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45048-Z
SisF 1 , Town of Southold 6/15/2021 y, P.O.Box 1179 o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42083 Date: 6/15/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 425 Jacobs Ln, Southold SCTM#: 473889 Sec/Block/Lot: 88.-1-1.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/22/2020 pursuant to which Building Permit No. 45048 dated 7/31/2020 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 per ZBA#7406, dated 7/16/2020. The certificate is issued to Nappa,Anthony&Sarah of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45048 t4 0/22/2020 PLUMBERS CERTIFICATION DATED .. ut ori ed Signature rr. . TOWN OF SOUTHOLD �g�FFO(,�coGy BUILDING DEPARTMENT �o 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#: 45048 Date: 7/31/2020 Permission is hereby granted to: Nappa, Anthony 425 Jacobs Ln Southold, NY 11971 To: construct accessory in-ground swimming pool as applied for per ZBA approval. J At premises located at: 425 Jacobs Ln, Southold SCTM # 473889 Sec/Block/Lot# 88.-1-1.5 Pursuant to application dated' 7/23/2020 and approved by the Building Inspector. To expire on 1/30/2022. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Builspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 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 f (ih New Construction. u Old or Pre-existing Building: (check one) 1 I Location of Property: - 1 J a J 5 /\.P- 500 j 4` e House No.n n� treet Hamlet Owner or Owners of Property: 1 v R �l Suffolk County Tax Map No 1000, Section ? Block 1 Lot Subdivision y1P.2��`P-\ V-v M Filed Map. ly 6 Lot: Permit No. 455 Date of Permit. Applicant: 1-"� '� TA°IS TC, —\j J"qI f Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicanighature Bfiilding Department Application AUTHORIZATION A:TION (Where the Applicant is not the Owner) i, ANTP o,, A APP* residing at gL5— SAlvas Se�t�L (Print property owner's name) (Mailing Address) do hereby authorize AL4'r �00 (Agent) 4v�(v to apply on my behalf to the Southold Building Department. .O e ' Signature} (Date) A414o.Y (Print Owner's Name) OF SOUPS®! Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.rich ert(cD-town.south old.ny.us Southold,NY 11971-0959 Comm, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Anthony Nappa Address: 425 Jacobs Ln City: Southold St: New York zip. 11971 Budding Permit#: 45048 Section: 88 Block: 1 Lot: 1.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: REP Electric License No: 46288-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 Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps - Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches El Twist Lock Exit Fixtures TVSS Other Equipment. In ground swimming pool to include, pool bonding, control panel, 1-time clock, 1-salt/chlorine generator, 1-pump motor, 1-heat pump,low voltge pool lights, 1-cover motor,3-gfci circuit breakers Notes* Inspector Signature: Date: October 22 2020 81-Cert Electrical Compliance Form.xls SOUI'yo� * # TOWN OF SOUTHOLD BUILDING DEPT. �`y�ournr `' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL -[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE 64 INSPECTO R �- yg - # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] SULATI W A U L K I N G [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION Y [ ] ELECTRICAL-(ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: I aty fLQ J f r� I -�i r,, -- c4w Aft - N6_ - wift ftla 4- ('13 oa _ b� 0V t — . AvL a ,,w r� DATE 1 60 INSPECTO as TOWN OF SOUTHOLD BUILDING DEPT. 7651802 y INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] RaSULATIOWCAULKING [ ] FRAMING/STRAPPING [ FINALPMIL — 4 e.. [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETYlNSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: _u 1� DATE INSPECTOR we 1 wl ►iii ��� '_ _ � � -!� ,�!'R�'�d�K����i,- • ,rte.,._.. - •s � `'�t•r �� i _ Y 31 �.�-r vit j b I t IMG 0700,jpg https://mail.google.com/mail/u/0/ r Air ;,N � d' r frro, 1; M J •fes----� F f�,• - - . j ti , w n _ rf ,.w 4 i w e . e. 1 of 1 5/17/2021, 8:59 AM FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) --------------------- --------- FOUNDATION(ZND) ' J i �1S] ROUGH FRAMING& � PLUMBING n INSULATION PEA N.Y. STATE ENERGY CODE FINAL w � 'mnn l ----Ore mh k wVbn&-'- 9mew, - to-) - 0.1 �`c 0.1 ao X17 • m . d H 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 Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C.i Trustees C.O.Application Flood Permit Examined 7/31_,20 r Single&Separate F-1 , Truss Identification Form _ 'L Storm-Water Assessment Form i� e Contact: Approved `3j•'/f ,20 �� `� .,�5 3l�� - �-'+ Mail to::: C' QM"e Disapproved a/c cj �J 1�e, � (� (Q,ll Q N4I, 1�a� Phone: G51 SCM_ 5aq Expiration 20 � iqBuild l nspector "I I J T� .JUL 2 2 2020 ,,_::_� APPLICATION FOR BUILDING PERMIT UUILDIN DEIN, Date ,20 INSTRUCTIONS a.This agl lication 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,a d regulatio ,and to admit authorized inspectors on premises and in building for necessary inspections. (Sig i of appli ant or name,if a corporation) (Mailing address of a plicant) State whetter applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a�rporaPC ' n;signature of dul authorized officer _ iq A �Aa V _ — o d—M cam, .Q - (Na e and title of corporate of cer) Builders License No. S1-7 �� N Plumbers License No. Electricians License No. 5_ Other Trade's License No. ' 'I: ,L;oc aatiop of'land on whichppo���work will be done: - - 1 House Number Street Hamlet • Lam_ CountyTax Map-No. 1000 Section Block- Lot- 1 ' J Subdivision V of,�-�Nen 'rac r-,) Filed Map No. \ CSS Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Ucy �l��Q� G!`� gCr(t9k- b. Intended use and occupancy - 10+ 0,AK�S'�Fk��?��d► G3S 3. Nature of work(check whk h applicable): New Building Addition Alteration Repair Removal Demolition Other Work Acce 550f 5Vj(,/h Uo 1 Description) 4. Estimated Cost'-15, bw•w Fee (To be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars `�. If business, commercial or mixed occupancy, specify nature•arid extent of each type of use. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories, Dimensions of same structure with alterations or additions: Front Rear`) Depth Height Number of:Sto' `ie`'s-`; Dimensions of entire new construction: Front Rear Depth.. Height Number of Stories 11P # Size of lot: Front Rear Depth t + + 1; 34 a I0. Date of Purchase Name of Former Owner 11. 11. Zone or use district in which premises are situated K- 0 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 premisesAnV'O04 OgUck Addressy;5 51f s "4VOP Phone No/771(`64f -7 (99 Name of Architect Se SGo�S Address(o velq(�+ �,1! ,�,- i{oneNoGSI-Z-7S''3497 Name of Contractor3c&-e,"5 TobIs Tn C. Address6VCle5 ?14,Acnu(v.l4 Phone No.G31-591-6 9 ,yeti y 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) S: COUNTY O C- being duly sworn,deposes and says that(s)he is the applicant (Name of indi 'dual signing ontract)ab ve named, S He is the � � co^�cc�L4f (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 t ' `+k) day of (,( 20 A0 Notary Pu r TRACEY L. MAIVER Signatu plicant NOTARY PUBLIC,STATE^r 'acW YORK No.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,20,29,, FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: January 28, 2020 TO: Patrick Kenney(Kappa) PO Box 3024 East Quogue, NY 11949 Please take notice that your application dated January 28, 2020: For permit: to construct an accessory in-ground swimming pool at: Location of property: 425 Jacobs Lane, Southold, NY County Tax Map No. 1000—Section 88 Block 1 Lot 1_5 Is returned herewith and disapproved,on the following grounds: The proposed accessory swimming pool on this conforming 120,801 sq ft lot in the AC District is not permitted pursuant to Article III, Section 280-15, which states accessory buildings and structures shall be located in the required rear yard. The plan shows the proposed accessory swimming pool located in the front yard. Autho ' e ure 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. ` BOARD MEMBERS �QE SOU Southold Town Hall Leslie Kanes Weisman,Chairperson lift 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acamporaµ Office Location" Eric Dantes Town Annex/First Floor, Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue) Nicholas Planamento O`iYC0U1�1' Southold,NY 11971 �--�� PD http://southoldtownny:gov ZONING BOARD OF APPEALS J U L 2 9 2020 J U L 2 9 2020 • TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 ®� ®fid T.�vvn Clerk 1gU1�.,u'�MG DEPT. T( = .. r 7HOLD FMINGS,I)ELIBERATIONS AND DETERMINATION MEETING OF JULY 169 2020 ZBA FILE: #7406 NAME OF APPLICANT:Anthony Nappa PROPERTY LOCATION: 425 Jacobs Lane,Southold,NY SCTM. 1000-88-1-1.5 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 bepartthent of Planning issued its reply dated March 12,2020 stating-that this application is considered a matter for local determination as there ' appears to be no significant cotinty-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. q PROPERTY FACTS/DESCRIPTION: The subject, conforming, 120,801 square feet 2.77 acre, irregular-shaped corner lot known as Lot 3_of the minor subdivision of Deerfield Farm, located in the Agricultural Conservation district measures 275.83 feet along Main Bayview Road, then continues 481.03 feet along Jacobs Lane, then runs 291.21 feet along a residentially developed lot to the east,then 148.76 feet along a second,residentially developed lot to the north,then runs 153 feet along a third residentially developed lot to the west and continues back to Main Bayview Road, 260 feet, along the same neighbor to the west. The lot is improved with a two-story wood frame house and attached garage, covered front porch and rear deck, a "paver" driveway, a frame barn, canvas garage, small frame shed, frame run-in she substantial board & wire fencing creating multiple paddocks and a 75 feet `scenic easement' located on the southwestern corner of the lot, as shown on the survey prepared by Nathan Taft Corwin III,Land Surveyor, and dated March 27, 2001 and updated March 4,2020. BASIS OF APPLICATION: Request for a Variance from Article III, Section 280-15 and the Building Inspector's January 28, 2020, Notice of Disapproval based on an application for a permit to construct an accessory in-ground swimming pool; at, 1) located in other than the code required rear yard; located at: 425 Jacobs Lane, Southold,NY. SCTM No. 1000-88-1-1.5. RELIEF REQUESTED: The applicant requests a variance to locate an inground swimming pool measuring 20 feet by 40 feet in a front yard where the code requires such improvements to be located in the rear yard. Page 2,July 16,2020 #7406,Nappa SCTM No. 1000-88-1-1.5 ADDITIONAL INFORMATION: The applicant filed a Transactional Disclosure Form with the Town of Southold. The subject parcel is the,beneficiary of three prior variances: #5165 issued in 2002;#6627 issued in 2013;#6979se issued in 2016. The subject parcel is currently `farmed' and is also used as a Code compliant Bed&Breakfast. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on July 9, 2020 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 fmds 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. The subject parcel,is among the largest of private residences in the general area and the property to the immediate south, across Main Bayview Road, is owned by Suffolk County and is heavily wooded. Adjacent homes located in the Deerfield Farm minor subdivision have accessory, swimming pools and while the proposed pool is to be located in a technical front yard, the location will not be discernable from either of the road frontages. Additionally, a swimming pool is a common accessory structure to a residence in the Town of Southold. 2. Town Law.§267-b(3)(bQ. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant tQ pursue, other than an area variance. The proposed location for the accessory swimming-pool is the only logical location to place the pool given the multiple fenced: paddocks grid existing ,frvme ba m- -accommodating,the `farm'. 'As a result,of a limited lawn area behind the house and'the-oxisting child'ren's-play area and jungle-gym the proposed pool location is the only convenient spot to place a pool 46Wing,access from - the house and attached decking given the burden of a corner location with double-road frontage while maintaining- a yard. 3. Town Law 4267-b(3)(b)(3). The variance granted herein is mathematically substantial, representing 100% relief from-the code. However, the proposed swimming pool is to be located at its closest point 148 feet from Jacobs Lane and 283 feet from Main Bayview Road which is substantially greater than the code requires for a principle setback. 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. 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 $267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a 20 feet by 40 feet inground swimming pool 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 267-13, motion was offered by Member Planamento, seconded by Member Weisman ------ ----- ------- ---- ----- �Chairppers~ud)—,wi rd�xly-tarried,to—_------ —--- --- ---- —-- —----- 4 Page 3,July 16,2020 #7406,Nappa SCTM No. 1000-88-1-1.5 •. 4 !. 4 GRANT the variance as applied for, and shown on the survey prepared by Nathan Taft Corwin, IIT, Land Surveyor, last revised March 4,2020. S U DU E-qT TO THEFOL�O�V]�I�T��O�DITrO — - -- �--- 1. 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 andlor architectural drawings cited in this decision will result in delays and/or apossible denial by the Building Department of a buildingpermit, 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. 7h4s 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 ocher features as are expressly addressed in this action. In the event that this is an approval subject to conditions; the approval shall not be deemed effective until such time that the foregoing conditions are met; and failure to comply therewith will render this approval null and void. The Board-reserves the right to substitute a similar deign-that is de min' in nature for an alteration that,does not increase,the degree of nonconformity. Pursuant to Chaliter 280-146($) -qf-the'todo of"the-Town-ofSouthold-city variance granted by the Board of Appeals shall=become null and Void,.wkiere a Certat dOccupaney has not lieel� procured, and/or a subdivision 'map has riot"b-een 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 extetision-not to exceed three(3) consecutive one (1)year terms. Vote of the Board: Ayes:Members Weisman(Chairperson)Acampora,Dantes,Lehnert, and Planamento(5-0). Leslie Kanes Weisman Chairperson �j �J Approved for filing 7// �/ /2020 R ' Scott A. Russell ��'10sUFFQ/r`6 STORI�MIWAT]ER SUPERVISOR AM1ANA\,Gf]E1\\41EN r]F >� SOUTHOLD TOWN HALL-P.O.Box 1179 O 53095 Main Road-SOUTHOLD,NEWYORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF 'I'H E I;OL- W'VING: Yes No (CHECK ALL THAT APPLY) MMA. Clearing, grubbing, grading or Stripping of land which affects more than 5,000 Square feet of ground surface. ❑913. 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. E]WD. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑ E. Site preparation within the one-hundred-year f loodplain as depicted E]EFon FIRM Map of any watercourse. . 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 Dale '/�_1 Q Dutrlcl _ Nn;Ne vVl 1"�l2 7 - °� ��C 3O ©1 l•�'7 1 I abav P-1) Section Block Lot /, `/��/✓�/ FOR BUILDING DEPARTiV1EN'r USE ONLY '** Contact Information 6�i I V® �� ` 1 rr.rPn,M wn�, Reviewed By: — — — — — -- - — — — — — — — — Dale: h 17— CQ® Property Address/Location of Construction Wo)k: — — — — — — — — — — — — --— — — �� S Approved fol processing Building Pei mit. ,® Stormwater Management Control Plan Not Required. A �\ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) )' 17ORM * SMCP-TOS MAY 2014 �SUFFO/�.0 BUILDING DEPARTMENT- Electricar°In neCfbC,���\/ j TOWN OF SOUTHOLD�� L a all Annex - 54375 Main I 79 Town H Ro�c 'O Box 11 4ef o - Southold, New York 11971-0959 OCT 1 4 2020 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(c_southoldtownnV.gov — sea nd(a south'&tdfdWDXy�r1gOvt-a. APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) ll Date: Ck Company Name: Ir Name: ®B -r i 'u(� License No.: 'Z�j,L�`�1�� email: �� / ,�-� ' ,►� Address: a I ('j �3 S- Ab_7 Phone No.: C,3 - -- - - - --- --- --- -------- -- ---- JOB SITE INFORMATION (All Information Required) Name: Address: l Z Cross Street: yJ AA Phone No.: �3/ 7� 7 (03v Bldg.Permit#: email ` Z/' �' Tax Map District: 1000 Section: Block: Lot: 1i� BRIEF DESCRIPTION OF WORK (Please Print Clearly) t0 6L) o 0 Circle All That Apply: Is job ready for inspection?: YES NO (RfoughIn Final Do you need a Temp Certificate?: YES /(9 Issued On Temp Information: (Alf 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: 00) 0a/ ao PAYMENT DUE WITH APPLICATION * IDO &C1 111,0,15 Request for Inspection Form xls SURVEY OF LOT 3 MAP OF MINOR SUBDIVISION DEERFIELD FARM FILE No. 10596 FILED MARCH 27, 2001 SITUATED AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-88-01 - 1 .5 SCALE 1 "=50' APRIL 3, 2001 JUNE 15, 2001 REVISED PROPOSED HOUSE JULY 11 , 2001 FOUNDATION LOCATION JANUARY 10, 2002 FINAL SURVEY APRIL 17, 2002 BARN FOUNDATION LOCATION APRIL 21 , 2016 STAKE PROPERTY LINES MARCH 4, 2020 UPDATE SURVEY AREA = 120,801 sq. ft. 2.773 cc. � °yc 3O 20 40 01 CY Sh'fp f �Q�Q� o ro 2V ?T, Q� ANO MOH F ROH kMf 0. '?O• gO aq ,`• ",'. .; %.: LU �� k sof S rop. „�° •�� , CY C7 9 GpT 'C sr'kh- R ° `VQ OA.) o°tic OQ ���. ff� �43�``. c3 "F� sT,q�f''ry /�c{��u e��� ,pa,peR wq� '� '•:; pOOtcro,�'c � D` "0'0 00"5- � � Tia �� \ 0• pQ MOS � /+ c3 w` r�'���o kq • l000�1 0 � O LOT O3 00 Vx �� Q ...:.:............. ..........:.....`. 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CERTIFICATIONS INDICATED HEREON SHALL RUN Z ONLY TO THE PERSON FOR WHOM THE SURVEY t IS PREPARED, AND ON HIS BEHALF TO THE Z TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— L m K� TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. 0 THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ! ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM Nathan T of Corwin i STANDARDS FOR TITLE SURVEYS AS ESTABLISHED L BY THE L.I.A. .S. AND APPROVED AND ADOPTED II FOR SUCH USE BY THE NEW YORK STATE LAND Surveyor 1 TITLE ASSOCIATION. Land S u r V e Y o r V 0 i. Cir Successor To: Stanley J. Isaksen, Jr. L.S. Joseph A. Ingegno L.S. Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS tr a ti\ `vt ? , _{ 1586 Main Road P.O. Box 16 N. o. 50467 Jamesport, New York 11947 Jamesport, New York 11947 36-060) i i I YORK Workers' CERTIFICATE OF' STATE Compensation 'NYS WORKERSCOMPENSATION INSURANCE COVERAGE Board j Ia.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured j 631-996-4687 Patricks Pools Inc I PQ Box 3024 r 1 c.NYS Unemployment Insurance Employer Registration Number of East Quogue,NY 11942 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 262929943 i 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Wesco Insurance Co Town of Southold 3b.Policy Number of Entity Listed in Box"1 a" _ 54375 Main Rd. WWC3419103 PO Box 1179 Southold,NY 11971 3c.Policy effective period s 05/13/2019 to 05/132020 3d.The Proprietor,Partners or Executive Officers are 0 included.(Only check box if all paMerslofficers included) (]X all excluded or certain partnerslofficers excluded. This certifies that the insurance carver indicated above in box"3"insures the business referenced above in box"l a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box 7'. The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled ,due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c',whichever is earlier.. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listedi nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect Please Note:Upon cancellation of the workers'compensation policy Indicated on this form,if the business continues to be named on a permit,license or contract Issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative'or licensed agent of the insurance carrier referenced above and that the named Insured has the coverage as depicted on this form. Approved by: Nicholas Zulkofske j (Pnnt name of authorized representative or licensed agent of insurance camer Approved by: r(Z V r (Signature) (Date) Title.Authorized Agent Telephone Number of authorized representative or licensed agent of insurance carrier.631-941-4113 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-106.2.Insurance brokers are N.QI authorized to issue it. I C-105.2(9-17) www.wcb.ny.gov ' I i i J r Pairick' s ?ools P.O.`Box 3024 East Quogue. NY 11942 Phone 631790377665 Fax 631-245-6513 0 �; www.patrickspools.com 425 Jacobs Lane. Southold Scope of work: Install a 20x40 custom concrete swimming,pool with a hand polished,maible plaster and custom features detailed below/Install 2'►a40.custonl.V>inyl pool Abbreviated cost estimate: 20x40 basepool vinyl - $35,000 Paver patio $4000 Retaining wAil - $6000 Total: $45000 Detailed estimate below: Custom build, 20 .40 swimming pool includes the following: ® 3 Water W,--,y pool returns with water stops ; + 2 Train drains or deep heat returns at the bottom of d`eep;end—VUB;Anti`Vortex ewers + i-layward gunite skimmers ® sk rnmer equalizer lines ® 475 gallon Cul Tec dry well + Pentair Intelliflo SVRS ultra high efficiency pump ' $450 rebate check included ® 2" sJ'iedule 80 PVC unions ® 500 1[ top mount Hayward high rate glass media�filie'r with upgraded-2" multiport ® Penndr Letro rluidmaster automatic water it!ler + Equipment slab ® 2" plumbing with sweep elbows pressure tested to 30 psi. No use of PVC flex pipe' ® Pentair 500 waft light with polished stainless steel faceplate + 6" bt,�_d of frost free tiles with$8 per square =iot initterial allowance. Basecrete wa(orpn,oi�:rg of gunite prior to tile installation. Tile.installation performed,using an ;'inti- llydro syntL:.tic admixture and a premium la`ex modifiedrftill flex-thihsei mortar + '2"-.,2" premi tun select thermal finish bluestene coping'inst'alled using cement setting bed with an Anti-Hydro synthetic admixture and a premium latex.modified thinset moiw painted slurry /or $14 per square foot material allowance on,other stones ® Hued troweled and polished marble plaster surface frnish with color'of your choice + Chiid alarm AS)N4 compliant Custom Ci:;tite&Jinyl Construction-Maintenance-Mai_.;.•,Dusting-Liner Replacements-Complete Renovations Safety Covers-Leak Detection-Heater lnstallations-,(;,-•ild Proof Fencing-Saltwater Chlorine Generators Patios-Solar Attic Rea,,ers-and inore- iTf P -ratrick' s ProoN =!="' P.O. Box 3024 East Quogue,NY 11942 Phone 631-903-7665 Fax 631-245-6513 www.patri ek snoo k eons ® Out of ground wood/ steel'tex framing as needed ® Basecrete flexible cementitious water proofing system ® 4 electrical safety bond'points o 2 schedule 80 CPVC unions ® 2 Prahar schedule 80 CPVC ball"vales e Electrical water bond dedicated • l ,t ,t. h, tit .'! l Custom Gunite&Vinyl Construction-Maintenance-Marble Dusting-Liner Replacements-Complete Renovations Safety Covers=Leak Detection=Heater Installations-Child Proof Fencing-Saltwater Chlorine Ge•ierators Patios-Solar Attic Heaters-and more- SURVEY OF LOT 3 MAP OF MINOR SUBDIVISION DEERFIELD FARM FILE No. 10596 FILED MARCH 27, 2001 SITUATED AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-88-01 - 1 .5 SCALE 1 "=50' APRIL 3, 2001 JUNE 15, 2001 REVISED PROPOSED HOUSE JULY 11 , 2001 FOUNDATION LOCATION JANUARY 10, 2002 FINAL SURVEY APRIL 17, 2002 BARN FOUNDATION LOCATION APRIL 21 , 2016 STAKE PROPERTY LINES MARCH 4, 2020 UPDATE SURVEY AREA = 120,801 sq. ft. 2.773 ac. e —NCC Ib 41 GP p"p 30 y Mp" 2 , l01e... ._._._. ._. Bid Dept copy from ZBA �,�� `>// •. / L` p Final reviewed dotu��'yy��ents ZBA File # '7 pcb tilb PVA �/ "�F Date:"7/ •, / Wks CT 9V -I tSIA � 1� "K sr s.p rt t s��"F Pp0(Hdyp "J .O 9' is ''r4{F 1 41O Goo 4, .....'.,.... 'V "2! O S( cg 41 OO' chi / /v8 py o /yqr 'OOH 13 O. \ & ell o� LOT O3 110 � raL�pW K �� qOO�,•, p�p� �� ? IN YV �• P \` 0 shoo \ °F J..............................'.:..... .. .. 4 F \ ..... / ..... \ ............. ............. �, ......'' ' . i0io(, ... .................. 9�� .'.................... ....'PIPE : :::: :: ::::::: ::: :::::::::: A, ...................� s ..............I.... ......................... AOS ................. .. i� cb cO1c Qtsr UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF = r SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. \ COPIES OF THIS SURVEY MAP NOT BEARING ��1 ) THE LAND SURVEYOR'S INKED SEAL OR t / EMBOSSED SEAL SHALL NOT BE CONSIDERED \ TO BE A VALID TRUE COPY. yCERTIFICATIONS INDICATED HEREON SHALL RUN y ONLY TO THE PERSON FOR WHOM THE SURVEY t IS PREPARED, AND ON HIS BEHALF TO THE \ Z TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. O \ J THE EXISTENCE OF RIGHTS OF WAY �✓1 AND/OR EASEMENTS OF RECORD, IF J ANY, NOT SHOWN ARE NOT GUARANTEED. E PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED Nathan T of t Corwin I I I BY THE L.I.A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE„4AND TITLE ASSOCIATION. Land Surveyor r� or �+� ` _ ♦A / to lrv�, X01 a F�. Successor To: Stanley J. Isaksen, Jr. L.S. Joseph A. Ingegno L.S. Title Surveys — Subdivisions — Site Plans — Construction Layout /! PHONE (631)727-2090 Fax (631)727-1727 .`.; ;7✓�,�r,r.��` OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 s N.Y.'S. Lic. No. 50467 Jamesport, New York 11947 Jamesport, New York 11947 36-060A Pod APPROVED AS NOT D DATE: 3 op # FEE: py: NOTIFY BUILDING DEPARTMENT AT RETAIN STORM WATER RUNOFF ass-lsoz 8 AM TO 4 PM FOR THE PURSUANT TO CHAPTER 236 FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO hEQUIRED OF THE TOWN CODE. FOR POURED CO ,TE 2.,,ROUGH - FRAMIiv�-; PLUMBING 3: INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL,CONSTRUCTION SHALL MEET THE 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 REQUIRF�AND CONDITIONS OF E ,CLOSE POOL TOCODE DUTHOLD TOWN ZBA ON COMPLETION i )i .: :�',PEFORE"WATER" ARD 48949EB49WN4STEES OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 7 J t LA . -. i y a 'xv , 7 4 i 3 t i t :.. •- OUT, 1 Vinyl k- 12-1 v , x }} ytw F' t E• �f 1' ( 3 i.s• ! is`.{ ..t ?.., r ... ._- i i rit ;IC ot 4 `,' t. - , - z 1 - 1 t i( / ? j: t t ,E ; 7 •_.z +s ., .4'si _ 4' ` ±,.nu i t t Iii j 41 n