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HomeMy WebLinkAbout38115-Z Town of Southold Annex 1/10/2014 P.O. Box 1179 54375 Main Road $ Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36704 Date: 1/10/2014 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 940 Laurel Ct, Laurel, SCTM 473889 Sec/Block/Lot: 126.-13-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/12/2013 pursuant to which Building Permit No. 38115 dated 6/21/2013 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 Chew, Bryon & Chew, Lisa (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38115 09-03-2013 PLUMBERS CERTIFICATION DATED Autho Si tature 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 38115 Date: 6/21/2013 Permission is hereby granted to: Chew, Bryon § Chew, Lisa 940 Laurel Ct Laurel, NY 11948 To: construct an accessory In-Ground Swimming Pool, fenced to code At premises located at: 940 Laurel Ct, Laurel SCTM # 473889 Sec/Block/Lot # 126.-13-2 Pursuant to application dated 6/12/2013 and approved by the Building Inspector. To expire on 12/21/2014. Fees: SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Building Inspector Form No. 6 TOWN OF SOUTHOLD P BUILDIlVO 4 G DEPARTMENT 765-1802 $ °js (O'Z1_l~j 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 sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $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. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. LO I I a,) ~ Old or Pre-existing Building: (check one) / New Construction: all Location of Property: 17D Lnu rL j Court-- L 4 U (-if-/ House No. Street Hamlet Owner or Owners of Property: I .~o o Gheu) Suffolk County Tax Map No 1000, Section ~~f!O Block Lot L Subdivision L) e~j Lt n LS Filed Map. Lot: l ~f i Permit No. 3'9'11 h Date of Permit.(- L~- 1 3 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 5d o0 ~y Applicant Signature f3f So Town Hall Annex Telephone (631) 765-1802 54375 Main Road 41 Fax (631) 765-9502 P.O. Box 1179 CA C~- Southold, NY 11971-0959 ;k;~% rocie r. riche rtCcDtown.so uthold. ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Brian Chew Address: 940 Laurel Court City: Mattituck St: NY Zip: 11952 Building Permit#: 38115 Section: 126 Block: 13 Lot: 2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: North Electric LLC License No: 890-e SITE DETAILS Office Use Only Residential Indoor Basement Service Only Commerical Outdoor 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat gas Duplec Recipt Ceiling Fixtures H I D Fixtures Service 3 ph Hot Water GFCl Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Reclot Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Reept Fluorescent Fixture Pumps 2 Transformer Appliances Dryer Recipt Emergency Fixtures Time Clocks Disconnect Switches 1 Twist Lock Exit Fixtures TVSS Other Equipment: in ground swimming pool to include, bonding, 1 -blower, 2-pool lights, 1 -salt genere 2-GFC1 circuit breakers Notes: Inspector Signature: Z~4A~ Date: Sept 3 2013 81-Cert Electrical Compliance Form.xis *04m, TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH)] ELECTRICAL (FINAL) REMARKS: DATE ~7 INSPECTOR X o~aOF SOI/ty„ v UU ~6 V # ~ri# ~inUMfl,'~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTI [ ] FOUNDATION 1ST [ ] RO H PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR CONIlV~NTS FIELD 1tB4MVr DATIS ~ ro FOUNDATION (1ST) l3~ FOUNDATION (M) ~ o • d ROUGH nA1 WQ & PLUMB" IIdSULATION PffitN. Y. STATE ENERGY CODE FINAL ADDITIONAL COIVWNTS C 43510 G ~ C $ a1 PG D ~i 3 /3d'tNL L~rG= 19c~ 4- °x TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. g II S Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ~ ~_~~~,20 Storm-Water Assessment Form Contact: Approved, 20_ Mail to: Disapproved a/c Phone: Expiration 20_1_~L 'Building Inspector APPLICATION FOR BUILDING PERMIT Dat L 20-a_ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed wit'rin 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in for necessary inspections. "IMMEDIATELY" D ENCLOSE: POOL TO - (Signature of applicant or e, if a corporation) 2013 UPON COMPLETION JUN 1 BEFORE VATEkt33 COIYY~l1~t'craC~ &k&arr li W 11%F ailing address of applican BI DF. LIEP1. Abe~~j fi State wheth r applicar*ts, architect, engineer, general cAMtH~tx7 NcAlkdt" fiber or builder ®Afi€ @ # 3 I l Name of owner of premises PA( (n ChnA I hpTir~ Blill~ti jiF Q tMEVT ~fi (As on the tax roll dMallOWdedON1 f 0 4 NO VOR ThE If applicant is a corporation, signature of duly authorized officer ®66~Jh !R R13fF K'106, (Name and title of corporate officer) i €fi~~~F a ; w s EpI~~,Nt Builders License No. 7j_~J_QQGWFp NCY OR IN€CLAiI®N - Plumbers License No. t r In I II AIAIG~ li 4: NINA: @ON€TR~,T` SEL`e~ ~!Er~ Electricians License No. SE ' MAT @€ 9 M€L€ft f* 0 o Other Trade's License No. I ~iT~i$i 5TE AL ®®N=NJH4i MEF f TH R€OIR€M€Nfi . 1. Location of land on whisk pr(~bs *t 6vk N01, bb`done: 091=d 1TA i iiA €RR©R3. q4t> LiO C.1 t~ Lou House Number Street l Hamlet County Tax Map No. 1000 Section 101 (D Block I Subdivision LC1Ure1 L_; n L'~S Filed Map No.P' " ryl ECEC'TRICAL t~r11ALPi_EFf INVECTFON RFOf 1"7r') OF THE TOWN CODE. l ~~Of S(I(jT~ Town Hall Annex 54875 Meal Road Telephone (631) 7651802 pp7 - P.O. Box 1179 toner. _ ~ $ ny U6 SowhoW. IVY 119714959 I . BUIIDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: JOSeph SI r(6A 0 Date: b -20-2013 ! Company Name: can e- L r Name: josenk) rl' l icense No.: O Gress: 6C Q o ank• Ack olhi-A Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: n Y I ~Y ew *Address: 6 4s *Cross Street: y *Phone No.: 48q - (e'1$ 4 Permit No.: 3%K5 i. Tax Map District 1000 Section: Blodc: Lot *BRIEF DESCRIPTION OF WORK (Please Print Clearly) wl~~d -)IU`M M I KI J (Plows Circle All That Apply) *Is job ready for inspection: (9)NO, Rough in Final *Do you need a Temp Certificate: YES I NO Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-oonnect Underground Number of Meters Cho nge of Service Overhead Additional Information: PAYME DUE WITH AP AIJL LJ; ftV 824%quest for Inspection Form 1~p e ~c DF~T. ` Tn! OF SOUNOLD *"Qt Town of Southold - Chapter 236 - Stonmwater Management SWPPP - Storm Water Pollution Prevention Plan Assessment Foram GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) PU NAME: 'la er- aM-Con rat orrtrecbre er(Clrob Ww) sty OWtgPo pfO mMen Applleam) I. n Fu M: Tak l r"M E- II: E-Mall: i Property Andmn Britt Description of Conetructioo Activity, Proposed structural BMPs, Soil sr-T.M.t, 1000 Sbhahutien BMPs,Po,ject Scope and/or Sequence OfC:ooemxUon AcIIVity mine via- ebn ten IPro.NSAdCdo,al Par^+wikee/,~ J.. Name of ContnreNrandtor cooked Union for knpbmaMadon of SWPPP: S~.JcAa A~ - 'l Fa 6 tr- E_Mw: ri C Nerve of Paraan n.erwnsUd, for Installation B Wlnterunn of Emol. Central Practlee: 3 T Fax* E-MNI: Total Aroa ofa goo Total Am or Laid tiering '600 Protect Parcels: DK! andlr Grgnd DtMUbeno: (SAIAaaQ MAIl I Pmjact Durallm: Sind End Dale: (A"Edpeted) 30 4S D.m: _ -L7`~1 twe,.>c.Narwnl WIN this Project Disturbs five (5) or More Acres at Any One Time During the Proposed Development? Yes If YES: PIwa Andover the Follorlnel a. Does the Applicant have a Qualified Impactor On Q th Conduct the Required lreequands? Yes Staff To b. Does the SWPPP Indicate How Frequently the Site Ust the NAMES or dnerlpSm*tell Pnbntrlty an cId Watrbodbanrdforwatbndn Q o• Inspecdons will Occur and for What Period of Time? Yes go N c. Does the SWPPP Adequately blandly All Temporary Q I. audios Permanent Soil ll Sleb Stabatlzetlon Measures? Yes No i d. Does the SWPPP Adequately Identify a Complete Project Phasing Plan? Yes No Status or Impaeled Waterbody:(ell. Trot, wa(d) u.NA knpNmd.-) e. Does the SWPPP Indicate Additional Site Specific Q Q Practices that Will be Utilized M Protect Water Quality? Yes No ht C^~'~ f. Has the Applicant Submitted aCompleted DEC Notice Tree or knPaetad waNrbody: (w-tab, crank. Say, Pond, Sourq I*m.bw.tarw.s.ra_) fN Intent and SWPPP AccapYance Form for Review ~ 0 by the Town of Southold? Yes No (HIV S1'A7'F. OF NFW YORK, COUNTYOfF L SS 1hatI,.£ t I~4 1. U1.7 beini; drily sworn, deposes and says [hat he/she is the applicant for Permit, (Name ofMMdrls Nn t - And that he/she is the ' . lower, Contractor, AgeN• CwpomN oMcer, etc.) Owner and/or representative of the 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 hue to the best of his knowledge and belief; and that the work will bNrmed in the matmer set forth in the application filed herewith. Sworn to bec 1......................... l~ y 20S..1 Notary Public .Qmsp. e.... AAh WbMute of New York (Slgnstra of Applicant) SWPPP Assessment FORM: 03-12 Qualified In Suffolk County CORIMbilign iaptreis July 26 a01t Client#: 40296 POOLBYI ACORD. CERTIFICATE OF LIABILITY INSURANCE 1 DATE (M&IIDD YYYIT 6/07/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTA)1T: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this Certificate does not confer rights to the Certificate holder in lieu of such endorsement(s). PRaoucER NACONTACT ME: Cook Maran & AssociatBs Commercial Lines E,d, 631-283.8000 Arc Ne: Cook Marren & Associates ADDRESS, AIL 300-Hampton Road INSURERS AFFORDING COVERAGE NAN1a Southampton, NY 11968 INSURER A: Twin City Fire Insurance Complain 29459 INSURED INSURER B: Hartford Underwriters Insurance 30104 Pools BytPaul Guillo y Inc. INSURER C: Technology Insurance Company 1533 County Road 39 INSURER D Southampton, NY 11969 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ITS LIM LLTRR TYPE OF INSURANCE ADD PoLN:Y NUMBER pLVD E PoLUD~ ~ A GENERAL LIABILITY 12UENQY2028 5/0312013 05103/201 EAApCCMI-AI ~O'EECCCTURRRRENCE $1.000.000 X COMMERCIAL GENERAL LIABILITY BREMISES Fi oENTrmarence S300DBD CLAIMS-MADE 7 OCCUR. MED E xP (Any ane pere0n) $10,000 X BI/PD Ded•1,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS -COMPMP ADD sX POLICY PRO- LOC C AUTOMOBILE LIABILITY TPPI05768600 2/03/2013 02/03/201 ~MBINEDISINGLELIMIT X ANY AUTO BODILY INJURY(Per pert ) ALL OWNED ASCHEDULED BODILY INJURY (Peraaltlenl) AUTCS UTOS X HIREDAUTOS X NON-OWNED RO: E AUTOS UMBRELLA UAS OCCUR EACH OCCURRENCE EXCESS LWB CLAIMS.MADE AGGREGATE It OED T1 s g V"JMRSOOr-ENSATION 12WEOJ2080 110112013 01/01/201 X wcsrATU- FOR"- AND EMPLOYERV LIABILITY ANYPROPRIE7prypAR XCLUo CUTNE Y EL EACH ACGDENT $11,000,000 oFFlCERIMEMBEREr L~y x1A PitandMOry In NN) EL. DISEASE- EA EMPLOYEE $1,000.000 D06=N0 OPERATIONS lhk E.L. DISEASE - POLICY LIMIT $1.000.000 DEWRIP110N OF OPERATIONS I LOCATIONS I VEHICLES (AOach ACORD 101, Addift.1 Remarks Schedule, Rmon apace Is n ,ui,ed) CERTIFICATE HOLDER. CANCELLATION Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 1178 ACCORDANCE WITH THE POLICY PROVISIONS. Southold, NY 11971 AUTHORGMD REPRESENTATIVE ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 off The ACORD name and logo are registered marks of ACORD #S436051/M426199 TG3 STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia. Legal Name & Address of Insured (Use street address only) lb. Business Telephone Number of Insured 631 -283-2039 Pools By Paul Guillo Inc. lc. NYS Unemployment Insurance Employer 1533 County Road 39 Registration Number of Insured Southampton, NY 11969 Id. Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured (Only required if coverage is 113352107 spec fcally thrilled to certain locations in New York State, Le., a Wrap-Up Policy) 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage (Entity Being Listed as the Certificate Holder) Hartford Underwriters Insurance Company 3b. Policy Number of entity listed in box "la" Town Of Southold 12WEOJ2080 P.O. Box 1178 3c. Policy effective period Southold, NY 11971 01/01/2013 tout/01/2014 3d. The Proprietor, Partners or Executive Officers are ? included. (Only cheek box it all partners/officers included) ? all excluded or certain partners/officers 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 3 on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box "2". The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days 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 Cert#kate 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 in box "3c" , whichever Is earlier. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that 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 or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Leonard Scioscia (Print time of authorized representative or licensed agent of insurance carrier) Approved by: 03/18/2013 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 631 324-1440 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-07) www.wcb.state.ny.us Workers' 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 carrier 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 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 ins q i A H . T I STEP WORK AREA OPTIONAL AROUND L 8=0"FINISHED DEPTH r3=4"FINISHED DEPTH C a° _ lK D Gam- F E ~2" SAND OR L8-10 EXCAVA',ION VERMICULITE CEMENT DEPTH S/ZE A p E F G H T K REFhoiurs ReaeS BY P•91/L G elect /6x32 16' 3z 3,6, 7,6,. 35,9 /6X36 /6' 3b' 8' 39' " STD. RECTANGLE is 6 18' 31p, 111,6ml 71 lox 20' y0' 36" 13' /0' DATE 1-15-87 DRAB BY:F.A",4l SCALE NONE C'KD BT: WATER CAPACITY NO STEP US. GAL. Young & Young, Land Surveyors 48I 400 Ostrander Avenue, Riverhead, New York 11901 gal 631-727-2303 pry an H..ard W. L¢nd Surveyor S~&gi2 Th¢maa C. C. A ert, Professional Engineer g ~V Robert C. t, Tast, ¢st. A Architect g g Ronald E. . p Juh { Landscape Architect Z oe \ V/ os \ y$ttfi AO 3 a4C~ ~-z ~e \ q O/ Cep \ q R=265.00' \ e aF ?q ~-Fs 90 lxv~ WE Lot i .~g N Jo rw Iel' \ Q "w°rosaa+T p ~ 0-I"rU a m I..z O~ ~I O kWFio."CnRr RAC \ l \ NOTE C nl ~\'lee. \ AREA = 29,229 SQ. FT. \ e ICpyC \ \ Y SUBDIVISION MAP "LAUREL LINKS" FILED IN THE OFFICE OF o THE CLERK OF SUFFOLK COUNTY ON NOV. 23, 2001 AS N - (YI FILE NO 10712. \ ;j 16 _ 9$ 5 \ 8500'/~~`~B 10 \ SURVEYOR'S CERTIFICATION 1 • WE HEREBY CERTIFY TO NICHOLAS R. MOTHERWAY, €aatl SUFFOLK COUNTY NATIONAL BANK 6 FIRST he \ cdc ` i 96s yaC n AMERICAN TITLE INSURANCE COMPANY OF Q~C NEW YORK THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR LA YS \ i o hJb ' 1 ADOPTED BY THE NEW YORK STATE ASSDCIATI AL LAND SURVEYORS. ~(L yo 1 ~ / y 1 G W.y~PS r ~ 1 m 1 r ~ (7) 0 1 r HOWARD W. YOUNG, N.Y. L.S. N .45893 45890 \ ~FOLANDSU W91fR~` / i Mph SURVEY FOR NICHOLAS R. MOTHERWAYeg 5 LOT 14 "MAP OF LAUREL LINKS" `9G At Mattituck, Town of Southold 1 S 5v Suffolk County, New York '3§k I?ep; ' o County Tax Map Dwrld 1000 Soon 126 Block 13 Lot 2 ' G F- I ICJ A L L -J R \/a: Y POIVD E 0 fF z GENERAL AMENDMENTS APR. 3, 2003 FINAL SURVEY FEB. 11, 2003 FOUNDATION LOCATION JUNE 27, 2002, ADDED CERTIFICATION JAN. 6, 2002 GENERAL AMENDMENTS DEC. 5, 2001 cgs MAP PREPARED NOV. 7, 2001ao3 ken: SCALE 1' = 40' F JOB N0, 2001-0416 FS s¢ ? xnvuxExr SET ¦ - MTNxPENl rxuxo A - STME SET = sr~xE mw Q - svixE SET p = DWG. 97717_014_2001_0416_fs s92f