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HomeMy WebLinkAbout48558-Z �O�OSUF L�p` Town of Southold 5/24/2024 ate . P.O.Box 1179 O o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45201 Date: 5/24/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 380 Garden Ct, Southold SCTM#: 473889 Sec/Block/Lot: 63.-7-17.7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/2/2022 pursuant to which Building Permit No. 48558 dated 12/6/2022 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: accessory in-ground swimming pool,fenced to code, per ZBA decision 47615, as applied for The certificate is issued to Garcia,Marissa&Andres of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48558 04/17/2024 PLUMBERS CERTIFICATION DATED Au or ed i nature ao�SUFF01 o TOWN OF SOUTHOLD ay BUILDING DEPARTMENT 1.0 TOWN CLERK'S OFFICE o� 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#: 48558 Date: 12/6/2022 Permission is hereby granted to: Garcia, Marissa 380 Garden Ct Southold, NY 11971 To: Construct an in-ground swimming pool to an existing single family dwelling as applied for per ZBA approval. At premises located at: 380 Garden Ct, Southold SCTM #473889 Sec/Block/Lot# 63.-7-17.7 Pursuant to application dated 9/2/2022 and approved by the Building Inspector. To expire on 6/6/2024. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 Total: $300.00 Building Inspector - pF SOUjyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 a� sean.devlinca-)town.southold.ny.us Southold,NY 11971-0959 oI�CDUNTY,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Marissa Garcia Address: 380 Garden Ct city:Southold st: NY zip: 11971 Building Permit* 48558 Section: 63 Block: 7 Lot: 17.7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Gerarti Electrical License No: 40564ME 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 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: Intermatic Pool Panel 8 Circuit/ 5 Used, Timeclock, Pump 220GFI, Heater, 100W Driver w/ (3) Lights 120GFI w/ Color Switch, Salt Generator Notes: Pool Inspector Signature: Date: April 17, 2024 S.Devlin-Cert Electrical Compliance Form �aOF SOUTya TOWN OF SOUTHOLD BUILDING DEPT. cou 631.765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] 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: L, DATE INSPECTOR ho�apF SOGlyolo -- - - b * TOWN OF SOUTHOLD BUILDING DEPT. `ycourm, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATIOWCAAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMb KS: DATE INSPECTO �O�aOE SO U0 GI — _ zi c — C TOWN OF SOUTHOLD BUILDING DEPT. co 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] 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:, ���/le DATE INSPECTOR -' FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) --------------------------------------- FOUNDATION (2ND) -6 z Co o ROUGH FRAMING& , (� PLUMBING 1 S � , 1 J J Q S � INSULATION PER N.Y. STATE ENERGY CODE 6 FINAL � J ADDITIONAL COMMENTS eC G '� a� C 6 C. CS..� rn t� O z � x H x C7 C=J b TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 htti2s://www.southoldtownny.gov 1W 1! Date Received rt�.m'-A-PPLICATIO'N' FOR BUILDING PERMIT For Office Use Only r V PERMIT NO. Building Inspector: 'Ab�l J,k " M A R 1 7 2021 ^A.ppIfqatiqnsarid forrnisniu'st'b'difiled oufin,tfiek rnp ete. p'Iic a t i 8 1 Ln 0 e p te bl'.�Where I- cant e Own 6 sAiut rizatoofilf61rm" (ft, 1,sh6fi' e- —11' 'd',.,` co�qM04� Date:3/1 1/21 F WNER( P,R'6P--" Name: Andres Garcia T, CTM soon- Project A,ddress:380 Garden Ct-, Southold, NY 11971 I Phone 6.1 9. tmail:an-dres_e_garcia@h.otmail.com Mailing Address:380 Garden Ct., Southold, NY 11971 .:CONTACT PENs Name:Jason Simmons Mailing Address:P.O. 130x 1331, Hampton Bays, NYI 1946 -P.h.1 on 11 e#..:..63.1-.3,24,-.7.8,4.4���."�,��",- Email:OffiCpQp§qp DESIGN N AT' tdfii� 0 Name: Mailing Address: Phone#: Email: CONX"'', All T RACTORINFOR"!QN.: J"',z 3 Name: Mailing Address: Phone#: Email: 'CONST1k6.6i6'N` DESCRIPTION iC R I 11P T1,ON,"OtPROP -,e....... EINewStructure OAddition ElAlteration EIRepair ODemolition Estimated Cost of Project: El Other 15'x 26'vinyl swimming pool $49,792.00 Will the lot be re-graded? DYes E4 o Will excess fill be removed from premises? 94es E]No PRO.P.ERtY:INFORMATI N 0 Exis 11 ting use of property:Resld.er i,al Intended use of property:Resrl,dena,l,a.� Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? E]Yes ®No IF YES, PROVIDE A COPY. 8-Check'Box After Reading:•The owner/contractor/design,professional'is'responsible for all drainage'and storm water issues as provided by" Chapte�.236 of the.Town Code.-APPLICATION IS HEREBY MADE to the Building,Oepartment for the issuance of a Building Pe�mit,pursuant to"the Building Zone.:' 'Ordinance of the Town:of Southold;Suffolk;' Count y,,New46ik:and,6iher applicable law's,",Ordinances'or Regulations,for the construction of buildings,, ; addition;,`aiterationror for removal orAerhblition as!hergin descrvbed The applicant,agrees.to comply with all.applkable.laws;, ridinances,Building code;. housing code andregulatlons and;4o admit authorized inspectors on,premises and In,building(sl for necessary nspections."Pelse statements[Wade herein are ;'punishable as a'Class,A misdemeanorpursuant to section,230.45'of the,Nein York S,t to Penal lauJ: Application Submitted By(printname):Jason Simmons 13AuthorizedAgent ❑Owner 1-111 1.— 1 -1-11 1-11. — 1�0. I., 1�--., ' ' ASignature of Applicant: Date: 3 1 .. . STATE OF NEW YORK) SS: COUNTY OF ) Andres Garcia being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Jason Simmons (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 �( 11 \ ,2� r NotaNICE ry Publ ` M•-- .� .•`�� - STATE �: OFwyoRK >: : PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) ro Andres Garcia 380 Garden Ct., Southold, NY 1�''�„� � ��.•�' I, residing at do hereby authorize Jason Simmons to apply on my behalf to the Town of Southold Building Department for approval as desc ibed herein. Owner's Sig re Date Andres Garcia Print Owner's Name 2 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: April 7, 2021 TO: Jason Simmons (Garcia) PO Box 1331 Hampton Bays,NY 11946 Please take notice that your application dated March 17, 2021: For permit to: construct accessory in-ground swimming_pool at: Location of property: 380 Garden Court, Southold,NY County Tax Map No. 1000— Section 63 Block 7 Lot 17.7 Is returned herewith and disapproved on the following grounds: The proposed construction, on this nonconforming 24,428 square foot lot in the R-40 District, is not permitted pursuant to Article III Section 280-15, which states lots measuring 20,000-39,999 square feet in size require side and rear setbacks of 10 feet. The swimming pool has a rear vard setback of 5 feet. Authorized Signa ure Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file, Z.B.A. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: April 7, 2021 RENEWED: August 6,2021 TO: Jason Simmons (Garcia) PO Box 1331 Hampton Bays,NY 11946 Please take notice that your application dated March 17, 2021: For permit to: construct accessory in-ground swimming pool at: Location of property: 380 Garden Court, Southold,NY County Tax Map No. 1000— Section 63 Block 7 Lot 17.7 Is returned herewith and disapproved on the following grounds: The proposed construction, on this nonconforming 24,428 square foot lot in the R-40 District, is not permitted pursuant to Article III Section 280-15, which states lots measuring 20,000-39,999 square feet in size require side and rear setbacks of 10 feet. The swimming pool has a rear yard setback of 5 feet. Authorized Siglakur Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file,Z.B.A. 1 FORM NO. 3 tS' ! TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. [-,^ NOTICE OF DISAPPROVAL DATE: April 7,2021 RENEWED: August 6,2021 RENEWED: November 9,2021 AMENDED: November 9,2021 TO: Jason Simmons(Garcia) PO Box 1331 Hampton Bays,NY 11946 Please take notice that your application dated March 17, 2021: For permit to: construct accessory in-ground swimming pool'and legalize an "as built" accessory shed at: Location of property: 380 Garden Court, Southold,NY ! County Tax Map No. 1000—Section 63 Block 7 Lot 17.7 Is returned herewith and disapproved on the following grounds: The proposed construction on this nonconforming 24,428 square foot lot in the R-40 District, is not permitted pursuant to Article III Section 280-15 which states lots measuring 20,000-39,999 square feet in size require side and rear setbacks of 10 feet. The swimming pool has a rear yard setback of 3 feet and the;accessoKy shed has a side yard setback of 8.6 feet. This Notice of Disapproval has been amended to reflect the revised survey, last dated 10119121. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file,Z.S.A. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y., NOTICE OF DISAPPROVAL DATE: April 7,2021 RENEWED: August 6,2021 RENEWED:November 9, 2021 AMENDED:November 9, 2021 RENEWED: January 11,2022 AMENDED: January 11,2022 TO: Jason Simmons(Garcia) PO Box 1331 Hampton Bays,NY 11946 Please take notice that your application dated March 17,2021: For permit to: construct accessory in-ground swimming pool at: Location of property: 380 Garden Court, Southold,NY County Tax Map No. 1000—Section 63 Block 7 Lot 17.7 Is returned herewith and disapproved on the following grounds: The proposed construction,on this nonconforming 24,428 square foot lot in the R-40 District, is not permitted pursuant to Article III Section 280-15,which states lots measuring 20,000-39,999 square feet in size require side and rear setbacks of 10 feet. The swimming pool has a rear yard setback of 3 feet. This Notice of Disapproval has been amended to reflect the revised plan, received on 1/11122. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file,Z.B.A. v' BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson Z� soU rP �°���� 53095 Main Road o P.O.Box 1179 Patricia Acampora Southold,NY 1 1 97 1-0959 Eric Dantes Office Location: Robert Lehnert,Jr. Town Annex/First Floor, 54375 Main Road(at Youngs Avenue) Nicholas Planamento ��'0QUNTTI, Southold,NY 11971 http://southoldtownAy.gov ZONING BOARD OF APPEALS RECEIVED TOWN OF SOUTHOLD SEP 2 1 20�2 Tel.(631) 765-1809• Fax (631) 765-9064 APR 2 8 2022 ]�UILDING AE TOWN OF ®d ��DNDINGS, DELIBERATIONS AND,DETERMINATION MEETING OF APRIL 21, 2022 Southold Town Clerk ZBA FILE: 47615 NAME OF APPLICANT: Andres and Marissa Garcia PROPERTY LOCATION: 380 Garden Court, Southold, NY SCTM: 1000-63-7-17.7 SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23,and the Suffolk County Department of Planning issued its reply dated December 21, 2021 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: The relief, permit, or interpretation irequested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. PROPERTY FACTS/DESCRIPTION• The,subject, 24,428 square,feet, .58 acre, irregular-shaped lot located in the R40 Residential Zoning District measures L=73.16 feet R=60 feet,along Garden Court, then runs east 150.00 feet along open space belonging to Southold Gardens subdivision,then 'runs north 150.00 feet along the same open space and returns 145.00 west along a residentially developed lot to the north. The subject parcel is developed with a two- story house and attached garage, a paver patio, outdoor shower, air conditioning mechanicals, paver path, gravel driveway and brick entrance path,all as shown on the survey prepared by Donald J. Metzger, License Land Surveyor, and last revised March 1, 2022. ' BASIS OF APPLICATION: Request for a Variance from Article III, Section 280-15; and the Building Inspector's January 11,2022 of Disapproval based on an application for a permit to construct an accessory in-ground swimming pool, at; 1) located less than the code required minimum rear yard setback of 10 feet; located at 380 Garden Court, Southold, NY. SCTM No. 1000-63-7-17.7. RELIEF REQUESTED: The applicant requests a variance to construct an in-ground swimming pool measuring 15 feet by 26 feet with a 9 feet by 9 feet sundeck, in a compliant rear-yard location, 3 feet from the eastern lot line where the Town Code requires such improvements to be placed a minimum of 10 feet from a rear-yard lot line. ADDITIONAL INFORMATION: No member of the public or immediate neighbor spoke in favor of or against this application, however, an email communication in support of this application was received prior to the public hearing by the Zoning Board of Appeals. Page 2,April 21, 2022 #7615, Garcia SCTM No. 1000-63-7-17.7 The subject parcel is covered by the following Certificates of Occupancy: Z-27671 dated May 11, 2001 covering a deck addition to an existing single-family residence Z-30913 dated December 13, 2005 covering alterations to an existing single-family residence Z-32381 dated May 31, 2007 covering a deck addition to an existing single-family residence Z-35784 dated June 26, 2012 covering installation of underground electrical service Z-13557 dated May 31, 2016 covering a new, private one-family dwelling with attached garage (based upon a building pen-nit#13245 dated June 21, 1984) The applicant provided inground swimming pool schematics including plan, section, piping and wall cross section prepared by James J. Deerkoski, Licensed Professional Engineer dated March 15, 2021. Prior to the public hearing the applicant's agent submitted a Memorandum of Law on April 5,2022. At this time the applicant also amended their proposed action to increase the size of the inground swimming pool from 15 feet by 26 feet with a 9 foot by 9 foot sundeck to a 10 foot by 32 foot inground swimming pool with 10 foot by 10 foot sundeck. The location of the proposed pool remained 3 feet at its closest point to the eastern lot line. During the public hearing the applicant's agent discussed the need for variance relief in order to place the pool in a location that will avoid damage to several mature trees including two substantial ornamental cherry trees located in the rear yard adjacent to the proposed pool location. Based on the survey provided, illustrating the proposed pool at an unusual angle, 3 feet from the eastern lot line at its closest point and approximately five feet at the other end of the pool, the applicant was asked if they could `straighten' it and run the short side of the pool parallel to the lot line at a minimum of 5 feet. On April 14, 2022 the applicant's agent communicated with the Zoning Board of Appeals stating that the property owner would be willing to provide an amended plan showing the swimming pool at a distance of 5 feet from the rear yard property line to create a less nonconforming setback and that alternative relief for a 5 foot setback was acceptable. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on April 7, 2022 at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law V67-b(3)(b)(1). Grant of alternative relief will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The Southold Gardens subdivision was established in the late 1970's and was created to include large areas of open space running along various roadways and in between individual residential lots. The subject property has open space on two sides with only one immediate neighbor. Neighbors and passersby will not be able to discern the pool location nor the reduced setback from the public roadway or neighboring properties. Furthermore, the property is substantially screened in the rear yard where the proposed pool is to be located and the surrounding neighborhood is characterized by similar sized dwellings that are improved with swimming pools and accessory structures. As such, the proposed pool will be consistent with the character of the neighborhood and will pose no detriment to nearby properties. 2. Town Law §267-b(3)(b)(2). The benefit sought by the applicant can be achieved by some method, feasible for the applicant to pursue, other than an area variance. While there are mature and beautiful trees on the property,the applicant can place the proposed improvement in a variety of compliant locations, however, in granting alternative relief, the applicant can maintain existing garden areas, trees and tree root systems further enhancing the adjacent open space and community character. Page 3,April 21,2022 #7615, Garcia SCTM No. 1000-63-7-17.7 3. Town Law &267-b(3)(b)(3). The variance granted herein is mathematically substantial, representing 50% relief from the code. However, in granting alternative relief, mature trees and planting beds will be preserved along with abundant screening and vegetated open space. 4. Town Law W7-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5. Town Law V67-b(3)(b)(Q. The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. Town Law �267-b. Grant of alternative relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of an inground swimming pool measuring 10 feet by 32 feet with a 10 feet by 10 feet sundeck while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B,motion was offered by Member Planamento,seconded by Member Dantes,and duly carried, to DENY the application as applied for and GRANT ALTERNATIVE RELIEF as follows: The foot by-32 foot it- 45-e-located five (5) feet from the eastern (rear yard) property line. i i SUBJECT TO THE FOLLOWING CONDITIONS: 14�tw�22 1. Submission of a Certificate of Occupancy,to the Zoning Board of Appeals, covering the installation of an outdoor shower, central air conditioning, and accessory shed(10.3 feet by 12.3 feet) prior to th� e�uance of a building permit for the proposed swimming po� o-F— 2. Submission of a revised surve to the Zoning Board of Appeals illustrating: a)the relocated shed at a minimum of 10 feet rom the northern lot line; b) proposed swimming pool in conformance with this decision, no closer than 5 feet from the eastern lot line; c)two decks installed under C of O: Z-27671 and Z-323 81. 3. Pool pump equipment/mechanicals must be located a minimum of 20 feet from any property line or be contained in a shed-type enclosure with a lot line set back that is in conformance with the bulk schedule for accessory structures 4. Drywell for pool de-watering shall be installed. This approval shall not be deemed effective until the required conditions have been met.At the discretion of the Board of Appeals,failure to comply with the above conditions may render this decision null and void That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Page 4,April 21,2022 I #7615, Garcia SCTM No. 1000-63-7-17.7 j • I Any deviation from the survey, site plan and/or architectural'!drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. i i Any deviation from the variance(s) granted herein as shown on the architectural drawings, site plan and/or survey cited above, such-as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Before applying for a building permit the applicant or agent must submit to the Board of Appeals for approval and filing, two sets of the final survey conforming to the alternative relief granted herein. The ZBA will forward one set of approved, stamped drawings to the Building Department. Failure to follow this procedure may result in the delay or denial of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals I IMPORTANT TIME LIMITS ON;THIS APPROVAL Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk, within three (3) years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration, grant an extension!not to exceed three (3) consecutive one (1) year terms. IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. Failure to comply in a timely manner may result in the denial by the Building Department of a Certificate of Occupancy, nullify the approved variance relief, and require a new variance application with public hearing before the Board of Appeals I Vote of the Board: Ayes: Members Weisman(Chairperson) Dantes, Acampora, Planamento and Lehnert. This Resolution was duly adopted (5-0). r-i eslie Kanes Weisman,.Chairperson Approved for filing /2,9_/2022 5- YORK f"'NEW workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured MARYMEG INC DBA BILL'S POOL SERVICE 631-324-7844 DBA Jason's Pools P.O BOX 1331 HAMPTON BAYS,NY 11946 1c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,Wrap-Up Policy) 113168202 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold Building Department 3b.Policy Number of Entity Listed in Box"la" Town Hall Southold, NY 11971 DBL446593 3c.Policy effective period 01/01/2020 to 12/31/2021 4. Policy provides the following benefits: © A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: © A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 11/9/2020 By UJI, 4f (Signature of insurance carrier's authorised representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board (Only if Box 4C or 513 of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) (10-17) iiiiiiiiiiiiiiiiillll�l I i I NEW Workers' siARA Compensation CERTIFICATE OF Board NYS WORKERS` COMPENSATION INSURANCE COVERAGE I 1a. Legal Name and address of Insured(use street address only) 1b. Business Telephone Number of Insured MARYMEG INC DBA JASON AND BILLS POOLS 1c. NYS(Unemployment Insurance Employer PO BOX 1331 Registration Number of Insured HAMPTON BAYS NY 11946 i 1d. Federal Employer Identification Number of Insured or Work Location of Insured(Only required if coverage is specifically Social Security Number limited to certain locations in New York State,i.e.a Wrap-Up Policy) 11-±l168202 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Property and Casualty Insurance Company of Town of Southold Hartford Building Department 34600 TOWN HALL 3b.Policy Number of Entity Listed in Box"I a": SOUTHOLD NY 11971 12 WE OJ2629 3c. Policy effective period: 03/23/2020 to 03/23/2021 i 3d.The Proprietor, Partners or Executive Officers are ❑ Included.(Only check box if all partners/officers included) ❑ all excluded or certain partners/officers excluded-.' This certifies that the insurance carrier indicated above in box"T' insures the business referenced above in box 1a"for workers'compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise, this Certificate is valid for!one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no fights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Worker's Compensation i contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers' compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a Icertificate, holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: -Danielle Clausen (print name of authorized representative or licensed agent of insurance carrier) Approved'by: 4%, Un.")'.cC" ,rxa 04/01/2020 (Signature) (Date) Title: Operations Manager Telephone Number of authorized representative or licensed agent of insurance carrier: (877)853-2582 Please Note: Only insurance carriers and their licensed agents are�authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2(9-17) Form WC 88 31 21 F Printed in U.S.A. www.wcb.ny.gov Page 1 of 2 ® I DATE(MMIDDNYYY) ACORCP CERTIFICATE OF LIABILITY INSURANCE L.� I TO 2612020 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 ORIALTER 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(les) 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: BARSON ASSOCIATES INC N�.NEo.Ext) 631 689-6100 JC NO. 631 689-6084 AIL 207 Hallock Rd Ste 1 ADDRESS: Stony Brook,NY 11790 I INSURERS AFFORDING COVERAGE NAIC N INSURER A: XL Specialty Insurance 37885 INSURED INSURER B: Marymeg,inc dba Jason Pools INSURER C• PO Box 1331 INSURER 0: Hampton Bays,NY 11945 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: i 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. ILTR TYPE OF IN ADDLSURANCE msn SUER POLICY NUMBER POLICY POLICY N DD EXP LIMITS X COMMERCIAL GENERAL U ABIL17Y EACH OCCURRENCE $ 1,000,000 CLAIMS MADE a OCCUR PREMISES TO occurrence) $ 2,000,000 MED EXP(Any one person) $ 10,000 A NPC-1003117-00 3/23/2020 3/23/2021 PERSONAL&ADV INJURY $ 1,060,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X JECT LOC PRODUCTS-COMPIOPAGG S 2,000,000 POLICY El PRO OTHER: $ AUTOMOBILE LIABILITY EOM�BIINdEanDISINGLE LIMIT $ 11000,000 X ANY AU70 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ A AUTOS ONLY AUTOS N BA-1 003121-00 3/23/20120 3/23/2021 HIRED NON OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY I Per accident $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE - 3/2312620 3/23/2021 AGGREGATE $ DED RETENTIONS I $ J WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ } DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) I f f { 1 CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF SOUTHOLD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. TOWN HALL AUTHORIZED REPRESENTATIVE SOUTHOLD,NY 11971 .07 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD fF01 k, I G DEPARTMENT- Electrical Inspector G 4 TOWN OF SOUTHOLD o own nnex - 54375 Main Road -'PO Box 1179 o • Southold, New York 11971-0959 ��®1 ��p�f Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cDsoutholdtownny.gov seandsoutholdtownny.goy APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: S' Z 3 Company Name: �e �, `�'; Q G�-,2t C Electrician's Name: CAP R A a_-u I -1 ULCC i License No.: M ,F (4 c)S( 4_ Elec. email: Ce 2,k Elec. Phone No: 6 71 i 7 y k y ZE ❑I request an email copy of Certificate of Compliance Elec. Address.: 34 i e l Z JOB SITE INFORMATION (All Information Required) Name: ( G I C Address: 3 So Gcc .-,,, C Cross Street: Phone No.: BIdg.Permit#: 19 `-� q-�� email: Tax Map District: 1000 Section: 3' Block: Lot: 7 ? BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): CD Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES [:g/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 Reconnect❑Underground❑Overhead # Underground Laterals M 1 2 H Frame D Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets G F I's Surface Sconces H H's UC. Lts Fridge HW POOL �,, L fp-t, , Fans Mini Fr. W/D Panel Pump Exhaust Oven Sump Heater Trnsfmr (0)O v-,' Ems' r Smokes DW Generator Salt Gen. �! r e�� Carbon Micro GrbDis Water Bo d Lights 3' Heat Pucks ERV 6- W HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub . Amps Have Used Comments IYAMMYS 10 SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, X Y. 1000=63-07-17.7 SCALE: 1'--30' MAY 11, 2021 \ OCTOBER 19,. 2021 (PROPOSED POOL) 00� ` C 1 / sum To be D Vo 3.0'� M�U poo- IDUv 62 p:l °o �, N o 10 BUIWING DENT TOWN OF SOUTHOL Q to .o O vo 4• ?N coO . R • a4 4 °o Z.p�50 5Q PEE �p�P me 9� ro doll WtiD M YS UC. NO. 49518 'ON TO MIS SURVEY/S A WOLA77ON .Ya L1C, NO. 051132-01 FW YnRle STA7F FniIrAMAI I A ArM•./A ....... ,. ,.,. \ Ma T I "Map of Sc Town of Southold, S _ S District 1000 Sect „0 Certified To 2�PP First Amem Topaz Absti Q —s8. u �� � ,T Title No. 27 N �J -7 � 'Angelo Trul 6� i y 01. 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Y. ,,,. . 1000-63-07-17.7 SCALE.• 1'-30' F• . � Bldg Dept copy from ZBA �` Final reviewed documents MAY 11, 2021 ,' x', ?,,% ZBA File # �Ll OCTOBER 19, 2021 (PROPOSED POOL) ';'` Date:Y MARCH 1, 2022 (PROPOSED RELOCATION OF SHED) SEP7FMBER 14, 2022 (REVISE PROPOSED LOCA77ONS PER ZBA) $C �k5• roc � as roT G� . oW..°5 e� 32° Qom. N �� 50 N� �� - R to o M� N� 0�� P 0..5 N-O A0 3.05 Bo S �� a A z.o 'O m � QQ •�p COURT �` e 4 � V ol 4 °N DPP A//dliyE'Y SEP 16 2022 5 led.v ® P�c pjjo os roT EN CER 11FlED TO: �F-ys,�s `9� LOT NUMBERS REFER TO "MAP OF SOU7HOLD GARDENS" FILED IN THE SUFFOLK .COUNTY CLERK'S OFFICE ON MA Y 7, 1979 AS FILE NO. 6812. �,{ N.Y s UC. NO. 49618 ANY AL 7ERA7fON OR ADD177ON TO THIS SURVEY IS A WOLA A � ON ` N.Y.S. UC. NO. 051132-01 OF SEC71ON 7209OF THE NEW YORK STATE EDUCAAON LAW. _ PECON/C SUR as p.c. N SURVEY OF PROPERTY A T SO UTHOLD TOWN OF SOUTHOLD NO- p„wr SUFFOLK COUNTY, N. Y. 1000-63-07-17 7 � , Bldg Dept copy from ZBA MAY 11,• 2 2 30 ZBAIFevi#w-7�ocyments ' Date:-t OCTOBER 19, 2021 (PROPOSED POOL) Q. MARCH 1, 2022 (PROPOSED RELOCA 77ON OF SHED) SEP7E'MBER 14, 2022 (REVISE PROPOSED LOCA 77ONS PER ZBA) Q' VolOPP- QFg° 'SNP s ,z yQ o t .o•1kp J�d4 PQ ,y v V P Op0`� s\ N� 0- '00fv�� 06 N'O *03.06 �o st < ,n A Ppoa• tt'OR�S \\ c top�1 2.O O C0u tT o� a d .4- Q \,O � 1 R a 1( Q GA Q . /o u°. �y 4 OJ O ��` Z ov Of 19, Spy Q� SEP 16 2022 ' � 0- ZONING ���'��• 1yQ� NEv�it � 2 by �� of M�rrQ ZONING BOARD OFAPPF-ALS � � s Z.Q�+yQ SP PGE �c�► � �!�'` � �iF,9 l �� y'�F 5 6 CER77FIED TO. FAT 10 �� "No.0. a�`, , ED LOT NUMBERS REFER TO "MAP OF SOUTHOLD GARDENS" FILED IN THE SUFFOLK.COUNTY CLERK'S OFFICE ON MAY 7, 1979 AS FILE Na 6812. .N NYS LIC. NO. 49618 Jre�( ANY AL7FkAT10N OR ADDITION TO THIS SURVEY lS A VIOLA110NJ I r Y.S UC. NO. 051132-01 OF SECTION 7209OF 7HE NEW YORK S7A7E EDUCA77ON LAW. PECONIC SUR RS, .P.C. EXCEPT A.';: PER SECTION 7209-SUBDIVISION 2. ALL CER77RCA77ONS (631) 765-5020 FAX (631) 765-1797 =STAKE �+ �■ HEREON ARE VALID FOR THIS MAP AND COPIES 7HEREOF ONLY lF P.O. BOX 909 ■ =MONUMENT AREA=24,428 80. F 1 . SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 7RAVELER S7REET WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 F21-010 0M, COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF APPROVED AS NOTED 7 SOUTHOLD TOWN2U DATE �n B.P. .. y `�5� SOUTHOLD TOWN PLM N6 So= FEE: 300 00 BY SOUTHOLD TOWNTRUSTES NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE N.Y.S.DEC ` FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE r 2. ROUGH FRAMING,PLUMBING, OCCUPANCY OR STRAPPING, ELECTRICAL&CAULKING 3. INSULATION USE IS UNL AWLFUL 4. FINAL-CONSTRUCTION &ELECTRICAL MUST BE COMPLETE FOR C.O. WITHOUT CERTIFICATE ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW p F OCCUPANCY YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL INSPECTION REQUIRED RETAIN STORM%ATE;t RlI"'F PURSUANT TO CHAPTER SM OF THE TOVIN CODE. RETURN Bonding Wire connected to all j hardware 3 WASTE FILTER Heater PUMP. SKIMMER . I . IRA N LINE L� ( n WATER i _ ..��. MIDI 3 T SEP 3 .0.2022 —' 2"RETURN TO INLET PUMP t,.,ILDI�• TOT,. FILTER f PIPING SCHEMATIC 1 ALL ELECTRICAL WORK SHALL COMPLY WITH'THE REQUIREMENTS OF-NFPA70(NEC); PRINCIPALLY ARTICLE 68WALL ELECTRICAL DEVICES MUST BEAPPROVED BY UNDERWRITERS LABORATORIES.AND BE PROTECTED B.YA GROUND FAULT CURRENT INTERCEPTORS LI SUCTION . LI HT LI HT . 2,2 — 32' l ` HORIZONTAL 4/8" 2 ' POOL MUST BE EQUIPPED WITH AN APPROVED POOLALARM CAPABLE DETECTING A CHILD' REBAR .4 PLACES ENTERING THE WATER-AND SOUNDING AN ALARM AUDIABLE AT POOLSIDE AND AT ANOTHER -k. :j LOCATION ON THE PREMISES WHERE THE POOL IS.LOCATED.THE.ALARNLMUST BE INSTALLED, UNDISTURBED EARTH MAINTAINEDAND USED IN ACCORDANCE WITH MANUFACTIRER'S INSTRUCTIONS.THE ALARM .45" MUST MEET'ASTM F2208'STANDARD SPECIFICATION FOR POOL-ALARMS'.THE DEVICE MUST OPERATE INDEPENDENT NOTATTACHED TO OR DEPENDENT ON OF PERSON. _ i.-LIN' E VINYL ( ) ' I CONC.MIN.3500 PSI d IR' :r.. G•tA VERTICAL 3 8 REBAR PLACED 3"O.C. 3. WATER SOURCE FILLING THE POOL SHALL BE EQUIPPED WITH A BACKFLOW PROTECTION SYSTEM: . . WALL CROSS SECTION 4._ ALL PIPING IS DIAGRAMMATIC UNLESS OTHERWISE STATED.ALL PIPING TO BE POLYETHELYNE. 4' �6' I 10, 12' NTS . 5 POOL SHALL BE GREATER THAN.10 MEASURED HORIZONTALLY FROM ALL OVERHEAD WIRING. POOL DESIGN INCLUDING DRAINS WILL MEET ALL 2020 NYS RESIDENTIAL CODES. Complie s With: pF W..Yp N.E 1:DEEP 'P JASONS POOLS Sediotf-R326 of the 2020 Residential ��c. O� . - Code of New York. . �— W 380 Garden Ct: Sectiori.N1103.12(R403.12) Residential. — W +I Southold,-NY P 2� Fp 0 Section R3264 Barriers AROFESS►ON POOL TYPE 16x32 Rectangle REV SCALE: NTS Section R326.5 R326.6:5 Entrapment' . . :. . . . . •. . JAMES. ; . DATE 9%.2. 9/2022Avoidance 260.DEER DRIVE MATTITU.K,'NENYORK.11952 : -- . DRAWING NUMBER. . 1. .. OF .-.. ..1