HomeMy WebLinkAbout43252-Z gsaEFOj �dGy Town of Southold 3/3/2019
P.O.Box 1179
v' T 53095 Main Rd
ao0- Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40241 Date: 3/4/2019
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 2195 Nassau Point Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 104.43-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/1/2016 pursuant to which Building Permit No. 43252 dated 11/28/2018
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 with fence to code as applied for per ZBA#6879, dated 10/1/2015.
The certificate is issued to Giese,Thomas&Garafalo,Paulette
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43252 2/13/2018
PLUMBERS CERTIFICATION DATED
0
ho d Signature
oS�FeocKc TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 43252 Date: 11/28/2018
Permission is hereby granted to:
Giese, Thomas
PO BOX 509
Cutchogue, NY 11935
To: Construct an in-ground swimming pool as applied for, per ZBA and Trustees.
Replaced BP#40479.
At premises located at:
2195 Nassau Point Rd., Cutchogue
SCTM # 473889
Sec/Block/Lot# 104.-13-4
Pursuant to application dated 11/28/2018 and approved by the Building Inspector.
To expire on 5/29/2020.
Fees:
PERMIT RENEWAL $125.00
Total: $125.00
i
Building Inspector
�o�svFFntK�oTOWN OF SOUTHOLD
y� 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#: 40479 Date: 2/23/2016
Permission is hereby granted to:
Giese, Thomas
PO BOX 509
Cutchogue, NY 11935
To: construct an in-ground swimming pool as applied for, per ZBA and Trustees.
At premises located at:
2195 Nassau Point Rd., Cutchogue
SCTM #473889
Sec/Block/Lot# 104.-13-4
Pursuant to application dated 2/2/2016 and approved by the Building Inspector.
To expire on 8/24/2017.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Buildin s e
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:
I. 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. 'Sw.orn 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 Compliaace-from architect or engineer responsible for the building.
.6. Submit Planning Board Approval of completed site plan requirements.
D. For existing buildings(prior to April 9, 1957) non-con€orming us-es,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 epmpleted 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. Certifieate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupaincy-$.25
4. Updated Certificate of Occupancy- $50.00
• 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. AXE o !�, dol�O
New Construction: ,A0A L- Old or Pre-existing Building: (check one)
Location of Property: UT-
House
House No. Street Ha let
Owner or Owners of Property: ��n2 (3yE5C
Suffolk County Tax Map No 1000,Section ! `f Block_ /��j Lot
Subdivision Filed Map. Lot:
Permit No. - Date of Permit. Applicant: /u6-17l 1a�L 64✓5
Health Dept.Approval: Underwriter's Approval:
Planning Board Approval:
Request for. Temporary Certificate Final Certificate: (check one)
tpe Submitted: $ ,
Applicant Signature
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �Q roper.richert(cD-town.southold.ny.us
Southold,NY 11971-0959 ,
nuff N'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Thomas Giese
Address: 2195 Nassau Point Road city;Cutchogue st: New York zip: 11935
Building Permit#:rf�2 � 40479 Section: 104 Block: 13 Lot: 4
W,411/rd 66
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: JES Electric License No: 4483-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 I 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 FixtureTime Clocks 1
Disconnect Switches 2 Twist Lock Exit Fixtures TVSS
Other Equipment: Inground Swimming Pool to Include: Bonding, Control Panel, 2-GFCI Circuit BreakerE
Gas Pool Heater, Salt Generator, Pool Lights.
Notes:
Inspector Signature: ice-✓b Date: February 13, 2018
0-Cert Electrical Compliance Form.xls
oF so lit,
�yuourm��
TOWN OF .SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ f ELECTRICAL (FINAL)
REMARKS:
DATE,— �� INSPECTOR �
y o��OF SOUly�!
N 0
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] I SULAT N
FRAMING /STRAPPING [ FINAL /���
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: 2,10ci C&ttl A-wf 5Asu4;v-v&-,
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DATE / INSPECTOR
�apF soUlyo
TOWN OF SOUTHOLD BUILDING DEPT.
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u765-1802
�orm
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULAT N
[ ] FRAMING /STRAPPING [ FINAL 0
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ,ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: ! I/ ✓ley
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—
DATE11641-Affl INSPECTOR
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SOUIyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
i'ourm, 765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULA O
[ ] FRAMING /STRAPPING FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
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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) 765-9502 j Survey
SoutholdTown.NorthFork.net PERMIT NO. LM 411 Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
j �I Flood Permit
Examined ,20 I 1� Single&Separate
Storm-Water Assessment Form
--- - - _� FEB 1 2016
IContact:
3 ,
Approve20
s � 1
Disapproved a/�_ — — ill a�K�:d) P,r--c
Phone:���)
Expiration ,204
Buil i g pector
APPLICATION FOR BUILDING PERMIT
Date cJA� l , 201
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 Inspect6r will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in'part'for'any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f.Every building permit shall.expire if the work authorized.has not commenced'within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York,and other applicable Laws, Ordinances or
Regulations, for the construction of buildings,additions, or alterations or for removal or demolition as herein described.The
applicant agrees to comply with all applicable laws,ordinances,building code,housing code, and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
- (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises Jo
(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. Location of land on which proposed work 11 be done:
IL)A i C �4�i ck-e—
House Number Streetam let
County Tax Map No. 1000 Section Lot ��
Subdivision Filed Map No. Lot
2. State existing use and-dccupancy 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
(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 � -
. e IR Y
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 2
7. Dimensions of existing structures, if any: Front /(" X Z Depth
Height Number of Stories ne-w aPD e y 611
gy-a�' O-s per pp lca- f
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 I - I 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_a?/W.xm!, �4k-i%A Phone No.
Name of Architect ; Address Phone Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of'a tidal wetland ora 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)
SS:
COUNTY OF /� )
l r being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
( ontracto 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
I5 day of WWt PnrU 20 No
c qAatg�j C;(. -�)kW A
TRACEY L. DWYER
Notary Public -NOTARV OU LIC,STATE OF bRK Signature of Applicant
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,20/�
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 3 ,20 Storm-Water Assessment Form
Contact:
Approved ,20 Mail to: Rk
Disapproved a/c
Phone: U
Expiration ,20 DI
SAPPROVI ,
c r V,, Bu' din Spector
PD
A�f PLICATION FOR BUILDING PERMIT
JUN 1 6 �
Date r J , 20
INSTRUCTIONS
DEFT
a This ar^"hcation MUST be co letel filled in b typewriter or in ink and submitted to the Building Inspector with 4
Pp fP Y Y Yp g p
sets of plans,accurate plot plan to sca e. ee 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.
(Signature of applicant or name,if a corporation)
5707-0 ma X14 4/
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premisesq �w— &S G l -P Se-
(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. Location of land on which proposed work wi 1 be n
2egs ��aS�Q- R off-
House Number Street Hamlet
S
b,
" .! ' Y
Q lVim,
t •9
County Tax Map No. 1000 Section �� 'Block'' _ `'!� - r 9 •p
kd TJS Vi e�.J3 v�rf`
Subdivision `Filed Map,No'.''_&
. �°ei��il•,% ..f; .. e ��`�' tfa7 rw a. ._�+1,,.•s,,.'1 - i.• ry
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 1:fb V sce //
b. Intended use and occupancy (k q°M'W��0/ ��V� z 1,!V41 al—
3. Nature of work(check which applicable): New Building_ ✓ Addition Alteration
Repair Removal Demolition Other Work
(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.ofjrif any: Front Rear Depth
Height '' umber of Stories
, R
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear �1D:epih� $jit
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)
SS:
COUNTOF SU KJg
^� ( �- _ being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing ontract)above named,
(S)He is the a -en L
( onti tor,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 S
day of L,)A c-- 20 9 J�
u if iMPS �+q(b�q�+[ Signature of Applicant
Qualified in Suffolk
Commission Expires July 1�
� rr
I
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD,NEW YORK
PERMIT N0. 8713 DATE: DECEMBER 16,20,115,
ISSUED TO: TOM& PAULETTE GIESE
PROPERTY ADDRESS: 2195 NASSAU POINT ROAD,CUTCHOGUE
SCTM# 1000-104-134
AUTHORIZATION
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in
accordance with the Resolution of the Board°of Trustees adopted at the meeting held on December 16,2015,
and in consideration of application fee in the sum of 250.00"paid by Tom&Paulette Giese and subject to the
Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits
the following:
Wetland Permit to install a 161x32' in-ground swimming pool; install a pool equipment
area and a drywell for the pool; install an 850 sq.ft. blue stone patio around pool
located a minimum of 4' away from property line; install 4.5' high pool enclosure
fencing around patio; far the existing 50.3104.3' two-story dwelling with existing
14.2'x14_2' attached deck on s' a of dwellinnand install a line of staked hay bales
and/or silt fencing prior to and during construction; and as depicted on the survey
prepared by Peconic-Surveyors,P.C., revised--on November 12,2015,and stamped- ,
approved on December 16,2015.
IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,
and these presents to be subscribed by a majority of the said Board as of this date.
i - !
®gUFFat
�a` fly James F. MiG - Absent
a � ,
L y
1
Michael J.Domino,President �pf SoUp�o Town Hall Annex
John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25
P.O.Box 1179
Charles J.Sanders
Southold,New York
11971
Glenn Goldsmith G
® p Telephone(631) 765-1892
A.Nicholas Krupski O Fax(631) 765-6641
� l,�C®UNiY,�� .
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 1385C Date:August 28, 2017
THIS CERTIFIES that the installation of a 16'x32' in-ground swimming pool; install a pool
equipment area and a dDywell for the pool; install an 850 sq.ft.on-grade blue stone patio around pool
located a minimum of 4' away from property line; insta114.5' high pool enclosure fencing 10' landward
of the bulkhead and landward of the non-turf buffer,along north and south properly lines,and landward
of existing;dwelling; for the existing 50.3'x34.3'two-story dwelling with existing 14.2'x14.2' attached
deck on side of dwelling; and install a line of staked hay bales and/or silt fencing prior to and during
construction;
At 2195 Nassau Point Road, Cutcho ague
Suffolk County Tax Map#1000-104-13-4
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated October 23,2015 pursuant to which Trustees Wetland Permit#8713
Dated December 16,2015,was issued and conforms to all of the
requirements and conditions of the applicable provisions of law. The project
for which this certificate is being issued is for the installation of a 16'x32' in-ground swimming pool;
install a pool equipment area and a drywell for the pool; install an 850 sq.ft.on-grade blue stone patio
around pool located a minimum of 4' away from property line; install 4.5' high pool enclosure fencing
10' landward of the bulkhead and landward of the non-turf buffer,along north and south propegy lines,
and landward of existing dwelling; for the existing 50.3'x34.3' two-story dwelling with existing
14.2'x14.2'attached deck on side of dwelling; and install a line of staked hay bales and/or silt fencing
prior to and during construction.
The certificate is issued to TOM & PAULETTE GIESE owners of the
aforesaid proper
Authorized Signature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
DATE: June 23,2015
TO: Patricia C.Moore,Esq. (Giese/Garafalo)
51020 Main Road
Southold,NY 11971
Please take notice that your application dated June 16,2015
For permit to construct an accessory in-ground swimming pool
Location of property: 2195 Nassau Point Road, Cutchogue
County Tax Map No. 1000—Section 104 Block 13 Lot 4
Is returned herewith and disapproved on the following grounds:
The proposed construction on this non-conforming 37,258 square foot lot in the Residential R-40 District is not
permitted pursuant to Article XXIII Section 280-116B,which states;
"All buildings located on lots upon which a bulkhead, concrete wall,riprap or similar structure exists
and which are adjacent to tidal water bodies other than sounds shall be set back not less than seventy-
five(75)feet from the bulkhead."
The proposed accessory in-ground swimming pool notes a setback of 33 feet to the existing bulkhead.
The proposed construction is not permitted pursuant to Article III, Section 280-15,which states;
"In the Agricultural-Conservation District and Low-Density Residential R-80,R-120,R-200 and R-400
Districts, accessory buildings and structures or other accessory uses shall be located in the required rear
aY rd.,,
The proposed accessory in-ground swimming,pool is partially located in the side yard.
Autho 'zed Sign re
Note to Applicant: Any change or deviation to the above referenced application,may require
further review by the Southold Town Building Department.
CC:file, Z.B.A.
I
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
DATE: June 23, 2015
TO: Patricia C.Moore,Esq. (Giese/Garafalo) AMENDED: June 24, 2015
51020 Main Road
Southold,NY 11971
Please take notice that your application dated June 16,2015
For permit to construct an accessory in-ground swimming pool and for the "as built" deck addition to the
existing one-family dwelling
Location of property: 2195 Nassau Point Road, Cutchogue
County Tax Map No. 1000—Section 104 Block 13 Lot 4
Is returned herewith and disapproved on the following grounds:
The proposed construction on this non-conforming 37,258 square foot lot in the Residential R-40 District is not
permitted pursuant to Article XXIII Section 280-116B,which states;
"All buildings located on lots upon which a bulkhead,concrete wall,riprap or similar structure exists
and which are adjacent to tidal water bodies other than sounds shall be set back not less than seventy-
five 75)feet from the bulkhead."
The proposed accessory in-ground swimming pool notes a setback of 33 feet to the existing bulkhead.
The proposed construction is not permitted pursuant to Article III, Section 280-15,which states;
"In the Agricultural-Conservation District and Low-Density Residential R-80,R-120,R-200 and R-400
Districts,accessory buildings and structures or other accessory uses shall be located in the required rear
agrd."
The proposed accessory in-ground swimming pool is partially located in the side .
In addition,the"as built"deck addition to the existing single family dwelling is not permitted pursuant to
Article XXIII, Section 280-124,non-conforming lots, measuring 20,000 to 39,999 square feet in total size,
require a minimum side yard setback of 15 feet and a combined side yard total of 35 feet,the"as built
deck addition" is shown at 8.2 feet with total combined side yards of 31.4+/- feet.
Authorize Signature
Note to Applicant: Any change or deviation to the above referenced application,may require
further review by the Southold Town Building Department.
CC:file, Z B.A.
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
DATE: June 24, 2015
TO: Patricia C.Moore,Esq. (Giese/Garafalo) AMENDED: July 23,2015
51020 Main Road
Southold,NY 11971
Please take notice that your application dated June 16,2015
For permit to construct an accessory in-ground swimming pool and for the"as built"deck addition to the
existing one-family dwelling
Location of property: 2195 Nassau Point Road, Cutchogue
County Tax Map No. 1000—Section 104 Block 13 Lot 4
Is returned herewith and disapproved on the following grounds:
The proposed construction on this non-conforming 37,258 square foot lot in the Residential R-40 District is not
permitted pursuant to Article XXIII Section 280-116B which states;
"All buildings located on lots upon which a bulkhead concrete wall riprap or similar structure exists
and which are adjacent to tidal water bodies other than sounds shall be set back not less than seventy-
five(75) feet from the bulkhead."
The proposed accessory in-ground swimming pool notes a setback of 33 feet to the existing bulkhead
The proposed construction is not permitted pursuant to Article III- Section 280-15 which states
"In the Agricultural-Conservation District and Low-Density Residential R-80 R-120 R-200 and R-400
Districts, accessory buildings and structures or other accessory uses shall be located in the required rear
ay rd."
The proposed accessory in-ground swimminWpool is partially located in the side
In addition,the"as built"deck addition to the existing single family dwellingis s not permitted pursuant to
Article XXIII, Section 280-124 non-conforming lots measuring 20,000 to 39,999 square feet in total size
require a minimum side yard setback of 15 feet and a combined side yard total of 35 feet the"as built deck
addition" is shown at 8.2 feet with total combined side yards of 31.4+/-feet; additionally,the"as built"deck
is within±50' of the existinL,bulkhead.
Authorized Sign
Note to Applicant: Any change or deviation to the above referenced application, may require
further review by the Southold Town Building Department.
CC.-file, Z RA
BOARD MEMBERSSouthold Town Hall
Leslie Kanes Weisman,Chairperson
�O��O� $QU��olO 53095 Main Road•P.O.Box 1179
Southold,NY 11971-0959
Eric Dantes [ Office Location:
Gerard P.Goehringer G Q Town Annex/First Floor,Capital One Bank
George Horning �p ao 54375 Main Road(at Youngs Avenue)
Kenneth Schneider CQQ Southold,NY 11971
i
http://southoldtown.northfork.net E C EE
ZONING BOARD OF APPEALS D U
TOWN OF SOUTHOLD
Tel.(631)765-1809-Fax(631)765-9064 OCT — 6 2015
BLDG.DEPT.
FINDINGS,DELIBERATIONS AND,DETERMINAT ON TOWN OF S0UTH0LD
MEETING OF OCTOBER 1,2015
ZBA FILE: 6879
NAME OF APPLICANT: Thomas Giese and Paulette Garafalo SCTM#1000-104-13-4
PROPERTY LOCATION: 2195 Nassau Point Road(adj.to Hog Neck Bay), Cutchogue,NY
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this
application and determines that this review falls under the Type II category of the State's List of Actions, without
further steps under SEQRA.
SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk
County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its
reply dated July 31,2015 stating that this application is considered a matter for local determination as there appears
to be no significant county-wide or inter-community impact.
LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency
review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy
Standards. The LWRP Coordinator issued a recommendation dated August 20, 2015. Based upon the information
provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records
available to us, it is our recommendation that the proposed action is INCONSISTENT with LWRP policy standards
and therefore is INCONSISTENT with the LWRP. However based on the conditions imposed herein and
mitigation measures,the Zoning Board finds the proposed action CONSISTENT.
PROPERTY FACTSMESCRIPTION: Subject Parcel is a non-conforming 37,258 sq. ft. lot located in the R40
zone. Property is improved with a two story frame home with an accessory garage in the front yard area. It has
99.54 feet of frontage on Nassau-Point Road, 378.81 feet along the northern property line, 99.99 feet on Hog Neck
bay and 369.81 feet along the southern property line as shown on the survey dated May 6, 2015, last revised Sept.
9,2015 prepared by John T.Metzger,LLS.
BASIS OF APPLICATION: Request for Variances from Article XXII Section 280-116B, Article III Section 280-
15 and Article XXIII Section 280-124 and the Building Inspector's June 24, 2015 amended July 23,2015 Notice of
Disapproval based on an application for building permit to construct an accessory in-ground swimming pool and
for "as built" deck addition to an existing single family dwelling, at; 1) "as built" deck addition at less than the
code required minimum side yard setback of 15 feet, 2) "as built" deck addition at less than the code required
minimum total side yard setbacks of 35 feet, 3) "as built" deck addition and proposed accessory in-ground
swimming pool at less than the code required bulkhead setback of 75 feet, 4) proposed accessory in-ground
swimming pool located in other than the code required rear yard or front yard for waterfront property.
RELIEF REQUESTED: Applicant is requesting relief to construct an accessory in-ground swimming pool located
partially in the side yard where code requires a rear yard location or front yard on water front properties and a
Page 2 of f—October 1,2015
2BA#6879—Giese/Garafalo
SCTM#1000-104-13-4
bulkhead setback of 33 feet where the code requires 75 feet. Additionally, the `as built' deck addition is located at
8.2 feet from the side yard with a total combined side yard of 31.4 feet where the code requires 15 feet minimum
and 35 feet total combined side yard, the `as built' deck is located 52 feet from the bulkhead where the code
requires 75 feet.
AMENDED APPLICATION: During the hearing, the applicant was asked to bring the plan into more conformity
with the code. The applicant, on September 18, 2015, submitted a survey showing the proposed pool reduced in
size to 16'X32', which increased the side yard setback to 13 feet and increased the bulkhead setback to 36 feet and
creating a proposed 5 foot non-turf buffer along the entire length of the bulkhead, thereby bringing the request into
more conformity with the code and the LWRP.
ADDITIONAL INFORMATION: At the hearing the board reviewed the possibility of placing the pool in the front
yard. This of course would still place a portion of the pool in the side yard. Since the existing stone patio would be
compromised by this change, the Board felt that reducing the size of the pool to 16 by 32 feet would be a better
option.
FINDINGS OF FACT/REASONS FOR BOARD ACTION:
The Zoning Board of Appeals held a public hearing on this application on September 3,2015 at which time written
and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property
and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and
relevant and makes the following findings:
1. Town Law 4267-b(3)(b)(1). Grant of the variances as amended for the in-ground swimming pool it will not
produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The
applicant's agent submitted several variances in the neighborhood similar to this request. The in-ground swimming
pool will not be visible from the street and the `as built' deck addition has existed since 1977 with a CO; although
it was built larger than permitted during reconstruction.
2. Town-Law $267-b(3)(b)(2). The benefit sought by the applicant cannot-be achieved-by-some method,-feasible
for the applicant to pursue, other than an area variance. Although the applicant could locate the proposed in-
ground swimming pool in a conforming front yard, it would still have to be partially in a non-conforming side yard
and it would be out of character with the neighborhood. The `as built' deck provides access to the home and is not
visible from the street or the adjoining neighbor.
3. Town Law X267-b(3)(b)(3). The variances granted herein are mathematically substantial, representing 100%
relief from the code for the in-ground swimming pool location and 52% relief for the bulkhead setback. However
the relief as amended mitigates the substantiality. The variances for the `as built' deck addition are mathematically
substantial, representing 45% for the side yard setback and 31% for the bulkhead setback. However, the as built
deck has existed in its current non-conforming location without adverse impact since 1977.
4. Town Law §267-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential
community will have an adverse impact on the physical or environmental conditions in the neighborhood. The
applicant must comply with Chapter 236 of the Town's Storm Water Management Code and provide a 5 foot non-
turf buffer.
5. Town Law &267-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the
Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the
limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase.
6. Town Law §267-b. Grant of the relief as amended for the in-ground swimming pool and grant of the relief as
applied for, for the `as built' deck addition, is the minimum action necessary and adequate to enable the applicant
Page 3 of 3 1 October 1,2015
ZAA#6879—Giese/Garafalo
SCTM#1000-104-13-4
to enjoy the benefit of an in-ground swimming pool and `as built' deck addition while preserving and protecting the
character of the neighborhood and the health,safety and welfare of the community.
RESOLUTION OF THE BOARD: In'considering all of the above factors and applying the balancing test under
New York Town Law 267-B, motion was offered by Member Goehringer, seconded by Member Horning, and duly =
carried,to
DENY, the variances as applied for regarding the in-ground swimming pool, and GRANT the variance relief AS
AMENDED,
GRANT, the variances for the `as built' deck addition as applied for, all as shown on the survey dated May 6,
2015, last revised Sept.9,2015 prepared by John T. Metzger,LLS, subject to the following conditions;
CONDITIONS:
1. The in-ground swimming shall be no larger than 16'X32' with a minimum side yard setback of 13 feet.
2. Applicant shall install and continuously maintain a five (5) foot non-turf buffer along the entire length-of the
bulkhead.
3. Pool mechanicals shall be placed in a sound deadening enclosure.
4. Drywell for pool de-watering shall be installed.
That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued..
Any deviation from the survey site plan and/or architectural drawings cited in this decision will result in delays and/or a
possible denial by the Building Department of a building permit, and may require a new application and public hearing before
the Zoning Board of Appeals.
Any deviation from the variance(s) granted herein as-shown on the,architectural drawings, site plan and/or survey cited
above, such as alterations, extensions, or demolitions, are not authorized under this application when involving
nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other
feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are
expressly addressed in this action.
The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of
nonconformity.
Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of
Appeals shall become null and void where a Certificate of Occupancy has not been procured,and/or a
subdivision map has not been filed with the Suffolk County Clerk,within three(3)years from the date such
variance was granted. The Board of Appeals may,upon written request prior to the date of expiration,
grant an extension not to exceed three(3) consecutive one(1)year terms.
Vote of the Board: Ayes: Members Weisman (Chairperson), Horning, Dantes, Goehringer, Schneider. This
Resolution was duly adopted(5-0).
4
Leslie Kanes Weisman, Chairperson, '
Approved for filing IQ / /2015
Scott A. Russell ;\ S�C�(0 RI��L\��.AUFIER-
����� ��,
SUPERVISOR S J� z IM[A 1-\AGIEN1IEN`7F
SOUTHOLD TOWN HALL-P.O_Box 1179 ip s
53095 Main Road-SOUTHOLD,NEWYORK 11971 ���d Town of Southold
236 - STORMWATER MANAGEAVNNT W RK SHEET I
cH�.rTER r
I,! . J _/IJIC,
2�1� ( TO BE COMPLETED BY THE APPLICANT) I
- 1 DOES THIS PROJECT INVOLVE ANY OF THE__I±0LLOWI1NG:- --
`- (CHECK ALL THAT APPLY)
Yes No
❑[A"4A. 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.
Site preparation on slopes which exceed 10 feet vertical rise to
El[2/C-
100 feet of horizontal distance.
❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
❑Gerosion hazard area.
E. Site preparation within the one-hundred-year floodplain as depicted
on-P'iRl�l-l�Iap o any watercourse: -
y ❑f 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_
S'C'T M'
APPLICANT: (Property Owner,Design Professional,Agent.Contractor,Other) #' DoDate
Irk
NAME: /j Wjj�
Pr , Section Block Lot
/_ CJ �)t1 J_:L'•i�_t/)�t-a �J�:�":1:� ' 1
Contact Information: !�✓�O/�
r—o— ..nnr.
Reviewed By:
— - -- - - — - — -- - — — - - - - - - Date. 1-it_Aa__
Property Address / Local lon of Const)Uct ion Work: — — -- - — — — — — — — — — — — — —
'2 /e.?/�55�U. ❑ Approved for proceeaten Building
ol Permit
py`��/CDI�' tormwater 1tltanagement Control Plan Not Required
{C�y Stormwater Nlanaeemew Contiol Plan ja Required
--- (Forward to Engineerin; Department for Revie:•,I
Ff)R1\1 ,MCP - TOS I'Vl Y ?01
PPI_iC WT S.C.T,M, �: l000 CHARTE
("rnperry Owner Design Professional.Agent,Contracror,Other) . r__ �Sl1FC:Q%r tK� 3-6,
�1t
3 oSL a 1 Stormwater Management Coh`tro,l-PI-an C1-1E-CK LI§T ;I
N=.ME NorTEf Fg-k&ot C.Aie' Section Block Lot h r 1's
S M C P Plan Requirements: Provide ONE cop ofe he Building Permit Ap hcation— i
Date: �c The applicant must provide a Complete Explanat'lo anill rl�i.easoR,foNproviding
rov:idin
2 � all Information that has been Required by the fofrowlnig Checklistl 1 i
A Siie Plan drawn to scale Not Less that 60' to the inch MUST If.You answered No or NA to any Item, Please Provide_Just.ificanoli-Herek-T�
Tow allot' the following items: YES NO NA If you need additional room for explanations;Please Provide additional Papel
a Location &,Description of Property Boundaries
b. Total Site Acreage.
c Exl�)ting - Natural & Man Made Features within 500 L.F. '
of the Site Boundary as required by,§236-17(0(2).
d Test Hole Data Indicating Soil Characteristics& Depth to Ground Water. ro /SAS $�Lk�e.4 �- G /�45C�rv,�7:
_ e. Limits of Clearing & Area of Proposed Land Disturbance, -
_ f Existing & Proposed Contours of the Site (minimumzintervais)
g. Location of all existing & proposed structures, roads, '
di iveways, sidewalks, drainage improvements & utilities, , 1wtSpE
h Spot Grades & Finish Floor Elevations for all existing &. c OS En in IRED
proposed structures. Bkfiil, OR Provi 60 befog
I Location of proposed Swimming Pool and discharge ring, a drains certification
I Location of proposed Soil Stockpile Area(s), installedto Code •a
k Location of pioposed Construction Entrance/Staging Area(s).
I Loca t ion of ro osed concrete washout area(s). EROSION&SEQ1 r'n111TFiAE§
m Location of all proposed erosion&sediment control measures, ✓ Shall include b
2, Slormv ater Management Control Plan must include Calculations showing I A well nl
aintained rainstri,ictien tial the sior, mwater improvements are sized to capture,store,and Infiltrate Wire B a
on—ole the run-off fromall impervious surfaces generated by a two(2")inch S a
iainfall /�tprm event, i
3 Delaik& Sectional Drawings for Stormwater'practices are required for approval.
ItcmS requiring details shall include but not be'limited to:
a Erosion & Sediment Controls,
b Constl uct ion Entrance & Site Access.
c Inlet Di ainage Structures (e.g. catch basins,trench drains,etc.) c�
d Leaching Structures (e.g, infiltration basins,swales,etc.)
>l', i "vl.,l�l'.l'.I(I' 't.., l)I_:l'/\I;,"1` }:rt USI:. (.)NI.,Y ,.i.�`yt...... . ............_ •i-.... .1. ...... ._.....•..--...,_._..•..-'.... .'."....'.',•..-. .. ........ ... . . .... .
Additional Information is Required.
Revie%ved & 1
I Stormwater Management Control Plan is Not Complete,
Appioved By' — — — — — — — — — — — — — — — — — — — — — — — —
1 t Stormwater Management Control Plan is Complete.
Dale. lto I SMCP has been approved by the Engineering Department,
Ci 1D NA . c11/!-'r1 rl._-I. I ...• T/l f` TA A \/ nn14 ,
Telephone(681)765-1802
Town Hall Annex (681)7 5
54375 Main Road y roper richertCaown.sOUt1101 .nY.us
P.O.Box 1179 ► COQ
Southold,NY 11971-0959
up11,
BUIMING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.: )q P3 H 6
Address: r-K
Phone No.: . '( - -
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: M. 6 A�SOv
*Crass Street:
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section: 10.44 Block: 1_'� — Lot: 0 L4 ____
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Lr
(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 I • ede_d)
*Service Size: 1 Phase 312hase 100 150 200 300 350 400 Other
*New Service: e-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
s24;hWest for inspection Form
SURVEY OF PROPERTY FEB 1 9 2019 N
AT NASSAU POINT
TOWN OF SOUTHOLD
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`. ( tRislTM A RATM� LQZ 5 OFFKE OF TW CLUB HECOUJNTY OF SUFMK
KENNY on 8/96/x2 AS MAP NO. 156
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AREA= 372M SQ FT.
UC. NO. 49618
o = PIPE ANY ALTERA Ao0l N TD THIS SURVEY IS A MOLARON PECON/C SURVEYORS, P.C.
•= U7)UTY POLE OF SECnav 72 WF TW NEW YORK STATE EDUCAnON LAP. (631),765-5020 FAX (631) 765-1797
= MONUMENT EXCEPT AS PER SECTION 7209-SLM VWSM 2 All CFRPRCAnONS P.O. BOX 909
FLOOD ZONES FROM FIRM HEREON ARE UAL/D,FqR lN/S MAP AND CAPES THEREOF ANtY JF
36/0300164 H SAID MAP OIR COPIES BEAR THE MIPRESSED SEAL OF 7HE St/RU£1t7R 1230 TRAVELER STREET
WOSE&GNAMW APPEARS HEREON. SOUTHOLD, N.Y. 11971
15_ 30]130
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N — SURVEY OF PROPERTY
'AT NA,SSSA U POINT
TOWN OF SO UTHOLD
SUFFOLK COUNTY, NY
1000-104-13-04
SCALE.- 1'= 30'
MAY 6, 2015
MAY 27. 2015 (REVfSJAN)
SEPT. 9, 2015 (revisions) '
NOV. 12, 2015 (REVISIONS)
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70 x a Shall include but not be limited to:
"A well maintained Construction Entrance,
LnU-P rTM 78.36�2� �� ��&rnAI�s DRAINAGE INSPECTIONS ARE REQUIRE® Wire Backed Silt Fencing, stabilization &
$ Contact TOS Engineering at 765-1560 before Seeding of exposed and/or inactive soils.
\� Backfill, OR Provide,En ineer's Certification
LOT NUM ERS ARE Tp that the drainage has been installed to Code.
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i CONTROL PLA Code r 6 ,
Date:
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AREA= 37.258 SQ FT
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. LIC. NO. 49618
0 = PfPE ANY ALTERAT](N 01? ADDITION TO THIS SURVEY IS A VIOLA 770H PECONIC SURVEYORS, P.C.
• — U77uTY POLE OF SEC 770H 7209OF THE MEW ram STATE EDUCA77ON LAW. (631)• 765-5020 FAX (631) 765-1797
■ AIONUAIENT EXCEPT.AS•P&"Cr,UN 7209-SUBO(WSIOd 2. ALL CER17ARCA71ONS P.D_ BOX 909
HEREON ARE VALID FOR THIS AMP AND CQP(ES THEREOF ANLY /F 15-130
FL 000 ZONES FROM FIRM 1230 TRAVELER STREET
36103CO164 H p SAID AMP OR CLIMES SEAT? THE Pe .iii SE.L-OF THE SURVEYOR
*HOSE SICpNATURE APPEARS HEREON. SOU7NOL0, N_Y. 11971
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DRAINAGE INSPECTIONS ARE REQUIRED
QP ROVED AS NOTED Contact TOS Engineering at 765.1560 before
Backfill,OR Provide Engineer's Certification
DATE: 3 b.p.# 25 that the drainage has been installed to Code,
FEE: SD BY: ,
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING
1. FOUNDATION - TWONREQUIRED OCCUPANCY OR
FOR 2. ROUGHOURED- FAMOGCTE&EPLUMBING USE IS UNLAWFUL
3. INSULATION WITHOUT CERTIFICATE
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O. OF OCCUPANCY
ALL CONSTRUCTION SHALL MEET THE
REOUIREMENTS OF THE CODES OF NEW
,YORI< STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
ELECTRICAL
COMPLY WITH ALL CODES OF INSPECTION REQUIRED
NEW YORK STATE &TOWN CODES
AS REOUIREP AND CONDITIONS OF
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