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HomeMy WebLinkAbout41841-Z s FF �'ft�� Town of Southold 11/3/2017 P.O.Box 1179 0 53095 Main Rd p'l�jQ� ap` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39328 Date: 11/3/2017 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 4800 Nassau Point Rd., Cutchogue SCTM#: 473889 Sec/Block/Lot: 111.-842.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/21/2017 pursuant to which Building Permit No. 41841 dated 7/27/2017 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 Farrand,Kathryn of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41841 10-03-2017 PLUMBERS CERTIFICATION DATED ed Signature �SUFFnc�� TOWN OF SOUTHOLD moo any BUILDING DEPARTMENT TOWN CLERK'S OFFICE y 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#: 41841 Date: 7/27/2017 Permission is hereby granted to: Farrand, Kathryn 47 Shoreham Rd Massepequa, NY 117587229 To: remove existing swimming pool and construct new in-ground swimming pool as applied for. At premises located at: 4800 Nassau Point Rd., Cutchogue SCTM # 473889 Sec/Block/Lot# 111.-8-12.1 Pursuant to application dated 7/21/2017 and approved by the Building Inspector. To expire on 1/26/2019. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 B ector 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 I%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* Old or Pre-existing Building. (check one) Location ofProperty:,ACM %VNA 'R cu8c lo�j�� House No �^Street amlet Owner or Owners of Property. ���� rtc� 1�tO�rtcy Suffolk County Tax Map No 1000,Section Block Lot Subdivision Filed Map Lot Permit No. � Al Date of Permit Applicant: Health Dept. Approval. Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 5_6 4' Appl cant Signature pF S011l�®� Town Hall Annex Telephone(631)765-1802 54375 Main Road CA S Fax(631)765-9502 P.O.Box 1179 ;lc*,* aQ roger.richert(aD-town.southoId.ny.us Southold,NY 11971-0959 couff N' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Farrand Address: 4800 Nassau Point Road city:Cutchogue st: New York zip: 11935 Building Permit* 41841 Section. 111 Block: 8 Lot: 12.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: . DBA: Hildebrandt Electric License No: 38496-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool 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 A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1 Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: Inground Swimming Pool to Include: Bonding, Control Panel, Salt Generator, Heat Pump, Pool Lights, 1- GFCI Circuit Breaker. Notes: Inspector Signature: Date: October 3, 2017 0-Cert Electrical Compliance Form.xls SOpT�ol � o • �y�OUNiV,�� TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] I SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: VV U VIA DATE °� INSPECTOR pE SOUTyolo �ycou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION- FOUNDATION 1ST [ ] ROUGH PLRG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL ( ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION- [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) REMARKS: DATE 12 INSPECTOR, FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) ------------------------------------ V C FOUNDATION (2ND) z 0 ROUGH FRAMING& C� PLUMBING y o 3` r INSULATION PER N.Y. STATE ENERGY CODE ff R 4 I /-I h " (D 4� iG FINAL ADDITIONAL COMMENTS 3-1 10� iG C 05 63 - x r� y - x e b y 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)765-9502 , f P SurvePlanning Board approval FAX: 631 765-9502 (,-lrl Surve Southoldtownny.gov NO. Check I : i Septic Form g (� lJ v� NX S.D.E.0 BB Trustees C 0.Application Flood Perrmt Examined JUL 2 1 2017 Single&Separate Truss Identification Form BUHiOrNG DIEM Storm-Water Assessment Form Ti'4 N Off'S€ U 1 HOT Contact: I.,- � � A Approved 20-N 0 co-,l a'1�Iairm— —3 Pr 1�� I�'l a l� -`� Disapproved a/c l p� Phone: Expiration 0-14 kBuilding Inspector APPL ION FOR BUILDING PERMIT Date C?� 20 11 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 A. ®y authorized inspectors on premises and in building for necessary inspections. •n N " r (Signature 61f apph ant or name,if a orporation) (Mailing address of applicant) - /17(64 State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises (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 No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Loc tion of land on which propose work will be-done; u e\Z-s� amt C�-�tr,e j�, ►may 1t�13s House Number Street Hamlet County Tax Map No. 1000 Section 1 Block 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 lx\— Girt .3'',a\ CE_'L 3. Nature of work(check which applicable):New Builhi Additionm Alteration Repair Removal Demol,iti Other Work r'7; 3 t; Lj (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 Dimensioris 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 14.Names of Owner of premises Address 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 *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) O SS. r• c ev COUNTY OFr&Q1 k� M W00 T' 1( '�Cl(rc–1'L being duly sworn,deposes and says that(s)he is the applicant ®s® � (Name of indivi ual signing contract)above na M w CO F2 (S)He is the (Contractor,Agent,Corporate Officer,etc X ) ®� W of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application, QaZC that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be � Q •yD performed in the manner set forth in the application filed therewith. Sworn to before me this rt —�7_6_ day of U_U,yl)'P 20 j -7 �l Notary Public Stgn r of Applicant Scott A. Russell , �° � � STO]KI��J WA\' IER SUPISAVISOR ( � l��l[A\lam A\G]EM)ENT SOUTHOLD TOWN FALL-P.O.Box 1179 v 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT ) i DOLES THIS PROJECT INVOLVE ANI Y OF THE liOLLOAVWG: � Yes 'No (CHECK ALL THAT APPLY); III i ❑( 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 within any parcel or any contiguous area, ❑® C'. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. 31j E][R] D. Site preparation within 100 feet of wetlands, beach, bluff or coastal ' erosion hazard area. �! ❑ D E. Site preparation within the one-hundred-year floodplain as depicted I 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. !1 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. 3 APPLICANT Aopetty O��tmier Design Ptofesetonal,Agent,Contractor.Other!i, S.C.T.M. : 1000 Date ' District t �a(00,6 -� e III 2 la'I `7- 1 - i NAME: ( Section Block Lot FOR BUILDING DEPAR`"MENT USE-ONLY C1 Contact lnformatiotr Iy �` � t I Rrhhcx.,vmbcrl ( i i I I — — — — — — — — — — — — — — — i Reviewed By: �— Date: Property Address/Location of Construction Work i ( — — — — — — _ — — — — — — — — — Appro,ed for processing Building Permit. I 07�1� 2 — — Stormti�rater 1Vlanagement Control Plan Not Required. I em Stoimwater Management Control Plan is Required. i II j�) ❑ (Forward to Engineering Department for Review.) - - tl FORM # SMCP-TOS MAY 2014 L Town Hall Annex J Telephone(631)765-1802 i 54375 Main Road cn (631)765- 5 P.O.Box 1179 G Q roger.richert own.soutfiiOld.n)tus Southold,NX 11971-0959 BUa DING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: t - �'J3111 � Company Name: c Name: u✓ �,,� Imo- No-a- License No.: Address: S 7> &wo RAyv?E«+ RD . s-ovroo!-M fl. b119'7 1I Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: ?.,, t K rt#+ix; w r w�oo tic_ FA-"AWA *Address: V,010 n!6-SSA-u (LO. C_v'i'C/Uay-Cz *Cross Street: it *Phone No.: S14 Cl _ I 1�V { Permit No.: - y t g L{ 'I Tax-Map District: 1000 Section:��� Block: _ Lot: r *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YES/ NO Rough In Final *Do"you need a Temp Certificate: YES/ NO Temp Information(if needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other I *New Service: Re-connect Underground Number of Meters Change of Service Overhead ' Additional Information: PAYMENT DUE WITH APPLICATION I - 82-Request for inspection Form � � i r r 1 a # l 3 _ + + ll lip- so p ' ..• R 46 r ` . NL ti N M -- E. s Rf_ ea 4` p� R Y t - ql pl Jf or xr � � �y ,r •` . is Aral, of i� fa rk .� ru T q A . a 4 16 T�l � - .�■x. a■+�. R :�a IIAEr.:' � �r�wW :■per r +■*r, -.■.s .,,No 1 yp� �+..■.rr■�.r.w..� ., � � � .ice ■,_ , i M k: y ssa W � r r r� • r � a r �ry r x- C 4 Y R a f.r fh J' ■ IG ■ c, a"r; � r s � _ y s.. T 4 . i1 4 • y • .8M .. _Ih y Vp i Y g '= tttwww .. e s �1 r w "A rte. • �,� � y: I r ey s g� i r •' wr hAw 4; • M � i W AL. �y1 -T- q„ . e � F � t i Ali Client#:1095 SWIMP002 DATE(MWDD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 6/29/2017 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:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT -NAME: Southampton CommercialPHONE 631 324-1440 F (AlC No Ext: A/C,No• Cook Maran&Associates E-MAIL ADDRESS: 300 Hampton Road INSURER(S)AFFORDING COVERAGE NAIC ti Southampton,NY 11968 INSURER A National Fire Ins.Co of Hartfo 20478 INSURED INSURER B:Merchants Mutual Ins.Co. 23329 SwimTech Pool Services,Inc. INSURER C 467 Miller Place Rd INSURER D•• Miller Place,NY 11764 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 CONTRACTOR 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 INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY 5099324804 2/01/2017 02/01/2018 pEAACCHp�,OCTCURppRENCE $110001000 CLAIMS-MADE a OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 M'OTHER: L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 PRO- PRODUCTS-COMP/OPAGG $2,000,000 POLICY JECTPRO- LOC $ B AUTOMOBILE LIABILITY CAP1060260 3/10/2016 03/10/201 MB NED EOa aco den,SINGLE LIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS OERTY X HIRED AUTOS X AUTOSWNED PerraccidentDAMAGE $ $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N A UTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? H N/A (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ II yes,describe under; DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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 PO BOX 1179 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S815382/M741751 MSCHW New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE R1 R1 ^^^^^^ 112855800 SWIM TECH POOL SERVICES,INC 467 MILLER PLACE ROAD MILLER PLACE NY 11764 ■ Scan to Validate POLICYHOLDER CERTIFICATE HOLDER SWIM TECH POOL SERVICES, INC TOWN OF SOUTHOLD 467 MILLER PLACE ROAD P.O. BOX 1179 MILLER PLACE NY 11764 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12406522-9 595794 12/31/2016 TO 12/19/2017 6/29/2017 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2406 522-9, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://VVM.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER.597069844 U-26.3 ] i I • I APPROVED AS NOTQd� DATE: B.P.# O Z� FEE: s )b gY: RETAIN STORM WATER RUNOFF NOTIFY BUILDING DEPART AT PURSUANT TO CHAPTER 236 765-1802 8-AM TO 4 PM FOR THE OF THE TOWN CODE. FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - :,,7!ON MUST T•_ .1F- 38 BE COMPL�li_ ,C.. , C.O. ALL CONSTRUCT!-')I-.i SHALL MEET THE ENCLQSE- 001-30 CODE REQUIREMEN 1 S OF THE CODES OF NEW 1UPON FOMPLE710N' YORK STATE. NOT RESPONSIBLE FOR BEFORE,VATEFI,,': DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF ELECTRICAL NEW YORK STATE & TOWN CODES INSPECTION REQUIRED AS REQUIRED AND CONDITIONS OF D , S N.Y.S.DEC OCCUPANCY OR USE IS, UNLAWFUL WITHOUT,CE RTI F I CAT I. 'OF-OCQUPANCY GENERAL NOTES 1.Install pool in accordance with approved site plan,local zoning and construction Z codes,2015 International Code with the NYS 2016 Uniform Code Supplement,2015 f ILrCC and 2016 Supplement to the NYS Energy Conservation Construction Code. �QP� W Z Q 2,Locate patio,pool,pool equipment and fencing as specified on approved plot plan. `" Install all products in strict conformance with manufacturer's instructions All warning POOL DECK QQ`'�� Z <D iv labels to be permanently affixed & 2 BOLT WITH NUT i- i z 3.Install pool in free draining subgrade. Backfill with clean select granular fill. / I & 2 WASHERS U _ / } Q O_' C U 4.Water treatment plant to conform to the following minimum specification Pump to MIN 6"THICK W PER JOINT R14 GA � x� w ago o / CONCRETE COLLAR /\\//.� WALL - STEEL 14 GA W ¢m rn© o tum 1 volume in 18 hours Filter to pass no more than5gpm/sf 1 skimmer I REO'D AT BASE OF o W/2oz (G235) 5.Provide potable water supply in pool area i T- — i WALL PANELS ; •: j\\j\\ GALVANIZING = i ' / I DRIVE RODS THROUGH //\// %"x2Y" BOLT Z o 6.Provide dedicated electric circuits of capacity sufficient to service water treatmentI ///j W NUT m HOLES IN PANELS 10" /\/ / plant All electric in pool area to be protected by ground fault interrupt Install all INTO UNDISTURBED electric in accordance with the N E C&local requirements There shall be no o verhead I EARTH j\\j� REINF Q m electric lines within 10'of the pool 2" SAND OR VERM. //\// \//\/ ROD 7.Slope deck a"per foot away from pool All concrete to be 3,500 psi,5-7%air CONC. DIVE I I I((/F CONC entrained unless otherwise noted. PLATFORM UNDISTURBED EARTH JFSUPPORT$,Install a tem ora 4'hi h construction battler about the ool Burin its installation 4'Wx8'Lx6"D SUPPORT MAY BE pry g p g I I I BRACEBOLTED TO THE ANCLEBACKFILL SHALL BE FREE-DRAINING CLEAR PPORT IN ANY OF THE $ J Maintain such barrier until a permanent barrier is in place. I GRANULAR MATERIAL SUCH AS SAND, TRACE �E 9.Install erosion controls prior to the start of construction as required and specified I CLAY OR TRACE SILT PRE-PUNCHED HOLES ? }1) 0 hereon.Maintain such controls during construction I TYPICAL LINER INSTALLATION DETAIL TYPICAL WALL BRACE ASSEMBLY \r ,' p0 10.The permanent barrier about the pool area shall comply with local ordinance,the Residential Code of NYS Part X,Appendix G-Swimming Pools,Spas and Hot Tubs L %%i" BOLT W/NUT& CONCRETE DECK REO'D w Section 105 3 and conform to the following minimum specifications _ I 2 WASHERS CORNER BRACKET a The top of the barrier shall be at least 48 inches(1219 mm)above grade measured I (TYP 1a EA CORNER) U ¢ z \ — X12-14x1"SELF DRILLING —RIM-LOCK COPING 0 on the side of the barrier which faces away from the swimming pool The maximum FASTENER (18"0 CEXTRUDED ALUMINUM _J 0 w \ I ) � _ � vertical clearance between grade and the bottom of the barrier shall be 2 inches(51 ? `z mm)measured on the side of the barrier which faces away from the swimming pool VINYL LINER HUNG Z w CO Z \ PLASTIC CORNER ( ) X— w Where the top of the pool structure is above grade,such as an aboveground pool,the a 3 INSERT barrier may be at ground level,such as the pool structure,or mounted on top of the �//o; {Tom- NP',,,, Z!-,, o RADIUS CORNER V y� pool structure Where the barrier is mounted on top of the pool structure,the COPING POOL WALL PAr�E maximum vertical clearance between the top of the pool structure and the bottom of 45'-3" N/ � TYPICAL CORNER DETAIL, RIM-LOCK COPING DETAIL the barrier shall be 4 inches POOL PLAN cF b Openings in the barrier shall not allow passage of a 4-inch-diameter(102 mm) }a I ) a sphere �l ^( b D cf c Solid barriers which do not have openings,such as a masonry or stone wall,shall not contain indentations or protrusions except for-normal construction tolerances and 2 WA L L DETAILS tooled mason omts ��1'-6�7'-6��G'—^1 d Maximum mesh size for chain link fences shall be a 2 25-inch(57 mm)squareW A B C D E f 7- O Ct�o unless the fence is provided with slats fastened at the top or the bottom which reduce A- SCALE: NONE �,.� 3 r� �C� the openings to not more than 1 75 inches(44 mm). n: o\. a e Gates in the barrier shall be self closing,self latching and be secured with a key or �� o combination lock or other approved child proof mechanism Pedestrian gates shall open away from the pool Where the self latching mechanism is less than 54 inches HEIGHT OF WATER °y:o 0 o o z m w above the bottom of the gate the latching mechanism shall be on the pool side of the v o mZ wa o o Z> Z o " Z ao Z.,z --Z wbarrier and the gate and barrier shall have no opening greater than 1z'within 18"of the x <a :2 s 0 latch and its release mechanism <w o <^o N a I f The permanent barrier shall be erected and functional no later than 90 days after the -� z w Z m w �_ $Z N completion of the pool. o <69< o z o o a w 1 1.Where the design uses a wall of the dwelling as a part of the permanent pool a o= Z w 3 o w o w a U w r w barrier installer shall provide one of the following access control measures I o 0 o w w�o o o o a The pool shall be equipped with a powered safe cover m compliance with ASTM 5~_�? `�w Z o w x o z PP safety P PUMP WITH TIMER SQ225 HEAT PUMP WITH TIMER Zo�5Z3 'z�z2c`-'i oa�o F1346,orSWITCH PROVIDE THERMAL oanw5 as»a UEwU SWITCH b All doors with direct access to the pool through that wall shall be equipped with anFILTER POOL COVER. alarm which produces an audible warning when the door and its screen,if present,are 4'-0" 7'-0" 14'-0" 20'-3" opened The alarm shall sound continuously for a minimum of 30 seconds CHLORINE (SALT) GENERATOR immediately after the door is opened and be capable of being heard throughout the RETURN JET SKIMMER U house during normal household activities. The alarm shall automatically reset under all WASTE _I W ,n conditions The alarm system shall be equipped with a manual means,such as touch t= O U rn f—I pad or switch,to temporarily deactivate the alarm for a single opening Such LATERAL SECTION THROUGH POOL deactivation shall last for not more than 15 seconds The deactivation switch(es)shall O ZZ N z be located at least 54 inches(1372 mm)above the threshold of the door,or =------------- a W U w \ _ w c Other means of protection,such as self-closing doors with self-latching devices, �� AFFIX TAG 2"0 SCH40 0 Q D .-4 � g which are approved by the governing body,shall be acceptable so long as the degree of POOL D E TA I L� PVC, TYP. — 0 protection afforded is not less than the protection afforded by Items 4 a or 4 b STATING "MAIN rn v U described above. A qDRAIN" �/J Z J 12.Install all suction fittings in accordance with New York Residential Code A_ I SCALE: 1/8" = V-0" 0W U r--a Appendix G,"Swimming Pools,Spas and Hot Tubs",section G106,"Entrapment C. aCD 0 O Protection for Swimming Pool and Spa Suction Outlets" 18X23 BOTTOM 3'-O" 0 0 < a A minimum oft suction outlets shall be provided for the main drain line and be DRAIN, TYP, OF 2— z ~ separated by a minimum distance of 3 feet Each suction outlet shall be equipped with W p 1 v a cover conforming to ANSI/ASME A 112.19 8 or have a minimum projected J a- a dimension of 18"by 23" Dual suction outlet covers shall be Hayward WG series or ¢ Z ¢ W 23ua1 where the minimum projected dimension of the suction outlet is less than 18"by 3 WATER TREATMENT Lu -' Q b Pool cleaner fittings,if provided,shall be located in an accessible area and be (n O o located between 6 and 12 inches below the minimum operational water level or be an SCALE: NONE Z v C attachment to a surface skimmer c No suction outlet shall be situated on any seating area or the backrest for such seating area i z � ~ N ` DIVING BOARD NOTES w z Q w N 1.Install in accordance with local ordinance,approved site plan and Res>dentialZ a 0 z Code of New York State Part X,Appendix G-Swimming Pools,Spas and Hot Tubs I z 8' LONG DIVE BOARD = w j�N z (2010). CS a 5/8" PER FT MAX W < m U 0 z" s" 2 Locate dive board m strict conformance with manufacturer's instructions All 6 W zD" MAX warning labels to be permanently affixed. - z lo" a'-z" — 3'-4" I'-s" = 3 Maintain a minimum of 13'overhead clearance above drying profile. Diving zEL a' a" 8' z'-1D" profile to be clear ofall intrusions. m ALU `r J LL SRSMITH BOARD LAYOUT a 12' SCALE: 1/4" = 1'-0" - "� \, o TYPE II DIVE PROFILE a N o W J = E co z A W`— < -� W ¢ 3 ¢ I� Qo+V o m W U Q LL 0 { a 5 , I� TO c _ 0a� 0 B 1zzw PLAN VIEW ¢Q� w�0 �U Z Q U w O 8 Q O O Z W w �12•� Z.Rz c�zN 3 z-ma 0mo0 8252 z¢o' yfl C (.�C o�ao �'aaw"' moz? �,-6n I 7'-6" V'—On w7N0 O}��N 0 � C �UZj F-mUy2 U F W A B C D E Q�W OZOO �Q�Q �> J O WK W V 0 Q O a U w 0wa Z, wo07--0" 6'-9" ooaM� do z <0J0 iC ZOW ZOoZUw�U OQrMmOz OQ,. Q 2 OJQ UfW W0— U C1, 8 �1 _ O N O LLJto to N 0 D Z } ver UJL a� Z ui U 'ii LATERAL SECTION VIEW Z o a DIVE PROFILE TRANSVERSE SECTIONS Z ~ W 0 LU � (� o O a DIVE PROFILE TRANVERSE SECTIONS Z z a 0 Ld SCALE: 1/8" = 1'-0" — SCALE. 1/8" = 1'-0" J W11- U g J Z ¢ N n U F— H W co �y--y Z C/) 0 SURVEY OF PROPERTY AT NASSAU POINT TOWN OF SO UTHOLD SUFFOLK COUNTY, N Y. 1000-111-08-12.1 SCA LE. 1'=30' JANUARY 12, 2012 JUNE 15, 2012 (PROPOSED SEP77C SYSTEM) NOVEMBER 2, 2012 (PROPOSED ADD/770NS) NOVEMBER 8, 2012 (REVISED PROPOSED PORCH) A",M 04-19- 01 MA Y 7, 2014 (FINAL SURVEY) 0 01 APRIL 19, 2017 'X X--��� �9d G oil, F P o \ s z 0 c A L/1 G 00 ?01?�/ o ASPHALT DW � � r- �'g iOGS Q 29.3 gA1 C0 �" N wP�R �- d. '' G EV 2•pp°TAaLE) Z ./ POLE o -n � ��'� ��v �• �lmn � d� � ✓ PO 130'k-cow d 0ST ._-78 �G� o 0 �c�' �NE 13. 41 0 C) �F 10 � JI r't* LP m 40.3' D ILL 2 LAT YoR a F�'•/ —' PATO DRY *ELI - .�• r..�- •- � Not�SE � N O r n p 5 E/0.55. r WALK WOOD FEN ROPANE O G �.. CONCRETE SIDE POOL AROUND P c U3 93 G EQUIP. OUIP TANK z C C7 ©� Z MF SHED o z y.{ W 0 11 0� m CONCRETE /�N p ?t',i^ N EL. 62 8' POND CONORETE � � A pOME LOT 149 X r ° o c0 EEFFENOE 1 O �x N N r ca POST &WIR r m 302•$0 r RE WALL FE• r cin TAI Z NING -+ X p O g N. WOOD � W T (015) i (� POST g WIRE DEE FENCE C G CDNO' ELLg0.2' .78' — — S7$•36120ow R. LOT 146LJC WijER) --FE.CO o.,'E./0.5�8� (DW LUNG WI PUB a � r GERTIFIELD TO: KATHRYN FARRANC) ■ =MONUMENT 5TEWAKT TITLE IN5URANGE COMPANY • =REBAR SET AI]VOGATE5 Af55TKACT (AOA —030`17—5) 1 =S TAKE SET TEST HOLE DATA ELEVATIONS ARE REFERENCED TO N.A.V.D. BY McDONALD GEOSCIENCE 1/11/12 L 0 T NUMBERS REFER TO "AMENDED MAP A OF NA SSA U " BROWN SILTY SAND SM , DINT, OWNED BY NASSAU POINT CLUB PROPERTIES, 25. INC" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE N AUGUST 16, 1922 AS FILE N0. 156. PALE BROWN SNE TO MEDIUM SAND SP ANY ALTFRATION OR ADDITION TO THIS SURVEY/S A VIOLATION y , ; _ OF SECTION 72090E THE NEW YORK STA IF EDUCA TION LAW. . �s . , N.YS LIC. NO. 49618., EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS "YORS, P.0. HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF �r (k��'`r�� �°� 5020 FAX (631) 765-1797 SAID MAP OR COP/ES BEAR THE IMPRESSED SEAL OF THE SURVEYOR AREA-46�O''N S` . FT. P.�: SOX 909 WHOSE SIGNATURE APPEARS HEREON. TO TIE LINES 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 07-132