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HomeMy WebLinkAbout35026-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34774 I~ate: 01/04/11 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 4275 GREAT PECONIC BAY BLVD L~UREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 128 Block 3 Lot 15 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 18, 2009 pursuant to which Building ~r~t No. 35026-Z dated SEPTEMBER 24, 2009 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 WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to THOMAS F & ELIZABETH HUDOCK (OWNER) of the aforesaid building. SUFMOI~K ~ DEP~q~4E~T OF }~%LTH ;%PPRO~-AL N/A Rr.RCTRICAL c~KTIFICATH NO. 35026 10/13/10 PLUMBERS CKa~TIFICATION DA'i'M N/A ~A/o~~a ture Rev. 1/81 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. 35026 Z Date SEPTEMBER 24, 2009 Permission is hereby granted to: THOMAS F HUDOCK LAUREL,NY 11948 for : CONSTRUCTION OF AIq INGROUND SWIMMING POOL IN THE REAR YARD AS APPLIED FOR, FENCED TO CODE at premises located at 4275 GREAT PECONIC BAY BLVD LAUREL County Tax Map No. 473889 Section 128 Block 0003 Lot No. 015 pursuant to application dated SEPTEMBER 18, 2009 and approved by the Building Inspector to expire on MARCH 24, 2011. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 DLiC 2 1 BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. ]For new building or new use: 1. Final survey of property with accurate location of all buildings, p.roperty 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 Fir~ Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 7all0 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. 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 3. 4. 5. New Construction: ~,~t..- Old or Pre-existing Building: Location of Property: ~-~t~7,5' /'~r~o~-c House No. Street Owner or Owners of Property: /,,~,~,~,,v ~ ~Z.~2~ aer~ Suffolk County Tax Map No 1000, Section Subdivision Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 702.//~/Z O / / (check one) Hamlet Date of Permit. Permit No. '3 tz')--O ~ Health Dept. Approval: 'Planning Board Approval: Block ~ Lot Filed Map. Lot: . Applicant: Underwriters Approval: Request for: Fee Submitted: $ Temporary Certificate ,50, oD Final Certificate: check one) Applicant Signature Town ttall Annex 54375 Main Road P.O. Box 1179 Souflmld, NY 119714)959 Tclcphonc ((;31) 765-18(12 F~Lx (631) 765-9502 ro.qer, richert~.town.southo d ny us 1½UII.I)IN(; DEPARTMENT TOWN OF $OUTItOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Hudock Address: 4275 Peconic Bay Blvd City: Laurel St: NY Zip: '11948 Building Permit #: 35026 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Glens Electric LicenseNo: 4770-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only [~ Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel A/C Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnec~ Switches Twist Lock Other Equipment: Ceiling Fixtures ~[~ HID Fixtures Wall Fixtures J J Smoke Detectors Recessed Fixtures I I CO Detectors Fluorescent Vixtur(~] Pumps Emergency Fixture Time Clocks Exit Fixtures ~ TVSS pool bonding, I pool light, 2 pool pumps, gas pool heater, 3 gfci circuit breakers Notes: swimming pool Inspector Signature: Date: Oct 13 2010 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~'FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] FRAMING/STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: /q'~/[ ~ [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSP~q'ION [ ] FIRE RESISTANT PENETRATION DATE ~ INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROndel4 PLBG. [ ] FOUNDATION 2ND [ ]/~iSULATION [ ] FRAMING / STRAPPING [ t/J FINAL [ ] FIREPLACE&CHIMNEY [ ] FIRESA~.,.,~'INSPECTION REMARKS: ~ ~ // , DATE TOWN OF'SOUTHOLD BUIL~)ING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ~,/,L~, 20 07 Approved q,/2/20 ~1 Disapproved a/c PERMIT NO. BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector Date ]S ,200q 8 2 ~ INSTRUCTIONS SEP 1onMU' : a. s applicati ST bu corn ~letely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans ~ccurat~l~off~lan to scale. F~e according to schedule. b Plot la.19~-~J~0lll9'l'l)n*:An ,,£ Io~ and of buildin ........ ~ p ~ ~ .... gs on prermses, relat~onslfip to adjo~mng prermses or pubhc streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this 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 a Certificate of Occupancy is issued by the Building Inspector. 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 ether 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, ax~regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applican~/~r name, if a corporation) (Mailing address of applicant) Name of owner of premises State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (as on the tax roil or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. O~ ~ )40 ' Other Tradds License No. 1. Location of land on which.proposed work will be done: House Number Street 0 Hamlet County Tax Map No. 1000 Section Subdivision (Name) Y3~,10~>1 .A T~RAr~RAM Block .,troy ,*el,~o msia Filed Map N6J ~ 5~ ~nuoO ~O~OE State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy '~, ~ 27 ~4&~g~ b. Intended useandoccupancy ~,9~'~. ~W~mm~/q ~(gOOc. Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration OtherWork 20~,qo mqecauo ~mr~,~;? ~0c (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 -~o Height Number of Stories Rear Depth_ 2.-/ Dimensions of same structure with alterations or additions: Front Depth Height Dimensions of entire new construction: Front 20' Height 3'k~ ~' ~ Number of Stories Size of lot: Front 100' Rear JO0' Number of Stories Rear 2.0' .Depth 202)' 10. Date of Purchase 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: 13. Will lot be re-graded ~x~ firlkot 0~-~ 14. Names of Owner of premises Name of Architect'-Tkoms Ix Name of Contractor Will excess fill be removed from premises: Y~ NO Ad&ess L[Z-/~ ¢~eo0,¢ ~ i~ Phone No. Address ~ ~c ]-g ,~a,~u~ Phone No Ad&ess Q/-q gx2ra ~,~ P~ PhoneNo. "Tctq--IIg5-' 15. Is this property within 100 feet of a tidal wetland? *YES NO ~/ · IF YES, SOUTHOLD TOWN TRUSTEES 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 topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ~- ~ ~D}'q~0S being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 tree 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 to before me this 2o0q MARGARET A. KIDNEY I~ary Public - State olNew York No. 01KI0021111 ~ignatur~,f Applicant -' TOWN OF $OUTHO~.n APP.LICATION FOR ELECTRICAL INSPECTION, J~SI~E INFORMATION: (*'rndi~tes mq.uimd infon~ati~). · *~ss Street: / ' ' · P~ne No.: T~ ~p Di~: 1000 Se~n: ~: Lo~ 'I' *BRIEF DEscRIPTION OF WORK (please. Print. C, learly) Z~'//'~.... :~'~.,-.,,,~,',~,~,Z..~. ~,~g/ . (Please .Circle All That .Apply) Inspection: ' ~(...~/NO Rough In"' Rna! *Do you need a Temp OeFd~ioa{e: YES / NO " Tamp'Information (If needed}. *Servioe size: · 1 Phase 3Phase 100 '150. 200 300: 350 400 Other *NewSerVioe: Re-oonnect Underground Number of Met~rs Change Of Servt~e Overhead~ Additional Information: PAYMENT DUE WITH APPLICATION , D · . [ ~)~ 10'1~~t° , ., . Town of Southold Erosion, Sedimentation & Storm-Water Run-off A$SE$8MENT FORM PROPERTY LOCATION: S.C.T.M. #: District Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMI8810N OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. !tern Number (NOTE: A Cheek Mark (~') for each Question is Required for a Complete Application) Yea No Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Sudace WaterFIow! Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? Will this Application Require Land Dislurbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Sudace? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will {here be Site preparation on Exisling Grade Slopes which Exceed Fifteen (15) feet oI Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Wa[er Run-Off loin and/or in the direction of a Town right-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparalion within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark In the Box, a Btorm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permitl EXEMPTION: Yes N__.~o Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl -- -- STATE OF NEW YORK, COUNTY Ov .................... sS That I .................. .~ .'l'*t~.~:..~ ~IA:~ .................... beh~g duly sworn, deposes ,'md says d~at he/she is fl~e applicant for Pemtit, {Name el individual signing Documenl) And that he/sbe is d~¢ ..................................................... ~'1~ ...................................................................................... (Owner, Cantraclor, Agenl, Corporale O[ficer e~c ) Owner and/or representative of the Owner of Owner's, and is duly auflm~ ized to perform or have performed the said work and to make and file this application; that all statements cont.xined in this application are true to the best of l~s knowledge and belief; and tJ~at the work .411 be performed in the manner set forth in the application filed here~qth. Sworn to before mc this; , /~'~p'' dayof FORM - 06/07 Suffo County OWNER FORN~ER OWNER OF $OUTHOLD PROPERTY RECORD CARD STREW' V 2-~_~ VILLAGE LOT W DISTRICT // ,ACREAGE TYPE OF BUILDING LAND IMP. ~3~-o o TOTAL .qOo o FARM COMM. /~ ~ ] DATE REMARKS J,IND. N J CB. MISC. Est. Mkt. Value Farm Tillable I Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot Tota I Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD DOCK I i !×tension ' 3 '''~ Bosement I ~-o, L Floors ~tension Ext Wolls ~,~ In~erior Finis~ ~/t ~,~ ~tension Fire Place ,,' .~ Heat ' , P~h Roo~ ]st Flor 3reeZeway f~/~ :~ , ~, ~ Patio ~:'::~ Rooms 2nd Floor ................. ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD oWNER S :r-R~ ET VILLAGE DIST SUB.LOT ~ ACR. REMARKS TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL DATE FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL COLOR TRIM - 1 st 2n¢ t~M.t~_ I~, ~1~ lr,,(z>';- t(~:) ~. i~ ~ ~ F°undati°n~ Fin. B. Bath ~ Dinette Extension ~= It~O( '~ Basement )~L~ Floors ~ ~ Kit. Exte~si°° ~ ~ ~ ~ ~1 ~ Ext Wails ~, ~ Interior Finish ~ ~_ L.R- -- Extension ~'~.' ~ ~."~O ......... ~ ~O FirePlace __ Heat~ ''~1~--''~ D.R: ..... Deck ~ ~ (~ ¢ ~O ,~ ~_ Dock ........ Yam. Rm. Garage I~ ' ~ I ~ ~D 7~O Survey for HARRY E. 8~ NORA A. MILLER LAUREL Town of Sou/hold Surf. Ca,~Y ~a~ ~,19~ ARTHUR EDWARDS POOL & SPA CENTRE 929 ROUTE 25A MILLER PLACE, NY 11764 516-744-7185 FAX-744-0174 APPLICATION FOR A SWIMMING POOL PERMIT: SOUTHOLD TOWN OF SOUTHOLD MAIN ROAD (P.O. BOX 1179) SOUTHOLD, NY 11971 (631) 765-1802 PAPERS ENCLOSED: APPLICATION FOR OUTDOOR POOL PERMIT EROSION SEDIMENTATION & WATER RUN ASSESSMENT FORM CERTIFICATE OF WORKER'S COMPENSATION CERTIFICATE OF LIABILITY INSURANCE SUFFOLK COUNTY LICENSE -[--]" SUFFOLK COUNTY PLUMBER LICENSE ~ SUFFOLK COUNTY ELECTRICIAN LICENSE ~) 4 SETS OF PLANS - (3 STAMPED) [~ 3 SURVEYS [ ] TAX BILL ~ $260.00 CHECK FOR PERMIT FEE PLEASE CALL OUR OFFICE IF THERE ARE ANY QUESTIONS REGARDING THIS APPLICATION. This certificate is an original. State of New York Worker's Compensation Board CERTIFICATE OF PARTICIPATION IN WORKER'S COMPENSATION GROUP SELF INSURANCE la. Legal Name and Address of Business Participating In Group Self-Insurance (Use Street Address Only) Arthur J. Edwards Mason Contractor, Inc, DBA: Arthur Edwards Pool & Spa Centre 929 Route 25 A Miller Place, NY 11764 lb. Effective Date of Membership in the Group 4/24/2002 Issue Date 8/17/2009 6/16/2010 Expiration Date Id, Business Telephone Number of Business Referenced in "la''. (631) 744-7165 le, NYS Unemployment Insurance Employer Registration Number of Business Registered in BOX "la". 24108715 lf. Federal Employer Identification Number of Business Referenced in Box lc. The Proprietor, Partners, or Executive Officers are ~]. Included. (Only check if all partners / officers inluded. ] AB excluded or certain partners / officers excluded. Name and Address of the Entity Requesting Proof of Coverage IEntity Being Listed as Certificate Holder). TownofSouthold Town Hall PO Box728 Southold, New Yo~ 11971 111277925 3. Name and Address of Group Self Insurer. Special Trades, Contracting And Construction Trust 6250 South Bay Road Syracuse, NY 13039 Policy: W521504 This certifies that the business referenced above in box "la" is complying with'the mandatory coverage requirements of the New York State Workers' Compensation Law as a participating member of the Group Self-Insurer listed above in box "3" and Participation in such group self-inanrance is still in fome. The Group Self-Insurer's Administrator will send this Certificate of Participation to the entity listed above as the certificate holder in box "2". The Group Self-insurer's Adminis~ator will notify the above certificate holder within 10 days I~ the membership of the Participant listed in box" la" is terminated. (These notices may be sent by regular mail.) Otherwise, this Certficate is valid for a maximum of one year from the date certified by the group self-insurer.'. If this certificate is no longer valid according to the above guidelines and the business referenced in box "Ia" continues to be named on a permit, license or contract issued by the certificate holder, the business must provide the certificate holder either with a new certificate or other authorized proof the business 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 of the Group Self-insurer referenced above and that the business referenced in box "la" has the coverage as depicted on this form. Certified By: Certified By: Title: David France}, T~Hst~d ~ ra~to r (Signamm) (Date) Telephone Number: (315) 699-8475 GSI-105.2 (2-02) Worker's Compensation Law Worker's Compensation Law Section 57 Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carder is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carder is produced in a form satisfactory to the chair, that compensation for ali employees has been secured as provided by this chapter. please Note:This Certificate is valid only through the policy dates indicated above, OR a maximum of one year after this form is approved by the authorized representatives of the Group Self-insurer. At the expiration of those dates, if the business continues to be named on a permit or contract issued by the above government entity, the business must provide that government entity with a new Certificate. The business must also provide a new Certificate upon notice of cancellation or change in stares of the policy. GSI-105.2 (2-02) Reverse ACORD. CERTIFICATE OF LIABILITY INSURANCE O,,D J DATE . O ARTHU-1 01/14/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bagatta Associates, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 823 W Jericho Turn]pike Ste lA ALTERTHECOVERAGEAFFORDEDBYTHEPOLICIESBELOW. smithtown NY 11787 Phone: 631-864-1111 Fax: 631-864-8274 INSURERS AFFORDING COVERAGE NAIC# Arthur J Edwards ~ason ~NSUREAR Contracting CO Inc DBA Arthur Edwards Pool & Spa Center INSUR~RC 929 Route 25A ~NSURERD Miller Place NY 11764 COVERAGES i A ~ C0MMERCI~ GENERAL LIABILITY MPA8G0912 01/01/09 01/01/10 .~,u.:N,=u $100000 PERSO~ & ~V INJURY $ 1000000 -- ~ B~T ~DITIO~ GENE~AGGRE~ $ 2000000 CERTIFICATE HOLDER CANCELLATION 0000000 Town of Southold Town Hall P.O. BOX 728 Southold NY 19971 SHOULD ANY OF THE A~OVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO M~JL 1 I~ DAYS WRE-~N NOTIOE TO ~IE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAJLURE TO IMPOSE NO OBLIGAT~N OR LIAbiLITY OF ANY HIND UPON THE INSURER, ITS AGENTE OR REPREI~ENTAllYES. ACORD 25 (2001/08) © ACORD CORPORATION 1988 ~u££olk Coun t~ Executive ~s O£fice o£ Cons ume~ A££Mrs VETERANS M~MORIAL HIGH~VAY * HAUPPAUGE, NEW YORK 11 ?$$ DATE ISSUED: 5/1/80 No. 2740-ME SUFFOLK COUNTY Master Electrician License This is to certify that EDWARD S REIFF doing business as LrNDERGROUND SPECIALTIES INC having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN in accordance with and subject to the provisions of applicable laws, rules and regulations of the County of Suffolk, S~ate of New York. SUFFOLK COUNTY EXECUTIVE'S OFFICE OF CONSIJMER AFFAIRS Additional Businesses MASTER ELECTRICIAN Th~ ee~ifies that the bea~er is ~1¥ Ilee~se~ by the Ce~rAy ef st~ffetk EDWARD S REIFF UNDERGROUND SPECtALTIE$ INC 2740-ME /~980 ='~" ~'~ 05/01/2010 ! )2ector A B C D Plan Section B-B Section A-A SIZE A B C D E F G HAP, EACAP. lB 2' :--tO" ' Typical Wall Piping Arrangement Section ~ FT. FT. FT. FT. Fr. FT. Fr. Fr. SQ.FT. GAL. 16x~2' 16' 32' 8' 14' 6' 4' 4' 8' 512 19,000 16'x36' 16' 36' 12' 14' 6' 4* 4' 8' 576 21,600 18'x36' 18' 36' 12' 14' 6' 4' 5' 8' 648 24,~00 20'x40' 20' 40' 16' 14' 6' 4' 6' 8' 600 30,000 24'x44' 24' 44' 1§' 14' 8' 4' 6* 10' 796 ~0,000 24'x48' 24' 48' 20' 16' 8' 4* 6' 10' 900 30,000 PERMACRETE W~,T.L SYSTEM 929 Route 25A Miller Place NY 11764 (631) 744-7185 FAX (631) 744-0174 Suffolk License #4436-HI Nassau License #HI74450000