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Home My WebLink About37971-Z pI Y Town of Southold Annex 6/16/2014 s P.O.Box 1179 54375 Main Road 4W Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36971 Date: 6/16/2014 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 795 Laurelwood Dr, Laurel, SCTM#: 473889 Sec/Block/Lot: 127.-7-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated 4/16/2013 pursuant to which Building Permit No. 37971 dated 4/25/2013 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 AS APPLIED FOR FENCED TO CODE The certificate is issued to McKenzie IV,Alexander&McKenzie, Erica (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37971 05-23-2013 PLUMBERS CERTIFICATION DATED oriz d Signa ure 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#: 37971 Date: 4/25/2013 Permission is hereby granted to: McKenzie IV, Alexander& McKenzie, Erica 795 Laurelwood Dr Laurel, NY 11948 To: construct an accessoryin round swimming g g pool, fenced to code At premises located at: 795 Laurelwood Dr, Laurel SCTM #473889 Sec/Block/Lot# 127.-7-3 Pursuant to application dated 4/16/2013 and approved by the Building Inspector. To expire on 10/25/2014. 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 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 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. q;Jll 3 New Construction: Old or Pre-existing Building: 1� (check one) Location of Property: V-j LAu 1/Q 6e)d t), - House No. Street Hamlet Owner or Owners of Property: cri a fir'/� W-C u n e-em Suffolk County Tax Map No 1000, Section 1,23 Block Lot Subdivision�aQAL&60 Q Filed Map. Lot: Permit No.a:7 9-71 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 50 ;applicant S'" ature g�FFQ�,>r Town Hall Annex �p� cQ Telephone(631) 765-1802 54375 Main Road Fax (631) 765-9502 P.O. Box 1179 a, - Southold, NY 11971-0959 �,�j►�l �a0�' roger.richert(a)town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Alex McKenzie Address: 795 Laurelwood Dr City: Laurel St: NY Zip: 11948 Building Permit#. 37971 Section: 127 Block: 7 Lot: 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1 st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Ij Disconnect 11 Switches 1 Twist Lock Exit Fixtures TVSS Other Equipment: in ground swimming pool to include, bonding, 1-pool light, 1-GFCI circuit breaker salt generator Notes: Inspector Signature: Date: May 23 2013 Electrical Certificate.xls Of SO�r�o6 t � ` 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 CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE Z 3 3 INSPECTOR'i SOpj�o� TOWN OF SOUTHOLD BUILDING DEPT. 76S-1802 INSPECTION_ [ ] FOUNDATION IST [ ] ROUGH UMBING [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING / STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 8 DATE INSPECTOR FIELDON PORT DATE coma ENTS W FOUNDATION(IST) ..s V16 rcA� FOUNDATION(2ND) ROUGH FRAMWQ& PLUMBING INOULATION PER N.Y. � H STATE ENERGY CODE FINAL AD ITIONAL COMMENTS td rn O z 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. ,3 u-11 Check�Wi � g - -- — Septic Fo N.Y 1 r' �'� I Trustees I - - [LJ11 , Flood Pe t Examined �� 20 /�� j I APR 1 6 2013 Storm-Water Assessment Form Contact: Approved ,20J3_ Mail to: Disapproved a/c B�.DG. DEPT. SWiITI King Pools PP TOt N Or OC'" 4:71 Route 25A— Pholio- ,r 17,C)Pn¢, NY 1177 k Expiration ,20-L4 Building Inspector APPLICATION FOR BUILDING PERMIT Date y�f , 201-3— 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 within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws,ordinances,building code,housing code, and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. au— 'IMMEDIATELY" p I !JI R� ,_W ignature applicant or name,if a corporation) ENCLOSE POOL TO CODE Q UPON COMPLETION '�� r�s- �.i� � I, � - L�i�IO� BEFORE "WA TER" (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contraclAPrr;�l�rn[b�ror builder C.)ATE• N `2� 13 B.P. # 37.22. II fE �S Name of owner of premises fe t Co Q 1/1 " (As on the tax roll or late8fi4004 8 AM G 4 F":1 L ,_)R i r If applicant is a corporation, signature of duly authorized officer OLLOWING INSPECTIONS: 1 FOUNDATION-TWO F:-;: , (Name and title of corporate officer) FOR POURED CO^NGIRt I L 2 ROUGH-FRAMING,PLUi�icu; , �( �( STRAPPING, ELECTRICAL&CAULF,:. Builders License No. l I ' 3. INSULATION Plumbers License No. 4. FINAL-CONSTRUCTION &ELECTRICAL Electricians License No. MUST BE COMPLETE FOR C.O. Other Trade's License No. ELECTRICAL ALL CONSTRUCTION SHALL MEET THE A ,,Tn � REQUIREMENTS OF THE CODES OF NEW 1. Location of land on whichproposedwP ,CTIlO do a ��D YORK STA NOT RESPONSIBLE FOR JJNq CONSTRUCTION ERRORS. AA V tv STORM House Number Street Ham1d?URSUANT TO CHAPTER 236 --7 OF THE TOWN CO�E. County Tax Map No. 1000 Section L� 7 Block / Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and o cupancy of proposed construction: a. Existing use and occupancy veVa b. Intended use and occupancyzr�,ia.Q 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work_�r�L 4. Estimated Cost Fee (Description) (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 Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front ��d t Rear I� c Depth 10. Date of Purchase_ 3 Name of Former Owner 11. Zone or use district in which premises are situated ` 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NOyw� 13. Will lot be re-graded?YES---NO__Will excess fill be removed from premises?YES NO 14. Names of Owner of premises AI Address 7 t� 1AU,L9B r� Phone No. Name of Architect Address 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 * 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_V * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO—,Ll"" * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF dhi being duly sworn,deposes and says that(s)he is the applicant (N of individ 1 signing contract)above named, (S)He is the_ (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thi C day of 20/,g t T IERESA M.K4TT L(' Notary ublicryNo-fuple2�ogf gl� Sig a of Applicant Qualmw in Su IND'unb CommissiOn Expires January 31,o2t7 i • i Town Hall Annex Telephone(631)765-1802 6�.gg p(��, 54375 Main Road �x(631)OCIttl5%. P.O.Box 1179 a roger.dche o1(in.S nY.11S Southold,NY 11971-0959 � � s I i BUILDING DEPARTMENT TOWN OF SOUTHOI.D APPLICATION FOR ELECTRICAL INSPECTION j REQUESTED BY. Al A/I-k- f'�pb Date: S Company Name: Sa r- 64f1_! C,. Name: License No.: c/2 o G✓1 E Address: S6 Phone No. i . JOBSITE INFORMATION: (*Indicates required information) *Name: / �k tq *Address: L 4 L-a v A *Cross Street: �-Cc `Phone No.: Permit No.: Tax-Map District: 1000 Section: Block:_ Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) E r til (Please Circle AN That Apply) Is job ready for inspection: &0/ NO Rough In *Do u need a Tem Certificate: i you p YES/ NO Temp Information(if-needed) s *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 82Aequest for Inspection Form i Town of Southold - Chapter 236 - Stormwater Management SWPPP- Storm Water Pollution Prevention Plan Assessment Form GEIV�RAi. INFORMATION. (All Requested Information is Required for a Complete Application) AnWCMT NAME er-AquN•CoeruNant-Coptraator or Otho(Ctrcla One) Prope"OWNER or Different than Applleerni ; Add., T Fax 0: Telephone 0: Fax#: E-Mall: U E-MsM Properly Addrsas Brief De=iption of CAOauuction AtErvity,Proposed 3tcaclmal BAdR,Sort S.C.T.M.Jh 1000 h-hoo Bhos,Piciect ape and/or Sequence of Construction Adrvicy DTE WM7 tet (PmvWe Adds"Pow•Nee" of�andfM Person Rnporarbtefor low r. ol8WPPP: --.------------------------------ ------------- 2_ F- -- -.------ ••--�1-------------- E-MaY: __�-_--^'f a2:1--------------- N`? ResEons)Iefor Instalhtlon&Mpm c••lEroalanrAenrolFraoth ----^-------------L--------^-------------____ vv , - -k-- '- ----------------------- Address: 49 1 +r ---------------- E-Mail: ---------------E-Mail: ( -- --------------------------------- Tblel koo of Al Trial Area of Land Clegg "-------------------------------------------- ProjaclPercale: and/or GmundDkhsbence (aF.JAewe) (•F.JAaes) Proj•ctDuadon- Stam End -------------------------------------------- (MtldpaW) Date: Date i R+wee.ralGr+e.rory+) --------•------------------------------------ j ----- ---- --- - if WIN this Project Disturbs five(S)or More Acres at 0 - - - Any One TlmoDuring the Proposed Development? Yes No -------------------------------------------- HYES:PNas•Answ•rtMFollowin0lI -------------------------------------------- i a. Does the Applicant have a Qualified Inspector On es Staff To Conduct the Required Inspections? YNo b. Does the SWPPP Indicate How Frequently the Site Q r---J List tiro NAMES or description of all Potentially Impacted walerbodka andfor Wetpwd5: Inspections will Occur and for What Period of Time? Yes No c. Does the SWPPP Adequately IdenU(yANTemporary11f --- -_"`------------------- and/or Permanent SollStabalizallonMeasures? O N ""_ ------------------------------------- d.d. Does the SWPPP Adequately Identty a Complete Q Project Phasing Plan? L� C� SUMS of fmpected Waterbody:ft.TOOL.303(d)Listed.Impaired-) tte e Does the SWPPP indicate Addidonal SSpedfic Pradices that WIN be LNIzed to Protect Water Quality? Yes No f. Has the Applicant Submitted a Completed DEC Notice -----__ __._____.-_-•---______---•-_-.-____ __ Of Intent and SWPPP Acceptance Form for Review TYPe of kW-ftd Waterbody.lee.L"Meek Bq,Pond,sound,FroshasdsrWisdnd-) by the Town of Southold? Yes No STATF.OFMWYOM ------ -_------- COUNTY OF.... ... .............SS That f+ .( sworn,deposes and says that he/she is the applicant for Permit, And te hWshe is the ............«.............«... ... .. .... "(Owner' r, GorporaEsOtlicer efcj«•••.•••••••••.••.•»•••••••••»••••«.»«......».......... 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 hue to the best of his knowie . dge and belief;and that the work will be ormed in n set orth rn a app d erewi Sworn to before me ) LO= 1-.on �y "�.C JIIN.... ... «. lON Notary Pub 1c: ............ .......... ...... """!!�N'111N1'A31t3"' ��„. .. SWPPP Assessment FORM: 03-12 Town of Southold - Chapter 236 - Stormwater Management SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) AFPJJCANT NAME; Owr ar As ConeuNaM-Copfraa6or or Gtlre►(Circle One) Property OWNER(IF Different than AppllanQ i I. T Fez P: Telephone ilk Fart E-MaE: _ E-Mail:PU3 Property Address: Bnef De9Mpt;on of Construction Actrvrty,Propow d Suacbnal BARk Sol S.QT.M.e: 10W Stabali�—BNM*Pwjed ape and/or•Sequence of Cones mu-Activity Dow a.woe abee t.et (RwldeAddelnWPapreaeMeeaeO) of andf person Responslblefor law on ofSYYPPP: ______________ Adder 2 -__ _� ------------- E-Meg: 1 .2 __�C.s` . __ Ca...iC..� ------___--(---------------------------------- Naalalo P.rsonsRee(tonslble for 6fstelletloe6Main aofEroekncontrol Praasrr. -- ---� --_------ Gln 1 y_�_____________ Temom ( _ E-Yell: --------------------------------- --------- i TOM Arse DFAI Total Area of Land Clearing Pro)edparcels: and/or Ground Dtandlencs -------------------------------------------- (eF./Aare) (SAIAa ) ProjectDuration: Start End -------------------------------------------- W ) pAanararCaredrO0pl Dar. -----------------------------------_-•_--_--- WIN this Project Disturbs five(5)or More Acres at , Any One Time During On Proposed Development7 Yes No -------------------------------------------- � RYES:Please AneanrtMFollowlrgl -----_--_-_.._.------------------------------- a. Does the Applicant have a Qualified Inspector On Q Q Staff To Conduct the Required Inspections? Yes No b. Does the SWPPP Indicates How Frequently the Site = O List the NAMES or dnorlplion of all Potentially hnpaaI walerbodissand%r Welgerds: Inspections will Occur and for What Period of Time? Yes No c. Does the SWPPP Adequately Identify All Temporary = Q - and/or Permanent Sall Sfabalfzafiorl Measures? Yes No -_ ---__ _-. _ --_ __. d Does the SWPPP Adequately Identify a CompleteQ --- ......._..._._..._....._....._ ._-------------------- Project Phasing Plan? as No same of hnpaated waterbody:(ee.TMD("303(d)t.leled.hnpelred_) e. Does the SWPPP Indicate Additional Site Specific Practices that WIN beUtilized toProtect Water Quality? Yes No ______._ .__.---__.-_-.-----•-•--_.___.__.-.---.._.. f. Has the Applicant Submitted a Completed DEC Notice Of Intent and SWPPP Acceptance Form for Review = Q 'Of hnp.ata waarbody (.e.Lake,Creek,Day,Pond,sound,Fr..hw.lerw.send_) by the Town of Southold? Yes No STATE OF NEW YORK, COUNTY OF..........................................SS I' '(Nems �d*:q'ning" ' y sworn,deposes and says that he/she is the applicant for PeMU4 Andthat he/she is the .................................. ........ ... ..... ..... (Owner, r, CorpaatsO oar 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 true to the best of his knowledge and belief;and that the work will be performed in a 7r_ t fo m e a(�pp"Ti �t erewt Sworn to before me l 1 (Pw•o day . 3. Notary Pub ic: ............ .......... ...... ........ . . ............ ...... .. .. 'El�N1aIIW'93A3""' (sign d SWPPP Assessment FORM: 03-12 Town of Southold - Chapter 236 - Stormwater Management CONTRACTOR CERTIFICATION STATEMENT Prior to the commencement of construction activity,the owner or operator must Identify ALL contractor(s)and sub-contractors)that will be responsible for Installing,constructing,repairing,replacing,inspecting and maintaining the erosion and sediment control practices Included In the SWPPP;and the contractor(s)and i sub-contractors)that will be responsible for constructing the post-construction stormwater management practices included In the SWPPP. The owner and/or operator shall have each of the contractors and/or sub-contractors Identify at least one person from their company that will be responsible for Implementation of the SWPPP.This person shall be known as the trained contractor.The owner and/or operator shall ensure that at least one trained contractor is on site on a daily basis when soil disturbance activities are being performed. The owner and/or operator shall have each of the contractors and subcontractors identified above sign a copy of the following certification statement below before they commence any construction activity: CERTMCATTON "i herecern that I understand and F by fy agree to comply with the terms and conditions of the SWPPP and agree to � implement any corrective actions identified by the qualified inspector during a site inspection.l also understand that the owner or operator must comply with the terns and conditions of the most current version of the New .. York State Pollutant Discharge Elimination System("SPDES")general permit for sWrmwater discharges from construction activities and that it is unlawful for any person to cause or contribute to a violation of water quality standards.Furthermore,i understand that certifying false,incorrect or Inaccurate informadon is a violation of the i referenced permit and the laws o e S of Newyork and c uld subject me to criminal,civil andlor administrative proceedings." 1 Uwe in addit onAolroviding fil:2� iflation statement above,this page must also identify the specific elements of the SWPPP that each contr and/or sub-contractor will be responsible for. Specific SWPPP>:lement: __„_____..___.___.._______.........•,._..___....____._..____..__..,.._______________ Missss Describe Floe) ^______ ___________�--^----------_..___.____________..____ NAME and TITLE of the Trained Contractor(s) responsible for SWPPP Implementation; i "AMM ns.: DdK NAME,address and telephone number Swim King Pools of the Contracting Firm; _-- -------------- -.__ _ ' -47TRoate-25•A--___-_--_-_--_ FJ=ky-Peimt-;P*41-7-71 __.._____..___-----_ ----34-a44�&100-_____-__.-__---------------------,......__ Property Address and I Suffolk County Tax Map Number of the site; I S.C.T.M.ilk 1000 Distrkt section Block Lot I——------- ---------------------------------------------.. ____--- The owner and/or operator shall attach All certification statement(s)to the copy of the SWPPP that is maintained at the construction site.If new or additional contractors are hired to implement measures identified in the SWPPP after construction has commenced,they must also sign the certification statement and provide the Information listed above. For projects where the Department of Environmental Conservation requests a copy of the SWPPP or inspection reports,the owner and/or operator shall submit the documents in both electronic(PDF only)and paper format within five(5)business days,unless otherwise notified by the Department. SWPPP Certification Statement FORM: 03-12 s TME LOCATION+Of WELLS ANO CESSo00L5 SHOWN HEREON ARE fR OBSERVATIONS AND OR FROM DATA OBTAINED FROM CTffERS IME WATER SUPPLY AND SEWAGE CISPOSAL SYSTEMS FOR THIS WII.L CONFORM TO THE STANDARDS OF THE SUFFOLK COUNT Of HEALTH SERVICES ADDRESS- ---.--_ TE IF 00 \ '00m _ , COUNT? QEJ�M DIWAx Y. 2 -4-0 �t�r�AUG i 71918 sf, n. Rv. * 7-Sc we f The sewage disoosal and water supp2T f8cilities for this location bawe bees Inspected by this department and found to be satZ01' 670 Goneralq�i 4 Lpt 8 Zg3 6 9 N N o N 50 1 10 jig, 6GC at.ti MN .6" VV \ o 1 rI i Q \\ c KD OX v� ft N L'Ot W� gI � o o v 9.A CJ,�6 pow c, G_ 2 C 3� NOTE • MONUMENT' _ VO SUED/V/S/ON MAP F/LED/N MEOfF/CE Of ME CLERK OFSUFFO%K COUNTY ON MAY /7,/J47/AS F146-NO. 5595 ^ (� THERE ARE NO DWEY L/NGS W/THIN/00' �J Y OF rH/S PROPERTY OTHf;'R THAN THOSE r SHOWN HEREON. ^11V WATER SE"RVlcF PR/v,4TE W464 P FfE:VItiION!i '(OUNG YOUNG JAN.28,1$78 4".0 ',fiinAA1r N I . ! N, I"I 'h' 'i"•f?h Al/G. /0,IS78 ALDE N W YOI.INc.� '4.,%%;A ern r� r 1R0FF5FSIUt4At ENti,h FER A t AND N F'jt OF NFA AND -uROFrur+ h ,__1_1. ~...� .1..._...._1W. �._.�L. .� 'SURVE:Y FOR: o� �-o r� OA V/D C. COMM,41 NDER & EL/ZASEW COMMAN, L07' NO, 7 "LAURELWOOD ESTATES e" 45893 1; ,I r1 , f! + _ L AUREL _ T THE'T/T;LE GUARANMr CO. SFD lA v 1 it I ' ;_. _ . ND SUR�� y30UTHOLi) SOUTHOLDSAVINGSB4NK Ain[/ i-19� 1077 77_A/Q t iU CHECK VALVE 40' 3,b„ 1O� _d LJ PUMP FROM SKIMMER O Z B G co Oco 0 0- W TO DISPOSP V V W Z DRYWELL g CONC.FTG. O Z SEE DETAIL 14 Q VALVE R O " N CK 4' 9' 7' ZO' Q E-- >- 0 FILTER Z J v �t DIVE.BD. g'_p" N 3'-8" O O O H2O H2O rq --- - - Old VINYL COVERED CONC.BENCH TO RETURNS A CHECK VALVE � CONC.WALLS 1U' - GRADE PLUMBING SCHEMATIC "ATER LINE NOT TO SCALE PLAN ROLLED FOAM BETWEEN LINER AND CONCRETE y 20 x 40 Rectar le // {� ,�j . f w/Roman End FORM TIES a a sT N 3500 PSI POURED CONC. VINYL LINER c \\ ! a 74�t°� ®� Q) 2"TO4"SAND a / INV I t3 SEE DETAIL HANDRAILva �\ 1. ALL CONSTRUCTION 15 TO BE IN ACCORDANCE WITH THE RESIDENTIAL CODE OF WATER LINE-:� / / / / / / / / / // // NEW YORK STATE-2010 AND1HEANSI/NSPI-519995TANDARDS FORRESIDENTLAL /\\/\\/\\/\\/\\/\\/\\/\\/\\/\\/\\/ INGROUND SWIMMING POOLS FORA TYPE 11 POOL. Nv- 2. STRUCTURE 15 DESIGNED FOR USE BELOW GRADE AND ONLY IN AREAS WHERE THE GROUN D WATER TABLE IS A MIN[MUM OF 4'-8"BELOW THE PROPOSED FINISHED GRADE '"'' - 3. BACKFILL WITH CLEAN EARTH,FREE OF ROOTS AND DEBRIS. DO NOT ALLOW THE HEIGI M OF BACKFILL TO EXCEED THE HEIGHT OF THE WATER IN THE POOL BY MORE THAN 8, 'oR THE WATER TO EXCEED BACKFILL BY MORE THAN W.WALL SECTION O O 4. PLACE CONCRETE ON SANDY TO LOAM SOIL. REMOVE ANY CLAY DEPOSIT iV O ty AND COMPACT CLEAN BACK FILL. a.- e- �t to 4"SAND BOTTOM °5. WALKS TO BE SMOOTH,NON SKID TYPE,SLOPED AWAY FROM POOL 'u 2" :3i z ,f 6. WATER DISPOSAL SHALL BE LIMITED TO OWNERS PROPERTY IN ACCORDANCE WITH O V 8' LOCAL REGULATIONS c�. z vO L FORMED CONCRETE STEPS 4" 20'WHITE RUBBER v 7. DIVING BOARD AND INSTALLATION TO CONFORM WITH ANSI/NSPI-51995 '�- W FULCRUM PAD STANDARDS FOR RESIDENTIAL INGROVND SWIMMING POOLS FOR A TYPE 11 POOL. SECTION A A) FRAMES ARE MADE OF 1.90'OD.x.065 WALL ALL BENDS ARE 6"RADIUS.FRAMES ARE DRILLED TO ACCOMMODATE 3/8'0 REINF.RODS, REAR STAND HAS 2)9/16'HOL SCALE:1/8"=1'O" 5TN STLTUBE DRILLED ON 12"CENTERS FOR D.B.ANCHORING. 3/8"O REINF. W/MIRRORFINI5H w COPING kPA710 > B) COMPRESSIVE STRENGTH OF CONCRETE SLAB FOR DIVING BOARD RODS TYP CONC.SLAB I DONE BY OTHER5 m TO BE 3500 PSI OR GREATER UJ y: (4'WIDE MIN.) a a Z Z o 3 r 8. PROPERTY OWNER IS RESPONSIBLE TO INSTALL PERMANENT FENCE AROUND POOL tt <y i, N x IN ACCORDANCE WITH THE NYS BUILDING CODE,APPENDIX G,SECTION AG105. O 1 Z TOP OF WALL WATER LINE a _ _r + . PERMANENT ENCLOSURE MUST BE COMPLETED WITHIN NINETY DAYS AFTER THE DATE t/1 V >Z 0 �a. COMMENCEMENT OF CONSTRUCTION. LW Q ON N (-1 I I 9. THERE IS NO MAIN DRAIN IN THIS POOL. SUCTION FOR POOL WATER CIRCULATION T r W 1'-3" 3'-5' 2'-9" 1'-6" IS PROVIDED BY THE SKIMMERS ONLY. TH15 MEETS REQUIREMENTS OF RC-SECTION AGI( O_ L.L M r LL- 4' 10' 4' FOR W ENTRAPMENT PROTECTION. U w M —III , •g 10. THIS POOL SHALL BE EQUIPPED WITH AN APPROVED POOL ALARM WHICH IS CLASSIFIE O III-I " BY UNDERWITERS LABORATORY,INC TO REFERENCE STANDARD ASTM 2208 ENTITLED ' III 'STANDARD SPECIFICATION FOR POOL ALARMS,'AS ADOPTEDIN 2007. _I Q 11. A TEMPORARY ENCLOSURE,OR 4 FT FENCE SHALL BE INSTALLED AND REMAIN IN PLA( DIVING BOARD THROUGHOUT THE PERIOD OF CONSTRUCTION OF THE SWIMMING POOL, —I UNTIL THE COMPLETION OF A PERMANENT ENCLOSURE. DETAIL 4-1-2013 SECTION B SCALE:1/8'=V-0'