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Home My WebLink About42754-Z ®tiO �FfO�i � Town of Southold 6/27/2019 0 P.O.Box 1179 53095 Main Rd �4,�y0- �apf4 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40411 Date: 6/27/2019 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1375 Greenway E, Orient SCTM#: 473889 Sec/Block/Lot: 15.4-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/30/2018 pursuant to which Building Permit No. 42754 dated 6/4/2018 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, PER ZBA DECISION#7161, DATED 05-17-2018, AS APPLIED FOR The certificate is issued to Simon-Shanahan Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42754 05-02-2019 PLUMBERS CERTIFICATION DATED AA'u1hoF1_zeti Signature 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#: 42754 Date: 61412018 Permission is hereby granted to: Simon-Shanahan Trt 1115 Sourwood Dr Chapel Hill, NC 27517 To: construct accessory swimming pool as applied for per ZBA approval. At premises located at: 1375 Greenway E, Orient SCTM # 473889 Sec/Block/Lot# 15.-l-13 Pursuant to application dated 5/30/2018 and approved by the Building Inspector. To expire on 12/4/2019. Fees: SWB4MING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Builc)b4 Inspector Form No.6 'rovvN OF SOUTHOLD BUILDING DEPARTMENT 4 TO" 14ALL • w 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For,new building or.new use: 1. Final survey.of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic"features. 2. Final Approval from'Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from-plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. • Commercial building, industrial building, multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses,or buildings and"pre-existing" land uses: 1. Accurate survey of property showing all property lines,,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy 6-f Certificate"6'f Occupancy" X23'"''" "'_. ._.... . .. . 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. New Construction: U)' obb Old or Pre-existing Building: (check one) i Location of Property: �3 7 /eWO4Y � '� j7��p'-`T' House No. Street Hamlet Owner or Owners of Property: 112M Suffolk County Tax Map No 1000, Section Block Lot / Subdivision �j' Filed Map. Lot: Permit No. �/ Date of Permit. Applicant: x/7'1 OYA> Health Dept. Approval: Underwriters Approval: Planning Board Approval: I� to Final Certificate: check one) Request for: Temporary Certificate ( Fee Submitted: $ Applicant Signature pF SO(/Ty®l Town Hall Annex Telephone(631)765-1802 54375 Main Road � Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 ® ® �® roger.richert(a)-town.southold.nv.us S COW, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Simon Address: 1375 Greenway East City: Orient St: New York Zip: 11957 Building Permit#: 42754 Section: 15 Block: 1 Lot 13 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 1 st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Surrey 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 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1 Disconnect Switches 1 Twist Lock Exit Fixtures TVSS Other Equipment: In ground swimming pool to include, bonding, control panel, time clock, 1-switch, 1-GFCI circuit breaker, 1-GFCI recpticle, 1-pool pump,gas pool heater,salt generator,pool lights Notes, Inspector Signature: Date: April 2 2019 81-Cert Electrical Compliance Form.xls OF SOUly�6 # TOWN OF SOUTHOLD_ BUILDING DEPT. 765-1802 INSPECTION . [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] 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 f INSPECTOR �-�-- �v SOUIyo� TOWN OF SOUTHOLD BUILDING DEPT. `ycourmN�'' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULAT N [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: , MDY& l -�i(0 4 10#i ci 9 I-vo,6 Lo hA vM—e belir/ C,-, - � �irxU` � �vr✓� �dA DATE INSPECTOR /lm"r off SOU # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm,N�' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULA ION [ ] FRAMING /STRAPPING [ FINAL 0Z /�L • [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: n , / n -, 1;r� 0V Y q�� t 0 DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS �J b J FOUNDATION(IST) .t H ------------------------------------ c/1 � 'FOUNDATION (2ND) �D 0 ROUGH FRAMING& PLUMBING y 1 INSULATION PER N.Y. STATE ENERGY CODE ' c11.- aq Coe FINAL J , YMW Sv P�' C� ADDITIONAL COMMENTS �y • O rn O z d b H TOWN OF SOUTHO L� BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPART T DD Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 �1 a� 2018 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 BU.7LDD4GDE+P'y. I( Suryey SoutholdTown.NorthForkMWN dMimmmD ( ''[ Check Septic Form �`� N.Y.S.D.E.C. Trustees C.O.Application �n l Flood Permit Examined l� ,20 C Single&Separate Storm-Water Assessment Form �n Contact: Approved l� ,201 Mail to: Disapproved a/c i Phone'; qt Expiration ,20 V .." P8;'' !_is ector 0°o�Y� ^1 NOV 2 8 2017 APCATIONFORBUIL PTS Date /�f�g , 20 1 INSTRUCTIONS to�1's�'.�-1:..��: ,.. •�,; �� Td.PWN()F a. This application pletely 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•mdnths`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, anew 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. - - ):;Ik loot 6W (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applic�t��:'bwner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises -7,0to G.,K00, L (As on the tax roll or latest deed) ` If app Ii ant is a orporation 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. 023 ' I. Location of land on which proposed work will be done: 12 75 Jq1&-40UAVMS7_ House Number Street Hamlet County Tax Map No. 1000 Section 45 Block Lot 31 Subdivision Filed Map N6.%'°',' ); of i 2. State existing use and occupancy of premises and intended use and occupancy of p'r".opos' d construction: a. Existing use and occupancy b. Intended use and occupancy ?R ; 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 of existing'structures, if any: Front 3e?i FIM7 Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front ;' ` Rear Depth Height Numbb;r of,Stories 8. Dimensions of entire new construction: Front l Rear >' ; 60th 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 O ✓ , 13. Will lot be re-graded? YES NO /Will excess fill be removed from premises? Y' ES VINO 14. Names of Owner of premises S"MW Address 13 &!Qt c ��Phoneo. Name of Architect ,Address Phone o Name of Contractor 4)tsyVM W oc-CRAG. Address 9 Zao/aW'� i Phone No. 15 a. Is this property within 100 feet of'a tidal wetland or a freshwater wetland?'*YES T40 * 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 1"0 feet,or below, must provide topographical da:a 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 ) �OOL CAet being duly sworn, deposes and sayys that(slh is the applicant (Name of individual signing contract) above named, CONNIE D.BUNCH Notary Public, State of Nework No.01 BU6185050 (S)He is the Count ntractor Agent, Corporate Officer, etG6mmission Expires April 14,2._,..,. 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 andbelief; and th t the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this II _day of 20 n " J Notary Public Signature of Applicant r , I FORM NO. 3 NOTICE OF DISAPPROVAL DATE: December 4, 2017 TO: NF Pool Care (Simon) 9700 Main Road Mattituck,NY 11952 Please take notice that your application dated November 28, 2017 To construct an in-ground swimming pool at Location of property: 1375 Greenway East, Orient, NY County Tax Map No. 1000- Section 15 Block 1 Lot 13 Is returned herewith and disapproved on the following grounds: The proposed construction in the R-40 District, is not permitted pursuant to Article IV Section 280-19, which states; "Accessory buildings shall be subject to the same requirements as 280-15 of the Agricultural Conservation District,"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 yard." The proposed in-ground swinmung pool is located in the side. tho ' ' Sigr 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. IBOARb MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson ��OF $0(/ry0 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes Town Annex/First Floor,Capital One Bank Gerard P.Goehringer 0 • �� 54375 Main Road(at Youngs Avenue) Nicholas Planamento IiYCOUNN Southold,NY 11971 D http://southoldtownny.gov MAY 2 9 2018 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 � �� RECEIVED TOWN OF SOUTHOI'YMINGS,DELIBERATIONS AND DETERMINATION d /0:17 A*YL� MEETING OF MAY 17,2018 PAY 2 3/n201 ZBA FILE: #7161 NAME OF APPLICANT: Thomas Simon and Jeanne Shanahan S thold Town Clerk PROPERTY LOCATION: 1375 Greenway East, Orient,NY SCTM: 1000-15-1-13 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 March 5, 2018 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: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. PROPERTY FACTS/DESCRIPTION: The subject, rectangular, 20,540 square feet (.47 acre) non-conforming residential parcel located in the R40 Zoning District measures 158 feet along Greenway East with a southern lot line of 130 feet shared with a residential neighbor, a western lot line of 158 feet shared with a second residential neighbor and a northern lot line of 130 feet shared with a third neighboring residence. The parcel is developed with a wood-frame, single story residence with covered porch, an attached garage, an outdoor shower and attached wood deck off the rear of the dwelling and a small covered storage shed as shown on the survey prepared by Kenneth M. Woychuk Land Surveying, PLLC, and dated September 27,2017. BASIS OF APPLICATION: Request for a Variance from Article III, Section 280-15; Article IV, 280-19; and the Building Inspector's December 4, 2017 Notice of Disapproval based on an application for a building permit to construct an in-ground swimming pool; 1) located in other than the code required rear yard; located at: 1375 Greenway East, Orient,NY. SCTM#1000-15-1-13. RELIEF REQUESTED: The applicant requests a variance to install a rectangular in-ground swimming pool measuring 16 feet by 32 in a side lawn where the Code requires such improvements to be constructed in the rear yard. ADDITIONAL INFORMATION: No member of the public or an immediate neighbor spoke in favor of, or against this application. / • F f Page 2,�May 1'7, 2018 #7161, Simon SCTM No. 1000-15-1-13 FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on May 3,2018 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 variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Greenway East located in the Green Acres subdivision is a road servicing a residential community of modest homes built in the mid to late 20`h Century all on non-conforming lots of approximate equal size and proportion, the great majority of which are upland and shallow in depth, with substantial side yards. Most homes in the immediate area, like the subject parcel, are well landscaped with mature plantings affording owner's privacy in the rear-yard; moreover, a pool is a customary accessory structure to a residence. The subject property affords substantial rear-yard screening of mature trees, both deciduous and conifer between neighboring residences and also has mature landscaping across the road frontage and alongside yards, thereby screening the pool from passersby. 2. Town Law 4267-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. The applicant's agent stated the pool cannot be placed in a conforming location because the rear yard is shallow in depth as the result of an attached deck and that there are several mature trees and privacy screening which would have to be removed in order install the pool. The agent further explained that the required equipment needed for the pool installation would cause substantial damage to the existing driveway, in order to access a conforming location, which would create an added cost to the project. The agent also indicated that the septic location is not identified and may be in the rear-yard. 3. Town Law &267-b(3)(b)(3). The variance granted herein is mathematically substantial, representing 100% relief from the code. However, there is no conceivable alternative location without substantially increasing the project's cost to the applicant and or disrupting mature trees and privacy screening. 4. Town Law X267-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. 5. Town Law 4267-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 4267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of an in-ground swimming pool measuring 16 feet by 32 feet 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 Planamento, seconded by Member Acampora, and duly carried,to GRANT the variance as applied for and shown on the survey prepared by Kenneth M. Woychuk, Land Surveyor, and dated September 27, 2017. ' f Page 3,,May 1'7, 2018 #7161, Simon SCTM No. 1000-15-1-13 SUBJECT TO THE FOLLOWING CONDITIONS: 1. A line of evergreen trees a minimum of 5 feet in height shall be planted and continuously maintained, between the house and the southern lot line to further shield the pool from the road 2. Pool mechanicals shall be placed in a sound deadening enclosure. 3. 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), Goehringer,Dantes,Acampora, and Planamento. This Resolution was duly adopted (5-0). A Leslie Kanes Weisman Chairperson Approved for filing ✓y- /d/ /2018 Page 4;May 17, 2018 #7161, Simon SCTM No. 1000-15-1-13 / f Scott A. Russell SUFFQ1 SSC O]KI��I WA' ]EIR. SUPERVISOR MANAcG IEMIENT z SOUTHOLD TOWN HALL-P.O.Box 1179 u 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOLES THIS PROJECT T INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ' ' ❑ A. Clearing, grubbing, grading or stripping of land which affects more ❑athan 5,000 square feet of ground surface. B. Excavation or f illing involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑ 01C. 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 erosion hazard area. . El Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT- (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date ,,p , ( Distract NAME. 1r3�",y//! "'IW e� IL �_ 3 X Section Block Lot FOR BUILDING DEPAIzTMEN'I USE ONLY Contact Information rd'pl.'w Nm 6cr Reviewed By: Date: Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — — Approved for processing Building Permit. 'Z 7 5_' ",6�..f��ee L-)''4V 54 s-r/ — — Stormwater Management Control Plan Not Required. (�/21l/Yy! /y./' I (�J ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM SMCP-TOS MAY 2014 Town Hal Annex Telephone(681)7g6�5--1802 54375 Main Road y (631)7�h I� P.O.Box 1179 ,G� • �� roQer.rit`.hert a[ own.sau O .nY.US Southold,NY 11971-0959 Ol�� n BUaDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: A �,rM Fmlk Aot C-✓&- Date: Company Name: `C Name: C� License No.: e Address: �/!�Amb Phone No.: . -d- 7--7103 JOBSITE INFORMATION: (*Indicates required information) *Name: Ld A ey 4112P LI *Address: &Iew E!i �A57 (212Pe.,,) --- *Cross Street: *Phone No.: 9/ to Permit No.: Q 5y Tax Map District: 100a S ction:�,� Block:�_ Lot: ` 4� *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YES / O Rough In Final *Do you need a Temp Cert'if'icate: YES O Temp Information (if needed) ' *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION • B2-Request for lnspedon Form S.C.T.M. NO. DISTRICT: 1000 SECTION: 15 BLOCK: 1 LOT(S): 13 Lor 48 LOT 35 _ PIPE 3.4' N 76048'20" E sTx 130.00' STK. 0.8 • 0.8;SW CO STORAGE ASPHALT DRIVEWAY 18.0 2.8' b w Imo+ OUTDOOR 22.2 W SHOWER '.' ?.::::::ii' 0 Y .y' CONC. 041 STOOP 5.5 O k '.1 STY'FRiA. :.,`:':w a 14.3' w LOT 34i :'•`i: i LOT 47 0 0 1 31.2 45.5' 40.4' W 1 x X PROPOSED POOL FENCE X CW X ; U.P.U.P. co x ut O �I [IDRY POSED .y -M8'DIA0 WELL ;I?ROPO§EU::it''� x 24.11— PROP. 4.1'PROP. WOOD RAIL FENC POOL EQP. Na 8 Mo". 04,E S 7648'20" W °�L 130.00' LOT 33 . LOT 48 ' W Cil .p - ( tv fv ' Bldg Dept copy from ZBA Final reviewed d cu entS ' ZBA File # 7/ 1 Date.5/ 113 / I _ I - - J PARK T'IEW LANE THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL ADD PROPOSED POOL 01-11-18 LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS AREA: 20,540.00 SQ.FT. or 0.47 ACRES ELEVA77ON DATUM.- UNAUTHORIZED ATUM:UNAUTHORIZED AL7FRA77ON OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW YORK STATE E6UCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND 70 THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF: LOT 47 CERTIFIED TO: THOMAS M. SIMON; MAP OF: GREEN ACRES JEANNE A. SHANAHAN; WELLS FARGO BANK, N.A.; FILED: APRIL 13, 1962 FIDELITY NATIONAL TITLE INSURNACE SERVICES, LLC; SITUATED AT. ORIENT TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Bog 153 Aquebogue, New York 11931 FILE # 17-143 SCALE: 1"=30' DATE: SEPT. 27, 2017 PHONE (831)298-1688 FAX (631) 298-1588 N.YS. LISC. NO. 050882 maintaining the records of Robert 1. Hennessy & Kenneth M. eoychuk r\ North Fork Pool Care it qac, /m�&) ✓ ice �y 1!1�0� U,ruyt, poodt 4�CuG OCCUPANCY OR 5 � �s USE IS UNLAWFUL WITHOUT CERTIFICA77 d- APO ),j,4,`„ S. OF OCCUPANCY 1�ll My APP41�,R, VED AS NOTED '� ii Mt i DATE: FEE:� BY: ii NOTIFY,BUILDING DEPA AT �o TO 4 PM FOR THE G_`I(NSPECTIONS: 1. FOUNDATION - TWO REQUIRED d' FOR POURED CONCRETE /� C Cre 2. ROUGH=FRAMING & PLUMBING O� 3. INSULATION �4� 4 BE COMPLETE FORT.O,MUST ALL CONSTRUCTION SHALL MEET THE / ''// REQUIREMENTS OF THE CODES OF NEW d . YORK STATE. NOT RESPONSIBLE FOR ” SIGN OR CONSTRUCTION ERRORS." COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQ ED AND CONDITIONS OF ELECTRICAL SOMOLD TOWN ZSA INSPECTION REQUIREDg ING BOARD 36n6tB-fi6w"%Tus AIVc+�_ ENV LOSE:POOL TO,CODt,: RETAIN STORM WATER RUNOFF -l'IP®IV,GOMPLETION 'BEFORE"WATER-" PURSUANT TO CHAPTER 236 OF THE TOWN CODE. to ko DATE: -- �. - - SIZE SHAPE, BWDEA PATTERN: �. WALL. 1(9 FLOOR PATTERN: CORNERS:_ r . DEPTH:...... ' -�._ . • j HUNG OVERLAP (drds one) . 20 GAUGE 27 GAUGE (drds one) qy" g