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HomeMy WebLinkAbout37862-Z ~,rti'~~~ W~~' Town of Southold Annex 7/9/2013 5~ ~ ` a P.O. Box 1179 54375 Main Road T ~ Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36338 Date: 7/9/2013 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 840 Little Neck Rd, Cutchogue, SCTM 473889 Sec/Block/Lot: 97.-7-26.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated 3/7/2013 pursuant to which Building Permit No. 37862 dated 3/13/2013 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: accessory in ground swimming pool fenced to code as applied for. The certificate is issued to Marks Jr, Robert & Marks, Karen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL - - ELECTRICAL CERTIFICATE NO. 37862 5/28/13 PLUMBERS CERTIFICATION DATED _ _ oriz d~ Sigre ~K=.,r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 37862 Date: 3/13/2013 Permission is hereby granted to: Marks Jr, Robert 8~ Marks, Karen 840 Little Neck Rd Cutchogue, NY 11935 To: construct an inground Swimming Pool, fenced to code as applied for At premises located at: 840 Little Neck Rd, Cutchogue SCTM # 473889_ Sec/Block/Lot # 97.-7-26.6 Pursuant to application dated 3/7/2013 and approved by the Building Inspector. To expire on 9/12/2014. Fees: SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE $250.00 CO -SWIMMING POOL $50.00 Total: $300.00 J Building Inspector Form No. 6 TOWN 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 following: 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 seweragedisposal (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 then 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 $50.00, Additions to dwelling $50.00, Alterations [o dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate ofOccupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $L5.00, Commercia} $15.00 Date. ~ ~(p 3 New Construction: ? Old or Pre1-existing Building: (check one) Location of Property: hLCI.J L~l`t~tA/Q,~ ~Q w',1~~~ House No. Street Hamlet Owner or Owners of Property: l~F~.~.l LS Suffolk County Tax Map No 100n~0, Section Q ~ Block / Lot ~ lct , Subdivision ~1~+1e l~¢cx Y~'L1~7t Filed Map. lot~4~ Lot; Permit No. 3 ~ ~ ~ Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate _ Final Certificate: (check one) Fee Submitted: $ Sv pli tt Signature IYIZllIJIS! s?1FF01K Town Hall Annex CO~ Telephone (631) 765-1802 54375 Main Road ~ 3 Fax (631) 765-9502 P.O. Box 1179 o T • Southold, NY 11971-0959 y~01 # ,~aO~f roger.richertCr~townsouthold nv us ~a~~,1~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Marks Address: 840 Little Neck Rd City: Cutchogue St: NY Zip: 11935 Building Permit 37862 Section: 97 Block: 7 Lot: 26.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: USI ElectrlC License No: 2740-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub Add'Rion Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures HID Fixtures Service 3 ph Hot W ater GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Swdches Twist Lock Exit Fixtures TVSS otner Equipment: in ground swimming pool to include bondin 1-pool li ht 2-GFCI circuit breakers sak generator Notes: -C__ _ Inspector Signature: Date: May 28 2013 Electrical Certificate.xls 3 / o~,~OF SOUT,y06 ~ ~ f # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 NSPECTION [ FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] ELECTR L (FINAL) REMARKS: DATE ® INSPECTOR r ~o~~,Of SOOr~ +1~ ~ ~ n~ S/I TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) ~ ELECTRICAL (FINAL) REMARKS: DATE Z ~ INSPECTOR L~ X I „ 1 ~o~~,OF SO4Tyy6 V ~J LLL... ~ TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN ATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION ( ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE ~ l~ INSPECTOR FIELD Ilv3PECTION REPORT DATE ONINIENTS F- ~E J FOUNDATION (1ST) ~ ~ w FOUNDATION (ZND) z OQ o ROUGH FRAMING & yy~~ PLUMBING INSULATION PER N. Y. H STATE ENERGY CODE , FINAL ADDITIONAL COIvIMENTS p G _v ~ U o ~Z~ d ny 1 Ske O z Z b TOWN OF SOUTHOLD BUILDING PERMTI' APPLICATION CHECKLIST BUILDING DEPARTMENT ~ Do you have or need the following, before applying ? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. ~ Check Septic Fotm N.Y.S.D.E.C. ' Trustees Examined 11 L 20 Contact: Approved 20~ Mail to: Disapproved a/c ~i>~~-~a ~ ~ l~ Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date ~ ~ ~ , 20~ INSTRUCTIONS 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 premises, relationship to adjoining premises or public 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 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 d regulations, and to admit authorized inspectors on premises and in building for necessary inspections. L~V~ M ~ , ~ i ~ ~ s ~ C ~ (Sign a of applic or name, if a cotporation) i I_) ) - ~II 10~; MAR - ~ 203 i; ~ ° (Mailing address of applicant) State wh$ther ~kee~,s-at~terlesSee, I ent, azchitect, engineer, general contrac~;lxlet4lu~~a~~ or builder II ~L~ ~~,,,fI~~ ~,~~1~~ 11//nn ,n,,^, Name of owner of premises v~-{ ° I~Jt~~~ ~~~5 FEE: ~ SZ7 BY (as on the tax roll or late 8 AM TG 4 PM FUR FOLLG'JVING INSPECTIONS: If applicant is a corporation, signature of duly authorized officer 1. FOUNDATION -TWO REQUIRED FOR POURED CONCRETE (Name and title of corporate officer) 2 ROUGH -FRAMING, PLUMBING, tt T STRAPPING, ELECTRICAL & CAULkI?i~ Builders License No. 'T-C3b ' n .L 3, INSULATION 4 FINAL-CONSTRUCTION&ELECTF' MUST BE COt4PLETE FGP C Plumbers License No. ALL CONSTRUCTIC~I Sr~?L'. ' ' Electricians License No. ~-]4~ Mli -~^'~'~$E~,.Y~~ REQUIREMENTS OF ~ TO COD!< YORK STATE. NGT P ` UPCiv CU:`Ii~LETION DESIGN OR CONSTRG~~' Other Trade's License No. 6E;~~9ATER" RETAIN STORM WATER RUNDFF PURSUANT TJ CHAPTER 236 1. Location of land on which proposed work will be done: /7 F THE TOWN CODE. Lt~IPn12GC QO W~~t}~. House Number Street Hamlet .,--.,~.~;z.,qy{.,,t County Tax Map No. 1000 Secption q ~ Block r] Lot ~b • (o Subdivision__ JJQCK Y/Lp4Yt11CS Filed Map No. ~,Q~~ Lot (a (Name) EL'F~"f~l~~~.. 2. State existing use and occupancy of premises and intended/~~J}uise and occupancy of proposed construction: a. Existing use and occupancy ~ ~L.y h~if~fe~ i b. Intended use and occupancy ~eS51~Qn~itt 5hl?rvhinJq ~~%k- 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Ip~~no Y'~>1y~ Sw~mm,nr~ c (Description) 4. Estimated Cost Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front S# ~ Rear 3'~ Depth 2~ ~ Height Number of Stories 1 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front i lO Rear 3(o Depth 3~z ~ a ' Height Number of Stories 9. Size of lot: Front ~ Rear ~ Depth 78fo 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construcQQtion v~io"late any zoning law, ordinance or regulation: ~0 13. Will lot be re-graded fO~L tlxltk 0!d-r{ Wil] excess fill be removed from premises: YES NO L,~I+k ~Ueck Qn 14. Names of Owner of premises ~k+ ~Y.S Address r0 ~ !~'l Phone No. j~31- ~3~-k1~4 Name of Architect ` tW ~ t! Pt: Address ~ P.7.Cc .Lnl SH~~hdd~bne No 7Z4-~P _ Name of Contractor~`CJ«~r. Pa.~n.os Address o er ~ Phone No. dad]-'7~/t/-7185 ' In,llet Ir1 117ty' I5. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE R QUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property line.'`'` 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 ~A-ii"i,tC ) f~Y~ui- ~ ~Oh/h+fF~S being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above~~nffamed, (S)He is the (~JL~L'~.YC, (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. t Swom tp before me this (p day of ' ~ 20~~ I~.aaa~t Q ~.~y Not ry Public S afore of A cant MARGARET A. KIDNEY Notary Public - Slate~of New York No. 01 K16021111 Oualilied in Suffolk County My Commission Expires March 8, 20_ Town of Southold -Chapter 236 - Stormwater Management ~~g SWPPP -Storm Water Pollution Prevention Plan Assessment Form GF.NF.rt2Ai. INFORMATION: (All Requested Information is Required for a Complete Application) APP~~ NAME: Ow Agent-ComWdnt-ContracbraOMa (C4sN pis) Property OWNEIC Ix olrtemM UUn Appltunq j ICU~Lie k4Y Address: 8~ l-tttkl~ex Ro C.,tCh~a~e N'' 1193; Aadras: T Aonsk ~o31'~3~' gIZQ Fn h. T k Fax 1. E-dqk E-Mak I p I'\ P1°"'"'~Ad16°°` 0'YV 1-tk~k ?JeGt. Qo C..1elf~'re ~ ofcwubDCtion Activiry.pmpoaed somctunt BAfPr, 8.C.TJA.k t000 ~ '7 ~Ia f ~ ~BMPs.ProjsU Scope amVor SegDrnP: ofCgltslrat9on Activity . o.TiH' aNaar - ~ P+wlu.rdanaslpylu..aredaq . WCOntrasior and/or eonfact Person Responslbls for lmpNmemetlon ofsWPPP: _____~-~-~p___`b'`~~ IAI~,j./7-YJ_ WI/\yt,__- . `°f2 zc-n ~.flllu N~mMn~A.I~---P.1x__ Nt~+ f~l;~.;y,(; TsNPllamk J _se~'A l~(~"I'CI ITG~ io31-~i/^I-71FC Faxk ( - -Q-~-~- - - {,fN E-MeR J~.L___m!___JhIS-cC_NIJ ___Q__L_''_______ Fft ~ ae P,ras .nom ---~yee--- Coae. Nams or Partom RaspensibN/or lnsglhlbnd MflntennKe of Erwbnf.onxol I less: ~ I TekPMrro d: Fax a: i E-Mall: Trial Area dAr ~~11 TolalArea of LaM gear'vg >~b~ IW Y J Profecl Parcels: arMlor Ground Disnabance: _ _ _ _ _ _ _ _ _ _ _ _ _ _ ISF./aovl IS.f.I/.ppl - Protect Duration: Sbn ~'/1~ End _ (Anadpaled) .Dale: 7 I( Date: /j` - I~o.rq I •l 7 ~1 _ _ Will this Project Disturbs five (Sj or More Acres at Any One Time During the Proposed Development? YO IIYEa: Please Answer IM Followin 1 a. Does the Applicant have a Qualified Inspector On O Staff To Conduct the R4,quired Inspections ? 1-Yes, No b. Does the SWPPP Indicate How Frequentythe Sile u O flat the NAMES or description of all Potentially xnpaded WahNOdies andlor WetlarMS: Inspections will Occur and for What Period of Time 7 Yes No c. Does-Ihe SWPPP Adequately Identify Aq Temporary andlor Permanent Sol'I Stabaliration Measures? YO ~ d- Does the SWPPP Adequately Wenfifya Complete Q ~ ' Project Phasirg Plan? ~ Yes No e. Does the SWPPP Indicate Addltlonal Stle 5 O ~ swv, a xnpulea walerb°dy: (g.TMOt, aosla) used bnpaxed._t pedflc Practices That Will De Ullized to Protect Water Waliry? Yes No t. Hes the Applicant Submiaed a Completed DEC Notice ~ - - " Of Intent and SWPPP Acceptance Form for Review ~'s° °r m,wam WareNWy: leg. Lahe, cmx, aey, Pond, souM, Freshwater WetlaM~ by the Town of Southold ? yi~ I S7A9'F.OFNFWYORK, _ COUQNT~Y, ~O~F SS That I ..................1.)`.'.`..`.:':::........ bei dul swum, de i ' IttPms of vMddusl slgJrip Daunedj n8 Y poses and says that he/she is the applicant for Permit, I - Md that he/she is the ..I".)Jj,....~.~A........ I (owns. Canbadpr . I ` Agent, CaPaal. Delta. ar-j ; I Owner and/or represetrWtive of the Owner or Owners, and is dul authorized to ~ I Y 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 I that the work will be rforrrted in the manner set forth in the application fled herewith. i , Swom to before me this; I 11~ 11, , ...U ...........I.. .............day of....yfy~i%~G~!~.-......-......-..--....-... 20..3 Notary Public ....J.~.._Q....-:>•.1k10.11L.` , . I (liignaere of AppRara SWPPP Assessment FORM: 03-12 Notttly Public - StetBof New York No. OI KI6021 I I I Qualified in Suffolk County My Canmission Expires March 8, 20,J3 - _ T.0.5. "5WPPP" Preparation -Chapter 236 ForDSpartmentUseOniy: ~ Storm Water Pollwtion Prevention Plan S6T'" PropertyAddreis~ Review Checklist Checklist # 1 +ooo ~ ~ ?b.b -~51' i a. . -6- REQUIRED LAN INFO TION AND IMP MENTATION DETAILS: Does trig SWPPP Art stet Provide for and/or Indltatb the Follow(n ~ YES ; NO ~ N.A, ~ Ettplanstlon for NO Or NFL Plan Sheet 1. Dra na e _ 9~1 ! s _ contana wo ne in II n- te. - Location 2. Conatructlon Phba~ Plarilndibatln ---berte9 of -I I , (Pg• sed ConsWCtlon ACUviOes I I I 3 GenarolLocatlopMap__ ______?ro3_? _ ___.a~l , r 4 .,Drela e3ns Plan Drawn to Seale at I___ - ~------------------snx(80'l feet to the Inch or larg-ar lndka8ng the FOllowing:_.-i[,~i©i I _ r o a _44S'B~oA~l4S2sr34dp.~_notPr4P_Q[hBoiutdades--- - I- _ b SltefGea9SL - - -..~i DiOi(~ - P. All_EziWtty, Natural and/or Man Made FeaWres on and wlthln 50 of the Property Boundary _..a OiOi©`__$,it1%L d Teat HoleF7ata.Indieatln -3oUC'---- e...-Contounind g-- _heieotods8cs6Depth to 3essonal HN~h Water Table I , i i 31wt GrsdeaorE E1evetlons~Mlln~2'; ..,0,(~I r__---- - . ------5 ~eVatlerle far Fxlstln end Pro _ _ _ _ _ _ 9 poeed S4uc(uras -_._i~iQi _ 9 LOeaA'dn O~wooaed%traag 8tsolatedTrees ~ a Minimum b'finensron oT18' Diameter;- - i . . ~ - _ _ h:_ _S_oi_I_~_o_n_se_rv_a-tf_on_D_Ts_3T_c_T_8o_lf_8_u_r_ve_y-_-_--- - O CJ G~ _ --i I 1 ~ - 5 Background lnfonnafbn about the Snipe of the Pro _ _ _ I~lO1~r________________________ _ lest, LoptlonBDescripaon ofma Site __.'OiOiOI.~~___________________________ Proposed Changes fo the Site and NI Devel _ ent on Me site Irrcluding me Following.- I 1 i - - - a ..AUlawtvramsmtLtduClDflSstaLemssilarW.Rlaturbar~gLTatatSltabcsa----- _,pl~lpL-- -----~----_-C'!~li.JHArYtflLa/9 b. All Exeavatlon, Fl I I I I- - IIIng, 3blpptngtS Greding Proposed and ldentlfied asbdeptlt,Volume ' I I , in-vofYBQ;------ ~~i~;~l _c_Alljyggs i34aPL~nGSd~nAeRdl2r GribnUrgL-------- - - _._,~,0,~~--------------- _ d. AIIAreas Whero To I I I psWl h to b0 Removed ,Stockpiled and where Topsoil will ultimately ~ Q;O 1 ~ - - - bO-i___________ _ e All Ternporor-y&Fertnanent Ve,~Natlon fo be Placed on Site;---- + I~1-------------- f PJI Tam g I I ~ - I t ~ r _ _ _ Qo_ro~! Pertnattent StormWater RunoB BMP Control Measures Pro sedI ~ I ~ 1 - _ _ _ _ _ _ 9 TheAntld dPattemofStit~aceDra~-------------------- -po--'- IL~IOI ~ h. The Loce~l~o(ah-YFoyHa,D "------~Durlr~Fbrfada of Peak RunotF - i~i~i~r---------- - - - `~I~ewa-(ka, Patios, glnsd+res. Ufilltles 8 Other I I I ~ _ __fmprovemen6-fn~aGg7emporaiy/~eCess6-L`o`risfnidlon9tegingAreas--- - --~O~D~C~ I -Tfie Ex~sYn '3rF~lital 1---------------------------- PoiF7evadonsoRliesKe,`" _ I I~r______-- 13 AscltsdulaMihe _ ~ I I Sequence for fire InrtaBatlon of All Planned Soll Erosion SedimenWBOn - - BStormwater I ~ RunoRCarthWMeaw - _ ID;OIC~1 .7.. Desert BOn of - - ---P____PPU!roPn Preventlon Measures that will be lm lememed _ ;~;0; L B ADeserl tlon of the -p I P Mntlmum EroabndSediment Control I , PratUCea to be lnstalletl and/or I I r __ImJllemgnt4tffor~?~!t~gpsbuctlonAdfv ~ratwiUreauninsouDisturbance. 10101 1 _ 1 I 1 ' s. oeaeriptltgtol~?L!$y_c~awaste - mite_rfdEExpec'ted to be stored on te. ~01~1 10. Temporary&Pertnanerdgoll$te61 - uZetktrl Plan that me~tlre Current Version of the-------i i i NewYork3lateStormWaterD n I 1 ____________~_________-B8_I$ Manual Tecltnlcal Standard. 10101 i _ 17. General Site PlatlaM BortiVUCtlon Drowhgs for the-------------------------~ I I 12. Dlmerubm Matedal5 ____~-~-__-_-_-_______--_-__-_1~r~l~l _ Icons d nrete8atlon Detalla for AI Erosion 8 Sediment Control PracPCes. i ~ 1~ -t+ 73._7emeorary_Praetl_ca~lFtst w111 be Co-mrened Lp p~rman~t ~q~i Measuras.___________ _ 14 Implemen~etlon 8chsduis fors Tom -1 i i . _ - O C~~-------------------- ___r___ _ _ ____t991LIH___P4~7 Eroabn Control Prattles or BMP _-_iDi~i~-_____________ - 15 Maintenance 3t8tedub W Ensure Contimlous & Effectlve Operatlon of Erosion 8 - I I F--'-----------------------°---- sediment Control PraWees. ip;pi©.1 76. Names of Popsntlal Surface Waters of the Stele of New York sndlor M84 that may be I Im acted D ;~iQ'~r--------------------------------------- -----a----~ -a"°we"'°"-c _ _ . 17. Deilneatbn of Storm Water Control Plan lm bmentatlon Res' nsibitltles for Each art of the I I 1 , ' - ProectCO $ --P----------e0------------P-------- O O ~1---------------------------------------- - , 1 I 18. All other ~ Data ltlet I I r__________________________ D_eserlbes 8tonn Water ~unoH and/or Natural Drain eSwalee. ' I I 19. IdenUfical7oe p}~l;pl~~)%SUbConfraelp_$__ _ ~,._________'~1~101 Re alrln r(1 Responsible for Installing, ConaWetlng, 1 1 I f - L - _ - - - - Storm Water IVlaa and Main the 6usbn 6 Sadknent Control Prsdlees. 10 i~ i~ ~ ~'~lICO' ~~t r ~ ~ _ _ _ _ _ _ _ _ _ agermant Control Plan Cheokllst # 1 : 03-~ 2 ' I +"~.r DEC °SWPPP" Preparation =Chapter 236-19 Foroepartm.ntua.only: Storm Water Pollution prevention Plan 3.0.T.M.a: PropertyAddreaa: ~ ~.r~{I2NQCL ~,y~ Review Checklist Checklist # 2 tooo g l)~ ' ~ ~ 2~ (Addftlonal Items to be included with Checklist # 1 when Article III is trlgered:) ate °i0tle" ~ REQUIRED PLAN Wf ORIAATION AND IMPLEMENTATION DETAILS: i I ~ I ~ ~ ~ Plan Sheet Does the SWPPP Ad ' uib Provide for and/or Indkab the Followin .YES , NO , N,A., tEltplanadon for NO or NA. Must be Approved by SMO 9: I I Location (pg. t. oaa e n n or 2. Does the Plan Indlute artdfw Show a Desalptlon of Each Past-ConstrueUOn Stormwater ' ' - ~ - " " _,_Martayegtent PfaCllcb? _~iD 3. Does Me SlL PIaNConsWetlon Drawl , , , ng(s) IMlcate arxllor Show Ne Location 8 Size of , I I I _ Each Post•Cons Stamwater errant Practice ? ' Q' 0' ' _ 4. Does the Ske PIanlConsbuetbn Oroedrrg(s) Intlbeto and/or Show Hydrologic 8 Hydraulic Analysis ; 0, For All SaucWnl Componada of We Slommveta Mana@emart System (or Applicable Stortns_ 7 I ' I I _ 5. Does the Site Plan/ConsWctlon Drawing(s) Indkab and/or Provide a Comparison of ~ost• - ~ - ~ i i I _ Devebpmant Slonnwaler Runoff Catdltloris with Pre-Dave)/~p~ent Condittons 7 ' _ _ _ ______=C'~________________. I I I I 6. Does fha$IL PIart/G~onsWctlon Drowleglrs)Gdleata ardor Show Ail Dimensions,Material ' ' Spoolncatlona & Inatallatbn Details ror Fsch Pos6Consvtrctlon Stormwater Practice 7 ~ p ~ _.I I , F--------------------- 7. Does the Site PLNConsWCtlon Drowing(s) indlcab a Maintenanea Schedule Provided by I I I - - - - _ _ _ the Conatratxw(s) b Ensure Continuous & ETfectlve Ope2Uon of Each Post•ConsL uction ~ Q ~ ~ ~ - Stormwabr M anent Prectlce 9 I I . I I I I i-------- 8. Does the Site Plan/CoraWdbn Orew4rg(s) Indicate andla Show Maintenance Easements to ' ' ' ~ - _ Ensure Access tD All Storrtrvvater Management Prectitas at the Slte for the Purpose of Inspection ~ Q ~ O ~ UU and Re' 1 9. Does the 3lle PlaNConstruWon Drawing(s)Indleata and/or Show Inspection and Maintenance , ~ ~ i _ _AgreemeM(s)_tltat are SkWlnQon AB Subsequent Landowners ? ' 01 _J I I L____________.______ 10. For AU Atdlvltlea meatlng the Threshold N 236,1 g(B)(1 fhe SWPPP shall be Prepared 8 Signed ~ ~ ~ - _ By a Professional b the Prindples and Pmdkes of.Stomrwater Management 8 7roatmem Who I Q I Q I ® i Who Shea 1haC Ile Meet the uiromada of Che 'rZ36. ' I ' ' - -------------i I i i------------------=----------- 11, Doea the Plen Indicate and/or Identlfy All Potential Sources M Pollution which may affect the , I , , ~ - - Oualil;r of S_t_o_rtn_w_a_b_r_Dis_c_haryea?__________________________________ I~I~I~I A I I 12. Does the Plan P.rovlde Documentation SuppoNng the Debrm(nation of Approval with Regard I I ' ___to HlsWdc Places orAroltadog~Resourees that includes the Fdiowir~__-_-------.--'i~i~~ i I , r______-_____________________________ a. on er stortnwatar discharge w W W development adivNes would have I I I ~L I an effect On a properly that Is listed or eliplhle for listing or eligible for listing on the ~ Q ~ Q i i v t i ~ . -------$~te or ~tl4~R3II~rMHIL4d5P!~%--------------------------=---; ~ i r----=------°-------------------=---- b The Results of Historic Resources Screenin Determinations that have been Conducted I I I I c. Desalpdon of Maeauras Neoassary to Avow or Mlydmla7e Adverse Impacts on Places Listed, I I I , - or FJtyible fw Lls6nyLOn the Stets or Natbnd Regtst« of Historic Places; and ' y Y - ~ __'_--i i~ i i d. Wharo Advese E~fecta Ma Occur, An Written reem'ents In Place with the NY3 Office - ~ - ~ ~ of Parks, Reereatlon and Historic Places (OPRHP) or other t3ovemmental Agency to ~ ~ I ~ I ~ I MIt148b Those Et?ecfs. i I , r____________________________ 13. A DescAptlon of the Sob(s) Present at the Slle, Indudtng an IdenUficaUon of the / ~ " H drsulic 8oA Olou . i~iOiL Ali ----Y----------1'------------------------------------------- _ _ ~ I L-------------------- -.14. IdentMcatlon of Arty Elements of the Design that ere not in Confprmahca with the ' ' I ' Design manual, lnduding Reasons for the DevlaUon W Altematlve Design and s Description i D i D of the EytrlValerfey vAUt_bchnkal3tandards. ------__,_,__i 15. AHydrobglc and Hydraulic Analysis for AllSWCturoi Components of the ~ i _ _ Stormwater Menapentent Control System. 18. A Debited Summary, with Caiwlatlons, M the Sking Criteria that was Used ro Design I I . I - All PoabConsfNetloa Prodlas. i~iQi i 17. An OpsritfohsaM Mislntenanee Piat~hat includes lnspeetlon and Maintenance r - i 01~1~1 Sehedules and Adlon b Ensuro Corrtlnuous and Fie Operatlon of F~ch ~ ~ ~ - _ ~ _ - - I I I I Post-Constructlon 8brm vVafer Practice. ~ ~ ~ ~ Storm Water Management Control Plan ChecWist # 2 : 03-~2 - ho~~~F SO(/1~06 Town Hall Annex lxf I~f Telephone (68l) 765-180E SP.O.BoainRoad ~ roger.richertCai~touvnl~ou~ioQd.ny.us - .Southold, NT 11971-0959 ~//yy~~,,~~yy v~un1,~ BUILDING DEPARTMENT' TOWN OF SOUTHOI[.D APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: 3~ III 3 Company Name: iJ , 5 .Z . E ~fC~l'12 iC Name: 1?A ~f lj~ License No.: 2 rJ~ Ne Address: Yl1~ISk,i Qo ~inl s pq~, Phone No.: 3i_ 5,jy_~y,~ JOBSITE INFORMATION: (*Indicates required information) *Name: I~O~ees I`~.r<S *Address: ~~tNeNeCw Igo *Cross Street: "tl'1t1:. *Phone No.: ~n31-'73W-$I Z9 Permit No.: '-3 7 ~ Tax Map District: 1000 Section: '1 81ock: ~ Lot: Zb. (o *BRIEF DESCRIPTION OF WORK (Please Print Clearly) 1ll~R~"~ V~Ay~ S,~~rnrn~n~g r'17~ (Please Clrcle All That Apply) *Is job ready for inspection: YES / NO Rough In Final *Do you need a Temp Certificate: YES NO Temp Information (If needed} *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION l 3-L y ~-13 82-Request for Inspec0on Form ~ C- OlG l 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 APPLICATION FOR ELECTRICAL INSPECTION WITH $100 CHECK APPLICATION FOR CERTIFICATE OF OCCUPANCY C.O. TAX BILL $300.00 CHECK FOR PERMIT FEE STATE OF NEW YORK WORKER'S COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name and address of Insured (Use street address only) lb. Business Tdephone Number of Insured Arthur J Edwards Mason Contracting Company Inc 516-250-7142 929 Rte 25A Mille Place , NY 117654 lc. NY5 Unemployment Insurance Employer Reglslratlon Number of Insured id. Federal Employer IndenllOcatlon Number of Insured or Social Security Number Wodc Location of Insured (Only regained jjcovemge is specifically limited 112377925 to certain location in New York Statg i.e. a {trap-Up Policy) 2. Name and Address of the Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier O!StBly Being Llsled as the CerllBcate Holder) Rochdale [nsutance Company Town of Southold PO Box 728 36. Policy Number of entity listed in box "1 a": Southold, NY 11971 RWC3290464 3c. Policy eRecllve period: 3/1/2013 [0 3/1/2014 Jd. The Proprietor, Partners or Executive OBicers are: Included (Only check box if all parmers/officers!ncluded) all exduded or certain parlners/oBlcers excluded This certifies that the insurance carrier 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 insuuance policy). The Insurance Carrier or its licensed agent will send this Cerfification of Instuance 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 ofpremiums or withrn 30 days IF there are reasons other than nonpayment ofpremiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate (These notices may be sent by regular mail.) Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed ir: box "3c° whichever is earlier. Please Note: Upon Hse cancellation of tlfe workers' compensation potlty indicated on tlils form, if the business cerdirfues to be named on a permit, license or ceMract issued by a certificate holder, the business mud provide that certlflcate holder with a new Certltcate of Workers' Compensation Coverage or other aullforized proof that the business is complying with the mandatory coverage requiromeMs of the New York State Workers' Compensafbn Law. Under penalty of perJury, I certify that I am an authorized representative or Bcensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on Yids form. Approved By: Henry C. Sibley (Print name of autharizedrepreamtefive or licenced agent of inarmnce terrier) Approved By: 2/27/2013 (Signemre) (Date) Title: Underwriting Manager Telephone Number of authorized repreaentaave ar licensed agent of inaumnce tertian: CerrierPhone Please IJOte: Only insurance carriers and thetr licensed agents ore authorizedto issue the C-105.2 form .Insurance brokers are NOTauthorized to Issue it. C-105.2 (9-07) Workers' Compensation Law Section 57. Restriction on issue of permits and the entering 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 pennit 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 carrier is produced in a fonn 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 carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. C-105.2 (9-07) Reverse STATE OF NEW YORK WORKER'S COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier 1a. Legal Name and Address of Insured (useso-eetaadressgmy) 1b. Business Telephone Number of Insured ARTHUR J EDWARDS MASON 631-744-4455 CONTRACTING COMPANY INC 1c. NYS Unemployment Insurance Employer Registration 929 ROUTE 25A Number of Insured MILLER PLACE, NY 11764-2700 24 10871 1d. Federal Employer Identification Number of Insured or Social Security Number 112377925 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier COVerage (Entity Being Listed as the Cenificate Holder) The Guardian Life Insurance Company of America TOWN OF SOUTHOLD 3b. Policy Number of entity listed in box "1 a": P.O. BOX 728 009844240000 SOUTHOLD, NY 11971 3c. Policy effective period: 07/01 /2012 to 07/01 /2013 4. Policy Covers: a. ® All of the employer's employees eligible under the New York Disability Benefits Law b. ? Only the following class or classes of the employer's employees: Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. Date Signed: 06/28/2012 By: S ~ s ~.W Stuart J. Shaw, FSA, MAAA Telephone Number: 1-888-278-4542 Title: Vice President, Group Insurance IMPORTANT: If box "4a" is checked, and this form is signed by the Insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier, this certificate Is COMPLETE. Mail It directly to the certificate holder. If box "4b" is checked, this certificate Is NOT COMPLETE for purposes of Section 220, Subd. 8 of the Disablilly Benefits Lew. It must be malted for completion to the Workers' Compensation Board, DB Plans Acceptance Unit, 20 Park Street, Albany, New York 12207. PART 2. To be completed by NYS Workers' Compensation Board (Only if box "4b" of Parl 1 has been checked) State Of New York Workers' Compensation Board According to information maintained by the NYS Workers' Compensation Board, the above-named employer has / complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed: By: (SignaNre of NVS Workers' Compenselion Boartl Employee) Telephone Number: Title: Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (5/06) Additional Instructions for Form DB-120.1 By signing this form, the insurance carrier identified in box "3" on this form is certifying that it is insuring the business reterenced in box "1 a" for disability benefits under the New York State Disability Benefits Law. The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in box "2". This Certificate is valid for the earlier of one year after this form is approved by the insurance carrier or its licensed agent, or the policy expiration date listed in box 3c': Please Note: Upon the cancellation of the disability benefits 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 must provide that certificate holder with a new Certificate of NYS Disability Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability Benefits Law. DISABILITY BENEFITS LAW §220.Subd.8 (a) 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 employment as defined in this article, and not withstanding 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 carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article. 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 disability benefits to any such employee if so employed. (b) 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 employment as defined in this article, and 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 carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article. DB-120.1 (5/06) Reverse Suffolk County Executive s Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 DATE ISSUED: 7/1/78 No. 4436-H SUFFOLK COUNTY ~Ior~f~ T~r~pror~e~nent Contractor License This is to certify that ARTHUR J EDWARDS _ _ _ doing business as ARTHUR EDWARDS MASON CONTRACTING INC Lt;ving fu! ~.ia~t.. re~~~~i~ emetas set. iortlf ir. accordance with and subject to the provisions of applicable laws, nllcs an; ~b ~laucus u` the Coun of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk. SUFFOLK COUNTY DEPARTMENT Additional Businesses OF CONSUMER AFFAIRS HOMEIMPROVEMENT CONTRACTOR ARTHURJEDWARDS This certifies that the °1B°""` - bearer IS AU ARTHUR EDYlARDS MASON IY CONTRACTING INC DBA licensed l>y the ~a.. w.~d o+.rr County of Suffolk 07/01 /1978 D1LeCtOr 4436-H R..I,aR.917 I °PptlgX O~~ 07ro1/2014 ~Y, Yl~ 4' ,r /~h\.:i~H p~Y "H ,/v, l {A'1~ 4 Y\$') YY r¢. \ \ ~ < ~ 3 £pY S v ~ F YrA y 5f ? ~ Of 5 @ N~1 Q ~ i ? / A > 2 > > 3'f`au. Yd ~ "r 4 e,S ~ A uyti , ro ? m xa p # ~ a > , f ,h fi rWx~ / h4 P e A / 4t m m = m v F" ~..:NyfA'r 3f ° 4ai I G > rv,W, FY u ~ ma e`M ~ M°`a'xF 'h'~.Fm4a;S ~I' r.~s E r' S Y M1 ~A ~ r, ~ y s 1s "s, .N ~ ~ i Y ~ b/~ ,~~'e.S'E'H rr ~°/n ~'~'c kid ~ ~ ~ r ~ , Y ; m > , li t ~ ~ 'I Suffolk County Executive s Office of Consumer Affairs ~-Y . ~~€~x~~ ~ VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NEW YORK 11788 ` ~1 ig , DATE ISSUED: 5/1/80 No. 2740-ME r ~ ` ~ - _ _ _ _ SUFFOLK COUNTY ~ , z~;ry~a Master Electrician License z~,, ~ . 1 4 i .S This is to certify that EDWARD S REIFF - ` ~ K t-~r-' doing business as UNDERGROUND SPECIALTIES INC i having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN in 3 ~ accordance with and subject to the provisions of applicable laws, rules and regulations of ; I the County of Suffolk, State of New York. -t ~ b a2~u ~ 'S4:~F~_K CKii.~r~l°'w t}EPAR;ME4T ' ~ c>t' coast gspy+ Additional Businesses ~ r~ ~L~C"'R7wtAPV rte'. s ,r ~ ~ I ECW'vARJ S REis, ~ r ~ ~ This CeYMRBS tRat CtlE "~^'«:~ew - t a~ a si 4essasduh y~r~cu~sr-sxraw, ~,r;a ,rvc fp ~ -..t ~a j7 ~ ~ . ~ m ~ fr~ ~9}r.~> F~ MJ dyy'i -AM1"T n b rr^ ,~'@ x e ~ , ~4 ,:r r,- rr &~r:x`;ii:. y5 ~ x rs%s"J., rY~ rMvF3 ux~t'~. cz,S~ "h #/Y'^~ax': ro>1Fr,,, - - - ~ o 0 Young & Young, LarLCI Surveyors R~~~ 400 Ob6rander Avenue, R£ver/1eacC New York 1190! ~onttg ' b1G-y27-2303 I Aidan R'. Young, P.fi k L.S. ((1808-1BBt) ~~`~s t~0illl~ , Iloward K. Young, Land Surutyor Thomas C. R'olp~mt, Projess{onal fin~nttr Xenntfh F. A6rusao, Land Surveyor o ?a4reUy John Schnurr, Land Surveyor z?CK tl s„yiw•nht i~ K~ntylny r1 }~~7t 5 ~ESB ~ CT? x~b~ Zg6 p0 e~~ ~ gxr~ ~ II. ~r ow`2 uR 5z F(~~(QQ ; ~ ` '~µl (ll lla~~ • 7. Y. TV tl ^ ~ 5 ~ 2 ~ ~ ~eon~~qq N D, Q~ , c , K 1111 / g o ~ V, i S.t• ap' S~. o ~ ~ I3e` q.O 0~ ~ ~ NOTES: o f*{eO = ~ n Iw ~ 1. r MONUMENT FWNO ~ U x ~ ~i ^ yeo (s 1 2. SUBb1VISION AIAP FILED IN THE OFFlCE OF 7HE CLERK OF ~ 5 ~ O SUFFOLK COUNTY ON NOV. 30. 1973 AS FILE N0. 6046. ~aeb pa t ~ ~ Q ~za~ ~ ~ , z I pp~~ ~ ~ :r~'~7 28~~ ~ ~6~e8 -o r ~ SURVEY FOR: Egis 0 3 w RICHARD B. SM(7H & DONNA M. SM17H k~;~ b S755~2 LOT NO. 6, "LITTLE NECK PROPERTIES" gr~~ t m t"O N At: EAST CUTCHOGUE Town of: SOUTHOLD FR g Suffolft County, New York ~ 1 1Sr~ 1 Su Ft. Co, Tax Map: 1000 97 7 2G.G 1 ~R l1~ CERTIFIED TO; ~ a? RICHARD B. SMITH F~fs Mp DONNA M. SMITH ! @E BRIDCEHAM°TOH NA710NAL BANK a COI.SMONNEALTN LANG TITLE INSURANCE COMPANY (L-237704) E`~I ~~~i OATf : SEPi, 23, 1997 t~~' Sl•r 7~ ~ i SCALE :i"n50' sb JOB NO. :97-0633 ~~F SNEET N0. :1 OF I '970633.OWC" O - A 1 SMimmere R.tem. I i B uuminu B I''+ F / m From F To Fdtw J~/~~~/)(fillw 4 Pump To WosW ~To R.fum. (Ory WW ODGmQ RgIW Walf Fee Plan A Piping Arrangement Wdl 5ution ~ u /a R.her 42" Section B-B P~~. ~eD~. H ~ ~1 D" Typical Wall Section Section A-A J SIZE A B C D E F G H AREA CAP. FEET Ff. FT. FT. FT. FT. FT. FT. FT. SQ.Ff. GAL. Pw=h~• 12'x30' 12' 30' 8' 12' 6' 4' 4' 4' 360 16,000 ARTHUR EDWARDS POOL ~ SPA CENTRE ~y,~ i6'z38' 18' 36' 12' 14' 6' 4' 4' 8' 576 21,600 PERMACRETE WALL SYSTEM 18'x38' 18' 36' 12' 14' 6' 4' 5' 8' 848 24,300 929 Route 25A Miller Place NY 11764 20'x40' 20' 40' I6' 14' 8' 4' 6' 8' 800 30,000 (631) 744-7185 FAX (631) 744-0174 ( ) Peene 24'x44' 24' 44' 18' 14' 8' 4' 6' 10' 798 30,000 Suffolk License #4436-HI 24'z48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30000 Nassau License #HI74450000