HomeMy WebLinkAbout42836-Z Town of Southold 12/7/2018
P.O. Box 1179
53095 Main Rd
V1 00"
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40088 Date: 12/7/2018
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 660 Town Harbor Ln., Southold
SCTM#: 473889 Sec/Block/Lot: 62.-342
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/25/2018 pursuant to which Building Permit No. 42836 dated 7/5/2018
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 Clerici,Joseph&Dune
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42836 09-04-2018
PLUMBERS CERTIFICATION DATED
ho
u Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
.AIX
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#: 42836 Date: 7/5/2018
Permission is hereby granted to:
Clerici, Joseph
3839 Wesley St
Seaford, NY 11783
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
660 Town Harbor Ln., Southold
SCTM #473889
Sec/Block/Lot# 62.-3-42
Pursuant to application dated 6/25/2018 and approved by the Building Inspector.
To expire on 1/4/2020.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Buil nspector
Form No.6
TOWN OF SOUTHOLD D 19CROVE
BUILDING DEPARTMENT
TOWN HALL D
765-1802 1
APPLICATION FOR CERTIFICATE OF OCCUPANCY JUL7 2018
This application must be filled in by typewriter or ink and submitted to the Building Department;IRMWO PT
TOWN OF SOUTHOLD
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: YppL Old or Pre-existing Building/I: ,n, (check one) r
Location of Property: C9 D Tmh f�&rbo( l� j'`Q 0((�,
House No. Street Hamlet
Owner or Owners of Property: Jf �iGt_/l Q C lc r( L(
l—
�j Suffolk County Tax Map No 1000, Section �Q Z" 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: $ �5 V
Applicant Signature
pF SO�jyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 �., roger.richert(d-)town.Southold.ny.us
Southold,NY 11971-0959 Q
OOUNT`I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Joseph Clerici
Address: 660 Town Harbor Lane city Southold st: New York zip: 11971
Building Permit#- 42836 Section: 62 Block: 3 Lot: 42
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: TRC Electric License No. 46689-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 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
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks 1
Disconnect Switches Twist Lock Exit Fixtures �] TVSS
Other Equipment: In Ground Swimming Pool to Include: Bonding, Control Panel, 1- GFCI Circuit Breake
Salt Generator, Gas Pool Heater, 1- Pool Light.
Notes:
Inspector Signature: Date: September 4, 2018
0-Cert Electrical Compliance Form.xls
OF SOUTyo6
* # TOWN OF SOUTHOLD BUILDING DEPT.
`"�ovxn 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE �� INSPECTOR /
SOF so
* # TOWN OF SOUTHOLD BUILDING DEPT.
76S-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ULATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
I
DATE nA 142, INSPECTOR 1A A
�o��,oF souryo6
# # TOWN OF SOUTHOLD BUILDING DEPT.
"�ovxn 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSUL 46�
om
FRAMING /STRAPPING /FINAL
[ ] [vT
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
Y--:�R
DATE / INSPECTORY "400�
Mr. Faucet Service Co.
SEP 18 2016 201 Northwest Drive, Suite 1
Farmingdale, NY 11735
BUILDING DEff. Phone -516-752-1000
TOWN OF SOUTHOLD Fax -516-752-5000
September 12, 2018
Town of Southold
Town of Southold
53095 Route 25
PO Box 1179
South Hold, NY 11971
Re: Permit# 42836
Property Address: 660 Town Harbor Lane, Southold
To Whom It May Concern:
This is to certify that I, Paul E. Muhs, am a licensed plumber, licensed to practice in the
State of New York under license#M000310.
I further certify that an installer from my company installed & pressure tested the gas line
to the pool heater on 4 psi for(1) hour, as part of the scope of work included under the
above referenced application and have determined that the work stated complies with the
Residential Construction Code of New York State, the Town of Southold codes and all
other rules and regulations applicable to this work.
I make this statement under penalty of law knowing that the Town of Southold will rely
on this information to determine compliance with the applicable Codes.
Signs ure
Sworn to before me J ,p
On this ;10( day,J 2W .
Therm A.0®w®I
Notary Public,State of New York
No.01GA6082617
C Qualified in:Nassau County
Commission expires:October 28,2018
r
FIELD INSPECTION REPORT7 DATE COMMENTS
.N
FOUNDATION (IST)
------------------------------------
(n cn
•FOUNDATION (2ND)
� O
d
ROUGH FRAMING& d'
PLUMBING y 1
INSULATION PER N.Y: , 3
STATE ENERGY CODE
• vJ
07
FINAL
ADDITIONAL COMMENTS
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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) 765-9502Survey _
SoutholdTown.NorthForkxet PERMIT NO. `-� Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined � ,20 D V Single& Separate
D Stonn-Water Assessment Form
JUN 2 5 2018 Contact:
�ji D l,
Approved 20� Mail to: n� � 0 1 ?alit
Disapproved a/c BUILDING DEPT. 3 )'d orGvy)
TOWN OF OLD Phone
Expiration71 20
BLliw--,Y,rllxctor
APPLICATION FOR BUILDING PERMIT ( C
Date `(' t� _, 20 0
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions• or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(SI« ture f applicant or name, if a corporation)
3&3q �v Qsl eu SA . Sia(o r� 1
(Mai mg address of applicant)
State whether applicant is wt lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises �(,�, �� )Q nQ. ic
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate offic r)
Builders License No. -7C7—
Plumbers License No. g �
Electricians License No. ,
Other Trade's License No.
1. Location of land on which pro osed ok will be done:
62 TD(
un n O r 6�rc L'a lel C Soy -Fns cQ
House Number Street 3vytp
nn .x
County Tax Map No. 1000 Section No dv Block t�?►a �:rc W Lot
Subdivision Filed Ma) 'leo., - '`��'T '` Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 5 IZ
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work I am j u000
� (I3 scription)
4. Estimated Cost 01717 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 2
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 ��" (o Rear 114 Depth
10. Date of Purchase
112W Name of Former Owner f Vl� ✓�h��° !t ' 1�I �L'I r��
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V
13. Will lot be re-graded? YES NO 1 Will excess fill be removed from premises? YES NO
sca�r'd
14. Names of Owner of premises,�,��PDI/1 �P (�j Address S� Phone No.CJ 1 D" 5
Name of Architect Eyvlirve m Addressl0 0 121-112 PJ S 111' Phone No (oil
Name of Contractor IFG01 r Q 4 1 Address Phone No. 31- 6 61
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO V
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO v
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* W YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS.
COUNTY ON ,01 k a'
Ige 06 C, C I r ( being duly sworn, deposes and says that(s)he is the applicant
(Name ofnndivi`d�uaall signing contract)above named,
(S)He is the 0 Wr IJP Vr
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application,
that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
I day of NA rle 201
WVMMOiFAR1'�J9LiC,Fdrt'a=
Notary AAlic ,���� Signature of Applicant
Scott A. Russell ST01KNIWATER,
SUPERVISOR
IMIA NAGIEMIENT
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes.No
E][j] A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
EIM 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.
D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
i erosion hazard area.
El El 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.
A,-
APPLICANT: (Property Owner,Design Professional(A:--�,,t� S.C.T.M. 1000 Date.
ontractor,Other) District
I-0
NAME: "- awe
PSection Block Lot
FOR BUILDING DEPARTMENT ISE ONLY
Contact Information:
rd<pn N...t.,!
Reviewed By:
Property Address Location of Construction Work: Date: _d�S
dAppFoved for processing Building Permit.
-b r\ Stormwater Management Control Plan Not Required.
L)
T _ 4L_40�1
,t ) - - - - - - - - - - - - - - - - -
�n �ho Irk �oJ () Stormwater Management Control Plan is Required.
El (Forward to Engineering Department for Review.)
FORM 4 SMCP-TOS MAY 2014
yac,r BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richertta").town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: I kow" Fs CR+(v( —uLS Date: ,2j
Company Name: z�-
Name: 044-5
License No.: 41 ccq w�L'- email:'1'g,C y yLG Q� MA�1 .c�w
Address: A4,vS /-,f- Kc- tzovc=
Phone No.: 43 /- 6 Yg-7t S 8
JOB SITE INFORMATION: (All Information Required)
Name:
Address: 6 6 p 7ovjRJ 11 f7/
Cross Street:
Phone No.: S"/6 - S-/0 5-6 r7
Bldg.Permit#: yZ 83 G email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Apply:
Isjob ready for inspection?: YE / NO Rough In Fin
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground -Overhead
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information: 20vti p004
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form As �� /
0" A.
SURVEY OF PROPERTY
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AT
TOWN OF SOUTHOLD ' 'N '' to ' 35� '� �O
SUFFOLK COUNTY N . Y.
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CERTIFIED TO op V
AMERICAN TITLE INSURANCE COMPANY
LONG ISLAND MORTGAGE CORP. o P- d
STANLEY M . RICHARDS O; '
MINNIE A . RICHARDS
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5$2a No Pared i 3 crocordana with the minimum
p .' dards for title sur»yr as established b
4960�y0� �-t V, "a S the L•1,A,L S. and approved and adopted
Op N��! N.Y. S . LIC. N0. 49668 �. R �► ` i t �bfOr twch u» by The Mew Talc State land
oc 96
;PECONIC SURVEYORS 6 ENGINEERS , P. C . Asocrat,oe•
( 516 ) 765 -• 5020
LOT NUMBERS REFER TO • " M>; r SHOWING ALTERATION AND.
P. O. 60X 909 A00iTION TO FOUNDERS ESTA-ES" FILED MAR. 25 , 1935
MAIN ROAD IN THE OFFICE OF THE SUFFOLK COUNTY CLERK
SOUTHOLD , N.Y. 11971 AS MAP NO. 1178
t
y SUFFOLK COUNTY DEPT OF LABOR,
LICENSING d CONSUMER AFFAIRS
MASTER
PLUMBER
NAASh
GERARD JAARON
This certifies that the $L"fift"`w
bearer is duly MR FAUCET SERVICE COMPANY INC
licensed by the
County of Suffolk
32128-MP 10108/2002
'"n Tn QA" 10/01J2018
New York State Insurance Fund
Ww*ffs'Cm pma&n B DhaNky BeneJlls Spedalfsls Since 1914
199 CHURCH STREET,NEW YORK N.Y.10007-1100
CERTIFICATE OF WORKERS'COMPENSATION INSURANCE(RENEWED)
a � a
AAAAAA 112851548 ,
KEEVILY,SPERO-WHITELAW INC. 3'
500 MAMARONECK AVENUE 0 �
HARRISON NY 10528
SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
MR.FAUCET SERVICE CO.,INC. TOWN OF SOUTHOLD
DBA INSTALLGAS.COM 53095 ROUTE 25
201 NORTHWEST DRIVE,SUITE#1 PO BOX 1179
FARMINGDALE NY 11735 SOUTHOLD NY 11971
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
G1149 296-4 601217 05/012018 TO 05/018019 4/1612018
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 1149 296.4, 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:IMWW.NYSIF.COWCERT/CERTVALASP.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
J'�'e,'-
DIRECTOR.INSURANCE
FUND UNDERWRITING
VALIDATION NUMBER:601423067
U-U.3
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
^^^^^ 270918601
ft�r;j* ,
SCHAEFER AGENCY INC
201 EAST MAIN ST
PO BOX 688
SMITHTOWN NY 11787
Scan to Validate
POLICYHOLDER CERTIFICATE HOLDER
TRC ELECTRIC CORP TOWN OF SOUTHOLD
16 VIVIAN LANE 53095 ROUTE 25
LAKE GROVE NY 11755 PO BOX 1179
SOUTHOLD NY 11971
POLICY NUMBERCERTIFICATE NUMBER POLICY PERIOD DATE
12219263-7 T 106840 07/09/2017 TO 07/09/2018 12/14/2017
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSUREDWITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2219263 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, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.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:664650748
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ELECTRICIAN
Ralf D CHALMERS
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SUFFOUC COUNTY DEPT OF LABOR,
UCENSING&CONSUMER AFFAIRS
HOME IMPROVEMENT
CONTRACTOR
N�
MICHAEL J DOMINICI
jC8ftM6%MS that the NAME
bMfef IS duty LONG ISLAND POOL 3 PATIO INC
IiWsed by the
County Of Suffolk to—M-'~ o.,,,..d
• �/.,��r, 45707-H 0122rzoo9
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01/01/2019
I
New York State Insurance Fund
Workers'Compm&ton A Dbobll V Bas#ft Spaclolbb Since 1914
8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
Q D
\A A A A A 112590890 �.
REGAN AGENCY INC f
483 DEER PARK AVENUE 0
BABYLON NY 11702
SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
LONG ISLAND POOL&PATIO INC TOWN OF SOUTHOLD
543 MIDDLE COUNTRY RD 53095 ROUTE 25
CORAM NY 11727 SOUTHOLD NY 11971
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
12439 791-1 582375 04HOJ2018 TO 04/10/2019 4/10/2018
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2439 791-1, 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, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:NWWYW.NYSIF.COMI'CERTICERTVALASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
PRESIDENT
MICHAEL DOMINICI
LONG ISLAND POOL 8 PATIO INC
(ONE PERSON CORP)
THIS CERTIFICATE IS ISSUED ASA 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 FUNI
job
'
DIRECTOKINSURANCE FUND UNDERWRITING
VALIDATION NUMBER:892973049
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oa
APPROVED AS NOTED ELECTRICAL
DATE: S B.P.9 34 -Z- INSPECTION REOUIREJ?
FEE:�Q,-ONY;
NOTIFY BUILDING DEPART —AT-
765-1802 SAM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING s:• + 1,
3. INSULATION
4. FINAL - CONSTRUCTION MUST ENCLOSE POOL TO CODE
BE COMPLETE FOR C.O. UPON.COMPLETION
ALL CONSTRUCTION SHALL MEET THE BEFORE;'WATER"
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
AMTGA ARD
`36tlfitit�i�Ilt�S�EES
�ur nrr
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICA7
OF OCCUPANCY
ILTERED WATER RETURN NUMBER
FI R OF NOZZLES VARIES PER POOL SIZE
f]
COMPOSITE WALL POOL SYSTEM
w
16' X 32' RECTANGLE - 2'R
DWG#I:CM-1008 I DATE' 10rn12M I REV:A I PAGE 2 OF 2KIMMER
PUIION BRACE 32'0" SPOOL—SN
UAL MAIN
�-0" 3'-0*M
MIN DRAIN w/
as CU-24000R(4 PLC) -�W CT
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32'-3"
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3S'-9 3/Ir IRGINIA GRAEME BAKER S
ACT APPROVED DRAINS
8'0 16'0' C-720L 1-_0" FS-9604S8W'" NOTE:
Pits DRAWING CONFORMS TO ANSI/APSP-7 SUCTION ENTRAPMENT
COMPLIM BRACE
AVOIDANCE CODES.
MAIN DRAIN PIPING SCHEMATIC
r (NOT TO SCALE)
e
°fa "P°• C-360 C-240 CODE COMPLIANCE NOTES: ^ §4 �5
9
e•a ssxt
4-0 IN ADDITION TO THE 2016 UNIFORM BUILDING CODE } 9
toot SUPPLEMENT,SECTION R326 REFERENCED AT THE Z "
BOTTOM OF THIS DRAWING,ALSO REFER TO: o c �$
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su•ar „t,« 2015 INTERNATIONAL RESIDENTIAL CODE -ni s
n I STSR" SECTION N1103.10(R403.10)-POOLS AND Ca
PERMANENT SPA ENERGY CONSUMPTION 0-
oil
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rPm BRACES&DECK SUPPOR C-480 C-720 c-72a CC-720 C-720 SECTION N1103.10.1-HEATERS am 4Y
tw: AT PANEL JOINTS AS SHOWN SECTION N1103.10.2-TIME SWITCHES ;
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SECTION N1103.10.3-COVERS r !!1
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I CO'oa yei a:
3'4" 3'-4• GENERAL NOTES: �i q 8
ALL WATER EITHER OVERFLOWING OR EMPTYING =
8'-0" FROM THE POOL SHALL BE DISPOSED OF ON THE
�"'a OWNERS LAND,AND PLANS SUBMITTED SHALL a
SHOW PROVISIONS MADE FOR SUCH WATER FROM
FLOWING ON THE LAND OF ANY ADJOINING C F Ijn
PROPERTY OWNER OR INTO ANY ABUTTING
score I STREET ;
4'-0"-"tom—6'-0" •�• " 1 .
14'-0 8'-0" SUCTION OUTLETS SHALL BE DESIGNED AND 40 E1
INSTALLED IN ACCORDANCE WITH ANSI/APSP-7. 1311 Y
N.S.P.I. TYPE 2 g¢� _
NO DIVINGSO
THIS for Mg.NT IS FOR ILLl15 Own
reE PURPOSES ONLY. ,
DANBEIC OIYNIG MAT Trwecwr My tnc 111a11la tush moss raleasenratiorts wird,are stated H its wrlioen warranty.Any aha reprtleris,statements a contracts made M me deder/coot0lacaor to me custornla regardng sny DrodlAcad by Trlvedar M/g ,:wu. tarsg Isfand PROTECTIVE BARRIER NOTE:
KMT Is�ERNIFf Enc.are andbteaeb b the dadw/contra=ash.The deata or cano-acsor who sells or rutalla sour pod r an rdgwidW contractor and is not as agent or enpbyee d Triwdlx Mg.Irc.The construction rtruwds NoWaoed here are styyrt m O � �;,� DURING CONSTRUCTION OF THE POOL,A Ld
W 1 11T IN BEATN, and appy ash to nonmt ground aw4tio c Thea may be addidwi at pramam and/or metltoda of cros t dJwL The raponetrey is me aonwacv M-A sefay One,sAm tewys,Is to be plerwweay attadwd V-Cr to me Allow Ade of the pdre TEMPORARY BARRIER SHALL BE INSTALLED WITH Z O
Signage must be PWMnent1y attached around the d Rrst dope dtange.-Wlferetc rnemods and precaotlom maybe dictated by wwWa grwwd mtamxls.Tns is tabs tYtrmtted by and It the respon oft of the rorwadcr who is not an agent or me twdamea of me mmpoew pub. d A MINIMUM HEIGHT OF 4'-0'. U PON COMPLETION Q �
-Installation is to be done In atsnrdenot wind al fedaak state and oral bt"q codes,as wall o A.H514NS.P.L stgpemed standard.-00MM SK12FIGTIDNS MUST MEET OR EXIMeD A.N L14kS.P.I./A.PS.P.RECOMMEMM STANDARDS I�
Pffheter Of the pool. TSO OPMG BOW mlrst be parrwwnh atUdted to the ante pa**wof me pati.Sae bsbvc bans wah e.94mg -tT IS NOT RECCMMENOEO TO USe OriM ANO/OR SLMIMG EQUZPMENTON ROMENTL4L POOH OF POOL INSTALLATION,OWNER SHALL INSTALL A J Cn CL<
PERMANENT BARRIER,MINIMUM HEIGHT OF 4'-0',
WITHIN 90 DAYS. 0 Z N
_ n
UM Z -jz-
ENGINEER'S SEAL J 2 p ICLc0i Z
OF Nk Gov �� ¢e'O
N G. �yt'� :D N7
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�w 141 as N/A
052 '1 tG� CTC
0�SS10' P" sGN
JUNE 140 2018
AS NOTED
ALL MANUFACTURED ITEMS AND CONSTRUCTION SHALL COMPLY WITH THE 2016&2017 NEW YORK STATE UNIFORM BUILDING CODE SUPPLEMENT,INCLUDING THE SPECIFICATIONS IN SECTION R326-SEE SHEET 2 OF 2 1 0 F 2
SECTION R326.3-SWIMMING POOLS,SECTION R326.4-SPA&HOT TUBS,SECTION R326.5-BARRIER REQUIREMENTS,SECTION R326.6-ENTRAPMENT PROTECTION FOR SWIMMING POOL&SPA SUCTION OUTLETS;SECTION R326.7-SWIMMING POOL&SPA ALARMS
SECTION 326 SWIMMING POOLS,SPAS,AND HOT TUBS i
R326.1 GENERAL 2.Openings in the barrier shall not allow passage of a 4-inch-diameter 10.1.The ladder or steps shall be capable of being secured,locked or R326.8 STANDARDS
R326.1 The provisions of this section shall control the design and (102 mm)sphere. removed to prevent access;or A326.8.1 General
construction of swimming pools,spas and hot tubs installed in or on the m
lot of a one-or two-family dwelling. 3.Solid barriers which do not have openings,such as a masonry or 10.2.The ladder or steps shall be surrounded by a barrier which meets the ANSI-American National Standards Institute
stone wall,shall not contain indentations or protrusions except for requirements of R326.5.2,Items 1 through 9.When the ladder or steps are
R326.3 SWIMMING POOLS normal construction tolerances and tooled masonry joints. secured,locked or removed,any opening created shall not allow the ANSUAPSP 7-13-Standard for Suction Entrapment Avoidance in
R326.3.1 In-ground pools.In-ground pools shall be designed and passage of a 4-inch-diameter(102 mm)sphere. Swimming Pools,Wading Pools,Spas,Hot Tubs,and Catch Basins
constructed in conformance with ANSI/NSPI-5. 4.Where the barrier is composed of horizontal and vertical members (R326.6.1)
and the distance between the tops of the horizontal members is less R326.5.4 Indoor Swimming Pool.Walls surrounding an indoor swimming rn
R326.3.2 Above-ground and on-ground pools.Above-ground and than 45 inches(1143 mm),the horizontal members shall be located on pool shall comply with Section R326.5.2,Item 9. ANSI/NSPI-3-99-Standard for Permanently Installed Residential Spas 0
on-ground pools shall be designed and constructed in conformance the swimming pool side of the fence.Spacing between vertical (R326.4.1)
with ANSI/NSPI-4. members shall not exceed 1-3/4 inches(44 mm)in width.Where there R326.5.5 Prohibited locations.Barriers shall be located to prohibit
are decorative cutouts within vertical members,spacing within the permanent structures,equipment or similar objects from being used to ANSI/NSPI-4-99-Standard for Above-ground/On-ground Residential
R326.4 SPAS AND HOT TUBS cutouts shall not exceed 1-3/4 inches(44 mm)in width. climb them. Swimming Pools (R326.3.2)
R326.4.1 Permanently installed spas and hot tubs.Permanently
installed spas and hot tubs shall be designed and constricted in 5.Where the barrier is composed of horizontal and vertical members R326.5.6 Barrier Exceptions.Spas or hot tubs with a safety cover which ANSI/NSPI-5-03-Standard for Residential In-ground Swimming Pools
conformance with ANSI/NSPI-3 as listed in Section 326.8. and the distance between the tops of the horizontal members is 45 complies with ASTM F 1346 shall be exempt from the provisions of this (R326.3.1)
inches(1143 mm)or more,spacing between vertical members shall not appendix.
R326.4.2 Portable spas and hot tubs.Portable spas and hot tubs exceed 4 inches(102 mm).Where there are decorative cutouts within ANSI/NSPI-&99-Standard for Residential Portable Spas
shall be designed and constructed in conformance with ANSI/NSPI-6. vertical members,spacing within the cutouts shall not exceed 1-3/4 R326.6 ENTRAPMENT PROTECTION FOR SWIMMING POOL (R326.4.2)
inches(44 mm)in width. AND SPA SUCTION OUTLETS
R326.5 BARRIER REQUIREMENTS R326.6.1 General.Suction outlets shall be designed to produce circulation ANSI/ASME Al 12.19.8M-(1987,R-1996)Suction Fittings for Use in
R326.5.1 Application.The provisions of this section shall control the 6.Maximum mesh size for chain link fences shall be a 2-1/4-inch(57 throughout the pool or spa.Single-outlet systems,such as automatic Swimming Pools,Wading Pools,Spas,Hot Tubs and Whirlpool Bathing
design of barriers for residential swimming pools,spas and hot tubs. mm)square unless the fence has slats fastened at the top or the vacuum cleaner systems,or multiple suction outlets,whether isolated by Appliances (R326.6.2) n hi d
These design controls are intended to provide protection against bottom which reduce the openings to not more than 1-3/4 inches(44 valves or otherwise,shall be protected against user entrapment.
potential drownings and near-drownings by restricting access to mm). APSP-Association of Pool and Spa Professionals Zat
€
swimming pools,spas and hot tubs. R326.6.1.1 Compliance alternative.Suction outlets may be designed and �J 51
7.Where the barrier is composed of diagonal members,such as a installed in accordance with ANSI/APSP-7 ANSI/APSP-7-13 Standard for Suction Entrapment Avoidance in Swimming o 0
R326.5.2 Temporary barriers.An outdoor swimming pool,including an lattice fence,the maximum opening formed by the diagonal members Pools,Wading Pools,Spas,Hot Tubs,&Catch Basins co
" at
in-ground,above-ground or on-ground pool,hot tub or spa shall be shall not be more than 1-3/4 inches(44 mm). R326.6.2 Suction fittings.Pool and spa suction outlets shall have a cover (R326.6.1) c c k �f
surrounded by a temporary barrier during installation or construction that conforms to ANSI/ASME Al 12.19.8M,or an 18 inch'23 inch(457 mm E m f
and shall remain in place until a permanent barrier in compliance with 8.Gates shall comply with the requirements of Section R326.5.2,Items by 584 mm)drain grate or larger,or an approved channel drain system. ASME-American Society of Mechanical Engineers u mR
Section R326.5.3 is provided. 1 through 7,and with the following requirements: p6
R326.6.3 Atmospheric vacuum relief system required.Pool and spa ANSUASME All 12.19.8 2007-Suction Fittings for Use in Swimming Pools, a M 9 f5t
Exceptions: 8.1 All gates shall be self-closing.In addition,if the gate is a pedestrian single-or multiple-outlet circulation systems shall be equipped with Wading Pools,Spas,Hot Tubs,and Whirlpool Bathing Appliances
1 Above-ground or on-ground pools where the pool structure is the access gate,the gate shall open outward,away from the pool. atmospheric vacuum relief should grate covers located therein become (R326.6.2)
barrier in compliance with R326.5.3. missing or broken.This cauum relief system shall include at least one m LL I Id
2.Spas or hot tubs with a safe cover which complies with ASTM F 8.2.All gates shall be self-latching,with the latch handle located within approved or engineered method of the q' f
p safety p g g, g' type specified herein,as follows: ASTM-ASTM International m'o �5r e
1346 provided that such safety cover is in place during the period of the enclosure(Le,on the pool side of the enclosure)and at least 40 1 Stafety vacuum release system conforming to ASME Al 12.19.17;or N R I I"
installation or construction of such hot tub or spa.The temporary inches(1016 mm)above grade.In addition,if the latch handle is 2.An approved gravity drainage system. ASTM F 1346-91(1996)Performance Specification for Safety Covers and co
removal of a safety cover as required to facilitate the installation or located less than 54 inches(1372 mm)from the bottom of the gate,the Labeling Requirements for All Covers for Swimming Pools,Spas and Hot if
constriction of a hot tub or spa during periods when at least one person latch handle shall be located at least 3 inches(76 mm)below the top of Exception:Surface skimmers Tubs
12-
engaged in the installation or construction is present is permitted. the gate,and neither the gate nor the barrier shall have any opening (R326.5.2;R326.5.3;R326.5.6;R326.7 1) o c
Er ��
greater than 0.5 inch(12.7 mm)within 18 inches(457 mm)of the latch R326.8.4 Dual drain separation.Single or multiple circulation systems
R326.5.2.1 Height.The top of the temporary barrier shall be at least 48 handle. have a minimum of two suction outlets of the approved type.A minimum ASTM F2208-2008-Standard Specification for Pool Alarms
inches(1219 mm)above grade measured on the side of the barrier horizontal or vertical distance of 3 feet(914 mm)shall separate the outlets. (R326.7.1) e
which faces away from the swimming pool. 8.3.All gates shall be securely locked with a key,combination or other These suction outlets shall be piped so the water is drawn through them tr
child proof lock sufficient to prevent access to the swimming pool simultaneously though a vacuum-relief-protected line to the pump or NSPI-National Spa and Pool Institute
R326.5.2.2 Replacement by a permanent barrier.A temporary barrier through such gate when the swimming pool is not in use or supervised. pumps. t5
shall be replaced by a complying permanent barrier within either of the ANSI/NSPI-3-99-Standard for Permanently Installed Residential Spas dl
following periods: 9.Where a wall of a dwelling serves as part of the barrier,one of the R326.6.5 Pool cleaner fittings.Where provided,vacuum or pressure (R326.4.1) $§ t 11
1 90 days of the date of issuance of the building permit for the following conditions shall be met: cleaner fitting(s)shall be located in an accessible position(s)at least 6
installation or construction of the swimming pool;or inches(152 mm)and not more than 12 inches(305 mm)below the ANSI/NSPI-4-99-Standard for Above-ground/On-ground Residential
2.90 days of the date of commencement of the installation or 9.1.The pool shall be equipped with a powered safety cover in minimum operational water level or as an attachment to the skimmer(s). Swimming Pools LLI
construction of the swimming pool. compliance with ASTM F 1346;or (R326.3.2) Z O
R326.7 SWIMMING POOL AND SPA ALARMS Q F
Q
R326.5.2.2.1 Replacement extension.Subject to the approval of the 9.2.Doors with direct access to the pool through that wall shall be R326.7.1 Applicability.A swimming pool or spa installed,constructed or ANSI/NSPI-5-03-Standard for Residential In-ground Swimming Pools J d<
code enforcement official,the time period for completion of the equipped with an alarm which produces an audible warning when the substantially modified after December 14,2006,shall be equipped with an (R326.3.1) ow
permanent barrier may be extended for good cause,including,but not door and/or its screen,if present,are opened.The alarm shall be listed approved pool alarm. Q Q}
limited to,adverse weather conditions delaying construction. in accordance with UL 2017 The audible alarm shall activate within 7 Exceptions: ANSI/NSPI-6-99-Standard for Residential Portable Spas m >_
seconds and sound continuously for a minimum of 30 seconds after the 1 A hot tub or spa equipped with a safety cover which complies with ASTM (R326.4.2) UZ OJ Z}
R326.5.3 Permanent Barriers.An outdoor swimming pool,including door and/or its screen,if present,are opened and be capable of being F1346. Of Q O O z
an in round,above round or on round I,hot tub or shall be heard throughout the house during normal household activities.The 2.A swimming pool other than a hot tub or equipped with an UL-Underwriters Laboratories,Inc. ENGINEER'S SEAL �2 Q
-9 9 -9 P� Pa 9 9 9 P ( Pa)eq PPed J
surrounded by a barrier which shall comply with the following: alarm shall automatically reset under all conditions.The alar system automatic power safety cover which complies with ASTM F1346. U Z O Z o a
shall be equipped with a manual means,such as touch pad or switch. UL2017-2000-Standard for General-purpose V N� = <H
1.The top of the barrier shall be at least 48 inches(1219 mm)above to temporarily deactivate the alar for a single opening.Deactivation Pool alarms shall comply with ASTM F2208,and shall be installed,used, Signaling Devices and Systems with Revisions !_ N 2 v
grade measured on the side of the barrier which faces away from the shall last for not more than 15 seconds.The deactivation switch(es) and maintained in accordance with the manufacturer's instructions and this through June 20041*0
swimming pool.The maximum vertical clearance between grade and shall be located at least 54 inches(1372 mm)above the threshold of section. (R326.5.3) �� �` ~ Q Z 10
the bottom of the barrier shall be 2 inches(51 mm)measured on the the door,or IL. 1 O (/) O
side of the barrier which faces away from the swimming pool.Where R326.7.2 Multiple Alarms.A pool alarm must be capable of detecting 'The NSPI documents are available 7b -r
the top of the pool structure is above grade,such as an above-ground 9.3.Other means of protection,such as self-losing doors with entry into the water at any point on the surface of the swimming pool.If through APSP
pool,the barrier may be at ground level,such as the pool structure,or self-latching devices,shall be acceptable so long as the degree of necessary to provide detection capability at every point on the surface of '. l
mounted on top of the pool structure.Where the barrier is mounted on protection afforded is not less than the protection afforded by Item 9.1 the swimming pool,more that one pool alar shall be provided.
top of the pool structure,the maximum vertical clearance between the or 9.2 described above. NIA
S C�
top of the pool structure and the bottom of the barrier shall be 4 inches R326.7.3 Alarm Activation.Pool alarms shall activate upon detecting FQ 6Q52`'e/ 4crc
(102 mm). 10.Where an above-ground pool structure is used as a barrier or where entry into the water and shall sound poolside and inside dwellling. R p'y scH
the barrier is mounted on top of the pool structure,and the means of � `S$1� JUNE 14 2018
access is a ladder or steps: R326.7.4 Prohibited Alarms.The use of personal immersion alarms shall AS NOTED
not be construed as compliance with this section.
2OF2
AYWARRY
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Universal H-Series
Pool and Spa Gas Heaters
------.....
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JUN 2 5 2018
BUMDING DEPT.
SOU=OLD
TOWNOF
'47 _
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'$M
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Front-panel-only access provides easy
service and maintenance, avoiding the
problems and costs associated with front-
and-back-panel access heaters
.......... ... ........... ......................... ........ ................
Universal junction boxes on left and
right sides make electrical and automation
installation simple and convenient
.................................................... ..I........... ................
Intuitive control pad with protective cover is
always easy to read and operate
H400FD
............ . ..... ........ ....... ................ ...........................................I....... ............
Universal H-Series heaters provide
reliable, long-lasting comfort.
.. ............... ..... . ........ ... ..... .......... . ...... . .......................... ......I............ .....
DURABILITY COMES STANDARD
Built with a durable cupro nickel heat exchanger, Universal
H-Series heaters offer exceptional protection against
corrosion and premature failure caused by unbalanced water
chemistry, ensuring you get season after season of premium
heating performance
FAST,EFFICIENT PERFORMANCE
Universal H-Series heaters boas: industry-leading hydraulic
performance coupled with lightning-fast speed-to-heat capability
In fact,the powerful 500,000 BTU model is the fastest in its class,
giving you less time to wait and more time in the water
EASY ON THE ENVIRONMENT
Designed with "totally managed"water flow, Universal H-Series
heaters save energy(and money)by reducing pump run
time Their low NOx emissions meet air quality standards ;r
all tow-NOx areas,so you can rest easy knowing their
environmental impact is low
PREMIUM QUALITY WITHOUT THE PREMIUM PRICE.
While other manufacturers make you spend hundreds of dollars to
upgrade to the performance and reliability of a cupro nickel heat
exchanger, Universal H-Series heaters include them at no extra charge—
giving you total peace of mind without any added costs.
TRYIT WITH ............... .. .......................................... ...
. .... .... ............. . ........................................ .......
Double your comfort by pairing your Universal H-Series heater with
Ageafluesao AquaRite®900—the longest-last-ng version of the world's best-selling salt
chlorination system AquaRite 900 creates luxuriously soft water without
harsh chemicals, and with a Universal H-Series heater,you'll get to enjoy
�� y+ incomparable water quality all year long.
... ..... ...... ... ........... ................................................ ................:
F
SELECTING THE CORRECT SIZE UNIVERSAL H-SERIES HEATER
1.Determine your pool's surface area in square feet: 1 Determine your spa capacity in gallons(surface area x
average depth x 7.51.
2. In the table below,locate the column with the spa/tub size in
A B R L gallons that is closest to yours.
L W 3 Select the desired time to raise the spa/hot tub temperature
30°F,read to the left and select the appropriate
Universal H-Series model.
AREA=(A+BJ x L x 45 AREA=RxRx3.14 AREA=LxW
SPA/TUB SIZE IN GALLONS"
2. Select the model that corresponds with a surface area that 200 ` 300 ! 400 i 500 ' 600 : 700800 900 1,000
is equal to,or just greater than,your pool's surface area.For MODEL Time in Minutes to Raise Spa/Tub Temperature 30°F***
indoor pool installations,divide the pool's surface area by 3. H500 7 11 14 18 22 25 29 32 35
H400 9 i 14 18 23 27 32 36 _41 ; 45
H350 10 16 _ 21 26 31 36 41 46. 52
MODEL* H500 ' H400 ' H350 ' H300 , H250 H2O0 ` H150 H300 12 18 24 ' 30 36 42 48 54 60
H25055._.. 122 29 36 43 51_., 58 ...
5 .W_72
SURFACE . _.. .._._.._..._..._,.._..._._.._...._. ._.__. ._...__.._.._._._...,..--.---.-._-.-'
AREA 1,500 1,200 1 1.050 900 750 600 450 H2O0 18 27 36 ' 45 54 63 72 81 9 ......
H150 24 36 48 60 72 84 96 108 120
SPECIFICATIONS AND H500FO ' H400FO ' H350FD H300FO H250FD ' H2O0FD H150FD
DIMENSIONS
BTU/hr 500,000 399,900 350,000 300,000 250,000 ' 199,900 150,000
Thermal efficiency 83% 84% 83% 82.7% 83% - ; _.. .__......83% '
82.7°!° _._.._..
Width(inches) 41" 36" 33" _........_.._. ._ .._.._. ._..... _ --- _..._.. .._. _.. _.
Depth(inches) _.__. _._.._..._..._...._.. _. _.._. --_.._.-_._
...
291/2" 291/2" 2
i 30 •
I
91/z" 2 291/i
91/z" 291/2' 9,/z"
Height(inches) 24„ __i.._._...._...___.._.._. _...-.-- _._. .._.
_.._._..—._.._..___._. 24
4" ; 24" ; 24"
Water connections 2"x 21/2" ' 2"x 21/2' '2__...2'/2_.._.__... _ ..__.2'/2..__.._..__ ._._'/.—.__..._...___._..__.._._._.__._..._ ._.__...._...._..__..._..__._
_.._..___.._. "x 2"x _ 21/i
__. ._..._.:.._..._.._..._._ .__._ __ .._..._.._.__.--.-..--- 2"x 2 z" 2"x 2"x 21/2"
Heat exchanger Cupro Nickel I Cupro Nickel 1 Cupro Nickel 1 Cupro Nickel Cupro Nickel Cupro Nickel ; Cupro Nickel
Indoor vent pipe diameter(inches) " _._.._..._.._.____..._._.._._._...
natural gas 6 i b:. 8" 8" 4:. b 6.•
Indoor vent pipe diameter(inches) _ - - -- -—
propane gas 8 8" g" 8" 6" 6" 6"
Heater weight(lbs) -_--.._.._...._..._:...._..._ _..__.__.
9 223 160 1158 145 134 123 110
Gas connection at heater 1" 3/4" 3 -'/`
/4 3/4' 3/�" 3/�"
3 "
H-Series heaters are available in a comprehensive range of BTU sizes for natural or propane gas.All units are certified by the Canad;an Standards Association
and carry the exclusive Hayward"warranty
'Model recommendation is based on a 30°F temperature rise,3'/2 mph average wind velocity and elevation of up to 2,000 feet above sea level.
**Heat lost and/or absorbed by spa walls or othe-objects will add to the time it takes the spa to heat up.
`Basec on an insulated and covered spa gg
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third parties. HAYWARD
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