HomeMy WebLinkAbout40859-Z ��4�guFFOd��O�y Town of Southold 8/30/2018
a
tA P.O.Box 1179
.� 53095 Main Rd
yljQl �� ' Southold,New York 11971,
CERTIFICATE OF OCCUPANCY
No: 39877 Date: 8/30/2018
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 1695 August Ln, Greenport
SCTM#: 473889 See/Block/Lot: 53.-4-44.23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/19/2016 pursuant to which Building Permit No. 40859 dated 7/26/2016
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 Vines,James&Mary
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40859 07-18/2017
PLUMBERS CERTIFICATION DATED
A tho ed ignature
o�SOFFntk�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • 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#: 40859 Date: 7/26/2016
Permission is hereby granted to:
Vines, James
365 12th St
Brooklyn, NY 11215
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
1695 August Ln, Greenport
SCTM # 473889
r
Sec/Block/Lot# 53.-4-44.23
Pursuant to application dated 7/19/2016 and approved by the Building Inspector.
To expire on 1/25/2018.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
uilding In to
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OFOCCUPANCY
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 of Property: �Jp l -
House No. U Street Hamlet
w'
Owner or Owners of Property: v ow U 1
Suffolk County Tax Map No 1000, Section_ 5� Block ( Lot
Subdivision Filed Map. Lot:
Permit No. O JC 1 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: check one)
J
Fee Submitted: $ �U
r
licant ignature
OF SOUTyoI
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 �Q roger.richert(ED-town.southold.ny.us
Southold,NY 11971-0959
�'yc�UNTY,Nc�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: James Vines
Address: 1695 August Lane city:Greenport st: New York zip: 11944
Building Permit#: 40859 Section: 53 Block: 4 Lot: 44.23
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: MRJ Industries License No: 41853-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New X 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 1 A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures 11 TVSS
Other Equipment: Inground Pool to Include: Bonding, Gas Pool Heater, Salt Generator,
1- GFCI Circuit Breaker.
Notes:
Inspector Signature: Date: July 18, 2017
0-Cert Electrical Compliance Form.xls
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N O
cOUM'10c�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] I SULATIIXw
ON
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: 0 t)m✓ K"yw\ �"Vly-og "wv
-5kvxl!!s yJ9 . b
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Sv1�-�Ac�. � .e,. M✓n� IS � vl r
DATE INSPECTOR
SOUlyolo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ' ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR<;
ho�apF SOUjyO�
TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLRG.
[ ] FOUNDATION-2ND [ ] ,PISULA7N
[ ] FRAMING /STRAPPING [ FINAL fC�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
0 ojw
DATE °t INSPECTOR
•
r
STATE • r `
I PAR,
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•
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TOWN OF SOUTHOLD rpt BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying9
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. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined- 7
20 Single&Separate
Storm-Water Assessment Form
-71AI- Contact:
Approved 20 I �J Mail to NO!/�-®OdL 5-
Disapproved a/c C ./zg7 !Sf L 4,/ J !vy
Phone:
Expiration I t ,20
& /
1 ' pector
DAPPLICATION FOR BUILDING PERMIT
JUL2016 Date ,20
19 INSTRUCTIONS
a.This alication MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
setsu�a� � tan to scale.Fee according to schedule.
TO".G?s® tion 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 here' described:The
applicant agrees to comply with all applicable laws,ordinances,building code,housing co an re lati s,and to admit
authorized inspectors on premises and in building for necessary inspection .
a of pp cant or c rporation)
ailmg addr&k2LLpplica4
State whether appl'cant is owner,lessee,agent,architect,eng eer,general contractor,electrician,plumber or builder
Name of owner of premises rVl MA-12- Vt AJPs
(As on tfle tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title ofcorporate officer)
Builders License No.--/b (,
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Loc tifo of larrd oygwhic pionosed woric will be done:���� 7— //Q/
House Number Street/ Hamlet
i
County Tax Map No. 1000 Section t Block Lot a
Subdivision Filed Map No. Lot
I
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— C_
cc�
(Description)
4. Estimated Cost Ok 0-00 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
i
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
GfL-V 7'
14.Names of Owner of premises MAP-q 4Z lin �I IV%ddress/t f�-t4tgi451,4fitePhone No.t/�7-SSS-,"7gA7
Name of Architect Address Phone No
Name of ContractorzAddress Id Phone No.6:/-ZX?
Cin
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES _Nov
*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 lC
*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 topograplucal 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 )
rD _
�L� Zo9- C being duly swom,deposes and says that(s)he is the applicant
Z cO 0Mo ' '
(Name of individual s ng contract)above named,
co
�Z
�mop (S)He is the Q zJ�ACAO(L
LU B(0:3 a) Contractor,Agent,Corporate Officer,etc.)
�wup..u)
p�o-O j of said owner or owners,and is my authorized to perform or have performed the said work and to make and file this application;
>:30
�o that all statements contained' his application are true to the best of his knowledge and belief;and that the work will be
pO-Z'�'u, performed in the manner set f in the application filed therewith.
Cay
co 0 E
ZE Sw int before s
U t y f 20
No ub' ignature of tcwt
a
1 1 �or ��C'cO��C�I��It\VAk
Scott A. "Russel
a
SUPERVISOR - MA N A UIEMIENT
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of ki'o u th o l d
CHAPTER 236 - STORMWATER MANAGEMENT WORK SKEET
(TO BE COMPLETED BY THE APPLICANT)
=--------- ---- ------ -------- -- -- - - --- --- -. .. -= - - -
DOES TMS PROJ= WTOLVE ANY OF THE IE'C➢1WWING:
Yes No (SCK ALL THAT APPLY) t
I
❑ . Clearing, grubbing, grading or'stripping of land which affects more
than 5,000 square feet of ground surface.
i ❑ B. Excavation or filling involving more than 200 cubic yards lof material'
within any parcel or any contiguqus area.
FZ-C Si q.{ preparation on slopes whicli`-e'xceed 10.feet vertical rise to
100.feet of horizontal distance.
❑ D. Site, preparation within 100 feet of wetlands, beach, bluff or,coastal {
erosion hazard area. i
❑ . Site', preparation-within the one-hundred-'year floodplain asj depicted
on FIRM.Map of-any watercourse.
ORF InstalIatlon of new or resurfaced impervious surfaces of 1,000 square
feet or more, unlessprior approval of a Stormwater Management .
Control Plan was received by the Town and the proposal includes
in-kind.replacement of.impervious.sur.faces. _
if you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Cokact 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.j
o Date
000
APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) s:C_T M. l istr
NAME- �"j-LA�4iU/�. dt L7-1) cfw Sr/ &BIock
Section Lot
rOR BUILDING DEP AR.TMEIvT!USE 0-NIL);
Contact Intor tion ! 1
frdco ne.V'nn"
Reviewed By: �
- - — — — — —' — — — — — — — — — — —
Date
Property Address%Location of Construction Work: — — —
— — — — — — — — —' — — — — —
Approved for proce�ing Building Permit-
( Stormwater Management Control Plan Not Required.
(� �r2�`✓�®.�� Z �l �7 __ Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review-
FORM ' SMCP-TOS MAY 2014
- I SO�ryD
Town Hall Annex Telephone(631)765-1802 i
54375 Main Road max(631)765-9g5 i
P.O.Box 1179 G Q roger.richert(Utown.southofd.ny.us
Southold,NY 11971-0959 Q ��
BUILDING DEPARTMENT
_TOWN_OF.SOUTHOLD__ _ _ --
APPLICATlON FOR ELECTRICAL INSPECTION
REQUESTED BY: �e_7e_ Date: d -�
Company Name: „
Name: <r rL —-c - --s
I
License No.: r-/! e s — ,w 1
Address:
Phone No.: J g/Y licl%
JOBSITE INFORMATION: (*Indicates required information)
� t
*Name: V
*Address: 9 S__
*Cross Street: j
*Phone No.: I
Permit No.: VO S 9
Tax Map District: 1000 Section:�5?)) Block: Lot:
i
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
poop j
(Please Circle All That Apply)
*Is job ready for inspection: i
YES/ NO Rough In F1inal I
*Do you need a Temp YES Certificate: ! NO 1
• �
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 CY�'
i
Additional Information: PAYMENT DUE WITH APPLICATION 0
82-Request for Inspection Form ,��\ co,
H. ROY JAFFE, P.E.
82 EAGLE CHASE,WOODBURY,A.Y. 11797
5 16-364-0148
FAX 516364-0158
I
I
i
July 12 2016
I
.--Town of Southold-
Dear Sir;
This is to certify that the drainage facilities to be used
exclusively for the construction of a swimming pool on the
premises of
Vines
1695 August Lane
Greenport, NY 11944
will not require draining because the pool is constructed
with a vinyl liner. The' pool water will be continuously
recirculated through the filter and will be, reused from
year to year. The drainage from the filter backwash is
nominal and will not interfere with the public water supply ,
the •existing sanitary facilities or public highways .
The proposed- pool measures 800 SQ FT The soil ldisturbance
will be about 1344 SQ FT square feet. Since thisisiless than
5 , 000 square feet as outlined in your Storm Water Management
code, no drywell is required, and the Eol has a catridge filter.
Very truly yours ,
SOFNF�
Co
�QOATq�y9�
H. -Roy Jaffe, P.E. �O�
s A r"�47U
\ IGiVA���O
JOB No. AUG-21A TAX I.D. No.1000-53-04-44.23
LOT 20
N 49°53'10"E 158.67'
6-STOCKADIEFECE FE COR
WiREFENCE 0A'N 0-TE
7.6'X9.9
METAL SHED
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G0
B.1'X 12.1'
C '
/^ Z WOOD SHED �d
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M m N
M BLOCK PATIO 0)
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fog co
pb
0 y �o
81LC0 ENT wiREI POET FENCE
�iRElPOS7 FENCE DOWN
�J 55.4 �--40.1'
0 2 ST FRAME O
CONCENT w 4'9 DWELLING W
m RIO a 0
A o 7.0 N
BLUESTONE p 1 ST 34.0 N
DRFECOR
IVEWAY 24.0 ^' 14-E
WOOD PORCH RIO
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0
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m
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Ai
64.31
R25 00, t
t-33.53'
om
WOOD�.I_
CORC CURB ~�
AUGUSTs s0-00,0 p'W
n� tANE 160,1
s
' 1 1s4 3
SURVEY PURPOSE:CONVEYANCE OF PROPERTY FILE MAP No.9107 06/03/91
Unauthorized alteration or addition to this document is a violation of Section 7209
of the New York State Education Law. LOT 21
Certifications indicated hereon shall run only to the persLon.forwhom it Is prepared SURVEY OF:
and on his behalf to the Title Company,Governmental Agency and Lending z '
Institution listed hereon.Certificationsare not transferable t�additionalinstitutions MAP OF AUGUST/4.CRES - SECTION ONE
or subsequent owners.
Copseal
ll thisnot be
mideredabearing the cprofessional's inked sealorembossed ARSHAMOMAQUE, TOWN OF SOUTHOLD
seal shall not be considered a valid true copy. .'
The offsets[or dimensions]shown hereon from structures to the property lines ardl ;
for a specific u
pec purpose and use and therefore planting
are not intended toguide the erection of.£ SUFFOLK COUNTY, N EW YO RK
fences,retainingwalls. Is, lantin areas,addition to buildings or an other !"
.construction. ,k
The existence of right of ways and/or easements of record,if any,not shown are QF EY DATE: 03/22/05 =SCALE: 1"— 40'
notguaranteed
' d �
CERTIFIED ONLY TO: MESTIN ' SAF\' °6
JAMES C.VINES AND MARY C.VINES DESTIN G.GRAF
AMERICAN MORTGAGE NETWORK,INC. i a � LAND SURVEYOR
CITIBANK
FIDELITY NATIONAL TITLE INSURANCE COMPANY AEIS 1105 GHQ
OF NEW YORK P.O. BOX 704
,1►� Rocky Point, N.Y. 11778
By DESTIN G.GRAF N.Y.S. LIC No.50067 NQ • 631-821-3442
APPRO ED AS NOTED
DATE: 6.P. �svELECTRICAL
FEE: BY: i INSPECTION REQUIRE®
NOTIFY BUILDING DEPARTM AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE RETAIN STORM WATER RUNOFF
2. ROUGH - FRAMING & PLUMBING PURSUANT TO CHAPTER 236
3. INSULATION OF THE TOWN CODE.
4. FINAL -`CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEWR' .
YORK STATE. NOT RESPONSIBLE, FOR � VE- y I ELY�®
DESIGN OR CONSTRUCTION ERRORS. EN__,CLOSE POOL TO CODE
UPON COMPLETION
'43EFORE"WATER"
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
``�CITHIICUTOIh�BA�
sou IIHOLD Tn9iIIG Rums
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
AL
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4/ PLAN VIEW OF POOL _
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- - j y��yp �'OTTOK-TiaNrLO—
LONGITUDINAL SECTIONS
17:1 1
' - _-bl V t►.�G ��OA��� --To ti'Yt�-�T til•s,F. Rte'mgr' �
OF ��� o� .Mt>J \*�Sv M AT e'-fes•'
ERT Rpy� �-
Vines
i470 �` .1695 August Lane
`
OF c� Y ° SECTION G106 Greenport, NY 11944 4
c`-OL AND PROPERTY 1 Tl7 N_Y_ STATE RESIDENTIAf- ENTR P ENT PROTECTION REQUIRED I
OSE APPENDIX G 2010 EDITION SECTION G107
POOL TO CCNFOP-- TO AKSI/NSPI STANDARDS AG103.l POOL ALARM REQUIRED