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HomeMy WebLinkAbout47025-Z oGy Town of Southold 11/13/2021 3 P.O.Box 1179 cm o _ 53095 Main Rd y o� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42526 Date: 11/13/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2793 Cox Neck Rd.,Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-8-7.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/15/2018 pursuant to which Building Permit No. 47025 dated 10/25/2021 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: accessory in-ground swimming pool fenced to code as applied for. The certificate is issued to Schwartz,Justin&Allison of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42703 12/2/2019 PLUMBERS CERTIFICATION DATED fl i\ 0 0 A iz Si nature o�SUFF04 TOWN OF SOUTHOLD oy BUILDING DEPARTMENT co x 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#: 47025 Date: 10/25/2021 Permission is hereby granted to: Schwartz, Justin 426 W 58th St Apt 4A New York, NY 10019 To: Construct accessory in-ground swimming pool as applied for per Trustees Non-Jurisdiction letter and DEC approval with flood permit. Replaces BP# 42703 At premises located at: 2793 Cox Neck Rd., Mattituck SCTM #473889 Sec/Block/Lot# 113.-8-7.6 Pursuant to application dated 10/25/2021 and approved by the Building Inspector. To expire on 4/26/2023. Fees: PERMIT RENEWAL $200.00 Total: $200.00 Building Inspector TOWN OF SOUTHOLD Fat 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#: 42703 Date: 5/21/2018 Permission is hereby granted to: Schwartz, Justin &Allison 426 W 58th St Apt 4A New York, NY 10019 To: construct accessory in-ground swimming pool as applied for per Trustees Non-Jurisdiction letter and DEC approval with flood permit. At premises located at: 2793 Cox Neck Rd, Mattituck SCTM # 473889 Sec/Block/Lot# 113.-8-7.6 Pursuant to application dated 5/14/2018 and approved by the Building Inspector. To expire on 11/20/2019. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Flood Permit $100.00 Total: $400.00 Bui di pector 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 Date. New Construction: x Old or Pre-existing Building: (check one) Location of Property: 2793 cox Neck Road Mattituck House No. Street Hamlet Owner or Owners of Property: Justin Schwartz Suffolk County Tax Map No 1000,Section 113 Block 8 Lot 6 & Subdivision Filed Map. Lot: Permit No. ,3 Date of Permit. Applicant: En-Consultants, Agent L 91 Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: heck one) Fee Submitted: $ Appfte6nt Signature CONSENT TO INSPECTION the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned(is) (are)the owner(s) of the premises in the Town of Southold, located at 2-713 60,1 , /1'c a Ab M1 r1,-v c.k , ("/-/, /11.Yz , which is shown and designated on the Suffolk County Tax Map as District 1000, Section //3 ,Block �? ,Lot 7 fo *q . That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: pow,� That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances,rules and regulations of the Town of Southold. The undersigned,in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances,rules or regulations of the Town of Southold. Dated: �( It (Sign re) jv,)T-"-( f-t-f 6✓m T1- (Print N me) (Sign ture) �L`c SoJ Sc}t�Jh2i L (Print Name) ®�10%oF sovl�®� Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � Sean.deviin(cD-town.southold.ny.us ®lyC®UNTI,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Justin Schwartz Address: 2793 Cox Neck Rd city Mattituck st: NY zip: 11952 Building Permit# 42703 section 113 Block- 8 Lot- 7.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: GJ's ElectricLLC License No: 4839-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 1 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Pump Recessed Fixtures CO Detectors Sub Panel X A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures Combo SD/CO Other Equipment: Sub Panel 24 Circuit- 8 Used, Bonding, Pump on 220 GFI Breaker, Salt Generator, Max-E-Therm400 Heater, Pool Cover on 120 GFI Breaker, Lights-3 on 120 GFI Breaker, Keypad, Notes: Pentair Easy Touch Control System, Deck Box- 2 POOL i F Inspector Signature: Date: December 2, 2019 S.Devlin-Cert Electrical Compliance Form.xls �O��OE SOUIyo� # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] RCECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ CODE VIOLATION [ ] CAULKING REMARKS: w r os DATE INSPECTOR �OWPAA' ) OE SOUIyo� # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm,��' 765-1802 INSPECTION - I FOUNDATION 1ST [ ] ROUGH PLBG. Zj o 2j [ ] 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 �47 INSPECTOR �--� qvqci/ laaf Sol' # # TOWN OF SOUTHOLD BUILDING DEPT: °`ycourm ' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]' ROUGH PL13G. [ ] FOUNDATION 2ND [ ]. SULAT ON/CAULKING [ ] FRAMING /STRAPPING [vi FINAL [ ] FIREPLACE & CHIMNEY [ "]--FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION -[ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ""] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O" REMARKS: afto'- -mi&- orISWIN twl/ ` - F I &uud Am.) be, r-A 4. tA/ d44Ah � 3 vl 61VA 9YAVIWAfvV1� siboom? J - +ce DATE INSPECTOR V, �o�aOF SOUIyOIo # TOWN OF SOUTHOLD BUILDING DEPT. °`ycourmN�'' 765-1602 INSPECTION FOUNDATION 1ST ROUGH PLBG. Z [ ] 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: r-14rjjL, DATE 1 '7� '� / INSPECTORS �ESOUlyO� # # TOWN OF SOUTHOLD'-BUILDING-DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ]�SLATIOWUC KI [ ] FRAMING /STRAPPING [ FINAL [ ]1 FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ r ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ `] CODE VIOLATION [ ] PRE C/O REMARKS: DATE L INSPECTOR STIAN.A.TAIBFT,BSCE,N SCE,P. 19 Iakberry Street Eust1[a�mp#an,RTY 11937 1:CATABET.IPE@GMAIL.COM DEC - 3 2099 1E� Cell: 516314-2580 Fax:631-267-2490 http:llchristiant ibetepgi! trin .com Rebar Insaection-Certification letter Town of Southold Building Department April 22,2019 54375 NY 25,Southold,NY 11971 Re:2824 Cox Neck ltd Mattitxack,NY 11952 .Inspection of innround swimming pool concrete reinforcement To Whom it may concern, On Friday April 19,we inspected the concrete reinforcement placed at the referenced-address and found it to be.adequate in size and~pacing. It was properly tied at every j oint thus restrained form lateral movement.'Q WeLound the lap lengths to be correct,We also observed that an adcquate layer of Slone and vel was placed below the proposed concrete lining for proper drainag,e.We are hereby certifying,this concrete.reinforcement installations as correct with the following conditions: 1- The deep end of the pool must be drained of all water prior to elevating the rebar by use of bricks and the placement of concrete.'The hose andpump were present at the site and powered at the time of our inspection. 2- The bottom grid of sdrnforcement bars must be elevated away from the gravel surface by-3 inches.The concrete cower on the bottom and side walls must not bave less than 3 inches of concrete Over;Bricks or can be used to accomplish this coveragc. y- TT1ae pool walls are ci rrewly beM een 2 to 4 feet above the top of the surrounding,soil;we found the,concrete forms to be adequately braced However,before the pool is filled with Nvater, the soil around the pool must be backMed in 6-inch layers,every layer should be mechanically compacted with a powered vibratory compactor in Order to achieve 95%soil compaction. 4- .All the above recommendation must be documented with photographs and stibrnitted to the engineer at the.above address_ if you have any questions or comments,,please do not hesitate to contact us. Sincerely, F y 0 Christian A.Thbet.P.E. ?5 9 010 6262, M &M PGDLS � 63 1 o728o7704 www. mmpoolsllc.com HIM ENGINEERING P.C. 3 CHERRYWOOD DRIVE EAST NORTHPORT,NY 11731 TEL:516-476-5392 EMAIL:HMARNIKA@OPTONLINE.NET April 17, 2018 Town of Southold Building Department Town Hall Southold,N.Y. 11971 Dear Sir/Madam: This is to certify that the drainage facilities to be used exclusively for the construction of a swimming pool on the premises of- Schwartz fSchwartz Residence 2824 Cox Neck Road Mattituck,N.Y. 11952 will not require draining because the pool is of gunite construction. The pool water will be continuously recirculated through the filter and will be reused from year to year. The drainage from the filter backwash is nominal and will not interfere with the public water supply, the existing sanitary facilities or public highways. Sincerely, HM En ineering P.C. 111,041* %Hrvoj arnika P.E. • • ` 'FOUNDATION (2ND) ROUGH FRAMING& PLUMBING 'v ENERGYINSULATION PER N.Y.. • tilt ISM r-M 117 ADDITIONAL COMMENTS 04f . �� 1 ow, ' • iWON Ar J 00 _ 1 .�. T in, ► U f TOWN OF OL?TMOLD 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 x TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey x SoutholdTown.NorthFork.net PERMIT NO. pC ( UJ Check Septic Form N.Y.S.D.E.C. x Trustees x C.O.Application x �j Flood Permit Examined 20� Single&Separate Storm-Water Assessment Form x �j Contact: Approved ✓ I 20L Mailto: En-Consultants, 1319 Disapproved a/c North Sea Rd., Southampton, NY 11968 Phone: 631-283-6360 Expiration ,20 R�C[Euvm Bui ctor D APPLICATION FOR BUILDING PERMIT MAY 1+ 2018 Date ,20 18 ),5- INSTRUCTIONS BUILDING DEW. nft Ulbotp1q&Mbe completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale. Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. Robert E. Herrmann, En-Consultants (Signature of applicant or name,if a corporation) 1319 North Sea Rd., Southampton, NY 11968 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Robert E. Herrmann, En-Consultants, Agent for Owner Name of owner of premises Justin Schwartz & Allison Schwartz (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer N/A (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 will be done: 2793 Cox Neck Road Mattituck House Number Street Hamlet County Tax Map No. 1000 Section 113 Block 08 Lot 7. s 7. Subdivision. :a Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Single family dwelling b. Intended use and occupancy Single family dwelling 3. Nature of work(check which applicable): New Building Addition *Alteration Repair Removal Demolition Other Work Gunite Swimming Pool (Description) 4. Estimated Cost N/A Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units N/A Number of dwelling units on each floor N/A If garage, number of cars N/A 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N/A 7. Dimensions of existing structures,if any: Front See survey Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front see survey Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front N/A Rear Depth Height Number of Stories ' 9. Size of lot: Front see survey Rear Depth 10. Date of Purchase 9/24/14 Name of Former Owner Laurel Fontana Franklin 11. Zone or use district in which premises are situated R80 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO x 13. Will lot be re-graded?YES x NO Will excess fill be removed from premises?YES NO x Allison Schwartz & 166 E. 35th St., Apt. 3G 14.Names of Owner of premises Justin Schwartz Address New York, NY 10016 Phone No. 917-509-0502 Name of Architect Hm Engineering, P.C. Address 3 Cherrywood Dr. Phone No 516-476-5392 Name of Contractor Aqua Coastal Inc. Address E. Northport, Rhone No. 631-728-7704 PO Box 226, Islip Terrace, NY 11752 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO x * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES x 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 x NO * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF SUFFOLK Robert E. Herrmann, En-Consultants being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Agent (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 t9 before me this day of m�1. 20 18 Notary Public ANNE ILLIONS Signa a of Applicant Notary Public, State of New York No.01 IL5084744 Qualified in Suffolk Coun+„ Commission Expires dq C 9(06'L I SOF SO(/j John M.Bredemeyer III,President h0� y�1 Town Hall Annex Michael J.Domino,Vice-President 54375 Route 25 . P.O.Box 1179 Glenn Goldsmith CIO QSouthold,New York 11971 A.Nicholas Krupski �O Telephone(631) 765-1892 Charles J.Sanders ®�yCOUNTI,� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 30, 2016 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: JUSTIN &ALLISON SCHWARTZ 2793 COX NECK ROAD, MATTITUCK SCTM#: 1000-113-8-7.6 Dear Mr. Herrmann: The Southold Town Board of Trustees reviewed the survey prepared by Kenneth M. Woychuk, Land Surveying, PLLC last dated January 28, 2015, and determined that the proposed dwelling, swimming pool, drainage system, and sanitary system are out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 100' landward from the top of the bluff, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. 2 This determination is not a determination from any other agency. If ypu have any further questions, please do not hesitate to call. Sincerely, ohn M. demeyer, III, President Board of Trustees JMB:dd WE HAVE READ THE FOREGOING AND AGREE TO ITS CONTENTS: JUSTIN SCHWARTZ ALLISON SCHWARTZ t NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04455 PERMIT Under the Environmental Conservation Law ECL Permittee and Facility Information Permit Issued To: Facility: ' Justin Schwartz Schwartz property 116 E 35th St apt 3G 2793 Cox Neck RdISCTM# 1000-113-8-7.6 New York,NY 10016 Mattituck,NY 11952 (917) 509-0502 Facility Application Contact: EN-CONSULTANTS 1319NSEA RD SOUTHAMPTON,NY 11968 (631)283-6360 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Mattituck Facility Principal Reference Point: NYTM-E: 705.618 NYTM-N: 4541.146 Latitude: 40°59'44.1" Longitude: 72°33'19.4" Project Location: 2793 Cox Neck Road Authorized Activity: Remove existing single family dwelling and construct new dwelling with new driveway, septic system, decks,walkways,pool and patios. Much of the work is not within the "Limit of NYSDEC Tidal Wetland jurisdiction" as shown on the survey by Kenneth M. Woychuk revision dated 4-12-16 and stamped NYSDEC approved on 4/20/16. Permit Authorizations Tidal Wetlands -Under Article 25 Permit ID 1-4738-04455/00001 New Permit Effective Date: 4/20/2016 Expiration Date: 4/19/2021 NYSDEC Approval By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL,all applicable regulations, and all conditions included as part of this permit. Permit Administrator:SUSAN ACKERMAN, Deputy Regional Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ ony150 Circle Rd Stony Broo ,N11790 -3409 Authorized Signature: Date LA Page 1 of 6 Aft domw NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04455 Distribution List EN-CONSULTANTS Habitat-TW SUSAN ACKERMAN Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 2. Notice of Commencement At least 48 hours prior to commencement of the project,the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 3. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete trucks,mixers,or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. 4. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area(upland)and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 5. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities.' 6. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 100 linear feet from the tidal wetland boundary. Page 2 of 6 Aft NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION �► Facility DEC ID 1-4738-04455 7. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation(grasses,etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 8. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag, flyash,broken concrete or demolition debris). 9. Department Jurisdiction The department retains jurisdiction of all regulated lands where fill has been permitted. Placement of fill shall not be used to alter the department's Tidal Wetland jurisdictional area at the project site. The area remains a regulated area subject to Tidal Wetland Land Use restrictions of 6 NYCRR Part 661. 10. Straw Bales or Other at Tidal Wetland A row of staked straw bales or approvable erosion control devices shall be placed at the landward edge of the buffer area as per attached plans,prior to commencement of any regulated activities and remain in place and in good, functional condition until the project is completed and all disturbed areas are stabilized with vegetation. 11. No Pool Discharges to Wetland There shall be no draining of swimming pool water directly or indirectly into wetlands or protected buffer areas. 12. No Drywells in or near Wetland Dry wells for pool filter backwash shall be located a minimum of 100 linear feet landward of the tidal wetland boundary. 13. Contain Exposed,Stockpiled Soils All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales/silt curtains (or other NYSDEC approved devices)placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 14. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State,the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if,upon the expiration or revocation of this permit,the structure,fill, excavation,or other modification of the watercourse hereby authorized shall not be completed, the owners,shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. Page 3 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04455 15. State May Require Site Restoration If upon the expiration or revocation of this permit,the project hereby authorized has not been completed, the applicant shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 16. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments,fuels, solvents, lubricants, epoxy coatings,paints, concrete,leachate or any other environmentally deleterious materials associated with the project. 17. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Kenneth M. Woychuk revision dated 4-12-16, stamped NYSDEC approved on 4/20/16 . 18. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility,including relevant records,is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department)to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. Page 4 of 6 'NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04455 3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal,modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal,modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal,modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. Page 5 of 6 Aft ' NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04455 NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents("DEC") for all claims, suits, actions, and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions,or to any claims, suits,or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns.of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals,lands,easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. Page 6 of 6 a � o3 APPLICATION • PAGE- 1 of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate_ SECTION I GENERAL PROVISIONS (APPLICANT to read and sign): 1. No work may start until a permit is issued. 2 The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory mquirements. T Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT.CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE,TO THE BES OP Y KNOIVLEDGE,TRUE AND ACCURATE. (APPLICANT'S SK,*ATURE) DATE June 5 2018 Justi S artz 5.- SECTI N 2: PROPOSED D -LOPMENT o be com letcd by APPLICAh NAME ADDRESS TEL PH NE APPLICANT Justin Schwartz, 426 W 58th St,apt. 4A, New York, NY 10019 917-509-0502 BUILDER Aqua Coastal, Inc., PO Box 226, Islip Terrace, NY 11752 '631-728-7704 ENGINEER HM Engineering, PC, 3 Cherrywood Drive, E Northport, NY 11731 516-476-5392 t J=LOCATION: To avoid delay in processing the application, please provide enouab information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside rban areas,shhe distance to the nearest intersecting road or well-known landmark. A sketch attached to this application the project location would be helpful. Property address is 2793 Cox Neck Road, Mattituck• further SCTM #1000-113-8-7.6 & 7.8 and located on the , +/-455' north of Meday Avenue. D JUN 1 ?V-f32 3) >t$U.ELDM(;DWr. TOWN OF SOUTHOLD APPLICATION • PAGE 2 Of- 4 ---- DESCRIPTION OF WORK (Check all applicable boxes) A STRUCTURAL DEVELOPMENT N/A , TIVTTY STRUCTURE TYPE O New Structure ❑ Residential (I-4 Family) ❑ Addition 0 Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Floodproofing? ❑ Yes) ❑ Relocation ❑ Combined Use (Residenual & Commercial) O Demolition ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT 5 B. OTHER DEVELOPMENT ACTIVITIES: ❑ FLU ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteradon (Including Dredging and Channel Modifications) O Drainage Improvements (Including Culvert Work) ❑ Road, Street or$nage Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Sear System C(other (Please Specffy)` Gunite Swimminq Pool After completing SECTION 2,APPLICANT should submit form to Local Administrator for review. SLC'I'iON 3. FLOODPLAIN DETERMINATION o be completed by LOCAL ADMIIdISTRATORI The proposed development is located on FIRM Panel N Dated The Proposed Development: ❑ Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located is a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Pt. NGVD (MSL) O Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION PAGE 3 OF 4 SECTION 4: ADDITION/,LL INFORMATION RE U1RED To be completed by LOCAL ADMINISTRATOR The applicant must submit the documents checked below before the appliealion can be processed 0 A site plan showing the location of all casting structures, water bodies, adjacent roads, lo( dimensions and proposed development. ❑Development plans, drawn to scale,and specifications,including where applicable:details for anchoring structures,proposed elevation of lowest floor(including basement), types of water resistant materials used below the first floor,details of floodproofrng of utilities located below the fust floor and details of enclosures below the first floor. Also ❑Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 awes,whichever is the lesser, the applicant must provide 100-year flood elevations if they arc not otherwise available). ❑ plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation - Ft. NGVD (MSL). ❑ Fioodproofing protection level (non-residential only) Ft.'NGVD (MSL). For 'r floMd hoofed structures, applicant must attach certification from registered engineer or architect. ❑Certification n from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting�t>his finding must also be submitted. ❑ Other: SECTION 5 PERMIT DETERMINATION 9Q be coin [eted L AL ADMINI RAT R I have determined that the proposed activity. A.0 Is B.❑ Is not in conformance with provisions of Local Law # . 19 Tho permit is issued subject to the conditions attached to and made part of this permit. SIGNED . DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. I(�$)X B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals. APPLICATION a _ PAGEaOF4 APPEALS Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date- Appcals Board Decttiou --- Approved? ❑ Yes ❑ No Conditioas SECTION G S BUT1T ELEVATIONS !To be submiRed by APPLICANT before Certtficate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered profcssioaal engineer or a licensed land surveyor (or attach a certification to this application) Complete I or 2 below. I_ Actual (As-Built) Elevation of the top of the lowest floor, including basement(in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FI'. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofing protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. ECTION 7: COMPLIANCE ACTION o be completed by LOCAL ADMINI TRAT R The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? O YES ❑ NO DATE BY DEFICIENCIES? U YES ❑ NO DATE BY DEFICIENCIES? 0 YES 0 NO SECTION 8 CERTIFICATE OF COMPLIANCEfTo be completed by LOCAL ADMINISTRATOR) Ccrfftcate of Compliance issued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (O" ER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑ EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: CIC(93) Scott A. Russell ,��°Su '� ST01KMWA\T IEIK SUPERVISOR MANAGEMENT SOUTHOLD TOWN HALL-P.O.Box 1179 z 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold Unk4 40 'ibA CHAPTER 236 -' STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE t���LLE Pp�� NY OF THE FOLLOWING: LLOWING: MEN Yes No **REFER TO STORMWATER MANAGEY'(W *AN 98L WITH BUILDING PERMIT NO. 41258 ❑E] A. Clearing, grubbing, grading or stripping of land which affects more i than 5,000 square feet of ground surface. I ❑Q B. Excavation or filling involving more than 200 cubic yards of material i within any parcel or any contiguous area. I i ❑0 C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. I ❑0 D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. El[__1 E. Site preparation within the one-hundred-year floodplain as depicted , on FIRM Map of any watercourse. ®❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square I 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 surf aces. 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. i APPLICANT (Property Ow r,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date Robert Herrmann, District NAME En-Cons 1 ants, Agent 113 8 740 -6-1 j (P—) Section Block Lot ****FOR BUILDING DEPARTMENT USE ONLY**** Contact information 631-283-6360 a i iR<lephon<Num6<ri n� _ � k CIA ' { ! � Reviewed By: L„���`'4JK9'1` r`f`/ w1j�\I i Date: 5- 1 LH i Property Address/Location of Construction Work: ! — — — — — — — — — — — — — — — — — Approved for processing Building Permit. 2793 Cox Neck roads ❑ Stormwater Management Control Plan Not Required. Mattituck I� Stormwater Management Control Plan is Required 11 I (Forward to Engineering Department for Review.) (; __j FORM # SMCP-TOS MAY 2014 APPLICANT. S.C.T.M.#: 1000 (Proeerty Owner,Design Professional,Agent,Contractor,Other) ,—�„ astl ,� CHAPTER 236 13 g �.b `� Stormwater Management Control Plan CHECK LIST NA � 6 t t N a I)ILL50N —V Section Block Lot 'n L S M C P -Plan Requirements: Provide ONE copy of the Building Permit Application. .,, � Date: * The applicant must provide a Complete Explanation and/or Reason for not providing `I,nd II Td,ph cNumbs 1�' � '" o1 1�ty`' all Information that has been Required by the following Checklist! I. A Site Plan drawn to scale Not Less that 60' to the inch MUST If You answered No or NA to any Item, Please Provide Justification Here! show all of the following items: YES NO NA If you need additional room for explanations, Please Provide additional Paper. a. Location & Description of Property Boundaries 0 b. Total Site Acreage. c. Existing - Natural & Man Made Features within 500 L.F. of the Site Boundary as required by§236-17(C)(2). DRAkAG d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. © Contact e. Limits of Clearing & Area of Proposed Land Disturbance. ©C]� ackfill r f. Existing & Proposed Contours of the Site (Minimum g Intervals) 0OR on that thx*f4c ;­ g. Location of all existing & proposed structures, roads, e o ode. driveways, sidewalks, drainage improvements &utilities. h. Spot Grades & Finish Floor Elevations for all existing& proposed structures. 1. Location of proposed Swimming Pool and discharge ring. j. Location of proposed Soil Stockpile Area(s). 0 ER NT CGGPITRets k. Location of proposed Construction Entrance/Staging Area(s). Shall frIC111C —b I. Location of proposed concrete washout area(s). 0 rn. Location of all proposed erosion&sediment control measures. O0ell Maintained r.3ni.-.1, 2. Stormwater Management Control Plan must include Calculations showing M.111re Baeked Silt Fenr 1lig,stabilization that the stormwater improvements are sized to capture,store,and Infiltrate Seedinor Inactive soils, on-site the run-off from all impervious surfaces generated by a two(21 inch ©�0 rainfall /storm event. 3. Details&Sectional Drawings for stormwater practices are required for approval. Items requiring details shall include but not be limited to: a. Erosion & Sediment Controls. b. Construction Entrance & Site Access, c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.) d. Leaching Structures (e. . infiltration basins,swales,etc.) 1'01I I:NGl1NT't,:ItlN C DE,P/• f'1'ivll:NT USE ONLY " 1 Additio# � Z*f,�equired. Reviewed & I StorrrTRM- VIaTja ment Control I � g t of Plan Is Not Complete. Approved By: — — — — — — — — — — — — — — — — — — — — — — — — ® Stormwater Management Control Plan is Complete. Date: 2L SMCP has been approved by the Engineering Department. FORM * SWCP Check List -TOS MAY 2014 FFL EL(21_6�_,-'_". ��� TYPICAL SILT —� GREEN SECTION FOUNDATION WALL C.I. LOCKING GEOTEXTILE FABIC COVER TO GRADE I UPPORT POSTS CELLAR SLAB EL(11.5) FINISH GRADE WOOD OR METAL Z Z FLOW DIRECTION 1'MIN-2'MAX C0 — 1/4"—FT. 0"MI 1/8"—FT.� 6" COVER '- 6" COVER EXCAVATED AND 6" 6" SLAB BACKFILLED TRENCH NVERTCN (10.0) INVERT—/ (10,25) INVERT EXIST[ (10.45) INVERT (9.75) (9.67) FLOW 8'0 3' COLLAR — BAFFLE MI POOL CLEAN I-III-III-III-III III -1LI= III—III- L=III—III=III=III-III. 4,COARSE -III=�_=III=11f=III=LI=I� IIII�II�II� �II�IIIII�II�II�IIIII�II�II�II�I: 3 _8 SAND & II I II I II I II I I I II I IITI I II I II I I I I II I II I I !1 III—I I _ I 1=1 I I—I 11=1 I I_I 1(— TANK 3'MIN GRAVEL J�I 4' I 2' MINIMUM * USE 4" DIA. APPROVED SEWER PIPE 1,500 GAL. S.T. (6.0) M� I HIGHEST EXPECTED GROUND WATER SERVICE DETAIL WATER EL 2.7 ' I I 20' X, 1" COPPER TUBING TYPE "K" SOFT COPPER TUBING i M. TO DWELLING--m- 2" PLASTIC PIPE -Y LINE (605' RUN±) \ ' \ Y £ ORIVEWA I FENCE EO 5'10N /• INGRESS & EGRESS RIGHT OF WAY o '0 LIBER 12310 PG. 357 � GEORGE MP U.P. /� PROPOSED WATER SERVICE DWEW/WELLLLWATER �t 7 ING 0°614 02 P� 0°•34 252 91 1" TAP W/52t SU RUN PLY LINE 25' RSG 19 cl �9 Ao/) om i ' / / FEt,GE �0•P' alo IR < 2'02 I + U.P ? ' U.P.cQ�U.P —_--_ .00 � o. N77 16 P. ' O 3,N O�`oy LAND N/F �y��� OF + v� COYOTE PROPERTIES LLC 3,20 DWELLING VINYL FENCE ] 1 W/PUBLIC WATER 0 o.s'E S77°16,3 "'W I 0.1'N i �1 f A W l(7 Z � I LL TOWN OF SOUTHOLD LOT COVERAGE (UPLAND AREA LANDWARD OF TIDAL WETLANDS BOUNDARY) a (113,192 SQ.FT. or 2.60 ACRES) I o 0 EXISTING PROPOSED I 3 HOUSE: 815 SF 1,869 S.F. FRONT PORCH: 46 S.F. 68 S.F. BRICK STEPS: 47 S.F. (NIA) REAR DECK W STEPS: 327 S.F. 652 S.F. i 'O PERVIOUS DRIVEWAY: 1,950 S.F. (NIA) 5,700 S.F. (N/A) SWIMMING PUOE—. 950 S.F. L 1050 S.F. (NIA) MASONRY WA-77 277 S.F. (NIA) 1,188 S.F. 3,539 S.F. or 3,1% Z MEDWAY AVENUE OR 1.05% NYSDEC LOT COVERAGE (UPLAND AREA LANDWARD OF TIDAL WETLANDS BOUNDARY TO ELEVATION 10.0) DRAINAGE CALCULATIONS: (36,050 S.F. or 0.83 ACRES) EXISTING PROPOSED o 5:N W PIPE HOUSE: 815 SF N A 1,869 S.F. N A POSED DWELLING W/COVERED PORCH: 1,913 S.F. FRONT PORCH: 46 S.F. (NIA) 68 S.F. (NIA) // MON. 13 x 0.166=317.55 < 318cf REQUIRED BRICK STEPS: 47 S.F. (NIA) 8'DIA x 8' DEEP DRYWELL=338cf PROVIDED REAR DECK W STEPS: 327 S.F. (NIA) 652—S.F, (N/A) _R DRIVEWAY=2,200 SQ.FT. PERVIOUS DRIVEWAY: 1,950 S.F., N A 1,180 S.F. (NIA) i LOT 66 0 x 0.166=365.2 < 366cf SWIMMING POOL: (N/A) 950 S.F. DIA x 6' DEEP= 410cf PROVIDED POOL PATIO: 1050 S.F. ER DRIVEWAY=3,500 SQ.FT. MASONRY WALK: 277 S.F. )0 x 0.166= 581.0< 581cf 2,277 S.F. or 6.3% PROPOSED COVERAGE )10'DIA x 5' DEEP= 684d PROVIDED ALL EXISTING STRUCTURES ARE LANDWARD OF ELEV. 10.0 ,MING P00 L BE EQUIPPED WITH A PUMP-OUT EXISTING COVERAGE 0.0% MINIM RYWELL FOR POOL DISCHARGE. r I X' EXISTING SANITARY LOCATION ZONED R— I (TO BE ABANDONED AND BACK FILLED j GRAPHIC SCALE WITH CLEAN COARSE SAND.) FRONT YARD: POINT "A" POINT "B" REAR YARD: ST 20' 28' SIDE YARD: 0 20 40 80 160 L.P.#1 25' 41' L.P.#2 28' 35,5' L.P.#3 28' 27,5' I ( IN FEET ) POGRAPHY, SEPT 1 inch = 40 ft. �b11fF0(,�0 42 BUILDING DEPARTMENT- Electrical Inspector 'd TOWN OF SOUTHOLD T Town Hall Annex - 54375 Main Road - PO Box 1179 • Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX(631) 765-9502 roaer.richert town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: A S (,A, Date: _ Company Name: 'S El ec= 2 LLC Name: License No.: q9-39 A4 ,; email: c,- r 6v-1,C o Address: cin G LGC 2- Phone No.: - )_c)g- qsq,5 JOB SITE INFORMATION: (All Information Required) Name: Tu Ski SC,h k16-r-4 z Address6' 7C I 3� e a(• a "I C-(2 a-- Cross Street: 132 P, Bldg.Permit #: L4�;,��� email: Tax Map District: 1000 Section: l' ( 3 Block: g' Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) r circle-All That-Apply-: Is job ready for inspection?: Y S / NO Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect-Service Reconnected - Underground - Overhead ##Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION co aCol 82-Request for Inspecdon FormAs APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME. Justin Schwartz .,(Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit x Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or,employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of fAt ,20 PF • Signature Print Name ustin Sch tz 1 EN-CONSULTANTS May 7,2018 Town of Southold Building Department Town Hall,53095 Main Road Southold,New York 11971 Re: Justin Schwartz 2793 Cox Neck Road,Mattituck,NY SCTM#1000-113-8-7.6 &7.8 Dear Building Department: In regard to the above referenced property, enclosed please find the following: 1. One building permit application; 2. Fully executed Disclosure form; 3. Four(4) sets of stamped plans prepared by HM engineering P.C. dated 4-18-18 along with 2 drywell detail plans and a letter, in duplicate,regarding drainage; 4. Two(2) surveys prepared by Kenneth M.Woychuk Land Surveying. last dated 4-15-18; 5. Copy of the Southold Town Trustees Non Jurisdiction Letter dated 3-30-16; 6. Copy of NYSDEC Tidal Wetlands Permit dated 4-20-16; 8. Fully completed Stormwater Management Work Sheet; 9. Fully completed Consent to Inspection form; and 10. Fully completed Application for Certificate of Occupancy; 11. Contractor's workers' comp. insurance,certificate of liability insurance and a photocopy of his Suffolk County license. I trust this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sincer , Ro ert .Hemnann Coastal Management Specialist /ai Encs. 1319 North Sea Road I Southampton,New York 11968 1 p 631.283.6360 1 f 631.283.6136 www.enconsultants.com environmental consulting FFL EL(21.6) TYPICAL SILT FOUNDATION SCREEN SECTION WALL C.I. LOCKING GEOTEXTILE FABRIC COVER TO GRADE UPPORT POSTS CELLAR SLAB EL(11.5) FINISH GRADE WOOD OR METAL (115) Z = Z FLOW DIRECTION IN-2'MAX (p 1/4"-FT. J-17O"MI 1/8"-FT.� ZE 6" COVER `— 6" COVER EXCAVATED AND 6" 6" SLAB BACKFILLED TRENCH NVERT N (10.0) ------ INVERT-1 (10.25) INVERT EXISTI (10.45) INVERT (9.67) FLOW 8'0 3' COLLAR BAFFLE MI POOL CLEAN I-III- �-III-III-III-III-III. COARSE -III=TI 1=III-III-III-III-I I III-I I -III-III-III-III-III-. 4 SAND & I=1 I=I I=I I=I I=I I=I I=, I I M I I- I-III-III-III-III-I I I: TANK 3'-8 GRAVEL =I I I_I I I_II I_I I I_I I III I_I I I. _1 4 =111=11 = 11-111 1I=I I=I I= 3'MIN JI 2' MINIMUM USE 4" DIA. APPROVED SEWER PIPE 1,500 GAL. S.T. (6.0) HIGHEST EXPECTED GROUND WATER SERVICE DETAIL WATER EL 2.7 20' X. 1" COPPER TUBING TYPE "K" SOFT COPPER TUBING •M• TO DWELLING—r 2" PLASTIC PIPE ,TY LINE (605' RUN±) \ \ E ORNEWpY FENCE EO 5'10N INGRESS & EGRESS \ �1�o CRUSH RIGHT OF WAY o ' ' FJ L N IE LIBER 12310 PG. 357 t�005 °52 O - GEOM P �P. F PROPOSED WATER SERVICE DWELLING °Fj2+02 0!31* g 1' 605't RUN W/WELLWATER 0 n� 252• 1" TAP W/ 2" SUPPLY LINE Cl` I^ N ' 25' R\G lg�k•�9�o1 om � ' / NCE (,0•P' mo � + 2,+� U.P D? i U.Pc�,U.P ��0°52 0 --- - - 112.0� 30„E 6' - �, 091'0 LAND N/F OF in l COYOTE PROPERTIES LLC FENCE 113.20 DWELLING vIN W/PUBLIC WATER ry 0 5'E ,5 1 7o 16 30 0.1'N AA 00 Lfl � � U vIt W TOWN OF SOUTHOLD LOT COVERAGE (UPLAND AREA LANDWARD OF TIDAL WETLANDS BOUNDARY) (113,192 SQ.FT. or 2.60 ACRES) o 0 EXISTING PROPOSED 3 HOUSE: 815 SF 1,869 S.F. FRONT PORCH: 46 S.F. 68 S.F. BRICK STEPS. 47 S.F. (NIA) REAR DECK W STEPS: 327 S.F. 652 S.F. "O PERVIOUS DRIVEWAY: 1,950 S.F. N A 5,700 S.F. (N/A) SWIMMING 00 : 950 S.F. O POOLPATIO: 1050 S.F. (NIA) c MASONRY WALK— 277 S.F. (NIA) r 1,188 S.F. 3,539 S.F. or 3.1% MEDWAY AVENUE OR 1.05% NYSDEC LOT COVERAGE (UPLAND AREA LANDWARD OF TIDAL WETLANDS BOUNDARY TO ELEVATION 10.0) DRAINAGE CALCULATIONS: (36,050 S.F. or 0.83 ACRES) EXISTING PROPOSED FC 'N HOUSE: 815 SF N A 1,869 S.F. (NIA) 02W u PIPE POSED DWELLING W/COVERED PORCH: 1,913 S.F. FRONT PORCH: 46 S.F. (NIA) 68 S F. (NIA) MON 13 x 0.166=317.55 < 318cf REQUIRED BRICK STEPS: 47 S.F. (NIA) 8'DIA x 8' DEEP DRYWELL=338cf PROVIDED REAR DECK W STEPS: 327 S.F. (NIA) 652 S.F. (N/A) I ER DRIVEWAY=2,200 SQ.FT. PERVIOUS DRIVEWAY: 1,950 S.F. (NIA) 1,180 S.F. (N/A) LOT 66 IO x 0.166=365.2 < 366cf 'DIA x 6' DEEP= 410d PROVIDED SWIMMING POOL: (N/A) 950 S.F. POOL PATIO: 1050 S.F. 'ER DRIVEWAY=3,500 SQ.FT. MASONRY WALK: 277 S.F. )0 x 0.166= 581.0< 581cf )10'DIA x 5' DEEP= 684cf PROVIDED ALL EXISTING STRUCTURES 1 2,277 S.F. or 6.3% PROPOSED COVERAGE ARE LANDWARD OF ELEV. 10.0 ,MING P00 L BE EQUIPPED WITH A PUMP-OUT EXISTING COVERAGE 0.0% I MINIMU RYWELL FOR POOL DISCHARGE. Se�X o�ae? EXISTING SANITARY LOCATION ZONED R—f (TO BE ABANDONED AND BACK FILLED GRAPHIC SCALE WITH CLEAN COARSE SAND.) FRONT YARD: POINT "A” POINT "B" REAR YARD: p 20 40 80 160 S.T. 20' 28' SIDE YARD: L.P.//1 25' 41' L.P.#2 28' 35.5' L.P.#3 28' 27.5' ( IN FEET ) `'OGRAPHY, SEPT 1 inch = 40 ft. i I CAST IRON FRAME & COVER IF UNDER PAVED AREA FINISHED GRADE 8' MIN. - 12' MAX. 4' x NOTES: i BRICK LEVELING COURSE I L�MIN�'� g CONCRETE COVER— 1. UNSUITABLE MATERIAL SHALL BE REMOVED UNDER LEACHING POOL PRECAST CONC, COLLAR 27' UNTIL 6' MINIMUM PENETRATION INTO VIRGIN STRATA SAND AND AS REQUIRED MAX GRAVEL AND BACKFILLED WITH SAND AND GRAVEL TO BOTTOM OF PRECAST BASIN. REINF. CONC, 2. AS AN ALTERNATIVE TO THE DOME TOP, A FLAT SLAB CAN BE DOME SUBSTITUTED WITH APPROVAL OF THE ENGINEER. 4'E PVC 3. LOCATION OF DRAINAGE POOL TO BE DETERMINED BY OTHERS. MIN. SLOPE ER FOOT ® ® ® ®❑ INVER 4. ALL DRAINAGE PIPES MUST BE PROVIDED WITH A MINIMUM 2'-0" NON-SHRINK ® Em COVER. GROUT ®❑ 5. COLLAR IS NOT REQUIRED WHEN RATEABLE MATERIAL EXISTS FOR 3' MIN. SAND FULL DEPTH. x AND GRAVEL W COLLAR (TYP) y N 6. THE MATERIAL USED FOR COLLARING SHALL BE COMPRISED OF - a ALL AROUND ti SAND AND GRAVEL CONTAINING LESS THAN FIFTEEN (15) PERCENT W PRECAST REINF. m FINE SAND, SILT AND CLAY. SILT AND CLAY FRACTIONS ARE NOT > CONC. LEACHING I-- RINGS > TO EXCEED (5) PERCENT. v W CLW 8' DIAMETER as d DRYWELL CALCULATION: mm WE � v BACKWASH FROM POOL 70 GPM @ 5 MIN. WE m : 350 GAL. (47 CF) DRYWELL CAPACITY = 1,263 GAL. (168.8 CF) Ld ��� o '.•Z .e', .• .• _ ba ..••poo ��/ \ 6' MIN. PENETRATION cu o INTO VIRGIN STRATA GROUND WATER Ix OF SAND & GRAVEL DRAINAGE POOL DETAIL NOT TO SCALE I I 4 PREPARED FOR: SCHWARTZ RESIDENCE 2824 COX NECK ROAD MATTITUCK, N.Y. 11952 .I ' i NOTE: THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF HM ENGINEERING P.C.. DATE: 04/17/2018 p UNAUTHORIZED ALTERATIONS OR ADDITIONS TO THESE DOCUMENTS ARE A VIOLATION OF SECTION 7209 OF THE I HM ENGINEERING, r .C. SCALE: NOT TO SCALE NEW YORK STATE EDUCATION LAW.INFRINGEMENTS WILL BE PROSECUTED. 6� 3 CHERRYWOOD DRIVE EAST NORTHPORT,NY 11731 SHEET: 1 OF 1 Tel:(516)476-5392 Fax:(631)980-7671 www.hmarnika@optonline.net DRYWELL DETAIL VOID WITHOUT RAISED SEALAND BLUE SIGNATURE S.C.T.M.# DISTRICT: 1000 SECTION: 113 BLOCK: 8 LOT: 7.6 & 7.8 #R10-16-0037 1 OMIT OF NYSDEC TIDAL WETLANDS JURISDICno 1 TIE LINE DIMENSIONS ALONG HIGH WATER LINE. 1 00' / BACK r r r r r r WETSN()S \ ' rn' rrrrr , � err ,�rrr r , X51 MON. NIF �"�` prLV N� ►e�6 65.02 \ ILA ANO of- OF Rt'- 2 Cf 00r, 00 �D£ Nt, 1a , r �lrrr .V�L- err DC DWELLING N^ W/P BLIC WATER MON to .1 .- 150' r1rl� O tp� 4.6'N O 2'O 2a , SaA CL Y \ tJ7 x•� ,-�� r r r r r ,— QQ MON. �4�46• _ cwpY ........................ o / y�--�CASrrrrr . b 9011 O ` q LF .tS 1 rrr \\ Y ss 'i::o .— \ CID> �q, Au ranr•A• °:: ;:a '.,_.: % i 1�it'a 5U.P `•1 22TiM1 SON£ .,.:::!::•:?�:'t::: 4 % .t:" r .- INGRESS & EGRESS \ CRD'µ£D RIGHT OF WAY \o •Q2i Y ::':`;:::::: :> 1 / r •- OBER 12310 PG. 357 \ 7 0o rJ2i 0 ® "`:"'.`,.`::•. �k / ` TIDAL WETLANDS BOUNDARY EN-CAS LINEATED BY ONSU TANTS 1%17/14 GtiORG� `°'P. 2� 1OP 0 DWELLINGo •Q�.���' 5�0 529\ 1`TM W/2*SUPPLY tINE � 30 1(, DR Pim NO 0 j ti��Or1E 4.1� 00' ^j�s W/WELL WATER N7 Q 52 P.( 0.3+ 2 ti 5 RC �'n /F�fi l 1 C,0 O `6 1AN05 R1GNS �o \� Ncti „ (o.P• a-a1 MM SST TEM �Z �1 X00 15 Rp ,Q2 v (5)e O A DEEP LP. U.P {z U.P.,U.P S7Qoy`z Il Q' N X OSEp ' P S ,�. 1630 112,0 0.3 N p C• ON Go�ppE �,q�: 1 p CABANA ~ i T . 8.0 N7� P. 0 3 N O�`rO LAND N/F h OFf........'•:........._ : •;: ' 1 LOT 58 COYOTE PROPERTIES LLC PROPOSEDO DWELLING 12' ' 0 VINYL 113.2Q W/PUBUC WATER PERxGOLA ,.;,....•.., 0� O 4Ca ° S77o16, 3g"Pi ss x I t �S P. o'in p 1 '� pR0�5EO 00, G, f CE I o d SANITARY LOCATION AREA OF RE-GRADING slit PROPOSED f to U WILL UTILIZE FILL FROM � POOL DRY WELL ' V d POINTA" POINT"B" Z ON SITE EXCAVATION OF POOL. -.1 I OT 59 _ �..•� TOWN OF SOUTHOLD LOT COVERAGE S.T. INLET 31' 15' (UPLAND AREA LANDWARD OF TIDAL WETLANDS BOUNDARY) \ f S.T. OUTLET 33' 18' (113,192 SQ.FT. or 2.60 ACRES) LIMIT NY TIDAL WETLANDS JUURISRISDICTION PIPE\ MON f \ I LP#I 39' 33' EXISTING PROPOSED LP12 46' 43' FRONT HOUSE. 1�940 S.F. S.F. \\ 112 QQ D LOT 60 �f W/ WELL WATER LP#3 44' 35' „� REAR DECK W/SCREEN ROOM: 700 S.F. '� Q I I LP#4 51' 43' SWIMMING POOL: 1000 S.F. ^O S72"11'0 f LP#5 50' 36' PERGOLA & CABANA: 244 S.F. 2725 S.F. or 2.4% 3969 S.F or 3.5% L0 f 7 61 •�- f I I LOT 62 _ AVENUE s 0` I 00 0 MEDWAY 248.28 '' ; DWELLINGS MON. 09 Of LOT 63 W/;�C WATER ' NYSDEC LOT COVERAGE (UPLAND AREA LANDWARD OF(36TI 0 LS WETL 0.83BOUNDARY TO ELEVATION 10.0) �1Q„f �p FIRM ZONE MAP #36103CO481 H DRAINAGE CALCULATIONS: �C S?2"5`� 1 LOT 64 o THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL 0.5' PIPE 1 W 2 LOCA 7701VS SHOWN ARE FROM FIELD OBSERVA AGNS PROPOSED STRUCTURES BELOW ELEVATION 10 CONTOUR D'2 `" ! a, DWELLING, COVERED PORCH & SCREEN ROOM: 2325 S.F. fl 4' I AND OR DATA OBTAINED FROM OTHERS. 2325 x 0.166=385.9 < 386 REQUIRED �� LOT 65 R.O.W. 13,985 SQ.FT. or 0.32 ACRES (1) 8'OIA x 9' DEEP ORYWELL-398cf PROVIDED SWIMMING POOL: 1000 S.F. j AREA: 117,102.18 SQ.FT. or 2.69 ACRES ELEVATION DATUM: NGVD 1929 B) UPPER DRIVEWAY=2,800 SQ.FT. POOL PATIO W BSQ,PERGOLA,CABANA: 1250 S.F. 2,800 x 0.166=464.8 < 465cf MASONRY WALK: 225 S.F. LOT 66 j UNAUTHORIZED ALIERA77ON OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY IO'DIA x 7' DEEP= 480cf PROVIDEDALL EXISTING STRUCTURES 2,475 S.F. or 6.9% PROPOSED COVERAGE MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN B) LOWER DRIVEWAY-2600 SOFT. ARE LANDWARD OF ELEV. 10.0 ONLY TO THE PERSON FOR WHOM THE SURVEY 1S PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS7ITUAON 2,600 x 0.166= 431.6< ,FT. EXISTING COVERAGE . 10. LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. (2)10'DIA x 4' DEEP= 547cf PROVIDED 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. ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS: EASEMENTS C) SWIMMING POOLS SHALL 13E EQUIPPED WITH A PUMP-OUT ZONED R-80 AND/OR SUBSURFACE S7RUCIURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY AND MINIMUM 4' x 4' DRYWELL FOR POOL DISCHARGE. FRONT YARD: 6D'MIN SURVEY OF: DESCRIBED PROPERTYJUSTIN SCHWARTZ; REAR YARD: 75'MIN CERTIFIED T0: SIDE YARD: 20' MIN (45' TOTAL) MAP OF: ALLISON SCHWARTZ; GRAPHIC SCALE FILED: FIDELITY NATIONAL TITLE INSURANCE COMPANY; 40 0 20 40 so leo UPDATE DRIVEWAY D4-15-18 SITUATED AT: MATTITUCK REVISED PROP. PDX 03-20-18 TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC Fm FINAL SURVEY FOR DWELLING 03-12-18 FOUNDATION LOC. 93-03-17 SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design ( IN FEET ) REVISED 04-12-16 P.O. Boz 153 Aquebogue, New York 11931 1 inch = 40 & TOPOGRAPHY, SEP71C LOC. & WETLANDS 01/28/15 FILE # 14-112 SCALE: 1"=40' DATE:AUG. 1, 2014. PHONE (631)298-1588 FAX (631) 298-1588 N.Y.S LISC. NO. 050882 maintaining the records of Robert J. Hennessy a Kenneth K. Woychuk New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE r• A A^AAA 202506176 PROACTIVE BROKERAGE INC 926 SUNRISE HIGHWAY • f WEST BABYLON NY 11704 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER AQUA COASTAL INC TOWN OF SOUTHOLD P 0 BOX 226 53095 ROUTE 25 ISLIP TERRACE NY 11752 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 11415789-5 362509 04/01/2017 TO 04/01/2018 3/19/2018 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1415 789-5, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION MYKHAYLO ABRAMCHUK(PRES) OF ONE PERSON CORP AQUA COASTAL INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND U DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER 48505700 U-26.3 �►coR�® CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 3/19/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PROACTIVE BROKERAGE INC PHONE (631)482-1860 A/c Noi. 888 859 6455 926 Sunrise Highway ADDARESS• info@proactivebro.com West Babylon,NY 11704 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Atlantic Casualty Insurnace Co INSURED INSURER B: Progressive Insurance Aqua Coastal Inc. INSURER C: INSURER D: PO BOX 226 INSURER E: Islip Terrace NY 11752 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 1�TR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DIDY EFF POLICY YY Yl LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1.000 000 CLAIMS-MADE �OCCUR DAMAGEPREMISESPREMISESSEa occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y L035013818 7/30/2017 7/30/2018 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2'000,000 POLICY❑X JECT F LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER* $ AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT $ 1000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED B AUTOS ONLY X AUTOSU�D 03861607-1 7/22/2017 7/22/2018 BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? r N/A (Mandatory in NH) E L DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The following are included as additional insured required by written contract subject to the terms and conditions of stated polices:Town of Southold CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 53095 Route 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Southold NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 8-20 WACOVI CORP RA All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD -'^�. rlrUr,A,lli�'■�`w� .r.o`��•..�d., ,a.a....�,..�,.`•��►�+i�:.:.Y. ._ - ._.,..;:„.�,.°"..-.,� '�S+Nw"� .teras• a � �. .., <_ •, �...;.,..,...• - • {JI+'is �IF�••�T S�y. ..�.,y,.,�� �� _J � �aM'f V _ Y" • ^..�.i. t.. .l.f.a. -dL_.... i. !irvi P.isa....moi ���k�J w ``.�tf iIFA•'�.� - N 101 IF AV w u�". fan " cA� •dry t .. .. .�.. .'a�:i� �sR'ti••. e c ��- - ��/i':.e... Y., ' HOME IMPROVEMENT CONTRACTOR LICENSE AL NAME MYKHAYLO ABRAMCHIJK BLISIINESS NAME • Q • COASTAL License Number Date Issued 09/19/2007 . DATE 09/01 /2019 6aJ APP OVER AS NOTED DATE: FEE:1 BY. DRAINAGE INSPECTIONS ARE REQUIRED NOTIFY .BUILDING DEPA Nt 'AT -; Contact TOS Engineering at 765-1560 before •765-1802 'SAM TO 4 PM FOR THE,, Backfill,OR Provide Engineer's Certification FOLLOWING INSPECTIONS: that the drainage has been installed to Code. 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2., ROUGH ,FRAMING & PLUMBING 3. ,INSU' LATIQN-, 4. FINAL� CONSTRUCTION MUST BE-,COMPLETE FOR C.O. ` ''ENCLOSE POOL TO CODE, ALL CONSTRUCTION SHALL MEET,THE, UPOIVrCOMPLETION REQUIREMENTS OF THE CODES OF NEW X6EFQRE,°WATER'; YORK STATE. NOT RESPONSIBLE FOR w. T ' DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF ELECTRICAL NEW YORK STATE & TOWN CODES INSPECTION REQUIRED AS REQUIRED AND CONDITIONS OF -- Qvu I rfBLD ZBA� SOnOLD TOWN TRUSTEES N.Y.S.DEC FLOOD ZONE +NIPLY WITH C14-fiPTER 14MI "IAOD 01 '• • ••F_d OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY � f ` ALL CORNERS FORMED POOL NOTES:1.POOL AND PROPERTY TO CONFORM TO 2017 NYS UNIFORM CODE,THE PUMP SKIMMER BY INTERSECTION OF 2015 IRC,2 nd PRINTING,AS AMENDED BY THE 2017 NYS UNIFORM CODE (TYP.) WALLS AND FLOOR POOL DECK TO' 12' SHALL BE ROUNDED SLOPE AWAY FROMI SUPPLEMENT,2017 SUPPLEMENT TO THE NYS ENERGY CONSERVATION POOL 2%MIN. OSE WATER LEVEL 3" CONSTRUCTION CODE,TOWN OF SOUTHOLD CODE AND 2014 NATIONAL FILTER STAIRS SHALL COPPING POOL FROM TOP OF ELECTRIC CODE. BE OF NON-SUP t , 2.POOL SHALL CONFORM TO ANSI/NSPI STANDARDS R326.3.1. DESIGN (16- I 16" '• 3.SECTION R326.7 POOL ALARM REQUIRED. FF' TREADS) (3) S BARS ' a .t` s" FROST PROOF TILE BAND 4.ENTRAPMENT PROTECTION REQUIRED SECTION R326.6. CONTINUOUS GRADE •'.. • BENCH BEAM ALL AROUND x .,a + , ;. 5.POOL SHALL COMPLY WITH BARRIER REQUIREMENTS SECTION R326.5. AUTO 2"� (TYP.) TIES 12" O.C. + a PNEUMATICALLY APPLIED CONCRETE 6.POOL SHALL COMPLY WITH INTERNATIONAL ENERGY CONSERVATION COVER CODE SECTION R403.10: VAULT I 50� VERTICAL BARS d '` a• POOLS AND PERMANENT SPA ENERGY CONSUMPTION(MANDATORY). ' SECTION R403.10.1 HEATERS PRC)PCG3.0� N® okqqnm WALL,THICKNESS a DIRECTIONAL INLET 2_5' SECTION R403.10.2 TIME SWITCHES VARIES 6" TO 8" , 7-i- 3.0' .-. SECTION R403.10.3 COVERS (MIN.) WHrrE MADE D1113T 20 10.0, 6"(MIN.) ' r a 7.THE DESIGN 15 BASED ON A DRAINAGE SOIL WITH<10%SILT.GROUND WHITE MARBLE DUST FINISH WATER SHALL NOT EXIST WITHIN LIMITS OF THE EXCAVATION.IF GROUND RETURN I d: RADIUS VARIES WATER EXISTS WITHIN 6'BELOW GRADE SPECIAL DEWATERING FACILITIES LOW� O 1' RADIUS ROUNDED CORNERS cV �' (SHALLOW END) WILL BE REQUIRED.WATER DISPOSAL IS LIMITED TO OWNER'S PROPERTY. DUAL MAIN DRAIN WITH c SUNDECK y4 BARS ®6" O.C. IN RADIUS s.5' ADIUS ROUNDED 8.NO SURCHARGE ALLOWED WITHIN W OF SHALLOW END AND 6'OF DEEP STRAINER VGB SAFETY AND VERTICAL WHEN WALL , ! (MAX.)) ( HEIGHT EXCEEDS 5' ' CORNERS (DEEP END) END. ACT APPROVED DRAINS) (ALTERNATE BARS) u. ?_ #4 REBARS - 12" ON 9. THE PNEUMATICALLY APPLIED CONCRETE(GUNITE)SHALL BE 4,000 PSI BENCH I 9 CENTER EACH WAY @ 28 DAYS. . ;, • (FLOOR) 10.REINFORCING STEEL SHALL BE INTERMEDIATE GRADE BILLET STEEL WITH A MINIMUM LAP OF 30 BAR DIAMETERS. INLET 11.REBAR SHALL BE 3"MIN.CLEAR TO EARTH. BENCH ( •) 12.POOL WATER SUPPLY BY OWNERS GARDEN HOSE.POOL TO BE KEPT 3" TO 6" CLEARANCE 6,5. FULL DURING FREEZING WEATHER.PUMP CAPACITY TO BE SUFFICIENT TO __F6"SLAB EMPTY POOL IN 24 HOURS. BETWEEN POOL POOL PLAN 13.LOCATION OF PROPOSED SWIMMING POOL AND POOL EQUIPMENT BY LADDER AND WALL NOT TO SCALE NOTE: OTHERS AND SHALL COMPLY WITH ALL LOCAL ZONING REQUIREMENTS. THIS IS A NON-DIVING POOL. TYPICAL WALL SECTION 14.ALL DRAIN COVERS TO MEET ALL REQUIREMENTS OF THE VIRGINIA FILL SPOUT AS NOT TO SCALE GRAEME BAKER(VGB)POOL AND SPA SAFETY ACT. REQUIRED 15. NO DIVING EQUIPMENT PERMITTED. BULLNOSE COPING SKIMMER PROVIDE SEALING 16.CONTRACTOR SHALL VERIFY SOIL BEARING LOADS PRIORTO (TYP•) (TYP•) INLET AT DECK COPING s INSTALLATION OF POOL.SEE GEOTECHNICAL RECOMMENDATION/SOILS (n'P•) WATER LEVEL MID.) REPORT BY OTHERS FOR ADDITIONAL INFORMATION. - -----� 17.SLOPE PATIO SURFACE 1/4"PER FOOTAWAY FROM POOL. O e O O 18. THIS PLAN IS FOR CONSTRUCTION ON PROPERTY AT 2824 COX NECK 13.5- ROAD,MATTITUCK,N.Y.11952 ONLY. GRADE BEAM 19.HM ENGINEERING,P.C.SHALL NOT BE RESPONSIBLE FOR 6- MID.) CONSTRUCTION MEANS,METHODS,TECHNIQUES OR PROCEDURES UNDERWATER UTILIZED BY THE CONTRACTOR,NOR FOR THE SAFETY OF THE PUBLIC OR LIGHT CONTRACTOR'S EMPLOYEES,OR-FOR THE FAILURE OF THE CONTRACTOR TO CARRY OUT THE WORK IN ACCORDANCE WITH THIS PLAN. (OPTIONAL) 6" CONCRETE (TYP.) 1 1/2" TO WASTE 0.5- 50' 0.5� HAIR & LINT STRAINER PUMP DUAL MAIN DRAIN WITH UNDISTURBED SOIL, FILTER AUTO SKIMMER HYDROSTATIC VALVE COMPACT BASE TO 95% AND COLLECTOR TUBE MODIFIED PROCTOR IN GRAVEL BASE DUAL MAIN DRAIN POOL WITH HYDROSTATIC BACK TO VALVE AND It POOL PROFILE PREPARED FOR: POOL COLLECTOR TUBE IN NOT TO SCALE SCHWARTZ RESIDENCE GRAVEL BASE 2824 COX NECK ROAD MATTITU�CK, N.Y. 11952 SCHEMATIC PIPING ARRANGEMENT NOT TO SCALE HM ENGINEERING, P.C. DATE: 04M7 12018 NOTE: ', D (� /p�� SCALE: AS SHOWNOWN THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF HM ENGINEERING P.C..UNAUTHORIZED SHEET: 1 OF 2 ALTERATIONS OR ADDITIONS TO THESE DOCUMENTS AREA VIOLATION OF SECTION 7209 OF THE NEW YORK STATE 3 CHERRYWOOD DRIVE EAST NORTHPORT,NY 11731 EDUCATION LAW.INFRINGEMENTS WILL BE PROSECUTED. Tel:(516)476-5392 Fax:(631)980-7671 www.hmarnika@optonline.net RESIDENTIAL GUNITE VOID VO ROUT RAISED SEAL AND BLUE SIGNATURE SWIMMING POOL PLAN _ I S 1, I 6" 2" X 30" STONE 30" REINFORCED GALVANIZED HEAVY DUTY STEEL COPING BRACKET S!DE qGND BEAM+ ° , 3" DRAIN 14" TO DRYWELL + + ". +++++ < ° f` 7— #3 BARS ow 7-a 14" (TYP.) WATER LEVEL d` L4- 16° . v s 6p a BOND BEAM < 4 `+"'` #3 BARS ® 12" O.C. 6" THICK CONCRETE WALL MUST BE BOND BEAM 2" STRAIGHT AND PLUMB < CLEARANCE FROM BOTTOM OF COPING s < Ia 3" DRAIN TO DRYWELL W ° o Z < I SECTION VIEW :5 << ° NOT TO SCALE a.0 AUTO-COVER VAULT NOTES: 1.MOTOR CAN BE INSTALLED ON EITHER SIDE PROVIDED THAT O THE MOTOR END OFFSET IS 34"FROM THE INSIDE EDGE OF CL POOL WALL. 2.DRAINS SHALL BE 3"(MIN.)AND DRAIN TO DRYWELL. " 3.INSIDE BOX DIMENSIONS ARE 14"WIDE BY 14"DEEP. < 1 AUTO—COVER -VAULT DETAILS al i R SIDE 130ND BEAM' 4 11 � MOTOR 34" (MOTOR ° 1< LOCATION SIDE) 3" DRAIN PREPARED FOR: �74 TO DRYWELL SCHWARTZ RESIDENCE 2824 COX NECK ROAD 6" MATTITUCK, N.Y. 11952 i PLAN VIEW NOT TO SCALE 1 DATE: 04/17/2018 NOTE: 6 a ` D HM ENGINEERING, P.C. SCALE: AS SHOWN THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF HM ENGINEERING P.C..UNAUTHORIZED [ SHEET: 2 OF 2 ALTERATIONS OR ADDITIONS TO THESE DOCUMENTS ARE A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE 3 CHERRYWOOD DRIVE EAST NORTHPORT,NY 11731 EDUCATION LAW.INFRINGEMENTS WILL BE PROSECUTED. Tel:(516)476-5392 Fax:(631)980-7671 www.hmarnika@optonline.net AUTO-COVER VAULT VOID WITHOUT RAISED SEAL AND BLUE SIGNATURE DETAIL