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HomeMy WebLinkAbout38895-Z Town of Southold Annex 8/29/2014 .. P.O.Box 1179 54375 Main Road ► Southold,New York 11971 x� CERTIFICATE OF OCCUPANCY No: 37120 Date: 8/29/2014 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 575 Ackerly Pd Ln, Southold, SCTM#: 473889 Sec/Block/Lot: 69.-5-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/9/2014 pursuant to which Building Permit No. 38895 dated 5/20/2014 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 The certificate is issued to Daly,David&Gonzalez,Benigno (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38895 07-03-2014 PLUMBERS CERTIFICATION DATED Auth ed gnature TOWN OF SOUTHOLD k& BUILDING DEPARTMENT TOWN CLERK'S OFFICE Ok 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#: 38895 Date: 5/20/2014 Permission is hereby granted to: Daly, David & Gonzalez, Benigno 366 W 11th St New York, NY 10014 To: Construction of an in-ground swimming pool as applied for. At premises located at: 575 Ackerly Pd Ln, Southold SCTM # 473889 Sec/Block/Lot# 69.-5-10 Pursuant to application dated 5/9/2014 and approved by the Building Inspector. To expire on 11/19/2015. 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. New Construction: Oldor Pre-existing Building: (check one) r J Location of Property: 5-715- / �GCt'�Y V u-r, rLa air- S House No. (� Street Hamlet Owner or Owners of Property: 0a0 Q� ()A(tel Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Ap ignatie o�*OF SO!/T�,OI � o Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.sox 1179 iQ roper.riche rt(D_town.southold.ny.us Southold,NY 11971-0959 �0 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Daly/Gonzales Address: 575 Ackerly Pond Ln City: Southold St: NY Zip: 11971 Building Permit#: 38895 Section: 69 Block: 5 Lot: 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Platinum East Electric Inc License No: 34091-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 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 FixturesTime Clocks 1 Disconnect Switches El Twist Lock El Exit Fixtures TVSS Other Equipment: in ground swimming pool to include, bonding, pool lights, pool heat pump, 2-GFCI circuit breakers Notes: Inspector Signature: Date: July 3 2014 81-Cert Electrical Compliance Form.xls i o��Of SOpl�ol TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROU PLUMBING [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING / STRAPPING [ ' FINAL 1� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: (15-041 DATE INSPECTOR 3 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROU LUMBING [ ] FOUNDATION 2ND [ ] I U [ ] FRAMING / STRAPPING [ FIN L [ ] FIREPLACE & CHIMNEY [ ] FIRE INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: C� I DATE INSPECTOR FIELD INSPE ONREI'nRT DATA COMMENTS L � � oC► FOUNDATION(1ST) S► CA V; FOUNDATION(2ND) z rA ROUGH FRAMING& PLUMBING N E INSULATION PER N.Y. STATE ENERGY CODE 7 f FINAL ADD Old' O m r�S SS d • 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.e S Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 120 Storm-Water Assessment Form N Contact: Approved U ,20 Mail to: Disapproved a/c Phone: Expiration 20 Spector APPLICATION FOR BUILDING PERMIT mAY — 9 2014 1 Date ,20 f INSTRUCTIONS "ViTws 5pp(ication MUST be ompletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans`aacl'tttA" e.Fee according to schedule. -- "Plofplan 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. (Signature of applicant or name,if a corporation) 13e)( i 9140 N y i/96 (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder �ooi dvdde., Name wrier of prem s PAV 11l A Z (Ad on the tax roll or latest deed) If applic itit is a co ra'o r e authorized officer (Nam rtle r er) Builders License No. 3-717q— Plumbers 7179—Plumbers License No. Electricians License No. Other Trade's License No. 1. Location land oil which pr--I pcork 11 be c ye: House Number Stree Hamlet County Tax Map No. 1000 Section Block -S Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work_/ k i.% > Sup%mrn SKS ua (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 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 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_ 366 it 51' A# -"3 14.Names of Owner of premises 0A V;G/ 044 Address_ NYID O'y Phone No. _q� 602' 333 Name of Architect Address Phone No Name of Contractor g-,h dot's Address She ,67 s Phone No. (3 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_,e,-' *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) SS: COUNTY OF/ YS-P`dk �� iCL►'Y'�i 1 t !� j?ter being duly sworn,deposes and says that(s)he is the applicant (Name of individual Bsigning contract)above named, (S)He is the pod v'I--1 e--R— (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performe said work and tom a and file this application; that all statements contained in this application are true to the best of his owledge and belief;and t t the work will performed in the manner set forth in the application filed therewith. Swots to before me this `�!� day of Yt4 20 /,,1'— Ncry Public 47 Signa pplicant DOROTHY S. OGAR Notary Public, State of New York No 52-8200218, Suffolk County Commission Expires August 31, o..15`-1 Scott A. Russell ST01UMIWA\'7C7EIK SUPERVISOR AMIA\NA�G�)E1��1[)EI��C' SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 ' � Town of Southold MAY 0 9 2014 "` CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS (PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑ B. Excavation or filling involving more than 200 cubic yards of material El//C'. ._,� within any parcel or any contiguous area. L ❑ N'C. Site preparation on slopes which exceed 10 feet vertical rise to �� 100 feet of horizontal distance. ❑Lid' D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑ E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. ......._.............. ........... ._....... If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (P o �rty ner,Design Prof sional,Aoent,Contractor,Other) S.C.T.M. #: 1OOO Date � . DistrictNAME: 1 P / S /(,/ �+�Z!I a Section Block Lot ! LSsnamrel .. .. ....... .._ ... FOR [BL-IL_ AN(", D1,PARTMENT USE ONLY"•* Contact Information: � / �y " 2-11 Telephone Number) — — — — — — — — — — — — — — — — — — Reviewed By: n 1 Property Address / Location Of Construction Work: — _ — — — — — — Date_ G* D Q ❑ Approved for processing Building Permit. Stormwater Management Control Plan Not Required. �t—Lf7 Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 APPLICANT: S.C.T.M. 1000 CHAPTER 236 (Property Owner,Design Professional,Agent,Contractor,Other) �,— bQ Ir 9"(W(W d� 10 Stormwater Management Control Plan CHECK LIST NA Section Block Lot z S M C P -Plan Requirements: Provide ONE copy of the Building Permit Application. Nkax Vrinl �,�y z Date: Zg L bio * The applicant must provide a Complete Explanation and/or Reason for not providing s a 777 6 `� f 1 all Information that has been Required by the following Checklist! Tekplw Number. 1. A Site Plan drawn to scale Not Less that 60'to the inch MUST If You answered No or NA to any Item, Please Provide Justification Here! show all of the following items: YE NO NA If you need additional room for explanations, Please Provide additional Paper. a. Location & Description of Property Boundaries b. Total Site Acreage. c. Existing - Natural & Man Made Features within 500 L.F. of the Site Boundary as required by§236-17(c)(2). d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. e. Limits of Clearing& Area of Proposed Land Disturbance. f. Existing & Proposed Contours of the Site (Minimum 2'Intervals) / y�✓ g. Location of'all existing& proposed structures, roads, driveways, sidewalks, drainage improvements & utilities. h. Spot Grades & Finish Floor Elevations for all existing& proposed structures. I. Location of proposed Swimming Pool and discharge ring. F-%7- j. Location of proposed Soil Stockpile Area(s). k. Location of proposed Construction Entrance/Staging Area(s). 1. Location of proposed concrete washout area(s). T ) rn. Location of all proposed erosion&sediment control measures. 2. Stormwater Management Control Plan must include Calculations showing 9-Tall Include but ,VL- be findILCU " that the stormwater improvements are sized to capture,store,and infiltrate A well 111dilltdined ConsTrual n Entrance, on-site the run-off from all impervious surfaces generated by a two(2 wre Wketl Silt Fencing,stafflilzation rainfall/storm event. Seedingo expose and/or Inactive soils. 3. Details&Sectional Drawings for stormwater practices are required for approval. FAINAGIE INSPELMONS ARE REQUIRED Items requiring details shall include but not be limited to: _ t!560 W01 e a. Erosion &Sediment Controls. b. Construction Entrance& Site Access. 155cmill,UR Provide c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.) that the drainage has been Installed to MO. d. Leachinq Structures (e. .infiltration basins,swales,etc.) 1-01 1.AGl' I..'E-tING EPAR- ; '1 SE ONLY *' 1 Additional Information is Required. Reviewed & Stormwater Management Control Plan is Not Complete. Approved By: - — — — — — — — — — — — — — — — — — — — — — — — - Stormwater Management Control Plan is Complete. Date: jr- 9 /D SMCP has been approved by the Engineering Department. SWCP Check List -TOS MAY 2014 *pF SOUIyO Town Hall Annex Telephone(631)765-1802 54375 Main Road ye ,m�ax(631)765(�2� P.O.Box 1179 • roger.richerttaQtownsou o .nV.us Southold,NY 11971-0959 BUILDING DEPARTMENT Towle OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: _ Company Name: nJv^-t res- yvc Name:_ - - 1 F License No.: 3 YO Gr Address: EvC�S "PLO Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: QAL,A /40VZA(C-11 *Address: S' 17'5' Iyl(VkL4 6)"o RIO *Cross Street: AAP(Jnr 2 p *Phone No.: 76 -9 y2g Permit No.: U : 38H Tax Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) ►d�L (Please Circle All That Apply) *Is job ready for inspection: Y NO ou in *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 82-Request for inspection Form G �, , AC4DRV02/' CERTIFICATE OF LIABILITY INSURANCE �"'� `26/2014 4 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. IMPORTANT: H the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certlfleate does not confer rights to the certl lcate holder In lieu of such endorsement(*). PRODUCER Phone: (631)29&4700 Fax: (631)298-3850 CONTACT RoyH Reeve Agency,Inc. NAME:____ _ _--___.._ ROY H REEVE AGENCY,INC. PHONE _ - C 631 2983850 Aro No ,: 631 298.4700 PO BOX 54 E-MAIL -1_-�_.- l ---- --- --------- Aro Nom-� -� 13400 MAIN ROAD ADDRES$___rnre@roymeve.Com MATTITUCK NY 11952 INSURER(S)AFFORDING COVERAGE NAIC S INSURER :National Fire Ins.Co.of Hartford 20478 INSURED _ BINDER POOLS,INC. INSURER :Rochdale Ins Co PO BOX 1960 INSURER C SHELTERISLAND NY 11964 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 51806 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 POLI IE .LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SU9R POLICY POLICY NUMBER MMMO EFF I P n LIMITS _ _ .ITR — — INSR WVl2 .__..___— A GENERAL LIABILITY 5084911313 09/25/13 09/25/14 EACH OCCURRENCE $ 1,000,000 O X COMMERCIAL GENERAL LIABILITY PRD EM.T(R o�,reno. _ $T 100,000 CLAIMS-MADE X]OCCUR MED.EXP(Any one person) $ 5,000 X Contractual Liability PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 _.. POLICY I--1_J T_ 1-1 LOC-- ------ - _ _.------- -- ---------- $-- - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea aocklenl) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED CHE UL BODILY INJURY(Per accident) $ AUTOS UTOS HIRED AUTOS NON-OWNED PROP —GDS— $ UTEaTv OS (pwacddeol) UMBRELLA I" OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ ------- --- -- - ---- ----------- —- we sTAn- - 0711 B WORKERS COMPENSATION RWC3305961 10/01113 10/01/14 TORY LIMITS ER AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE YIN E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMSER OCCLUDED? LL NIA E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory In NH) It yes,describe under E.L.DISEASE-POLICY LIMIT , $ 1000000 DESCRIPTION OF OPERATIONSlm _--__-_ -_--— — f DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,n more space is reclulred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 1179 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE lt�� Attention: Thomas A.Dickerson ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i SHEET 1 OF 2 SURVEY OF PROPERTY FOUND SITUATE AT CONC. MON. SOT T TOT D t �,7 1.1111 Ll./ UTILITY POLE #14 TOWN OF SOUTHOLD — gVERHE2WIRU_ SUFFOLK COUNTY, NEW YORK ACKERLY POND ROAD S.C. Tax N0. 1000-69-05-10 SCALE 1"=30' (BOWERY LANE) MARCH 4, 2006 E 66.00' EDGE of PAVEMENT APRIL 19, 2006 ADDED PROPOSED HOUSE N 85 35'00 AUGUST 26, 2006 FOUNDATION LOCATION SEPTEMBER 25, 2007 FINAL SURVEY OCTOBER 9, 2007 ADDED PROPOSED POOL MAY 20, 2012 UPDATE SURVEY OCTOBER 16, 2013 STAKE PROPERTY LINES STONE WALL cork. MON. qMARCH 17, 2014 ADD PROPOSED POOL CONC. MO / 227•t fir" APRIL 23, 2014 RELOCATED PROPOSED POOL II Y ELECTRIC Oy MER� � � DRAINAGE INSPECTIONS ARE REQUIRED Contact TOS Engineering at 765-1560 before AREA = 11,048 sq. ft. 0.254 ac. 34 N Backfill, OR Provide Engineer's Certification � ; �I that the drainage has been installed to Code. CERTII'IED To: DO DAVID DALY I I I � BENIGENO GONZALES $ GATE ,� PNC MORTGAGE EROSION&SEDIMENT CONTROLS FIDELITY NATIONAL TITLE INSURANCE COMAPANY I at a 30 0' Shall include but not be limited to: NOTE: v v ��I 3 N i W �o A well maintained Construction Entrance, 1. ZONING USE DISTRICT: AC (AGRICULTURAL CONSERVATION) Wire Backed Silt Fencing,stabilization & C Ay Seeding of exposed and/or inactive soils. I --16.7 / �g 4 t 1s.o• a� W WELL & SEPTIC SYSTEM TIE DISTANCES , b � COVER HOUSE CORNER"A" HOUSE CORNER"B" -HOUSE CORNER"C" HOUSE CORNER"D" SEPTIC TANK N sroNE OUTLET COVER 30' 33' I i 3 srEas 7.6• z o' CESSPOOL COVER 1 30' 25' I © n I o.1 PIRO 1 i1 Q X5.4 (6 Ip ENpPo L CESSPOOL COVER 2 45' 42' SLATE M T o z WELL 32.5' 68.5' APPROVAL OF STORMWATER MANAGEMENT 1 J' /�� Na / O 1 ~ t 1 I CONTR P N -T Code pt r 6 POR PRO � I W 1 W r I i R WITH THE MINIMUM Date:J 1 SU AS ESTABLISHED 6�� JFJE L. . R AND ADOPTED :J R\EOCFi RK STATE LAND U Apool Bq�YLL t w \� _ o of �'� o P fTIO O } =` = sroc'PI15� \ W o o APprov d bY: E AssoaA J 1 W 1 - r RA'NACE SYSTEM CALCULATIONS: PATIO AREA: 444 sq. ft. * 2 Z 1 a PRS ,y0 0 �� 444 sq. ft. X 0.17 = 76 cu. ft. I o 1 N AIN y o � 76 cu. ft. / 42.2 = 1.8 vertical ft. of 8' dia. leaching pool required 3 q PROVIDE (1) 8' dia. X 4' high STORM DRAIN POOLS j 1 O QQ PROP I G 3 yrs FOR PATIO AND POOL BACKWASH 0 1 0 OPIN - SILT PROPOSED 8' DIA. X 4' DEEP DRYWELLS FOR ROOF RUN—OFF ARE SHOWN THUS: fpr Z I M 1'ROp�R GING TO 1 II 7 a PROP POOL N LI TO PR oR To START oNG UNAUTHORIZED ALT A voUOR ODITION N.Y.S. Li c. No. 50467 TO THIS Y IS I SET N ONS - SECTION EDUCATION209 OF THE NEW YORK STATE a a a 1 FEN A 0 T72UCTION COPIES OF SURVEYOR'SIIS SURVEY M D NOT SEAL OR Nathan Taft Corwin III O35E2p"µY ST WSET OO TOSEAL SHALL NOT Land Surveyor BBE SA°VALID TRUE COPY. BE CONSIDERED STOCKADE O STAKE N FENCE CERTIFICATIONS INDICATED HEREON SHALL RUN X13,00"9' FENCE S ONLY TO THE PERSON FOR WHOM THE SURVEY 9.00. 3.p ITITLE COMPANY•AND GOVERNMENTAL AGENCY AND ON HIS BEHALF TO THE Successor To: StanleJoseph A. Ingegno L.S.L.S. LENDING INSTITUTION LISTED HEREON, AND �(A '"/F TO THE ASSIGNEES OF THE LENDING INSTI- Title Surveys - Subdivisions - Site Plans - Construction Layout DE CARLSpN TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fox (631)727-1727 THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF OFFICES LOCATED AT MAILING ADDRESS ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 —1 SHEET 2 OF 2 . DETAILS SURVEY OF PROPERTY SITUATE AT EXTRA STRENGTH FILTER FABRIC POST`(°P °° ° .; SOUTHOLD REO'D. WITHOUT WIRE MESH SUPPORT TOWN OF SOUTHOLD W/ WIRE SUPPORTPACING FENCE SUFFOLK COUNTY, NEW YORK 6' MAX. O.C. SPACING W/O WIRE SUPPORT FENCE Tj S.C. TAX NO. 1000-69-05-10 "; - NOT TO SCALE MARCH 4, 2006 FLOW APRIL 19, 2006 ADDED PROPOSED HOUSE • f� AUGUST 26, 2006 FOUNDATION LOCATION SEPTEMBER 25, 2007 FINAL SURVEY OCTOBER 9, 2007 ADDED PROPOSED POOL ATTACH FILTER FABRIC SECURELY MAY 20, 2012 UPDATE SURVEY TO UPSTREAM SIDE OF POST OCTOBER 16, 2013 STAKE PROPERTY LINES MARCH 17, 2014 ADD PROPOSED POOL APRIL 23, 2014 RELOCATED PROPOSED POOL SILT FENCE DETAILS NOT TO SCALE 50' MIN. OR TO BE SUFFICIENT TO r KEEP SEDIMENT ON SITE NOTES SILT FENCE SHALL BE PLACED PARALLEL TO SLOPE CONTOURS TO MAXIMIZE PONDING EFFICIENCY. INSPECT AND REPAIR SILT FENCE AFTER I HAY BALES AND/OR EACH STORM EVENT AND REMOVE SEDIMENT WHEN NECESSARY. REMOVED a SILT FENCING SEDIMENT SHALL BE DEPOSITED TO AN AREA THAT WILL NOT ALLOW a OFF-SITE TRANSPORT. o v I q 36" HIGH POLE (MAX.) lny STEEL OR WOOD POST FLOW HAY BALES 2"x2" STAKES I ��� N �— (TWO EACH BALE) Q FLOW COMPACTED GRADE BACKFILL DRAINAGE HAY StOPF INLET SILT FENCING EA�GAND/OR PLAN VIEW 4" X 6" TRENCH W/ COMPACTED BACKFILL BALES TO BE SET IN 4" TRENCH TRENCH DETAIL ELEVATION EXISTING GRADE (NOT TO SCALE) HAYBALE BARRIER ® INLETS ROAD (NOT TO SCALE) HAY BALES AND/OR SILT FENCING NOTES: CONSTRUCTION ENTRANCE BASE OF TO BE USED WHERE TOPSOIL IS NECESSARY FORCOMPACTED 3/4' STONE BLEND 1. AREA CHOSEN FOR STOCKPILING OPERATIONS OR N.Y.S. D.O.T. APPROVED R.CA REGRADING & VEGETATING DISTURBED AREAS. SHALL BE DRY AND STABLE. FILL TO 18' MIN. ABOVE EXISTING TEMPORARY STOCKPILE STABILIZATION MEASURES INCLUDEGRADE To ALLOW FOR DRAINAGE VEGETATIVE COVER, MULCH, NONVEGETATIVE COVER, AND 2. MAXIMUM SLOPE OF STOCKPILE SHALL BE 2:1. PERIPHERAL SEDIMENT TRAPPING BARRIERS. THE 3. UPON COMPLETION SOIL STOCKPILING, EACH CROSS SECTION PILE SHALL BE SURROUNDED WITH EITHER SILT TYPICAL STORMWATER UNIT STABILIZATION MEASURES) SELECTED SHOULD BE FENCING OR STRAW BALES, THEN STABILIZED WITH (TOPS TO BE TRAFFIC BEARING) APPROPRIATE FOR THE TIME OF YEAR, SITE CONDITIONS, VEGETATION OR COVERED. TEMP ENTRANCE AND REQUIRED PERIOD OF USE. 2 (NOT TO SCALE) SLOPE OR LESS CAST IRON INLET FRAME & COVER (FLOCKHART #63518 TYPE 6840) / C 1 FINISHED GRADE OR 6" THICK REINFORCED CONC. COVER STABILIZE ENTIRE PILE 1 D- * ,� WITH VEGETATION OR COVER 8" TRAFFIC BEARING SLAB w 4- v y 1 2 Z PIPE FROM ROOF GUTTERS y ' �Y 4, CRUSHED 3/4" - 1-1/2' STONE _+��,,,., 0- v w 4 � ALL AROUND ~�b t N.Y.S. Lic. No. 50467 LEACHING RINGS y.� .y' �• ys 41 1.11 3_0- REINFO CED1 PREC28AST CONC. 3'-0' Nathant Corwin III 4- Land Surveyor o� N E Successor To: Stanley J. Isaksen, Jr. L.S. Joseph A. Ingegno L.S. STRAW BALES OR SILT FENCE GROUND WATER Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fox (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS SOIL STOCKPILE (NOT TO SCALE) 1586 Main Road P.O. Box 16 Jcmesport, New York 11947 JamesporNew York 11947 SHEET 1 OF 2 SURVEY OF PROPERTY SITUATE AT FOUND CONG. MON. SOUTHOLD UTILITY POLE X14 TOWN OF SOUTHOLD _ Qv_ERHE6_Q-WIRES SUFFOLK COUNTY, NEW YORK ACKERLY POND ROAD S.C. TAX No. 1000-69-05-10 SCALE 1"=30' (BOWERY LANE) MARCH 4, 2006 E 66.00' EDGE OF PAVEMENT APRIL 19, 2006 ADDED PROPOSED HOUSE I.J 85,35'���, AUGUST 26, 2006 FOUNDATION LOCATION SEPTEMBER 25, 2007 FINAL SURVEY OCTOBER 9, 2007 ADDED PROPOSED POOL i MAY 20, 2012 UPDATE SURVEY i OCTOBER 16, 2013 STAKE PROPERTY LINES STONE WALL CONC. MON. MARCH 17, 2014 ADD PROPOSED POOL CONC. MO 227'f APRIL 23, 2014 RELOCATED PROPOSED POOL / 1 1 w ELECTRIC 0 I I Y ETER~1 N AREA = 11,048 sq. ft. 0.254 ac. I 1 3 �1 ow rt N7 I NI OaZ 0 -I 3� N � CERTIFIED T0: 3 DAVID DALY 74BENIGENO GONZALES I I I GATE PNC MORTGAGE 2 3 1 i s p FIDELITY NATIONAL TITLE INSURANCE COMAPANY of a z i >z 30.0 'r, NOTE: OV V of 5 Z I A-4o �� � 1 $ O 1. ZONING USE DISTRICT: AC (AGRICULTURAL CONSERVATION) I1 / cl-S O= W 14 N W 1✓ _ 16-' 150, �2 WELL & SEPTIC SYSTEM TIE DISTANCES © / 3 I9z I o U/ COVER HOUSE CORNER"A" HOUSE CORNER"8" HOUSE CORNER"C" HOUSE CORNER"D" 0 1 wY SEPTIC TANK I 30' 33'OUTLET COVER Sir v o STEP s CESSPOOL COVER 1 30' 25' � II a © 2.01, to." PROP O I 5.4 16 FG2UIpMEED POOL CESSPOOL COVER 2 45' 42' 1 I 3 SLATE NT _z Y WELL 32.5' 68.5' I w I J o Z o Q u z� u I 1 1 v o `0 1 —� — �O pROp w 11 W P WI HE INIMUM STABLISHED R p0 DRY a- 61 \ L � Y AN OPTED O W � AND pA B``GKI ASL w S SOIL —� a pj TI IAT s LAND Io R!/ OSF I TOGKp18E rZ �y L1 DRAINAGE SYSTEM CALCULATIONS: W 1 3 ,\ N PATIO AREA: 444 sq. ft. y0 0 y 444 sq. ft. X 0.17 = 76 cu. ft. z Z I O I O I N A/N y3 � 76 cu. ft. / 42.2 = 1.8 vertical ft. of 8' dia. eachmg pool required !h 1 Q �Oq PROVIDE (1) 8' dia. X 4' high STORM DRAIN POOLS 'I I o Q pRop I 3 �� FOR PATIO AND POOL BACKWASH ao 2 GOP/N SIFT F PROPOSED 8' DIA. X 4' DEEP DRYWELLS FOR ROOF RUN—OFF ARE SHOWN THUS: ti I Q O 1'ROp�R GING N.Y.S. Lic. No. 50467 ZII 7Q p1�Op, N Tl �IN�1'RIO>2 To STAR ALONG SOECT ON052E0 OF STA V10 ATOpRKDsrOaTE S� N Op EDUCATION LAW. Nathan Taft Corwin III CONSTRUCTION COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor F UJ THE LAND SURVEYOR'S INKED SEAL OR - I 0.3'. S EMBOSSED VALID TRUE COPY. BE CONSIDERED Y SZ.0' ST WODDBE N W OCKADE FENCE STAKE CERTIFICATIONS INDICATED HEREON SHALL RUN 79. ONLY TO THE PERSON FOR WHOM THE SURVEY �Q�" FENCE 3O' IS PREPARED,AND ON HIS BEHALF TO THE Successor To: Stanley J. Isoksen, Jr. L.S. 49,0p, S TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S. C• TONTHE ASSIGNEES INSTITUTIONHEREON, STED THE LENDING INSTII— Title Surveys — Subdivisions — Site Plans — Construction Layout DUDE C4RLS0Ar TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fox (631)727-1727 THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF OFFICES LOCATED AT MAILING ADDRESS ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 SHEET 2 OF 2 DETAILS SURVEY OF PROPERTY SITUATE AT STEEL 0 EXTRA STRENGTH FILTER FABRIC POST ( F00D WOODSOUTHOLD REO'D. WITHOUT WIRE MESH SUPPORT TOWN OF S O U T H O L D W/ WIACING RE SUPPORTFENCESUFFOLK COUNTY, NEW YORK 6' MAX. O.C. SPACING W/0 WIRE SUPPORT FENCE _ S.C. TAX NO. 1000-69-05-10 ,may— NOT TO SCALE FLOW MARCH 4, 2006 APRIL 19, 2006 ADDED PROPOSED HOUSE AUGUST 26, 2006 FOUNDATION LOCATION SEPTEMBER 25, 2007 FINAL SURVEY OCTOBER 9, 2007 ADDED PROPOSED POOL ATTACH FILTER FABRIC SECURELY MAY 20, 2012 UPDATE SURVEY TO UPSTREAM SIDE OF POST OCTOBER 16, 2013 STAKE PROPERTY LINES MARCH 17, 2014 ADD PROPOSED POOL j APRIL 23, 2014 RELOCATED PROPOSED POOL \� SILT FENCE DETAILS NOT TO SCALE 50' MIN. OR TO BE SUFFICIENT TO KEEP SEDIMENT ON SITE NOTES: SILT FENCE SHALL BE PLACED PARALLEL TO SLOPE CONTOURS TO MAXIMIZE PONDING EFFICIENCY. INSPECT AND REPAIR SILT FENCE AFTER HAY BALES AND/OR EACH STORM EVENT AND REMOVE SEDIMENT WHEN NECESSARY. REMOVED < SILT FENCING SEDIMENT SHALL BE DEPOSITED TO AN AREA THAT WILL NOT ALLOW a OFF—SITE TRANSPORT. 0 � I v 36" HIGH POLE (MAX.) 0 011 STEEL OR WOOD POST z a ------------------ m FLOW HAY BALES 2"x2" STAKES 0 hc o (TWO EACH BALE) 2 FLOW COMPACTED GRADE BACKFILL S� DRAINAGE HAY BALES AND/OR � OPf INLET SILT FENCING PLAN VIEW 4" X 6" TRENCH W/ COMPACTED �\ BACKFILL BALES TO BE SET IN 4" TRENCH TRENCH DETAIL ELEVATION EXISTING GRADE (NOT TO SCALE) HAYBALE BARRIER ® INLETS ROAD (NOT TO SCALE) HAY BALES AND/OR SILT FENCING NOTES: CONSTRUCTION ENTRANCE BASE OF TO BE USED WHERE TOPSOIL IS NECESSARY FOR 1. AREA CHOSEN FOR STOCKPILING OPERATIONS COMPACTED 3/4" STONE BLEND REGRADING & VEGETATING DISTURBED AREAS. OR N.Y.S. D.O.T. APPROVED R.C.A. SHALL BE DRY AND STABLE. FILL TO 18" MIN. ABOVE EXISTING TEMPORARY STOCKPILE STABILIZATION MEASURES INCLUDE 2. MAXIMUM SLOPE OF STOCKPILE SHALL BE 2:1. GRADE TO ALLOW FOR DRAINAGE VEGETATIVE COVER, MULCH, NONVEGETATIVE COVER, AND 3. UPON COMPLETION OF SOIL STOCKPILING, EACH CROSS SECTION PERIPHERAL SEDIMENT TRAPPING BARRIERS. THE PILE SHALL BE SURROUNDED WITH EITHER SILT TYPICAL STORMWATER UNIT STABILIZATION MEASURE(S) SELECTED SHOULD BE FENCING OR STRAW BALES, THEN STABILIZED WITH (TOPS TO BE TRAFFIC BEARING) APPROPRIATE FOR THE TIME OF YEAR, SITE CONDITIONS, VEGETATION OR COVERED. TEMP ENTRANCE AND REQUIRED PERIOD OF USE. 2 (NOT TO SCALE) g lw� SLOPE OR LESS CAST IRON INLET FRAME & COVER (FLOCKHART #63518 TYPE 6840) STABILIZE ENTIRE PILE n 1 FINISHED GRADE _0„ OR 6" THICK REINFORCED CONC. COVER "r 1. * �� 0r WITH VEGETATION OR COVER 8" TRAFFIC BEARING SLAB 7- A K. PIPE FROM ROOF GUTTERS -d CRUSHED 3/4" - 1-1/2" STONE ,L(�` F bsALL AROUND N.Y.S. Lic. No. 50467 " a LEACHING RINGS REINFORCED PRECAST CONC. Nathan Taft Corwin iii 3'-0" 4000 PSI ® 28 DAYS T3'- 4.. (min.) . Land Surveyor o� E Successor To: Stanley J. Isaksen, Jr. L.S. Joseph A. Ingegno L.S. STRAW BALES OR SILT FENCE GROUND WATER Y y Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 SOIL STOCKPILE OFFICES LOCATED AT MAILING ADDRESS (NOT TO SCALE) 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 •' '• � • ,��z ,�.�u F�ityy�s�'r�w""tl7��F��i�`f r{ �*, r ✓vv �, �`.%+F/ • 1` .• � � �� \r�' , �-Jy S#�f e�" nSs'�hj;''^ss L".�I�. d d r3 •^i � � � q :f � � C�, 4{(,r4 � �" rte;. 1131 1 OT, •,' M�S�1!y�� �l �� Y i'�1 rJrr, 7/Irl/ / %t ♦ /�„r� is .:r/ � ' •` • ` �},S rf3�.-.�s-rf�?.i`GL!�`�+�ia��Fn,��/��• %'�•%i`�rI♦jiii:/ sa 1 �E'iar'1� (-c � ` 1 a k1Y7 +�tr,�f3s•M r� I kn y' /�'./ � ill/�j"'j ♦/l i It+'`l� 760 r� os iM 160 t js��7�F v�f�.itc ��./�1%/����, '�j.•�-47 r,'er' .i��� 1. INA015. f//i�/♦�' Powo" 01 s • •17 T.P.t'.irr"Cx'�5� �ii�?.c r,r S tr t'� _N �� �r�-tc 3��'1.��.. .49.1 woi=d-- SRI . s.