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HomeMy WebLinkAbout46245-Z Town of Southold 3/25/2023 G a y�� P.O.Box 1179 co53095 Main Rd Way Q� � Southold,New York 11971 r CERTIFICATE OF OCCUPANCY No: 43965 Date: 3/25/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 16109 Route 25,East Marion SCTM#: 473889 Sec/Block/Lot: 23.-1-10.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/18/2021 pursuant to which Building Permit No. 46245 dated 5/13/2021 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 Osvaldo Landvik LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46245 5/17/2022 PLUMBERS CERTIFICATION DATED 0 thor zed 1 nature o�su fel�,� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • � SOUTHOLD, NY 0 1 101 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#: 46245 Date: 5/13/2021 Permission is hereby granted to: Osvaldo Landvik LLC 167 Bowery#4 New York, NY 10002 To: construct accessory in-ground swimming pool as applied for with flood permit. At premises located at: 16109 Route 25, East Marion SCTM # 473889 Sec/Block/Lot# 23.-1-10.1 Pursuant to application dated 3/18/2021 and approved by the Building Inspector. To expire on 11/12/2022. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 Flood Permit $100.00 CO- SWIMMING POOL $50.00 Total: $400.00 spector SO!/j�ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlin(a-town.southold.ny.us Southold,NY 11971-0959 CDUNTy,N� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Osvaldo Landvik LLC Address: 16109 Route 25 city,East Marion st: NY' zip: 11939 Building Permit#: 46245 Section: 23 Block: 1 Lot: 10.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Volt Tech Electrical License No: 56987ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1 st Floor Pool X New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 60A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump 2 Other Equipment: Pentair Intellitouch 10 Circuit/ 9 Used, Heater 120GFI, Pump x2 220GFI, Intellichlor Salt Generator, Intermatic 30OW Tranny Notes: Pool Inspector Signature: Date: May 17, 2022 S.Devlin-Cert Electrical Compliance Form ho�aOF SOUIyOIo /1(/,VBUI� ����i'�LDING,' �DEPT�� ----- # # T . TOWN OF SOUTH 631-765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: �mdL DATES Z7i INSPECTOR �-^ hO�aOF SO(/T,�°� TOWN OF SOUTHOLD BUILDING DEPT. �ou631-765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL emt---� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATI N [ ]_PARE C/O [ ] RENTAL REMARKS: PA lklmW' ?i p / - tiQALI? DIVJA cmn-l� .00l ,1l'9- ,Lto vm oa/ M4 -;0'4- h PAMA" if FlIA&LOAA 4- �M- CAW("tol DATE !y INSPECTOR ^ '^ ho�a0f SOUIy�� - - — - �( # # TOWN OF SOUTHOLD BUILDING DEPT. couHn, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/ K G [ ] FRAMING /STRAPPING [v(FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REM RKS: SI Y <<vk nAl ✓�1�rJ y �l8`` T fir►�--✓ �rq'S k-iv- L(RU"- -46�Dh RaL 9VIL/. MR w r - mkw� w" oA 0 C4NMIMil DATE INSPECTOR -F--IE-L-- IELD INSPECTION REPORT 'DATE COIVIl mNTS FOUNDATION(IST) 77* 3 FOUNDATION (2ND,) D ROUGH FRAMING& �3 , Pi T-TMBIN.G ti r INSULATION PER N.Y. � STATE ENERGY CODE FL�:LL Y n ADDITIONA-L COMMENTS (c- C 1 o l'115 ti ?�� ktit h VI � h aV✓Q✓ �� � M S z x TOWN OF SOUTHOLD—BUILDING DEPARTM.ENT llown Hall Atuie� $43755 Main 2 u� d P.0. Buk 1179 SPtithold,NY 11971�4959 wldto%ylulv.� Mv Ttleplidhe(6 31)765-18 0 I 1-2 %k 611 ( ) -95 76502 httD5:/AvWW'56Ufl APPLICATION-FOR" BUILDING PERMIT PE.1 MUT141). Build ing Intpettan— _VvMAR 1 8 2021 . . . If"", pm ' is M_ i fili6o carat in.tbr dptlrpty. a`0011 a'i ,-IIII .,tl bl-4&e�tbd.'-��Wfio hi Ah i'A 6tA O,c"r;ati ons v ,no a po rAM' t'n El C t- ee!�A u•thorizatA®n form(�age-2�'sh`11�e.' 0rnojet44� Date: March 3,2021 k4,Y- N.a'me. OSVALDO LANDVIK L.L.C. (c/o W. Gu�7ton SCTM ft 1000- 23-01- 10.1 I Project Atlftis: 16109 Rte. 25 - East Marion,NY- 11939 Phone#'(917) 714-3803 wadeguvton@mac.com M111 ling Add rens:167 Bowery,FL 4 New York, NY - 10003 O)INT'Ad PERSON:' Name:Robert W. Anderson–Suffolk Environmental Consulting, Inc. Mallin'Address: P.O. Box 2003 - Bridgehampton,NY 11932 Phone 4;(631)537-5160 EmAH.robert@suffolkenvironmental.com Name. Doug Adams @ Young and Young Engineering Mailing Address.400 Ostrander Avenue Riverhead, NY - 11901 Phone it:(631)–727–2303 Email:dea@youngengineering.com Ct TOACTOR I N F N/A Mai Hog Address, N/A Phone 4- N/A Email: N/A OES i inoNoF.PR P OPPSW CONSTRUCTION NNeW Structure MAddition 0-Alteratlon DRepair ElDemolitf-bri Estimated Cost of Project: 108,800.00 Will the lot Ise re-&aded,? OYes-ONo Will excess fill be removed ftarn premls'40 Mes Oft PROP€RtTVANF.ORMAT - Existing use of property: Residential Intended use of property:Residential w/swimming pool Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-80 this property? OYes IONo IF YES,PROVIDE A COPY, I _Rtt�7Aft ftiWr .,Thin+MnRrfliDnt itar/dKYnp 1{� hCh& a evib�bna rrs�4'�ci�tl num a�a i�asma van►lames ss pooYfdt by, .k, -. r �;.. ..n - a. i.--, as.C .{...Y,.d. �,.....,r.•,�31�-�,;:, , ciiipgsr st%6 dt i'�i�+coeii.°`i►�li�A>�oti`ts M[Rc�iv�tAftls;eo+�io txapat�+rAt s'dw.ti�v;i�si�:nai�at a e9rlkt►�c+�tte�iear;tik ta,aia et:tse;n�,roae 1, r O►dtiHlW-114' 'elal Towin Cf 3otih1i0id�SuMml>M;� kiw,lfliik'skd gMar laws�p�ai�ai:or qa! tlr�iooi�niii�a�cd 6nUdtrt� , �sldltlWet; of k�i rtnio+ial of di+ialttlCwi as f :lFi� a �iei to ea rtiplr,witsti i�.y0 lai�a►inldlaiiicos;6iJdtgg epdQ �ha!uii�aodarauda�lMttaiian�toa�m�`iu9#ioalsdin�PKto�soAp�gnties•�dlntia�lhlli�foeheties�aryiKfp�ctlor�'Ft4�aiita�inent+i.�dtiArrtfa' , piieissh�ble a91%`G.0 A i t pat ui}t ho`Se¢fan'2�O i_of 14 WiiY60 si"Ae!W t+Mr:; Application Submitted By(Print name): Robert W.Anderson ®AuthoitYed Agent (]®Darner Signature of Appiicant: go/ fie: Qs/t l t Zou 1 1 STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Robert W.Anderson d Suffolk Environmental Corisulftg,Inc. being duly sword,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/her knowledge and belief;and that the work will be performed in the manner set forth In the application file therewith. Sworn before me this day of Notary Public MATTHEW D. IVANS NOTARY PUBLIC-STATE OF NEW YORK I�rv� No.01 IV6053859 PRO r�,!-010A,WMIQ Qualified In Suffolk County (Where the applicant is not the owner) My Commission Expires 01-22,3@41& 0 I, OSVALDO LANDVIK L.L.C.{c/o Wade Guyon)residing at- 167 Bowery,F14•New York,NY 10003 do hereby authorize Suffolk Environmental Consulting,Inc. to apply on my behalf to the Town of Southold Building Department for approval as described herein, Owner's Signature Date Wade GuZon ,® Print Owner's Name 2 NEW YORK STAIrE DEPARTMENT OF ENVIROHMENTAL CONSERVAMON Division of Environmental Permits,Region 9 SUNY 0 Stony Brook,50 Circle(toad,Stony Brook,NY 11790 P:(631)444-03651 F:(631)414-0360 www.dec.ny.gov NO PERMIT NECESSARY TIDAL WETLANDS NDS ACT i May 10, 2021 Osvaldo Landvik LLC c/o W. Guyton 167 Bowery, Flr 4 New York, NY 10002 Re: Application #1-4738-04700/00002 Osvaldo Landvik LLC Property, 16109 Route 25, East Marion, NY SCTM# 1000-23-1-10.1 Dear Applicant: The Department of Environmental Conservation (DEC) has completed the review of your proposal to construct a pool, pool drywell, pool terrace and fence surround as shown on the proposed project survey/site plan prepared by Howard W.Young, L.S., last revised 2/23/2021. It has been determined that all proposed construction activities are located 100 linear feet or greater from the tidal wetland boundary. DEC has determined that the project as proposed is listed in the Tidal Wetlands Land Use Regulations (6NYCRR Part 661.5) as an activity that is not regulated. Therefore, no permit is required under the Tidal Wetlands Act (Article 25) for this proposed project. Be advised, any additional work or modification to the project as described, may require DEC authorization. Please contact this office if such activities are contemplated. Your application check(Osvaldo Landvik, LLC check# 1003) has been voided (copy attached). Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Si cerel , Susan Ackerman Regional Permit Administrator cc: Suffolk Environmental Consultants; BMHP; file VORIC. i� �1.n n�.a,ff �rrs WI ww. �n�r r APPLICATION # PAGE 1 ()t 4 – - TOWN OF sowri-iot_n FLOODPLAIN DEVELOPMENT PERMIT APPLICATION 'Phis form is to be Oiled out in duplicate. , ETCTI E l: GENERAL tROVZSIt7N5 (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 is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed than other permits may be required to fulfill local, state and federal regulatory requirements. 7. 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 TIME B OF WLEDGE, TRUE- AND ACCURATE (APPLICANT'S S1i, 'ATURE DATE SECTION 2: PROPOSED DFA—LOPMENT (Tb be completed by APPLICA '1D NAME ADDRESS TELEPHONE APPLICANT Suffolk Environmental Consulting,Inc.: P.O.Box 2003;Bridgehampton,NY 11932 (631) 537-5160 BUILDER Rachel Lynch Pools&Spas 375 David Whites Lane•Southampton NY• 11968 (631)283-0820 ENGINEER P OJECT LD}CATION: To avoid delay in processing the application, please provide eaouQh information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas. the distance to the nearest intersecting,road or well-known tandmark. A sketch attached to this application showing the project location would be helpful. 16109 CR-48,East Marion,NY• 11939,4,680 ft east of Truman's Path. (SCTM# 1000-023-01-10.1) Please see attached location Map for further information. _ FOP(93) a.r r�t t,�, r��r•• r _ _ PACT E 2 0 f 4 DESCRIPTION OF WORK (Check all applicable boxes); A. STRUCrU1W_ DEVELOPMENT �C'1"IVI"i'Y STRUC`TQRF nTF ❑ New Structure ❑ Residential (1-4 Family) 13 Addition ❑ Residential (More than 4 Family) 0 Alteration ❑ Noirresidential (Ploodproormg? O Yes) O Re-location CJ Cowbirred Usc (Residential & Comner6a3) ❑ DemoUtioa 0 Manufactured (Mobile) Home (In Manu- 0 Replacement fac(ured Horne Park? 0 Yes) ESTIMATED COST OF PROJECT 5 $ 108,800.00 B. OTHER DEVELOPMENT ACI'IVI-TIES: ❑ Fill 0 Mining 0 Drilling O Gradiul; ❑ Excavation (Except for Structural Development Checked Above) 0 Watercourse Alteration (including Dredging g and Chan el Mod ca(ions) ❑ Drainage Improvements .(Including Culvert Work) O Road, Street or Fudge Construction O Subdivision (New or Expansion) 0 Individual Water or S6ypr Systaan ® Other (Please Specify)' Swimming Poo _ After completing S) CTION 2, APPLIC,AW. should submit form to Local Administrator for review. SEMI ON 3: OPI)PLAIN DFTERhiINATION (To-be completed by I- )CAL ADMINISTRATOR) The proposed development is located on FUZM Panel No. . Dated Tha Proposed Development: ❑ Is NQJ located in a Special F=lood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable O The proposed develo,pauent is located in a floodway. iBCM Panel No. Dated _ O Sec Section 4 for additional iastructious. SIGNED DATE___,_ APPLICATION � PA(31r3OF4 CTiOt� 4_.At70ITiQt`IAL fNFC3 R149A�)i�tWUI R1:1) Ta he c©rnnlcteet by LQC°rti.I.. A1)MINl$TRJI'I`G The applicant must submit the docunicuts checked below before the application can be pmcesscd: 0 A site plata showing; the location of all cxdsti g; structutcs, water bodies, adiacrnt roads, lot dimensions and proposed development. 0 Dw.,c1opcxeat plans, dia%m toscalc; and specifications, including where applicab1c: dctails lot anchoring structures, proposed elevation of towest floor (including baseuicut), types of water nt resistamaterials used bciow dic fust floor,dr-tails of floodproofing of utilities loc a(cd below the first floor and details of enclosurts below the fust floor. Also. Q Subdivision or other development plans (If the suUdivision or other developtucut exceeds 50 lots or S acTes, whichever is the lesser, the appCieant must provide 100--year flood elevations if they are not otherwise. available). © Plans showing the extent of watercourse rclocatioo and/or landform alterations. a Top of new fill elevation —Ft. NGVD (MSL). 13 Floodproofing protection level (non-residential only) Ft.'NGVD (MSL). For floba roofed structures, applicant rnusi attach certification from rostered engines- or architect. ❑ Certification from a registered cn&eer that the proposed activiey in a regulatory floodway will tsvt result in any increase in the, height of (he 100-year flood. A copy of afl data and calculations supporting this finding most also be submitted_ Cl tither: SKMQN 5,• PE IT I? RMINA1J N M be co » e ed by L AL Q fit RAT R I have determined that the proposed activity.A. 0 Is B. 0 I5 not W conformance with provisions of Lord Law ret . 19 The permit is issued subject to the conditions attached to and made pact of this permit. SIGNED , DATE 11 BUX A is checked, the LocaJ Administrator may issue a Development Permit upod payment of designated fee. If BOX B is checked, the Loc,.at 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 PAGE 4 OF 4 APPALS Appealed to Board of Appeals? ❑ Yes O Na Nearing date: Appeals Board Decision --- Approved) El Yes ❑ No Coodilioas SECTION G,• AS-BUILT ELEVATIONS (To be submitted by APPLICANT before, Certificate of Compliance is issued The following information must be provided for project structures_ This section must be completed by a registered professional engineer or a Uceased land surveyor (or attach a certification to this application). Complete I or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal Bigh 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 floodproofmg protection is FT. NGVD (MSI..). t•:.y NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION '7: COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR 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. INSPTECTIONS: DATE BY DEFICIENCIES? O YES ❑ NO DATE BY DEFICIENCIES? O YES D NO DATE BY DEFICIENC:IES7 O YIPS O NO �ECTIQN $ CERTIFICATE OF COMIPL.IANCE(To be cgmpletcd by LOCAL ADf`4INISTRATO� Certificate of Compliance issued: DACE: BY! �oS�yFFp��co BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD y, = Town Hall Annex - 54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 p� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cDsoutholdtownny.gov - seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: � /\PP—IL 12,ZC�'ZZ Company Name: Volt Tech Electrical Electrician's Name: Nat Cannistra License No.: ME-56987 Elec. email:volttechelectrical@hotmail.com Elec. Phone No: 631-335-6997 01 request an email copy of Certificate of Compliance Elec. Address.: 108 Frowein Rd Center Moriches NY 11934 JOB SITE INFORMATION (All Information Required) Name: Osvaldi Landirk LLC Address: 16109 Main Road, East Marion Cross Street: On MAIN ROAD along water edge Phone No.: Bldg.Permit#: 46245 email: Tax Map District: 1000 Section:23 Block: 1 Lot: 10.1 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Inground pool Square Footage: Circle All That Apply: Is job ready for inspection?: ❑1 YES F] NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑� NO Issued On Temp Information: (All information required) Service Size❑1 PhF-13 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[—]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 D H Frame Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION 0'r,F" 5 11 FOL/C BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 "' -Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr@southoldtownny.gov - seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: , /\P)2iL 12,7_c12Z Company Name: Volt Tech Electrical Electrician's Name: Nat Cannistra License No.: ME-56987 Elec. email:volttechelectricai@hotmail.com Elec. Phone No: 631-335-6997 01 request an email copy of Certificate of Compliance Elec. Address.: 108 Frowein Rd Center Moriches NY 11934 JOB SITE INFORMATION (All Information Required) Name: Osvaldi Landirk LLC Address: 16109 Main Road, East Marion Cross Street: On MAIN ROAD along water edge Phone No.: Bldg.Permit#: 46245 email: Tax Map District: 1000 Section:23 Block: 1 Lot: 10.1 BRIEF DESCRIPTION OF WORTS, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Inground pool Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑V 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 Reconnect❑Underground❑Overhead # Underground Laterals 1 FJ2 H Frame Pole Work done on Service? D Y N Additional Information: PAYMENT DUE WITH APPLICATION 4 ►o� Sl�lz� PERMIT# Address: Switches Outlets G FI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator Combo Cooktop Transfer AC AH Mini Special: Comments. hr 2 Law Offices of Evan Sarzin, P.C. 624 West End Avenue, No. 2 New York,New York 10024 Tel. 212-344-650o Fax 718-762-2611 Email: evan@sarzinlaw.com March 16, 2021 TO: Town of Southold Building Department Re: Osvaldo Landvik LLC Dear Sir/Madam: I am an attorney admitted to practice law in the state of New York, and I render this opinion letter at the request of Osvaldo Landvik LLC, a client of my firm. Osvaldo Landvik LLC is a limited liability company organized pursuant to the Limited Liability Law of the state of New York, and Wade Guyton is its manager. The LLC is authorized to transact any and all lawful business, and Mr. Guyton, as manager, is authorized to execute any an all documents in furtherance of the business of the LLC. Accordingly, Wade Guyton is authorized and empowered to act on behalf of Osvaldo Landvik LLC in matters pertaining to obtaining regulatory approvals. Very truly yours, G��'.t,r . C✓1� . Evan Sarzin' ES/aap Suffolk Environmental Consulting, Inc. Newman Village - Suite E 2310 Main Street PO Box 2003 - Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED March 17th, 2021 Building Department `' "' MAR 1 8 2021 Town of Southold P.O. Box 1179 Southold, NY - 11971 _ .. RE: OSVLADO LANDVIK L.L.C.(clo Wade Guyton) Property— Proposed Swimming Pool Situate: 16109 Rte. 25 • East Marion, NY • 11939 SCTM#: 1000—023—01 -10.1 To whom it may concern, This Firm represents the owner(s) of the subject property, who is seeking all required regulatory approvals to develop thereon in a residential manner. Attached herewith, please find the following; 1. Application for Building Permit, completed, signed and notarized, (one [1] original); 2. Property Owner Authorization, where the applicant is not the owner, (one [1] original); 3. Opinion of Counsel Letter,prepared by the law Offices of Evan Sarzin, P.C., dated March 16th, 2021, (one [1] original); 4. Contractors Certificate of Workers Compensation Insurance, (one [1] copy); 5. Contractors Certificate of Liability Insurance, (one [1] copy); 6. Contractors Suffolk County Home Improvement License, (one [1] copy); 7. Contractors Certificate of Insurance Coverage Disability and Paid Family Leave Benefits Law, (one [1] copy); 8. Survey,prepared by Young and Young Land Surveyors, last dated February 23rd, 2021, (four [4] sets) and; 9. Swimming Pool Plans prepared by Farm Landscape Design, last dated January 121h, 2020, (four [4] sets); Thank you for your time and anticipated cooperation regarding this application. Should you have any questions or concerns or should you require any further information to aid in the review of this application, please feel free to reach out to this Office at any time. Yours Truly, Robert W. Anderson (enc.) C.c. W. Guyton Suffolk Environmental Consulting, Inc. Newman Village • Suite E 2310 Main Street PO Box 2003 - Bridgehampton NY 11932-2003 t 631.537.5160 • f 631.537.5291 J- Bruce Anderson,M.S.,President L- HAND DEIVERED April 14, 2021 APR 15 2021 Building Department Town of Southold P.O. Box 1179 Southold,NY 11971 RE: OSVALDO LANDVIKL.L.0 (clo W. Guyton)Property—Resubmission Situate: 16109 Rte. 25 - East Marion,NY - 11939 SCTM#: 1000—023 —01 — 10.1 To whom it may concern, As per the departments request, please find four [4] sets of Site plans prepared by Farm Landscape Design, L.L.C, last dated April 8th, 2021, depicting a schematic of the proposed rebar utilized in the construction of the proposed pool and bearing the stamp and signature of a licensed architect. Thank you for your time and consideration regarding this matter. Should you have any questions or concerns pertaining to this project,please feel free to reach out to this Office at any time. Yours Truly, Robert W. Anderson (enc.) C.c. Osvaldo Landvik L.L.C. (c/o W. Guyton) Suffolk Environmental Consulting, Inc. Newman Village • Suite E • 2310 Main Street PO Box 2003 • Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED May 18th,2021 Building Department Town of Southold P.O. Box 1179 Southold, NY 11971 RE: OSVALDO LANDVIK L.L.C. (%W. Guyton) { Situate: 16109 CR - 48 •East Marion, New York •11939 SCTM#: 1000 - 023 - 01 - 10.1 To whom it may concern, As per the Departments request,please find an Application for Flood Plain Development. In addition, please find a check made payable to the Town Southold in the amount of four hundred dollars ($400.00) in satisfaction of the requisite fees. Thank you for your time and consideration regarding this matter. Please feel free to reach out to this Office with any questions or concerns that you may have. Yours Trul , Robert W. Anderson (enc.) NYSIF New York State Insurance Fund 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE D. ,T .0 nnnnnn 201817842 � r INNOVATIVE RISK CONCEPTS, INC. 179 SOUTH MAPLE AVENUE . RIDGEWOOD NJ 07450 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER RACHEL LYNCH POOLS&SPAS INC TOWN OF SOUTHOLD BUILDING DEPT 375 DAVID WHITES LANE 54376 NY-25 SOUTH HAMPTON NY 11968 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z2191903-0 221944 02/28/2021 TO 02/28/2022 3/15/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2191903-0, 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. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:943436475 11-2R 3 Show Receipt lletail rage 1 or z I RECEIPT Suffolk County Govemment SUFFOLK COUNTY LABOR, LICENSING&_CON_SUMER AFFAIRS P.O. BOX 6100 HAUPPAUGE,NY 11788 ~ James M.Andrews Application:H-54621 Application Type:ConsumerAffairs/Licenses/Home Improvement/NA Address: Owner Name:RACHEL LYNCH POOLS&SPAS INC ownerAddress:375 DAVID WHITES LANE SOUTHAMPTON,NY 11968 Application Name: Receipt No, 152424 Payment Method Ref Number Amount Paid Payment Date Cashier ID Received Comments Check 2535 $400.00 12/17/2018 CLEMON RENEWAL Owner Info.: RACHEL LYNCH POOLS&SPAS INC 375 DAVID WHITES LANE SOUTHAMPTON, NY 11968 Work Description: Suffolk County Dept.of This license is the.property of Suffolk County • ' Department of Labor,Licensing&Consumer Affairs. Labor,licensing&ConsumerAffairs w, 5V'a Possession of this license does not guarantee its validity. HOME IMPROVEMENT LICENSE �t Additional Business Name Name JOHN A.RACHEL Business Name j RACHEL LYNCH POOLS&SPAS INC1-13-POOLS/SPAS License Category This certifies that the H26-POOLS&SPAS/CERTIFIED bearer is duly licensed License Number H-54621 by the County of Suffolk Issued: 01/08/2015 Commissioner er Expires: 01/01/2021 https:Hay.prod.county.suf/portlets/fee/receiptView.do?mode--view&autoPrint=false&rece... 12/17/2018 (1)UNAUTHORIZED ALIERARON OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION UW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIc PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTIONOF FENCES(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSRTUTI015 OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)&CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. h1 400 Ostrander Avenue, Riverhead, New York 11901 TIE LINE ALONG APPROXIMATE HIGH WATER tel. 651.727.2503 fax. 651.727.0144 MARK ON 10/02/18 `\\ ti°���� admin®youngengineering.com q \ � JQ• \\6�,c Howard w. Young, Land Surveyor Thomas 0. ineer 141 Douglas E. Ad ms, Professional Engineer Robert G. Tast, Architect 0� STAKE SET \\ Robert 5tromskl, Architect \ S?\ ,� o � 0.0'E Al 7" v 7 SITE DATA\\` o a i os �`r �'bh \\ `\ 41A;_, vq Ao AREA = 2.562-7 ACRES OR 124,69r-f 5.F. y�0 SEE FLOOD INSURANCE RATE MAP PANEL NO. 56105C0o64 H LAST DATED SEPT. 25, 2009. o� ��\\ s FIRM ZONE BOUNDARY LINES SHOWN AS SCALED FROM FLOOD INSURANCE RATE MAP. VERTICAL DATUM = N.A.Y. DATUM (1988) `°69 COASTAL EROSION HAZARD LINE SHOWN AS SCALED FROM / 68 ° o00 \�89 Rc�\ / COASTAL EROSION HAZARD AREA MAP. `\BAR Res\\ 10 ` #¢ 4"cherry" STAKE SET LEGEND ° 0.0'E 9"ch�X- + _ \ JPO? \\* 1 �ONF X\ a r ` \\ #3 _ 8"spruce a r' `�` \`\ / 0. AgouKn 16 cherry t \` / ov x `\\ \\ // GMF = CONCRETE MONUMENT FOUND UTILITY POLE `LANDWARD LIMIT OF TIDAL #2_ °�P� o \�`\ \\\ FOUND #5 = WETLAND FLA6 d NUMBER '' \ �C WETLANDS AS FLAGGED ON ` % �•mor "� 01/25/19 BY THE TOWN OFy�P SOUTHOLD, LOCATED BY US ?" ON 02/01/19 :-+ 16 cherry \ 69 # 707 �'• Re's^'` ° \� S?, ¢`y �� ryo \ 3 \\� }� �o`� � 8, 1111 Il o o /CMF Q •` ry \ MUL11 4"TREE ��\ ` \ `\\ 0 a (4• mU `\ 23 e 9rry \ \ 7"DBL DECIDUOUS / a "BEECH 28+"I us k, \ `\ \ Q � r\ 13" DECIDUOUS a / �, � � \ZS /\ \ \\ F r D2"SPRUCE0 \\ 040 ` CMF 2"SPRUCES r CMF0.1' a o/ / 10"SPRUCE e ♦ r' OCA00 \ \ \ \ MU 119"EVRGRN \ \ \ \ \ \ �v/ yo 1 " UST ��h/ �•\�•\tQ \��� \`\ \`\ \ \ 28"BEECH \ \O \ \ \ tt \\\ $ b 4'stump 1 / �O \U ('J�-N. 21"LOCUST UQ ;01)v f A 24"LOCUST / 0.1'E TQ 0.4'S La Q �� �\ 'JO ♦\ a h / d O `\ •A� ., \ \\ `\ `\ i'\ `\Opp`\ \ O \ Ffis ti 3 \ `\ `\ `\ /Y \ \ ff? \ ti \ \ \ \ \ \qr \ + FOS• Q \ �` �` `\86?� 9 qh a// F Q ry y \ �Q \`\\ 81s / P�Op 0 A69 SURVEYOR'S CERT I F I CACTI ON \ �O \\ / �� 0 �, \\ \\ O U U� WE HEREB'(r CERTIFY TO OSVALDO LANDVIK LLC THAT \ � ` \ \ THIS SURVEY AAS PREPARED IN ACCORDANCE WITH THE CODE OF Q1 PRACTICE 1'GR LAND SURVEYS ADOPTED BY THE NEW YORK STATE a \` SPIKE SET Q� A550CIATION OF PROFESSIONAL LAND SURVEYORS. b \ O.O'E r 7Q \\ \\\\\ \\`\\ p\\\\ \\\ O • v s a .) i °o $ t/ w Lq , 4 \ ` z `\ `\ ` HOWARD W. YOUNG, N.Y.S. L.5. NO. 458x3 CMF CMF SURVEY FOR OSVALDO LANDV I K LLG at East' Marion, Town of Southold LOT GOVERACGE / \\ Suffolk County, New York EXISTING Cq 2 STORY FRAME HOUSE N RO = 1,690 50. FT. = 1.4% / <• �o7�y9` \\ \ ESU I LD I NG PERMIT SURVEY FRAME GARAGE = 896 50. FT. = 0.790 �o 7 RO GONG. DECK = 1,245 50. FT. = 1.016 'It g^ e�� `\ \\ CMF ��, D,� County Tax Map District 1000 Section 25 Bock OI Lot 10.1 a TOTAL = 3831 50. FT. = 3.116 ?J FIELD SURVEY COMPLETED OCT. 02, 2018 PROPOSED MAP PREPARED18 OCT.OGT04 fi POOL = 640 5a. FT. = 0.5% \ ti `\ �X Record of Revisions REVISION DATE TOTAL = 4,471 50. FT. = 3.610 \ °oma YVETLANDS FEB. 07. 2019 \ °�Q ADDED BUILDIN6 PERMIT DATA APR. 12, 2011 \ ADDED PARTIAL TOPO AND TREES JULY OS 2019 \ P," FINAL SURVEY JAN. 08, 2021 ADDED BUILDING PERMIT DATA FEB. 25, 2021 \ � F 40 0 20 40 80 120 DO 40' JOB NO. 2018-0185 B = MONUMENT SET ■= MONUMENT FOUND 0= 5TAKE 5ET e= 5TAKE FOUND DWG, 2018_0185_bpr I I OF I FARM LANDSCAPE DESIGN LS.101 /A-3 4 Mail:PO Box 195 2' 2' Office: Railroad Ave,Suite 2 EastHampton Hampton NY 11937 +1 l'-7" I 11'-7"+ T:631.771.6995 F:631.919.1655 farmdesignllc.com info@fa rmdesig n Ilc.com I I 16 I , I I LIGHT LIGHT LIGHT LIGHT I RETURN JET RETURN JET 4' 2'-2" 4' 2'-2" — — I 22 18"BENCH I I 22 2' -- - 18"BENCH 1t _- I I I I 3'-42""POOL BEAM 3'-4 'POOL BEAM FIN.GRADE FIN.GRADE 13'-4" 16' I DRAIN I tee— P 0 0 L LIGHT LIGHT I 16' x 40' 40' I I I I 2' 16" 33-2" 14" 14" 14" 2' 2' I , KEY DRAIN I I I I I I ' I � I 16 — — — — — — — — — — — — — — — — — — — — — COMPLY KITH ALL CODES OF NEW YORK TATE & TOWN CODES — - - — — - - - - - - - - - - - - - - - - - - - 2' D AS REQUIRED AND CONDITIONS OF SKIMMER SKI MER SKIMMER 1 1 1-7"+ Z3 I ' 6�Im2ARD � _ POOL DETAIL A POOL DETAIL B .�. ii P O O L P L I`i N LS.101 /A-2 A-2 A-3 A-1 Scale : 3/8" = a '- 0 " Scale : 1 - 1 -0 Scale : 1 " = 1 '- 0 " �T' TRUSTEES 2' 40' 2' 2' 16' 2' APP 0 ED AS NOTED OCCU FANCY OR +111-711 11'-7"+ +11'_7" 32 USE IS UNLAWFUL 1l'-7"+ DATE: B.P.# A. - FEE: FV- WITHO T CERTIFIC E y . _ _ :� 30" -r— `RETURN- - - - - - - - - - - REo TURN - - - - - - - - - - -ORETURN - - - _ :•.°:• NOTIFY BU{LDIP� _ _ ,�,TM AT j GRADE 765-1802 8 A TC ! �.� FOR THE OF OCCUPANCY !° i. .'i' : f :*. `'' "• °? j': VARIES t n+ .. •'r MEADOW "' � t It '• :y' ' '•r .•, •:.. . •'. .' FOLLOWING INSPCCT:.SNS: 9—1 w,` •`; 9—1 + :'` a 1. FOUNDATION T':'� REQUIRED r: . a •.. . ' FIN.GRADE a'• ':.t.: .: — - OLIGHT — — — — — SLIGHT — — — — — �GHT — — — — — — LI�GHU • •' ,'.°' . '° .•a'•,p.. :,� :, FOR POURED C'CP,.L�7TE :• ' 2. ROUGH - FRAtoiNIG C1 PLUMBING w Ei.Yn ,. .••. .; ♦• . .`•,•.°,, :•°... +. a e 'e • •.: if;' � r .�. ° ' •�' ` •` ':• 3. INSULATION ENCLOSE POOL TO CODE 4. FINAL - CON ti MUST UPON COM'LETION BE COMPLET,. BEFORE" 'VATER" r;: „• as ... .. '. r.• . 8, y •" ` ' :: Al :S 8 ALL CONSTRUCTI SHALL MEET THE ���?��py DEPTH ' ' REQUIREMENTS OF THE CODES OF NE'Jlf r' 1 �n�, DEPTH YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. 7 • •• RETAIN STORM WATER RUNOFF 0 S15' .a '•a.'' �A , �... ycs. PURSUANT TO CHAPTER 236 - ' ��/nf R ._w a� DRAIN y•' •�,r .•... +'� DRAIN DRAIN • OF THE TOWN CODE. •' d •'.• '• Y, ,a.. D L//0 V tel POOL SECTION POOL SECTION ELECTRICAL is DRAWN BY DATE DESCRIPTION A—� C 1 PFC 21_12_01 PRINT FOR REVIEW 8 PRICING Scale : 3/8" = 1 '-0 " A-` scale : 3/s " = 1 '—o " INSPECTION FiEC�IJIR+C�' 2 AD 21_04_08 PRINT FOR REVIEW&PRICING N 0 T E S: - ALL GUNITE SHALL HAVE A MINIMUM STRENGTH OF +1 F-7" — 11'—�'+ POOLTERRACE 10" -- 4000 PSI. STEEL REBAR SHALL BE GRADE 60 CONFORMING TO ASTM A-615 ®FARM LANDSCAPE DESIGN 2019 • All Rights Reserved The above drawings,designs,and ideas embodied the—ere the 12" property of FARM LANDSCAPE DESIGN and shell not be copied,reproduced, #4 BAR 2.5" O C disclosed to others,d used in conned on with any work other than the specified proled ALL WORK TO BE IN ACCORDANCE WITH LATEST or wMch they haxbeen preparFAMLANor inSCAPE DESIGN ihepior wntten 91-111+ _ MEADOW I (' author¢abon of FARM LANDSCAPE DESIGN " ' T' ACI CODE. 2 MINI PRELIMINARY: MUM REBAR OVERLAP TO BE 40 BAR NOT FOR - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - CONSTRUCTION � - - - - - - - - - ' T •• °• 8" GUNITE POOL DIAMETERS. WALL, TYP. - ALL DIMENSIONS SHALL BE CONSIDERED MINIMUM. PROJECT TITLE I #4 BARS AT 6 OC, - °' - ALL FINISHES, DETAILS & MATERIALS TO BE REVIEWEDGUYTON RESIDENCE VERTICAL WITH DESIGNER PRIOR TO CONSTRUCTION. 16109 MAIN ROAD #3 BARS AT 12 OC, HORIZONTAL COPING MATERIAL TBD. EAST MARION, NY — f POOL FINISH TO BE 11939 � _ _ __ _ _ — _ _ _ _ _ — _ — _ - - - ' ' ° � DETERMINED TILE SELECTION TBD. POOL E L IE V A T I O N - UNDERWATER FINISH TBD. PAGE TITLE A-6 G ° WATER FILTRATION AND WATER TYPE TBD. POOL PLAN AND Scale : 3/ 8" = 1 '-0 " - DETAILS ® \ FLOOD 770"�'; ORIENTATION N ° fie° '. 1• 'r s {{✓//��i 2" MINIMUM CLEARANCE CO?wL11e 4ti`�T a;; ; 'F-FE FLOW, yds aha ' nr - Cr)D ,° °' d 4 ° ° ° ° ° 4 SCALE AS SHOWN TYP POOL WALL BEAN DETAIL °�# A-7 ' Scale : 1 " = 1 '- 0" e