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Home My WebLink About38331-Z � FFOI,� Town of Southold Annex 8/23/2014 ' P.O.Box 1179 @-,I%U% 54375 Main Road lei �E�` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37107 Date: 8/23/2014 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 415 Village Ln, Mattituck, SCTM #: 473889 See/Block/Lot: 114.-6-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/6/2013 pursuant to which Building Permit No. 38331 dated 9/17/2013 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 with fence to code as applied for. The certificate is issued to Clark,Terrence&Clark,Michelle (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38331 6/9/14 PLUMBERS CERTIFICATION DATED z- Aut S' natur Ftl(�F01 Town of Southold Annex 8/23/2014 glyf ��.. P.O. Box 1179 } 54375 Main Road Southold,New York 11971 ='SL+ CERTIFICATE OF OCCUPANCY No: 37108 Date: 8/23/2014 THIS CERTIFIES that the building SHED Location of Property: 415 Village Ln, Mattituck, SCTM#: 473889 Sec/Block/Lot: 114.-6-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/24/2014 pursuant to which Building Permit No. 38331 dated 9/17/2013 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: "as built"accessory shed as applied for. The certificate is issued to Clark, Terrence&Clark,Michelle (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 62 Auth d Sigdature }� J;FF TOWN OF SOUTHOLD 40 BUILDING DEPARTMENT TOWN CLERK'S OFFICE �► t 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#: 38331 Date: 9/17/2013 Permission is hereby granted to: Clark, Terrence & Clark, Michelle PO BOX 866 - - Mattituck, NY 11952 To: Construction of an in-ground swimming pool in the required rear yard as applied for. At premises located at: 415 Village Ln SCTM # 473889 Sec/Block/Lot# 114.-6-7 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 3/19/2015. Fees: SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 al: $300.00 B ing spector • 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 th A. For new building or new use; e following: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual topographic features. natural or 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 I 5. Commercial building, industrial building, multiple residences and similar buildings and installations a of Code Compliance from architect or engineer responsible for the building. o lead. 6. Submit Planning Board Approval of completed site plan requirements. certificate 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 Cert ifi p graphic denied, the Building Inspector shall state the reasons therefor in writing to the applicant. cate of Occupancy is C. Fees 1. Certificate of Occupancy- New dwelling$50.00, Additions to dwelling$50.00, Alterations to dwell' Swimming pool $50.00, Accessory building$50.00, Additions to accessory building$50.00, Businesses 2. Certificate of Occupancy on Pre-existing Building dwelling$50.00, 3. Co g g - $100.00 s $50.00. py of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 New Construction: Old o Pre-existing Building: Location of Propert (check one) I House No. 9KA Street Owner or Owners of Property: �/ Hamlet P y� �. Suffolk County Tax Map No 1000, Section C� " Block_ Subdivision�/ , � I�l'�..�_ ��/�� j Lot Map.Filed Ma� 3�j� J Lot: Permit No. Date of Permit. `17_ A pplicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: request for: Temporary Certificate Final Certificate: (check one) °ee Submitted: $ b � � Applicant Signature SO!/jyol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G • roger.riche rt(cb-town.so uthold.ny.us Southold,NY 11971-0959 'plyCOUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Clark Address: 415 Village Ln City: Mattituck St: NY Zip: 11952 Building Permit#: 38331 Section: 114 Block: 6 Lot: 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Raymond Electrical Cont. License No: 5141-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 Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1 Disconnect Switches 2 Twist Lock Exit Fixtures TVSS Other Equipment: IN GROUND SWIMMING POOL to include-bonding, control panel, 1-salt generatc pool light Notes: Inspector Signature: Date: June 9 2014 81-Cert Electrical Compliance Form.xls so cou ��TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION I FOUNDATION I ST ROUGH PLUMBING FOUNDATION 2ND INSULATION FRAMING / STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION CAULKING REMARKS: DATE - INSPECTO TOWN OBUILDIN DEPT. 1802 IN ;; 1 [ ] FOUNDATION 1ST [ ] ROU PLUMBING / [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR i 3,5 OF SOf/lyol cOUNi1,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUG UMBING [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING / STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR � • Y • r r • • e : 11 • 1. 1 WOMAnON Mm N.Y. STATE LT.MGY CODE fill �/� .�. ,:�,� ..'�!i . . � ■ ADDMONAL COMMNTS ml 91 WE.TA N WE MAN F=NA FM • ��i�i�ill��/'��►�-��a�... . 1 ate' � J�� r T6WN OF �OUTIIOLD BUILDING PERMIT APPLICATION CHECKLIS` BUILDING DEPARTMENT Do you have or need the following,before applying 'TOWN HALL Board Qf Bealth SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 �� -� j Survey South oldTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20 Storm-Water Assessment Form Contact: Approved ,20 - ,7/,,� - Mail to: Disapproved a/c // 7 OWN Expiration ,20 Bui Ins ector 471 Route 25A Rock, Paint, v'r`:},'` 1 j I APPLICATION FOR BUILD RMIT - +' )) ) SEP 6 2013 Date..::_ , 20 INSTRUCTIONS 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. . S/��ti (Signature of app iT c�ant or name, if a corporation) (Mailing address of applicant) NIIT3 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber br builder Name of owner of premises tu L UIQ C_ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License Not ' Plumbers License No. Electricians License No J Other Trade's License No. 1. Locati n of land on whit proposed wor will be done: ,)use Number Stre Hamlet ►- '1 2 l Block V anty Tax Map No. 1000 Section 1 ' T T ,.T� TM E--r -pr 2. State existing use and occupancy of premises d i nded u e and Occup cy of proposed cor�structlo�: a. Existing use and occupancy Std VVY1 t �� Y b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work _-�l (Descrip on) 4. Estimated Cost � � c�� 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 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 Rear_'' j 2-- _Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises M U�c(&y)4jj4r'ss one No.2-9 F( Name of Architect `"J�Vl V1c OV-) Address -k Phone No Name of Contractor ✓) Lee-_. /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 AE QUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale, with accurate foundation plan 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) 4�&�COUNTY O ��_ _____ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perfor rformed e said work and to make and file this application: that all statements contained in this application ue to 2lith, dge and belief; and that the work will be performed in the manner set forth in the applicati Sworn o before met day ofSK- 201 Not y Public Signature of Applicant Town Hag Annex 54375 Main Road TekPhme(631)765-1802 P.O.Box 1179 rO�er.fiChettbZ- M01M rn us Soy dioK IVY 11971-0959 BUILDING DEPARTMENT TOWN OF SOITI'HOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: RG, ��k y Date: / / 3 Company Name: 9 3 Name: �'"� License No.. SI I Address: (d 14Z. N •COuA+Y- r Phone No.. iQG � JOBSITE INFORMATION: (*Indicates. required information) *Name: M eche I c and �"c►-r- CI o'r*Address: ------ *Cross I o l a n Cross Street: i 4-14 l l 9 5 *Phone No.: Permit No.: � 1 Tax Map District: 1000 Section: (� 8bcK: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) r �Vvti tY1i n r ,n (Please Circle All That Apply) *Is job ready for inspection: YES NO * Rough In Final Do you need a Temp Certificate: YES Temp-Information(If needed} CO *Service Size: 1 Phase 313hase 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 too -- ko I. f f ♦ R -14 _�� 'fi � f*fff*RfffR■�' � rip • FFF _Y S�w tib►• .,.. � S 31 r a T v. �: t r, r: r A m `F I 'f 3S-33 / .% . . �. .. . . . �� . ��y ,., �, �, , a n �' �� +" �, � �� -� � ,� �. � ' n� �^. ' �' �� r P �S � ) �pG! s, � � a h �� $f 5 p f�4�3 �A� hl�p�r�' �� lea.; � t� v �k� T. II�' i��y� I III Vlifll $ li� ��4 ��I � �I i;�-, r,. c �,'', q 'i �,�';+" t� � �I a� �.,� q � � �,� � w r t �, �? ��s t y �'� � � � �¢ ,. ,. � �" t t t ;� v,. � �� w. �. +„r ' .. �' I R. � � 1 W x' o t Scott A. Russell ,fid � James A. Richter, R.A. SUPERVISOR GO� Michael M. Collins, P.E. SOUTHOLD TOWN HALL-P.o.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Telephone#: (631)-765-1560 yp� �b:11 �765 -- MICHAEL.COLLINS@TOWN.SOUTHOLD.NY.US ' > JA> Ti# U. Hb D(11TQ. ff S Office of the Engineer a i SEP 17 203 Town of Southold - ' STORMWATER MANAGEMENT CONTROL PLAN R' EET ( TO BE COMPLETED BY THE APPLICANT ) TO: ENGINEERING DEPARTMENT PLEASE ATTACH THE FOLLOWING DUCIMTS or MFORNATION. FROM: BUILDING DEPARTMENT Copy of completed Application for Building Permit DATE: L5 ❑ Stormwater Management Control Plan APPLICANT: ❑ Completed Chapter 236 Stormwater S.C.T.M. �� y= e — Review Checklist PROPERTY ADDRESS: T V BRIEF PROJECT DESCRIPTION: Pro �2,,L) > 1 h1=U"- 4' Du Cah ARat- PIA,a F6P - lucy Pan- I+ACe. i * ** FO EERING DEPARTMENT USE ONLY Reviewed B Date. / 6 ppro ❑ ditional Information Required: DATE.JT.n CHAPTER 236 APPLICANT: zYol Stormwater Review Checklist S.C.T.M. PHYSICAL ADDRESS: Lk CJ Stormwater Management Control Plan Requirements Yes No NA If No or NA,Please Provide Addition Information 1. Plan drawn to scale of not less than 60 feet'to the inch showing: V a. location and description of property-boundaries b, total site acreage c. existing and natural and man-made features on and within 500 feet of the site boundkry as re uired in§236-17(C)(;). d. test hole data indicating soil characteristics and the depth to water 'iDiSCA ASC �( U; e. proposed limits of clearing and the total area of proposed lands disturbance f. existing and proposed contours of the site(minimum 2' interval) g. location of all existing and proposed structures,roads, driveways, sidewalks, drainage improvements and utilities h, spot grade and finished floor elevations for existing and proposed structures i. location of the swimming pool discharge ring j. location of proposed soil stockpile area(s) k. location of the proposed construction entrance/staging areas 1. location of the proposedconcrete washout area in. location of all proposed erosion and sediment control measures 2. Plan includes calculations showing that the stormwater improvements are sized to capture, store and infiltrate on-site the runoff from all impervious surfaces generated by a two-inch rainfall J 3. Detail drawings(reauired_far plan approval)provided for: a. erosion and sediment controls b. construction entrance c. inlet.structures(e.g. catch basins,trench drains,etc.) d. leaching structures(e.g. infiltration basins,swales,etc.) N REVISED 7/24/2013 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 In su red(Use street address only) 1b.Business Telephone Number of Insured FENCE KING OF ROCKY POINT INC. DBA SWIM KING POOLS&PATIOS 1c.NY S Unemployment In su ran ce Employer Regi stration 471 ROUTE 25A Number of Insured ROCKY POINT, NY 11778 1d.Federal Employer Identification Number of Insured or Sod al Security Number 113008276 2 N am and Address of the Entity requesting Proof of Coverage 3a.N am of InsuranceCarrier (Entity being listed as the Certificate H older) The First Rehabilitation Life Insurance Town of Southold Company of America 3b.Policy N umber of Entity listed in box"1a": 53095 Route 25 DBL37154 PO Box 1179 3t:.Policy effective period: Southold, NY 11971 02/01/2013 to 01/31/2014 4 Policy covers: a. R1 All of the employer's employees eligible under the New York Disability Benefits Law b.F] Only the following class or classes of the employer's employees: U rider penalty of perjury,I certify th at I am an authorized representative or I i cen sed agent of the insurance carrier referenced above and that th a named i n su red has N YS D i Sabi li ty Benefits i n su ran ce coverage as described above. D ate Signed 2/11/2013 By AW 4 (Signature of insurance carrier's authorized representative or NYS Licensed I nsuranceA gent of that insurance carrier) Telephone N umber 516-829-8100 Title Chief Executive Officer IMPORTANT:I f box"4a"i s checked,and this form is signed by the insurance carrier's authorized representative or N YS Licensed Insurance Agent of that carrier,this certificate is CO M PL E T E.Mail it directly to the certificate holder. If box"4b"i s checked,this certificate is NO T COMPLETE for the purposes of Section 220 Subd.B of the Disability Benefits Law. It must be mailed for completion to the Worker's Compensation Board,D B Plans Acceptance Unit,20 Park Street,Albany,N Y 1220/. PART 2 To be completed by NYS Worker's Compensation Board (Only if box "4b"of Part 1 has been checked) State of New York Worker's Compensation Board According to information maintained by the N YS Worker's Compensation Board,the above-named employer has complied with the N YS Disability Benefits Law with respect to all of hi shier employees. D ate Signed By (Signature of N YS Worker's Compensation Board Employee) Telephone N umber Title PI ease N ote:0 nl y i n su ran ce carriers licensed to write N YS D i Sabi l i ty Benefits insurance poli cies and N YS L i cen sed I n su ran ce A gents of those insurance carriers are authorized to issue Form D B-1201.I n saran ce brokers are N OT authorized to issue this form. DB-12:)1(5430 STATE OF NEWYORK WORKER'S CONDENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1.To be completed by Disability Benefits Cartier or Licensed Insurance Agent of that Carrier 1a.Legal Name and Address of In su red (Use street address only) 1b.Business Telephone Number of Insured FENCE KING OF ROCKY POINT INC. DBA SWIM KING POOLS&PATIOS 1c.NYS Unemploymentlnsurance Employer Registration 471 ROUTE 25A N umber of Insured ROCKY POINT, NY 11778 1d.Federal Employer Identification N umber of Insured or Social Security Number 113008276 2 N ame and Address of the Entity requesting Proof of Coverage 3a.N ame of Insurance Carrier (Entity being listed as the Certificate H older) The First Rehabilitation Life Insurance Town of Southold Company of America 3b.Policy Number of Entity listed in box 1a": 53095 Route 25 DBL37154 PO Box 1179 3c.Policy effective period: Southold, NY 11971 02/01/2013 to 01/31/2014 4 Policy covers: a. a All of the employer's employees eligible under theNew 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 Benefiis insurance coverage as described above. D ate SignedY 2/11/2013 a ��d 4f (Si gn atu re of insurance carrier's authorized representative or NYS Licensed I nsuranceA gen t of th at i n su rance carrier) Telephone N umber 516-829-8100 Title Chief Executive Officer I M PO R T A N T A f box"4a"i s checked,and this form i s si gned by the insurance carrier's authorized representative or N YS Licensed I n su ran ce Agent of th at carrier,this certifi cate i s COMPLETE.M ai I i t di recti y to the certificate holder. If box'Ab"is checked,this certificate is NOT COMPLETE for the purposes of Section 220,Subd.Bof theDisability Benefits Law. I t m u st be m ai I ed for com pl etion to the Worker's Compensation Board,D B Plans A ccep tan ce Unit,2O Park Street,Albany,N Y 12207. PART 2 To be completed by NYS Worker's Compensation Board (Only if box "4b" of Part 1 has been checked) Stage of New York V%brker's Compensation Board According to information maintained by the NYS Worker's Compensation Board,the above-named employer has compiled with the N YS Disability Benefi is L aw with respect to all of hi sdher employees. D ate Signed By (Si gn ature of NYS Worker's Compensation Board Employee) Telephone Number Title Please Note:Only i n su ran ce carriers licensed to w ri to N Y S Disability Benefiis insurance policies and NYS L i cen sed Insurance Agents of those insurance carriers are au th ori z ed to i ssu a Form D B-120.1.Insurance brokers are N 0 T authorized to issue this form. DB-1201 (5OE) .s. Cjp F• d;..` ♦ ti.',.� c t 4-'.t, l '.` t1. r..- Y s.,:y, dt a'e++ ra ...Y �( s'e'e` ' .,. �•1..:"('.��E..� t':. �Y."p. 9 e c. ,# 4 It3( R'� t N r� L( i, < a ; 3 E t J 1 ` SURVEY OF ��a a LOT 2 AAP OF VILLAGE MANOR Of FILE No. 3663 FILED OCTOBER 24, 1962 -:1 Q SI T UA TED A T MAT`I'ITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK t4sC S.C. TAX No. 1000= 1 14-06-07 SCALE 1 "=30' MAY 11 , 2003 94`'S 3� •� �` � N t� e� ° AREA = 25,631 .31 sq. ft. Y ,a o' a 0.588 ac. ` �a Gl -ASPHAI T DRIVEWAY CERTIFIED TO: �� 2• s �*�Ri_S 54 '� � •' - c5 ESTATE OF EVELYN A. MERCHANT yoT� COMMONWEALTH LAND TITLE INSURANCE COMPANY ADVOCATE ABSTRACT m z "Q PATRICIA A. CLARK JOHN E. CLARK Pro\)toe a P051 K RL ` PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.IAL.S. AND APPROVED AND ADOPTED 5 }`L 4 p, FOR SUCH USE BY THE NEW YORK STATE LAND p1 -.a- � -_R � - TITLE - c3; g N 4 *fzegofe �� t�Z �c�m�t3�. ��t•v1Ac.. � �: I'll, � a N.Y.S- sic. NO. 50467 h / ! 4— Nathan Taft Corwin UNATHORQED ALTERATION OR ADDITION I TO THIS SURVEY 15 A VIOLATION OF i Land Surveyor SECTIGN 7209 OF THE NEW YORK STATE EDUCATION LAW. I COPIES OF THIS SURVEY MAP NOT BEARING ; — ---- THE LAND SURVEYOR'S INKED SEAL OR --- -- EMBOSSED SEAL SHALL NOT BE CONSIDERED I TO BE A VALID TRUE COPY- i I CERTIFICATIONS INDICATED HEREON SHALL RUN 992 Roanoke Avenue ONLY TO THE PERSON FOR WHOM THE SURVEY v> 40 10„ CHECK VALVE f 1 i. ALL CONSTRUCTION 15 TO BE M ACCORDANCE WITH THE O '-7J CONCRETE WALLS RE 51DENTIALCODEOF NEW YORK STATE-201OANDTHE PUMP FROM SKIMMER `— B SWIMMING POO STANLS ADS FOP, RESIDENTIAL INGROL'NDCo 2.STRUC7VRE IS DE5IG NED FOR USE BELOW GRADE AND ONLYINAREA5WHERETHE GROUNDWATERTABLEI5A Li, UJ MINIMUM OF 4'-B'BELOW THE PROPOSED FINISHED GRADE. �- TQ DISPOSAL/ / v 3.BACKFILL WITH CLEAN EARTH,FREE OF ROOT5AND DEBRIS. DRYWELL V DO NOT ALLOW TH E H EIGHT OF BACKFILL TO EXCEED THE / HEIGHT OF THE WATER I N TH E POOL BY MORE THAN 8", / Z I.... OR THE WATER TO EXCEED BACKFILL BY MORE THAN 8'. DIVERTER J/ DEEP WATER RETURNS O Z CONC.FTC 4,PLACE CONCRETE ON SANDY TO LOAM SOIL.REMOVE VALVE O _ SEE DETAI. ANY CLAY DEPOSIT AND COMPACTCLEAN BACKFILL < O fib' T�' �� 2' 5.WALKSTO BE SMOOTH,NON SKID TYPE,SLOPEDAWAY (y FROM POOL FILTER 6.WATER DISPOSAL SHALL BE LIMITED TO OWNERS PROPERTY W IN ACCORDANCE WITH LOCAL REGULATIONS z ��` 7,DIVING BOARD AND INSTALLATION TO CONFORM WITH - t.]C.. O O y ANSI/NSPI-5-03 STANDARDS FOR RESIDENTIAL INGROUND Py f DIVE.BD. SWIMMING POOLS FORA TYPE It POOL.A)FRAMESARE O 3'-2"H2O ''�` '1 O'(�Ow` MADE OFi.�'O.D.x.055 WAIL ALL BENDSARE b'RADIUS. TO RETURNS v ' �� ,1, P�G�' +` 1 S'1120 FRAME REAR SDANDEHASOACCOM�D5 DRI/8E PEINF. YY�¢a�� E v� CHECK VALVE PLUMBING SCHEMATIC CQ�' CENTERS FOR D.B.ANCHORING.B)COMPRESSIVE STRENGTH A} OF CONCRETE SLAB FOR DIVING BOARD TO BE 5500 P51 OR GREATER. NOT TO SCALE _ VINYL COVERED 1 �5'(I B.PROPERTYOWNERISRESPONSIBLETOINSTALI �Ei�� ' R��yy" = O CONC.STEPS PERMANENT FENCE AROUND POOL IN ACCORDANCE WI AI� a� 3 i1£S ` Q THE NYS BUILDING CODE,APPENDIX G,SECTION AG1OS. .. PERMANENT ENCLOSURE MUST COMPLETED WITHIN NINETY DAYS AFTER THE DATE OFF COMMENCEMENTOF J Z4 CONSTRUCTION. ry DA } 9.THERE IS NO MAIN DRAIN IN THIS POOL 5UCTION FCR CI _ POOL WATERRCULATION IS PRO JIDEC BI'TNE SKIMMERS TFC• ONLY.THI5MEET5REQUIREMENT50FRC-SECTIONAGICG T _I .0 -r •.T FOR ENTRAPMENT PROTECTION. O 1 1 NY aV,L' 10.THIS POOL SHALL BE EQUIPPED WITH ANAPPROVED PC-0LA11,4 1 ALARM WHICH IS CLASSIFIED BY UNDERWITERS LABORATORY, 765-11802 8 -' I`� PPLANINC TO REFERENCE STANDARD A5TM7208ENTITLED (� (`�q LL-J 1 'STANDARD SP ECIRCATION FOR.POOL ALA RM5,'A FOLL V�H�l �s C J 1 `I i ADOPTEDIN 2008. NF0I -F p IRF D '' n -�`s' '� 11.ATEMPORARY ENCLOSURE,OR4 FTFENCE SHALL BE 20'x 40'Rectangle *�'f F ,_, LSO Iii- ) INSTALLED AND REMAIN IN PLACE 7H ROVGHOUT THE � f PERIODOF CON5TRUCTION OF THE SWIMMING POOL `, I ? F UNTIL TH E COMPLETIONOFAPERMANENTENCLO5URE. '2, ROUGH - f R!'J � L'. �-� '" 3. IN SIJ LATIO'Na SEE DETAIL FORMED CONC.STEPS 4. FINAL e COI: �1 -I� t "'. 'JST � �. 1h'ATER LINE BE COar ��Ft ALL CONSTRJC! 311 MEET 'FHE U REQIJi 1EMENTS OF THE 00DIFS OF NE'AJ � �^ N YORK STATE. NOT RESIPONSIBLE FOR Q1 '' C T ION ERRORS. 2"to 4"SAND BOTTOM 4" ' 20'WHITE RUBBER CONC.WALLS FULCRUM PAD \ MINIMUM DIVING ENVELOPE ti i SECTION A STN STL TUBE 0 lllrLINU/1INv vvr�LnvvrlT 3/8'0 REINF. W/MIRROR FINISH w 0 i' �'Z COPING&PATIO X > ti V Scale: 1/8'=1'-0" (BY OTHERS) RODS TYP CONC.SLAB DONE BY OTHERS m (4'WIDE MIN.) I _ WATER LINE GRADE 0 3 p0 RETAIN STORM WATER RUNOFF � � � � 0 F� �� PURSUANT TO CHAPTER 236 OF THE TOWN CODE. ROLLED FOAM BETWEEN TOP OF WALL WATER LINE LINER AND CONCRETE V-3" 3'-6" 2'-9" V-6" w >- FORM TIES _ Z � Z co �I—w ZLn C010PL� I ' 4' 3500 PSI POURED CONC. `> c W °O NEW YORK" 0� Z E--Q N TOW CODES LLJ w`G� o =O= AS REQUIR D VINYL LINER ,y �vw u- n RD 2"T04"SAND Gv�P -� C p< 00 �S UNC- -Q" L I. SSE �� OEC - 0 '15- TION B 9-3-13Scale: 1/8"=1'-O" � CJV WALL SECTION O�