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Home My WebLink About35059-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 6/27/20 ! l CERTIFICATE OF OCCUPANCY No: 35025 Date: 6/27/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: IN GROUND POOL 290 RED FAWN RD SOUTHOLD, N.Y. 11971, Sec/Block/Lot: 79.-2-7.4 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/29/2009 pursuant to which Building Permit No. 35059 dated 10/7/2009 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 Fitzgerald, William & Fitzgerald, Julie (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35059 9/24/10 '1'o~ n Hall Annex ,; 1375 Main Road P.t). Box 117!1 Telephone (631} 7ti3-1811~ lr~tx ((i3l) 763-9302 ro.qer, dchert~town, so uthold, nv. us BI!II,I)ING I)I';PARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: William Fitzgerald Address: 290 Red Fawn Rd City: southold St: NY Zip: 11971 Building Permit #: 35059 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Sean Cain DBA: License No: 42963 SITE DETAILS Residential Commerioal New Addition Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: Office Use Only Indoor ~ Basement [~ Service Only ~ Outdoor 1st Floor Pool Renovation 2nd Floor Hot Tub Survey Attic Garage INVENTORY Heat ~ DuplecRecpt ~ Hot Water GFCl Recpt A/C Condenser Single Recpt NC Blower Range Recpt Appliances Dryer Recpt Switches Twist Lock Ceiling Fixtures [~[~] HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixture~]~ Pumps Emergency Fixture Time Clocks Exit Fixtures TVSS Notes: pool bonding, 3 pool lights, 4 pool pumps, 1 blower, cover motor, 5gfci circuit breakers Inspector Signature: Date: Sept 24 2010 81-Cert Electrical Compliance Form 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. 35059 Z Date OCTOBER 7, 2009 Permission is hereby granted to: MCM HOMES INC 290 RED FAWN RD SOUTHOLD,MU 11971 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL, FENCED TO CODE AS APPLIED FOR at premises located at 290 RED FAWN RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0002 Lot No. 007.004 pursuant to application dated SEPTEMBER 29, 2009 and approved by the Building Inspector to expire on MARCH 7, 2011. Fee $ 250.00 /~ut~Signature COPY Rev. 5/8/02 Form No. 6 ·OWN OF SOUl. OLD 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 following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, prope~y lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 form). 3. Approval o f electrical installation from Board o f Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commemial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from amhitect 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 $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. 2. Ce[tificate 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 Date. b'"~ '~--[ [ New Construction: Old or Pre-existing Building: ocationofProperty: gqO House No. Street · Owner or Ownem of Property: ~ \~.~,.tW~ (check one) Hamlet Lot 7. c/ Lot: Suffolk County Tax Map No 1000, Section Subdivision Pexmit No..'~ ~"'C'~' ~t.~' Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ .~'-~ ~i~3. ~ Block Filed Map.. Applicant: Underwriters Approval: Final Certificate: (check one) //ica,~t~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 / INSPECTION [~,,/] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ } FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] m~ RESISTANT C0NSTR~ [ ] FIRE RWSTANT FENETRATION REMARKS: ~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ FOUNDATION 2ND [ FRAMING / STRAPPING [ FIREPLACE & CHIMNEY [ FIRE RESISTANT CONSTRUCTION [ ~-E~LECTRICAL (ROUGH) [ × 'REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] RRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~/~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT C0NSTRUC'I10~ [ ] FIRE RESISTANT PENEll~TION REMARKS: ~0~ ~ ~.~ ~ INSPECTOR ~'~ DATE TOWN' O'F 'SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. JR X'?'~-'~ Examined l0/1,20 {~ Approved 10/~ ;20 0f Mail to: Disapproved a/c Phone: BUILDING PERMIT APPLICATIOlq CHECKLIST Do you have or need the following, before applying? Board of Health (~sets of Building Plans Planning Board approval '--~Survey ~ Check ~.,~,.9, OO Septic Form N.Y.S.D.E.C. Trustees Flood Permit --~Storm-Water Assessment Form Contact: Expiration ~/~ ,20// 1~ ~u~ldi~g Inspector ]~~ ,N FOR BUILDING PE~IT I I - ~ '~ I~ ~t~ ~z2 ,2o ~A_ a. This ap~q in by t~ewrker or in i~ and submitted to the Building hspector with 4 sets of plans, dec--lan to scale. Fee acc~ to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and wate~ays. c. The work covered by this applicmion may not be commenced before issu~ce of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such a pemfit shall be kept on the promises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever umil the Building Inspector issues a Ce~ificate of Occupancy. f. Eve~ building pemit shall expire if the work authorized has not commenced wit~n 12 months a~er the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other re~lations affecting the prope~y have been enacted in the ~terim, ~e Building ~spector may authohze, in writing, the extension of the pe~it for an addition six months. Thereafter, a new pe~it shall be mquked. ~PLICATION IS ~BY M~E to the Building Depa~ment for the issuance of a Building Pe~it pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin~ces or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein deschbed. The applicant a~ees to comply with all applicable laws, ordinances, building code, housing code, and re~lations, ~d to a~it authorized inspectors on premises and in building for necessa~ inspections. ALL CONSTRUCTION SHALL OCCUPANCY OR ~ ~o~¢S ~c, MEET THEREQUIREMENTSOF TH~SE IS UN~WFUL ~.~.~ o~..~, o~.~., CODES OF NEW YORK STATE. WITHOUT CE RTIFIC~~ q ~ OF OCCUPANCY ' (Mailing ad&ess of applicant) State whether applicant is owner, lessee, agent, ~chitect, ensneer, general contractor, ele6thci~, plmber or builder Nameofownerofpremises ~c~ ~ ~.0ATa: ~/~/q _ (As on the tax roll ~datest d~a~ If applicant is a co~oration, si~at~ ofdu~ ~ht~ofiz~officer NO}'IFY BUILDING' DE'~RTMENT AT ~. ~765-1802 8AM TO 4PM FOR THE .... FOLLOWING INS~CTIOkJ3: (N~e and title o~ co~orate officer) ~OE~ CErTIFICAtE1' FOUKDqTIOH RE~U~RED Builders License No. ~q & ~ -REQoIREO FOR POURED Plumbers License No. "I~,I~;?BIATELY" Electricians License No. Other Trade's License No. ' ................. U~ ~OMPLETION ~FORE "WATER" 1. 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE Location of land on which proposed work will be done: _REQUIREMENTS OF THE CODES OF NEW" ~'~-c!.O ~ ~-'~ ~, ~ ~l%"%~°,~_~3RK STATE. NOT RESPONSIBLE FOR House Numb~ Street DE~ CONSTRUCTION ERRORS. County Tax Map No. 1000 Section -lc~ Block Subdivision ~kZt~.SXCJt_ood_ ~v'~:~4,h/~ Filed Map No. Lot -'], 3t Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: · a. Existing use and occupancy b. Intended use and occupancy 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 Addition Alteration Other Work Fee ~:>_.~ o -- (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. Dimensions of existing structures, if any: Front Rear Depth Height. Number of Stories Dimensions of same structure with alterations or additionS: FrOnL ,'/ i~, .'.' ' _:~ --' ' Rear Depth Height. Numbbr of entire new construction: Front Rei~r 8. Dimensions Height Number of Stories 9. Size of lot: Front Rear iDepth 9~0~ Name of Former Owner 10. Date of Purchase 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO,)~r 13. Will lot be re-graded? YES )4 NO Will excess fill be removed from premises?.. YES 2~ NO 14. Names of 0wner of premises ~,,X,r_~ %-~,W=.5 Address to ~ lei Z_~ Phone No. s [lo '7~ ~ ct'7o~ Name of Architect Address t Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO x~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED· b. Is this property within 300 feet of a tidal wetland? * YES NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED· 16. Provide survey, to scale, with accurate foundation plan' nd &stances to'property hnes. 17. If elevation at any point on property is at 10 feet br below, faust provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO ? * IF YES, PROVIDE A COPY. STATE OF NEW YORK) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH ,' No'mOt Public.bhlate of New York (S)He is the ~ (Contractor, Agent, Corporate. Officer, etc.) u0mm^ '*"°"ssi0n~uExpiresm ~unol~ApdlCounlv14, ~'0~'~ of said owner or owners and is duly authorized to perform or ha-oe"lc'elCt'b~ll:~c'~'~...~t work and to make and file tNs apphcatmn; d behef; and that the work will be,, that all statements contmned zn tNs apphcat~on are true to the 15est b~ I/~s performed in the manner set forth in the application filed therewitk.': Sworn to&fore me this. ~ ~ ~.~c'X_ dayof,~.~/'~,,~ k21gq 200~l_ Notary Public ~~Si'gnamre of Applic~ant TOWN OF SOUTHOLD PROPERTY RECORD CARD O~/NER LAND IMP. STREET TYPE OF BLD. PROF~?~} (o TOTAL I VILLAGE REMARKS DATE FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL TILLABLE WOODLAND COLOR TRIM 1 st 2nd PC M. Bldg. Foundation cs Fin. B. Bath Dinette FULL COMBO CRAWL pARTIAL Floors Kit. Extension Basement SLAB Extension Ext. Walls Interior Finish L.R, Extension Fire Place Heat D,R. Patio Woodstove BR. Porch Dormer Baths Deck Dock Faro. Rm. Garage O.B. Pool Town Hall Annex 5437,5 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631} 765-1802 roaer richertdt~w(~n.l~gu~o~, ny. us BUILDING DEPARTMF, NT ~~ TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ~q~l ~t~ Date: Company Name: Name: ~,~,~ License No.: dd e s: Phone No.: ~/~ ?~/_ ~{~ *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: JOBSITE INFORMATION: (*Indicates required information) 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Cleady) (Please Circle All That Apply) *Is job ready for inspection: ,Do you need a Temp Certificate: Y~/NO ~' Final YES / NO Temp Information (If needed} - *Service Size: 1 Phase 3Phase 100 *New Service: Re-connect Underground Additional Information: 82-Request for Inspection Form 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION BI ,II,I)IN(, 1)1',1 Al/1 MLN 1 TOWN OF $OUTHOLD Aquacade Pool Building Inc, '~. ~.~____.-.~...~)~33~311 Hickvllle, NY 11801 TO~ OF SQUT~[~ t Work~enfl~l~ured(O~Or~l~'~Y id. ~1 E~loyer l~fle~o~ Nu m~r of l~u~d limited to etrtab~ lave#one in Nen, Yer~t Stat~., I,e., a Wrap-l.71~ Pat/ey) 2. Name and Address of the getlW Req~estlng. Proof of Coverage (Entity Beifle Ll~ed ~ the Certificate Holder) Town of Southhold 54375 Route 25 P.O. Box 1179 Southold, NY 1 '1971 or Social Seetttl~ Numbe~ 112839229 3a, Name oflnmraoee Carrier New Hampshire Insurance Company 3b, Policy Number of enfltT listed lit box WC 006784478 3c. policy effective period 07126tL-n009 to 3d. Tie Proprietor, Part~en or I~.xe~utlve Ofllcer~ are 1~[ incluthsL (0.ir ~.h~k I~ II nil pe~aerdO~ee~ ~chlded) [] nil e*xolnded, or amain partners excluded. this cerflfle.q that the insurance c4u~icr tndicaled above in box "3" ina~rea the busin¢~ tet'erenc~i above in box "la" for workers' oompenr~tton under the New York State Workera' Cmnpe~satio~ Law. (Te naa rids fix'm, New York (NY) omar bo Il*ted uadcr I fern ,;~-~. on th e INleORMATIO~ PAGE of the wovkera' eomper~saflen insuranee pMleT). Thc Inaurance Cnnicr or tt.n licensed agent will I~I~S Certificate of laurence to the emit~ ]isled above as the certificate holder itl box "2". Th e ln,~urance Carrfer wdl al~o no t ~ ~Ae abo~e cerafleofe holder wlthtn ! 0 days IF a policy ~s cam:tied due to nonpayment of premiums or wteltin $0 days I1: ~ert ar~ reasom Other than nonpayment o f l~t~m tuma gloat cancel t~e poll~y or ~llrntnate the tn~ur~d from lnd~catod on th~ Certificate. (Th~e no~ta&~ may be ~ent by mgular mall.) Othut~ tkts Co~ato ts ~alht for I$ apprm,ed by tht in.trance cattier or its tleen#ed agen6 or ttatll f~t pollcy ~lrnfion date lb;ted in I~x 'aSea, Plen~e Note: Upotl the cancellation of the workers' eompemeatioa pelioy indicated on this form, If the Imlfltesa eonflnme*l to be named on a permit, license or conill-ct I~ued by a certificate holder, the b~zsl#ese must provide that certificate holder with a mew (~ert~flcat~ of Worbere* Compensation Coverage or otlter authorized proof that the bq*slness is cemldying with the mandatory eovernRe reqalrement9 of the New York State Welrkat~' Compensation Law. Under penalty of perjury, ! certify that I am an allthorl~'~d representative ar licensed al~ent of the ItMurance earrker referenced Rbove nad that the named In~lired has the eo~/ern~ nS depl~tetl on thh form, Approved by: Bralqda Title: Policy Coordinator ...... Tetephe~e Number ct authorizc~ rc't:,re~e~tative er IJeenned a~cnt of insurance ca.er: 1-800-645-22.59 Please Note: Only inst~tvlnc~ carrters and tAe?t' licensed agentS m'~ authorir, ed to i.~,tue Fornt C-105.2. Insaram¢ broke~r are NOT authorized to ls.ett¢ It. C-105,2 {9-0T) www,wob,statc.ny.u$ Itall Auucx Box 117P AQUACADEPOOLBUILDING PAGE 0~/07 l'clcphl>l~C (63L) 765-lg02 Fax (63L) ~y Sen~al ~ ~ig a~te ~l~g ot authofl~g thc ~ ofs~h p~its, shall ~ isle su~ p~it u~l~ ~of~ ~b~[~d ~ ebapt~. N~fin~ h~n, ~w~r, ehall ~ c~s~ as ~i~ an~ liabilit~ ~ the ~ of~ ~a~ or m~ni~ld~t, ~, ¢~s~o~ or o~ m pay ~y ~mp~s~n ~ ~ ~ch ~10~ if ~ ~ploy~, 2. 2~¢ hcsd ora ~c or muni~pal d~m~l, ~ ~ts~on ~ o~ a~or~ or r~ui~ by law to ~r J~ ~ ~t f~ or in co~uoti~ ~th ~y ~ involving th~ ~p]~mml of~ploy~ in ~ h~us ~p~oym~ gefin~ ~ ~s ~, n~tng s~y ~at ~ ~nl stni~ r~u~g ~ s~horlgng any ~h c~l~ shgl n~ ~ ln~ ~Y ~ c~ unl~ ~fduly subs~[~ this ~. C-105,2 (9-07) 05/26/2010 1~: 36 ~1643343~ ~,~U~,C~DEPOOLBUIL~THG ,;~;~73 M;dn Road WOR~ ~'~ ~ P"~'T~OF INSURANCE C~ ~ ~ la Le~e~ Name and Addre~ of In~;ed (Use ~treet ~ddre55 en[y} 11~ Business Telephone Number of I~ured AQUACADE POOL BUILDING, IRC 200 LEVITTOWN PARKWAY HICKSVILLE NY 11801 BI 'ILl)IN(; I)EP TOWN OF SO 2. Name end .address of tile Entity RequeOting Proof of Coverage (Entity Being Listed es the Cerdf~ete Holder) ToWN OF SOUTHOLD 54375 ROUTE 25, P O BOX 1179 SOUTHOLD, NY 11971 kI/'I'MI,;NT (516) 433-4311 ~'ctl~.~l~oloyment Insurance Employer Regis~ation Number of Insured 48.50909 ld. F~eret Employe~ Ident~loatlon Num~ ~ Insured o; ~cial ~cufity Number 11-283~229 ~ Name Of Insurance Carrier STANDARD SECURITY LIFE INS~ CO, OF NEW YORK ~ Policy Num~ of en~W li~ed tn box "la": M7~717-0~ 3¢. Policy effec~ve period: 1~1/1~8 to ~/30/~010 4 Policy covers a [] All of the employer's employees eligible under the New York Disability Benefit~ i.aw b [] Only the following class or classes of the employer's employea-~: Unde penalty of perjury I cerdfy that I am an authmized tepresel~tlve or licensed agent of t~t~ insurance cerr~f refere~d abce Date Signed 0512512010 By ~- ~ '('~ ~'''~_- ,- Telepl~one Number (~12) 355-4141 TI~ SUCERVISO~-OBLIPOLICY SERVICES PART l. ~o be comCeted by ~ Wo~e~' Coa~atlon b~rd {onk ~ bx "4b" of ~ ~ 1 has b~n checked) State Of New York Workers' Compensation Board Acccdtnq to Infmma~loh hlalnteined by the NYS Workers' Compenaarlc~q Board, the ebove-n meed employer has cmn plied with 1fie NY$ Dl~ahlllty Benefits Law with respect to ell of hls~qer employees Date By Telephohe Number T!tle D1~-120.1 (5-06} ~QUACADEPOOLBUILDING PAGE 06/87 ~ ~"~B-120.1 Telephone (6,'11) 76.M802 ~ Fax (631) 76,¥9,502 ~1 aw, T~ I~ur;nce Carrier or ~ Ilcen~d agent ceftl/Icate hdder ~lle b sne~P~ll~l~V~'l~r~'~h a new Certificate cf NYS DIsa~ B~neftts c~v~ DISABILITY BENEFITS LAW § 220. Subd. 8 (8) The head of a state or munidpal department board, c~mi~ion or office authorized or required by law issue any permit for or In connection with any wo~k involving the employment of employee* in employment defined in this article, and not withstanding any general or special statute requiring or authorizing the issue such permits, shall not issue such bermit unless proof duly subscribed by an insurance carrier is produced in form satisfactory to the chair, that the payment of disability benefits lot all employees has been secured provided by this article. Nothing herein however, shall be consbued as creating any liability on the part of su state o~ n~unlcipai department, board, commission ol office to pay and disability benefits to any such employ' ~ so em¢oyed (b} The head of a Stere or munlcpal department, board, comm~saton m office authorized or required by law enter into any contract for o~ In connection with any work involving the employment of employees employment as defined ~n this article, and no[withstanding any generat or special statute reo, uidng or authoflzi any such contract, shall not enter ~,nto any such contract uqlees p~oof duly subscribed be an insurance carrier produced in a form ~tisfactory to the chaih that the payment o~ disability benefits for ail employees has be secured es provided by this article 0B.120 1 (5-08) Rever.~e 05/26/2010 15:36 5164334353 AQUACADEPOOLBUILDING PAGE 07/07 RTIFICATE c E R !1~1~ i~.,i~:LC~ lis ]~ ~)T i~F~i~A"t~/ELY 01~ BELOW, THi~ CER~FiCATE'OF Ifl~URANC E REPRESENTAT~E O~ pRO~CER, AHO THE C~R~CATE HE COVERAGE AFFORDEr THE ISSUING iNSURER(SI, AUTHORtZED ~23 W Jericho Tu=npike ~te lA Sm~th~ NY 11783 N*~ ~hone: 631-864-1111 Fa~; 631-864-8274__ 4~307 A~acade ~ool Bul~_.9 Ina. ~avi~ators Insu=ance ¢o__ ACORn) 25 Tho ACORD name on(t logo are reglsterod marks of ACOR O 0§/24/2010 10:52 0140678338 CHRISTOPHER J COHAN PAGE 01/01 Via Email Lan~cape.~rcliitect May24,2010 Patrida Conkl~n, Plan Examiner Building Department Town of Southold, New York P O Box 1179 $outhold, New York 11971 RE: Fence and Pool Permit Numbers IMAY 2 4 2010 BLDG. OEPT. TOWN O[ $OUTHOLD Dear Ms. Conldin: Thank you for taking the time this morning to speak with me about the fencing and pool permits for 290 Red Fawn Road, Southold. We wish to pull the fence pen-mt as we shall wait for the State to approve the Town's request for a change to the fencing law. Once that has been approved, we will then proceed with installing a code compliant fence. I shall forward you information on certain deer fencing which I have been told is code compliant ia New York State for pool enclosures. I shall confirm that before installing or use another fencing system which is code compliant. Also, thank you for confirming that the proposed pool relocation site as shown on the drawing I sent you earlier today meets with Town approval. As always, thank you very much for your time. Cohan, ASLA Christopher J. Cc: William and Sulle Fitzgerald 11 q~gefanar g~lanor ~, 5V'swClror~ 10580 914~967-4485 waow. cftriscof~an~corn Via Telecopier and Regular Mail Cf~ristoptier~Tay Cotian L,l,d~,ca],c ln'lntcct February 28, 2011 Town of' Southold Building Department P. O. Box [ 179 Southold. New York 11971 RE: Extensioo of pool installatioa permit otnnber 35059, 4 Red Fawa Road, Southold, NY. To Whom It May Concern: Please accept this letter as a formal request for a six (6) month extension of pool installation permit number 35059, 4 Red Fawn Road, Southold, NY. Kindly send written confirmation attention: Chris Cohan I I Ridgeland Manor Rye, NY 10580-3641 Or telecopier to: (914)967-8338 If you have any questions, please do not hesitate to contact me Uhristopher J. Cohan, ASLA Cc: Julie and William Fitzgerald Il qe, td, qe[oud':Uanor Rye, :51,'¢1: '}'~}~. lOq2(t} ~ll~l !t67,1185 'www. chri6'cohan, com N S / / / Young & Yo'ar~g NOTE~ CERTIFICATION FOR JOHN L. I-IU~TA.I~O, .J~. FOUNDATION LOGATION Ed.J~VL=Y' 18:07 gl~g678338 CHRISTOPHER J COHEN ~AGE 02/82 Via l~nmil Mmy 24~ 20! 0 Patficia Clmklin, Plan Exmm[ner Building Departmoat Town OF Southold, New York P O Box 1179 $outhold, New York 11971 (631) 765-9502- Facsimile num}~ RF~: Pool ~ 3~0~ I have attached a copy of a satrvey for :290 Red Fawn Road, $outhotd which shows the propo~d pOOl location The p0ol fize is 20'-0~ x 40'-0" and shall be sc~ back from s~t propenT line atld ~'om to~r prop~'ly line 63'-0". Thi~ Ioca~ioa i~ ditlem~t I'l~ ',,,'hat wa~ originally propo,~d. We are re~u~v.~ approval Io in,till it as ~ow~ Th~r~ ~ two (2) p~s total in this tint. mission including this Imge Pleas~ le~ me Imow if th~m is any otb. or inforn~tion tln~ you may need. I look fonvard 1o hearing from yc~, Chriatoplm' J. Cohan, ASLA Cc; W~lliem ~nd lulie ~it~l~'~ld ti ~fa~f ~lta~r ~, ~r~v YoffL laY, WI 91~-9~'~i&~.~ 'arara,.¢lir~m~m. co~ A RETURN COMBINATION SKIMMER VACUUM LINE AND HYDROSTATIC RELIEF VALVE RETURN GUNITE STEPS PRECAST US ~ COPING WALK (OPTIONAL) RIVE BOARD (OPTIONAL) 'OPTIONAL) It lea ~ldatl~. of New Yo~ State law for any ~, unl~ ~ey are acting und~ ~e PLAN WATER RETURN__..// LINE ,. SKIMMER DRAIN SECTION A PRECAST COPING STEP DETAIL NT5 LINE) OF TILE '.'~ A MAIN Ii! ~%xXX~ DRAIN ~LIGHT (OPTIONAL' - F~,2" (~p,) -'~ #3 REBAR (TYPO STEP REINPQRCEMENT #3 BARS @ ~2"0,6 HORIZONTAL VERTICAL - REINFORCED GUNITE (TYP) REINFORCING BARS #3 @ 12"0.C, BOTH WAYS(TYP ) 2'-1" TO 5'-C RADIUS SECTION 2" COPING WATER LIGHT FIXTURE LIGHT LIGHT NICHE TO BECK% BOX DETAIL NT5 STANDARD DETAILS- GUNITE POOL 114" = 1' 290 I~ED FAWN ROAD SOUTHOLD, NY 11971 MCM HOMES 11782 .~-3600 PAGE 1 OF 2 NOTES: 1. NO SPOIL SURCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION AT THE SHALLOW END, OR 6 FEET OF EXCAVATION AT THE DEEP END. WASTE ~ __ 2. THiS POOL MEETS THE REQUIREMENTS OF ANSI/NSPI-6 "AMERICAN NATIONAL STANDARD FOR RESIDENTIAL INGROUND SWIMMING POOLS" AND 1996 BOCA CODE-SECTION 421. DIVING EQUIPMENT IS ALLOWED. 3. THE PNEUMATICALLY APPLIED CONCRETE (GUNITE) SHALL BE A 1:4 MIX WITH A MAX]MUM OF 3d/2 GALLONS OF WATER PER ONE SACK OF CEMENT. 4. THE REINFORCING STEEL SHALL BE INTERMEDIATE GRADE STEEL WITH MINIMUM LAP OF 30 BAR DIAMETERS. 5. SWIMMING POOL AND POOL EQUIPMENT SHALL BE COMPLETELY SURROUNDED BY AN ENCLOSURE THAT COMPLIES WITH THE CODE OF THE TOWN OF SOUTHOLD SECTIONS OF THE ENCLOSURE THAT ARE COMPRISED OF A FENCE SHALL BE GREATER THEN 5' AND LESS THEN 6' IN HEIGHT AND BE NONCLIMBABLE ALL GATES IN THE FENCE SHALL BE SELF CLOSING AND SELF LATCHING AND BE SECURED WiTH A LOCK OPENABLE FROM THE OUTSIDE ONLY. FINISHED SIDE OF FENCES SHALL BE LOCATED ON THE OUTSIDE OF THE REQUIRED FENCE THE RESULTING CONSTRUCTION SHALL COMPLY WITH CLAUSES 3109.4.1 THROUGH 3109.4.3 OF THE NEW YORK STATE BUILDING CODE CHAPTER 31 AND THE NEW YORK STATE RESIDENTIAL CODE APPENDIX G. 6. DURING CONSTRUCTION THE CONTRACTOR SHALL ERECT A TEMPORARY BARRIER AROUND THE EXCAVATION iAW THE CODE OF THE TOWN OF SOUTHOLD. 7. POOL MUST BE EQUIPPED WiTH AN APPROVED POOL ALARM CAPABLE OF DETECTING A CHILD ENTERING THE WATER AND SOUNDING AN AUDIBLE ALARM WHEN DETECTED THAT IS AUDIBLE AT POOLSIDE AND AT ANOTHER LOCATION ON THE PREMISES WHERE THE POOL IS LOCATED. THE ALARM MUST BE INSTALLED, MAINTAINED AND USED IN ACCORDANCE WiTH THE MANUFACTURERS INSTRUCTIONS. THE ALARM MUST MEET ASTM F2208 "STANDARD SPECIFICATION FOR POOL ALARMS. THE DEVICE MUST OPERATE INDEPENDENT (NOT ATTACHED TO OR DEPENDENT ON) OF PERSONS. 8, POOL SUCTION FITTINGS (EXCEPT FOR SURFACE SKIMMERS) MUST BE PROVIDED WiTH A COVER THAT CONFORMS TO ASME/ANSI AI12.19.8M OR A MINIMUM NT6 12"X12" DRAIN GRATE OR A CHANNEL DRAIN SYSTEM, POOL CIRCULATION SYSTEM MUST BE EQUIPPED WITH ATMOSPHERIC VACUUM RELIEF IN THE EVENT THE GRATE COVERS LOCATED WITHIN THE POOL BECOME MISSING OR BROKEN. SUCH VACUUM RELIEF SYSTEMS SHALL CONFORM WITH ASME Al12.19.17 OR BE A GRAVITY SYSTEM APPROVED BY THE TOWN OF SOUTHOLD POOL SHALL BE PROVIDED WITH A MINIMUM OF 2 5UOllON FITTINGS OF THE ALCOVE MENTIONED TYPF~ THE SUCTION FITTINGS SHALL BE SEPARATED BY A MINIMUM OR 3' AND MUST BE PIPED SUCH THAT WATER IS DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A VACUUM RELIEF-PROTECTED LINE TO THE PUMP (OR PUMPS). VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN AN ACCESSIBLE POSITION, MINIMUM OF 6 AND NO GREATER THEN 12 BELOW THE MINIMUM OPERATIONAL WATER LEVEL OR BE AN ATTACHMENT TO THE SKIMMER/SKIMMERS. 9. ALL ELECTPdCAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70 (NEC), PRiNCiPALLY ARTICLE 680 AND THE NYS RESIDENTIAL CODE SECTION 4102 THROUGH 4106. ALL ELECTRICAL DEVICES MUST BE APPROVED BY UNDERWRITERS LABORATORIES AND BE PROTECTED BY A GROUND FAULT CURRENT INTERRUPTER (GFCI). CURRENT CARRYING ELECTRICAL CONDUCTORS EXCEPT FOR THOSE PROVIDING POWER TO POOL LIGHTING AND POOL EQUIPMENT SHALL MEET THE SEPARATION REQUIREMENT5 OF TABLE E4103.5. ALL METAL ENCLOSURES, FENCES OR RA1LING5 NEAR OR ADJACENT TO THE SWIMMING POOL THAT MAY BECOME ELECTRICALLY CHARGED DUE TO CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECtiVELY GROUNDED. 10. WATER SOURCE FILLING THE POOL SHALL BE EQUIPPED WITH A BACKFLOW PROTECTION DEVICE IAW NYS PLUMBING COPE 608. 11. ALL PIPING IS DIAGRAMMATIC UNLESS OTHERWISE STATED. 12. WALKS, IF PROVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM POOL EDGE. 13. A MEANS OF EGRESS FOR DEEP AND SHALLOW ENDS MUST BE PROVIDED iAW ANSI/NSPF5 SECTION 6. 14. CONTRACTOR TO PLACE THE POOL IAW TOWN OF SOUTHOLD CODE SETBACKS. 15. ALL DRAINAGE FROM THE POOL SHALL BE MAiNTAiNED ON THE SUBJECT FROPERTY. 16. POOL AREA 800SOFT, PERIMETER 120' VOLUME 29~200 GALLONS. 17. THE DESIGN IS BASED ON A DRAINAGE SOIL WITH <10% SILT. GROUND WATER SHALL NOT EXIST WITHIN THE EXCAVATION. IF GROUND WATER EXISTS WITHIN 6'0" FROM GRADE, DEWATERING FACILITIES WILL BE REQUIRED. A L L R 18. ALL GAS AND OIL WATER HEATERS (iF iNSTALLED) FOR THE IN<;;ROUND SWIMMING POOL SHALL BE NATIONAL APPLIANCE ENERGY CONSERVATION ACT % TEE L (NAECA) COMPLIANT. POOL HEATERS SHALL BE TESTED IAW ANSI Z21.B6 AND SHALL BE INSTALLED IAW MANUFACTURERS SPEQFICATIONS. OIL FIRED TO B AVE M I N I M U M 2" POOL HEATERS SHALL BE TESTED 1AW UL726. POOL HEATERS SHALL BE LOCATED OR GUARDED TO PROTECT AGAINST ACCIDENTAL CONTACT OF HOT SURFACE5 BY PERSONS. POOL HEATERS SHALL BE PROVIDED WITH TEMPERATURE AND PRESSURE-RELIEF VALVES. FOR HEATERS NOT PROVIDED WITH C 0 N 0 R ETE O 0 VE F~ A 0 E AN INTEGRAL BYPASS SYSTEM, A BYPASS LiNE SHALL BE INSTALLED FROM INLET TO OUTLET TO ADJUST WATER FLOW THROUGH THE HEATER. POOL HEATERS SHALL BE PROVIDED WITH THE FOLLOWING ENERGY CONSERVATION MEASURES: 18.1, ALL POOL HEATERS SHALL BE EQUIPPED WITH AN ON- OFF SWITCH MOUNTED FOR EASY ACCESS TO ALLOW SHUTTING OFF THE OPERATION OF THE HEATER WITHOUT ADJUSTING THE THERMOSTAT SETTING AND TO ALLOW RESTARTING WITHOUT RELIGHTING THE PILOT LIGHT. 18.2. HEATED SWIMMING POOLS SHALL BE EQUIPPED WiTH A POOL COVER (EXEMPTED FROM THIS REQUIREMENT ARE OUTDOOR POOLS DERIVING 20% OF THE ENERGY FOR HEATING FROM RENEWABLE SOURCES, AS COMPUTED OVER AN OPERATING SEASON) 18.3. TiME CLOCKS SHALL BE INSTALLED SO THE PUMP CAN BE SET TO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERIODS, AND CAN BE SET TO RUN THE MINIMUM TIME NECESSARY TO MAiNTAiN THE POOL WATER IN A CLEAN AND SANITARY CONDITION lAW APPLICABLE SANITARY CODE OF NEW YORK STATE THIS DRAWING IS FOR STRUCTURAL SHELL ONLY. ALL ACCESSORIES AND APPURTENANCES ARE DEFINED BY OTHERS. 19. 20. 20.1. 20.2. 20.3. 20.4. 20.5. 20.6. 20.7. 2O.8. THE POOL WAS DESIGNED ]AW THE FOLLOWING: THE BUILDING CODE OF NEW YORK STATE (2007) THE ENERGY CONSERVATION CONSTRUCTION CODE OF NEW YORK STATE (2007) THE FUEL GAS CODE OF NEW YORK STATE (2007) THE RESIDENTIAL CODE OF NEW YORK STATE (2007) THE NEW YORK STATE SANITARY CODE ANS[/NSPF5 STANDARD FOR RESIDENTIAL IN~OROUND SWIMMING POOLS BOCA CODE-SECT/ON 421 CODE OF THE TOWN OF SOUTHOLD :ILTER & LINT CATCHER 2" RETURN TO INLET SCHEMATIC PIPING ARRANGEMENT LINE DRAIN 10" CONTINUOUS BOND BEAM ROUND PERIMETER I 0" WATER LINE 3 #3 BARS CONTINUOUS BOND BEAM, ALL AROUND TIES 12"0.C. 6" X 6" FILE FACING MARBLE DUST FINISH RADIUS VARIES 6" TO 24" SHALLOW END 25" UP ON DEEP END #3 STEEL REINFORCED DEPTH < 5' 0" >5'-0" HORIZONTAL 12" O.C. 12" O.C. VERTICAL 12" O,C. 6" O.C. FLOOR 12" O.C. EACH 12" O.C. EACH WAY OR MESH WAY OR MESH EQU IVALEN T EOUIVALEN T POOL: .SECTION STANDARD DETAILS- GUNITE POOL VARIES 2009-09-18 ~ 0 290 RED FAWN ROAD SOUTHOLD, NY 11971 ~ ~ PEDro En¢l~¢rin¢ Solutions Sayville~ NY 117~ (631) 472 -3600 PAGE 2 OF 2