTM#079 0004 040 Dear Mr. Rose, Please be advised that your Building Permit #30337 issued May 20th, 2004 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York 11971-0959 Fax (631) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 7th, 2007 Gregory Rose 355 Windjammer Dr. Southold, N.Y. 11971 RE: 355 Windjammer Dr. (In-ground pool w / fence) 2'''l NOTICE SCTM: 79 4 40 Dear Mr. Rose, Please be advised that your Building Permit #30337 issued May 20th, 2004 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILD1NG DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD January 23rd, 2008 Gregory Rose 355 Windjammer Drive Southold, N.Y. 11971 FINAL NOTICE RE: 355 Windjammer Dr. (In-Ground Pool W/Fence) SCTM # 79.-4-40 Dear Mr. Gregory, Please be advised that your Building Permit # 30337 issued May 20th, 2004 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use o£the structure. To renew your Building Permit, please submit a fee of $150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. POOL PLAN .OT~ ALUU CX~PINO U 3/~" --~le X 1' I.~ HE~ ND B~LT HBX NUT · C~) r'-,*'rr WA"HIR" fi'i) &OaJSl',~BL~ 14 OA ALTERNATE RIM LOCKINO DETAIL "A" FRAME DETAIL TYPICAL PANEL STIFFNER ~,-10" ~ I~-I~R _."~_. ~_~_. ~,~~/It LONGITUDINAL SECTION ~--~."~.~,,'""' ~'~.~ ........ ~ ~-- DUNRITE POOLS, INC. ~ ~o ~~,~Y KIDNEY ~)~ oolguard® OPERATING INSTRUCTIONS MANUAL "MEETS REQUIREMENTS OF ASTM SAFETY SPECIFICATION F 2208" MODEL PGRM - 2 85dB Horn at 10 Feet This product has been designed to aid in the detection of unwanted intrusions into unsupervised pools. POOLGUARD IS A SAFETY ALARM SYSTEM AND NOT A LIFE SAVING DEVICE. 'This device is not intended to replace any other safety consideration - i.e., adult supervision, lifeguards, fences, gates, pool covers, locks, etc., and some devices may not detect gradual entry." GENERAL POOLGUARD is the result of quality design and manufacturing techniques that are a standard at PBM Industries, Inc.; a company dedicated to high quality products. POOLGUARD is a result of that dedication and we guarantee and stand behind the POOLGUARD alarm system. POOLGUARD Pool Alarms have been tested and comply to the ASTM Safety and Performance Standard for Pool Alarms, ASTM F 2208, see insert. POOLGUARD is an electronic monitoring system that automatically sounds an alarm when children or pets fall into your unsupervised pool. POOLGUARD is a portable, self-contained, lightweight unit that is safe and simple to operate. Entry into the pool will be detected by the unit's electronic sensor, triggering a loud pulsating alarm and an internal RF transmitter. The remote receiver will receive the transmitted signal and sound an alarm within the home. INSPECTION POOLGUARD is packaged in a shipping carton that minimizes the chance of damage due to handling. Check for damage and confirm that the con- tents of the carton include the following items: · POOLGUARD Unit · Handle · Remote Receiver and Power Supply · Operating Instructions Manual · Warranty and Registration Card If an item is missing, contact either the place of purchase or PBM Industries, Inc. for replacement. CARE AND HANDLING POOLGUARD is constructed from sturdy plastic to withstand the adverse moisture environment of a swimming pool. Care needs to be taken when handling to ensure against being dropped, kicked, etc. Also, be sure to remove the pool unit and set it away from activity in the upright position when the pool is being used, (See Figure 1). If the pool unit accidentally falls into your pool, remove it immediately and drain the water from it. Take the unit apart as indicated in the Battery Replacement Procedure and remove the battery. Tip and shake unit and remove all excess water from inside the unit and the battery, and the circuit board area with a paper towel or cloth. Completely test unit before each use as described in manual to ensure proper operation. (Remember to always remove the pool unit from the pool while swimming and set it aside away from pool activity). · DO read the manual carefully · DO install a 9 volt battery · DO untie the bow on the power supply · DO test the alarm properly · DO carry your alarm by the handle · DO remove alarm before swimming · DO hold on to your red customer service card with our 800 service number · DON'T leave alarm in pool while swimming · DON'T drop your alarm, it may break · DON'T knock or let your alarm fall into the pool · DON'T install your alarm immediately after swimming · DON'T use your alarm on extremely windy days REMOTE RECEIVER When the unit at the pool alarms, the remote receiver will sound. Maximum Range for the remote is 200 feet from the poolside unit. Avoid placing remote in basements or close to metal walls. Be sure that the red light on the remote is on. Remember the poolside unit must be beeping (alarming) for the remote to work. If your remote receiver is not getting a clear signal or no signal from the poolside unit, try the following: Before plugging in the power supply, be sure to stretch out the cord; do not leave it tied in a bow as packaged. When you first plug in the remote it will give one short loud beep then stop. Your Remote Receiver is similar to a small portable radio. If your remote is not sounding when the poolside unit is sounding-move the remote to different locations and stand back for a few seconds for the remote to pick up the signal. You may only have to move your remote a little to the left or right to bring in the signal-in some cases you might have to move the remote to a different location or another room. If you cannot get a signal on your remote receiver CALL CUSTOMER SERVICE AT 1-800-242-7163 ATTACHING HANDLE The two handle screws are located in the top of the alarm, remove them and attach the handle, (See Figure 1). INSTALLING YOUR ALARM RESET/SLEEP SWITCH SEE FIGURE I RESET: When the pool unit is installed in the pool and the horn is sounding; press the reset/sleep switch once to silence the alarm. SLEEP MODE: When the pool unit is removed from the pool and the horn is sounding; press and hold the reset/sleep switch for 3 seconds to silence the alarm. The pool unit will automatically wake up when it is installed into the pool. THE POOL UNIT WILL NOT GO INTO SLEEP MODE ONCE IT IS INSTALLED IN THE POOL! SILENT INSTALLATION AND REMOVAL FEATURE · The poolguard system will sound an alarm (Horn will sound) when you install or remove the pool unit from your pool. If you would like the poolguard system not to sound an alarm (horn will not sound) when you install or remove the pool unit from your pool, follow the directions below. 1 .SILENT INSTALLATION (HORN WILL NOT SOUND) · Press and hold the reset/sleep switch for 3 seconds, until you hear the pool units horn chirp. Release the reset/sleep switch, you now have 15 seconds to gently and slowly install the pool unit into your pool without the horn sounding. POOLGUARD WILL INSTANTLY BE MONITORING YOUR POOL FOR AN INTRUSION. 2. SILENT REMOVAL (HORN WILL NOT SOUND) · Before removing the pool unit from your pool. Press and hold the reset/sleep switch for 3 seconds, until you hear the pool units horn chirp. Release the reset/sleep switch, you now have 5 seconds to remove the pool unit from your pool without the horn sounding. IMPORTANT: THIS DOES NOT TURN POOLGUARD OFF, IF THE POOL UNIT IS NOT REMOVED IT WILL CONTINUE TO MONITOR YOUR POOL FOR AN INTRUSION. (Cont. on next page) SILENT INSTALLATION AND REMOVAL FEATURE (Cont.) 3. POOLGUARD HAS DESIGNED THIS FEATURE FOR "ONLY"THOSE WHO HAVE THE RESPONSIBILITY OF INSTALLING OR REMOVING THE ALARM FROM YOUR POOL! BATTERY INSTALLATION / REPLACEMENT (Battery not included) POOLGUARD is powered by a standard 9 -volt alkaline battery. To install or replace the battery: · Remove the screw from the bottom of the unit, (See Figure 1). · Carefully slide out electronics assembly; do not pull or jerk on internal hook up cable. (If necessary, gently shake unit to remove assembly.) · Remove old battery and check for leakage or corrosion. (Remove any leakage or corrosion if present before installing new battery.) · IMPORTANT: WHEN A 9V BATTERY IS FIRST INSTALLED IN THE POOL UNIT, THE HORN WILL SOUND. TO SILENCE THE ALARM PRESS AND HOLD THE RESET/SLEEP SWITCH FOR 3 SECONDS. THIS PLACES THE POOL UNIT IN SLEEP MODE. THE POOL UNIT WILL AUTOMATICALLY WAKE UP WHEN IT IS INSTALLED INTO THE POOL. · Install new battery by attaching snap connection and sliding into battery holder. · Slide electronics assembly into pool unit; do not pinch internal hookup cable. · Replace the screw, hand tighten until screw is all the way in and flush against the pool unit. To prevent possible damage, battery should be removed whenever storing the alarm, for an extended period of time. LOW BATTERY FUNCTION The POOL UNIT AND THE REMOTE RECEIVER will beep once approximately every 20 seconds to alert you that the battery is Iow in the pool unit and needs to be replaced. ALARM PLACEMENT The alarm should be on a flat, solid surface for best results. The throat of the unit is designed to work in most pools with an in-wall skimmer. The water level up on the throat is important and should be checked. The sensing throat cannot be less than 2 inches in the water, and not more than 7 inches into the water. POOLGUARD recommends that the sensing throat be approximately 4 inches in the water. POOLGUARD can be used with a solar cover; however, before removing the cover, the alarm should be taken out so it does not get pulled into the pool. ALARM TESTING Drop something of approximate size, weight and volume of the families smallest child, the farthest point away from the alarm. A four (4) gallon jug of water or 3 one (1) gallon jugs of water tied together are ideal for testing. Remember, when testing you must wait about 15 minutes between tests for the pool to calm. ALARM WILL NOT SOUND Be sure that a 9 volt battery has been installed properly. If you are testing and POOLGUARD does not alarm, be sure you are testing properly - putting your feet in the pool, splashing with your hands, making waves with a leaf skimmer, or dropping something into the pool that does not have the proper size, weight and volume will not set the POOLGUARD alarm off! Testing is very important and should be done correctly. CARE AND HANDLING POOLGUARD is made of sturdy, rigid vinyl PVC - UV rated. Because the alarm is electronic and mechanical great care should be taken not to drop the unit; like any other appliance, it may break. Sun and rain will not hurt the alarm. POOLGUARD is water resistant but not waterproof. Great care should be taken not to knock the alarm into the pool. If the alarm goes into the pool there are directions in the manual on how to dry it out, but more than likely it will have to be returned to the factory for service. Always remember to remove the alarm before using the pool. ~':~'=~'~~:~'~'=~Poolside ~ Unit ~ool g ua rd ~,~______~ _ Power SUDD~ FALSE ALARMS Remote Receiver All pool alarms will false alarm on occasion for different reasons. False alarms can be minimized; however, it is important to remember that a false alarm is better than no alarm at all. WEATHER & WIND POOLGUARD sets stationary on the deck of the pool so the wind will not effect the alarm unit itself. Wind may trigger a false alarm if it is strong enough or steady enough that it causes the water in the pool to rock or bounce up and down the pool wall. When the water in the pool moves up and down the POOLGUARD sensing throat, it may finally cause the alarm to sound. On extremely windy days when the pool water is rocking it is advised to remove the POOLGUARD from the pool. Light wind or rain will not effect the POOLGUARD alarm. Another false alarm occurs when the pool owner tries to install the alarm too soon after swimming. After swimming, the water in the pool will rock or bounce up and down the pool wall for some time depending on the size of the pool and the type of swimming activity. Before installing the alarm, after swimming, the pool must be given time to calm. Time will vary (around 10 to 30 minutes); once the pool owner sees that the pool water is no longer rocking up and down the pool wall, it is time to install the alarm. Certain automatic cleaners may set the POOLGUARD unit off in some cases. If the cleaner head or the cleaner hose hits the POOLGUARD alarm it may cause it to false alarm. Solutions to this problem are to use your cleaner at night and your alarm during the day. Another option would be to find a place around the pool where the cleaner does not interfere with the alarm. Certain water features such as waterfalls can cause POOLGUARD to false alarm. To avoid this problem do not install the POOLGUARD alarm too close to the water feature. If you are having a problem with any type of water feature call POOLGUARD at 1-800-242-7163. HANDLE SCREWS ELECTRONICS ASSEMBLY RNAL ¢'"'"- POOL UNIT FIGURE I UPRIGHT POSITION PLACEMENT IN YOUR POOL Figure 2 illustrates locations best suited for detecting intrusions from any area of the pool. If your pool is larger than 800 square feet, if you have more than 2 return lines, any concerns about the size, or if you have an irregular shaped pool or water features such as waterfalls, please call customer service to clarify the recommended number of alarms and locations for alarms: 1-800-242-7163. Poolguard Pool Alarms have been tested and comply to the ASTM Standard Specifications for Pool Alarms ASTM F 2208, in a 16' x 32' pool. POOLGUARD alarms can be used in pools up to 20' x 40' or 800 square feet. FIGURE 2 '1 Pools 800 Square Feet and Smaller. (Cont. on next page) PLACEMENT IN YOUR POOL (Continued) SWIMMING POOL SAFETY TIPS POOLGUARD automatically compensates for variations in pool levels within the unit's operating range. The unit utilizes a sensing throat which projects into the water and is designed to operate in most pools with an in-wall skimmer. The sensing throat cannot be less than 2 inches, (See Figure 3), and not more than 7 inches into the water, POOLGUARD recommends that the sensing throat be approximately 4" in the water POOLGUARD can be used with SOLAR BLANKETS on the pool. POOLGUARD can also be used in spas. · Supervise children at all times. · Never permit swimming alone. Never leave a child alone, even to answer the telephone. · Always remove the entire solar cover from a pool before swimming. · Remember that alcohol and water safety do not mix. · Have your pool area fenced and the gate locked to prevent unauthorized entry to the pool, and install a gate alarm. · Lock and secure all doors in the house which permit easy access to the pool, and install a door alarm. ~ .~. · Have a responsible adult teach swimming and water safety to your ~~. children. ·Maintain clean, clear water in the pool. · Do not swim during electrical storms. · Do not permit bottles, glass, or sharp objects to be used SENSlNGTHROAT CANNOT BE LESSTHAN 2" IN ~o T around the pool. THEWATER, POOLGUARD RECOMMENDSTH,,A,T,, ·Ask your pool dealer how you can improve your pool THE SENSING THROAT BE APPROXIMATELY 4 IN ' ' ' FIGURE 3 safety - they will be glad to assist you. THEWATER ·Above all: remember that common sense, awareness, and IMPORTANT caution will allow you to enjoy your pool. POOLGUARD may not function propedy if your pool's water level is not maintained within ff~e required levels of your alarm. A~s~~the~~itmayn~t~perateeffec~jVe~ywhi~ecertaintypes~faut~maticp~~~deanersarein~peratj~n~ WARRANTY AND REPAIRS Some irregular shaped decks may not provide a level foundation for the unit by the pool's edge. This minor problem can be overcome by appropriately supporting the unit, (See Figure 3). STABILIZING YOUR POOL ALARM The Alarm Stabilizing Pin (ASP) is factory installed onto your pool alarm. Tools needed to install your alarm are: One 5/16" masonry drill bit that can be found at your local hardware store, a drill, a pencil, a tape measure or yard stick. 1. Position your pool alarm so that the sensing throat is in the water and the ASP is touching the deck, (leave a small space no more than 3/8" between the sensing throat and the top edge of your deck or coping), (See Figure 4). 2. Mark with a pencil the spot where you wish to drill the hole for the ASP. 3. With the 5/16" masonry drill bit, drill a hole 2 1/4" inches deep, as straight as possible. (Cont. on next page) POOLGUARD is sold with a limited warranty to cover defects in parts and workmanship for three years from date of purchase, (retain proof of purchase). If POOLGUARD exhibits a defect, please call Customer Service at 1-800-242-7163. Unauthorized returns will not be accepted. Proper repair is only ensured when the unit is returned to the manufacturer. SEND CORRESPONDENCE TO: PBM INDUSTRIES, INC. P.O.BOX 658, NORTH VERNON, IN 47265 1-800-242-7163 This product has been designed to aid in the detection of unwanted intrusions into unsupervised pools. POOLGUARD IS A SAFETY ALARM SYSTEM AND NOT A LIFE SAVING DEVICE. 'q'his device is not intended to replace any other safety consideration - i.e., adult supervision, lifeguards, fences, gates, pool covers, locks, etc., and some devices may not detect gradual ent~' ~oolguard' ~ PBM INDUSTRIES, INC. r'~°'°~ ~F 2205,~ REV. 1/2008 TO OPERATE YOUR REMOTE RECEIVER Try to locate your REMOTE RECEIVER in a convenient part of your house close to the pool. Avoid steel walls or any other large metal objects or obstructions that might interfere with the signal reception. The REMOTE RECEIVER has to be placed on the same level or a level above the pool in the house (do not place receiver in an underground basement). The ideal location for your REMOTE RECEIVER would be by a window overlooking your pool. Test your REMOTE RECEIVER in different locations in your house to find the best working place for your receiver. Connect the power supply to any 120V, electrical outlet and insert the jack into the receiver. Check that indicator light is on. Your REMOTE RECEIVER unit is now ready to receive a transmission from your POOLGUARD unit. DO NOT USE YOUR REMOTE RECEIVER OUTDOORS. NOTE: THE MANUFACTURER IS NOT RESPONSIBLE FOR ANY RADIO OR TV INTERFERENCE CAUSED BY UNAUTHORIZED MODIFICATIONS TO THIS EQUIPMENT. SUCH MODIFICATIONS COULD VOID THE USER'S AUTHORITY TO OPERATE THE EQUIPMENT. STABILIZING YOUR POOL ALARM (Continued) 4. Clean off the debris and install the alarm by placing the ASP into the 5/16" diameter by 2 1/4" deep hole. 5. Your Pool Alarm is now ready for use. If you have any questions or need help with installation, please give us a call at 1-800-242-7163. 6. Be sure to keep your ASP hole clean from debris and dirt so that your alarm will always lay flat on the pool deck when installed. REMEMBER THAT THE POOL UNIT MUST BE REMOVED FROM POOL BEFORE SWIMMING! SENSING THROAT MARK LOCATION FOR 5/16" DIAMETER & 2 1/4" ALARMS STABILIZING PI% ,~,~ ~/DEEP HOLE IN DECK '%.../ I~' .OOLDECK S.ALLS.AOE, I ~O MORE THAN ~6" FIGURE 4 WATER LEVEL Sensing throat cannot be less than 2" in the water, POOLGUARD recommends that the sensing throat be approximately 4" in the water. TEST BEFORE USING To ensure effectiveness, test POOLGUARD every time you place it into the pool by performing the following procedure: opOOLGUARD DOES NOT HAVE AN ON/OFF SWITCH When the alarm is in the pool it is always in the ON position and cannot be turned off. When the alarm is out of the pool it is always in the OFF position. °To test your alarm push an object of appropriate volume and weight off the deck edge at the farthest location from the alarm. (A four (4) gallon jug of water or 3-one (1) gallon jugs of water tied together are ideal for testing.) The alarm should sound when the water action caused by the intrusion reaches the unit. It may take a few seconds for the alarm to react to the water action. (Cont. on next page) TEST BEFORE USING (continued) · After resetting the alarm and allowing time for the water action to settle, repeat the procedure from another point in the pool until you are confident of detection performance. · POOLGUARD includes a timer function which automatically resets the unit after the alarm has sounded for approximately 5 minutes. ADJUSTING YOUR RETURN LINE FITTINGS The POOLGUARD alarm should not be placed too close to a return line, also do not place POOLGUARD in a location in the pool where a return line is pointing in the alarms direction. Water turbulence may be too strong, falsely setting the alarm off or the water turbulence may interfere with the alarms ability to detect an intrusion. If you have more than 2 return lines please call customer service at 1-800-242-7163. It is very important in pools to adjust all the eyeball fittings on your return lines so that the water flow will not interfere with your pool alarm. Point all the eyeball fittings down and your pool will still circulate properly and this will allow POOLGUARD to function properly, (See Fgure 5). Pointing the eyeball fittings down also helps prevent algae growth. FIGURE 5 CORRECT INCORRECT POOLGUARD REMOTE RECEIVER The POOLGUARD REMOTE RECEIVER has been integrated with the standard POOLGUARD unit to provide a wireless remote alert operating at distances of up to 200 feet. The POOLGUARD REMOTE RECEIVER sounds an alarm in the house when the POOLGUARD unit is activated at the pool.The remote system consists of the following functional elements: · A coded pulse receiver (Remote Receiver), (See Figure 6). · A standard wall outlet power supply, (See Figure 6). The REMOTE RECEIVER is a compact unit powered by a UL and CSA approved AC/DC power supply. The REMOTE RECEIVER can be placed on a table or a counter top inside the house. The pulse coded radio frequency signal is transmitted from the pool unit and is received and decoded to sound the remote receiver. The remote receiver will sound for an additional 3 seconds after the pool unit has been silenced. If the REMOTE RECEIVER beeps once approximately every 20 seconds, it is indicating that the 9v battery in the pool unit is Iow and needs to be replaced. After you have purchased your POOLGUARD alarm and you wish to add another remote receiver to your alarm system you can acquire one from PBM Industries, Inc. Contact PBM by phone or mail or contact your place of purchase. POWER SUPPLY Horn at 10 feet REMOTE RECEIVER FIGURE 6