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gi1EFO4c Town of Southold 9/25/2024 ..4 P.O.Box 1179 0 w T_ 53095 Main Rd Southold New York 11971 CERTIFICATE OF OCCUPANCY No: 45581 Date: 9/25/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1075 Narrow River Rd, Orient SCTM#: 473889 Sec/Block/Lot: 27.-3-6.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/9/2024 pursuant to which Building Permit No. 50461 dated 3/20/2024 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 Forbes,SA Revoc Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50461 9/10/2024 PLUMBERS CERTIFICATION DATED i ov Aut riz d Vature o�SUFFot,rG TOWN OF SOUTHOLD �o y� BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE "oy • �� 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#: 50461 Date: 3/20/2024 Permission is hereby granted to: Forbes, Susan 1075 Narrow River Rd PO BOX 428 Orient, NY 11957 To: Construct an accessoryin swimming round g g pool to an existing single-family dwelling as applied for. Pool and pool equipment must maintain a minimum setback of 5 feet. At premises located at: 1075 Narrow River Rd, Orient SCTIVI #473889 Sec/Block/Lot# 27.-3-6.4 Pursuant to application dated 2/9/2024 and approved by the Building Inspector. To expire on 9/19/2025. Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO- SWIMMING POOL $100.00 Total: $400.00 Building Inspector so�ryol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 Jamesh southoldtownny.gov BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Susan Forbes Address: 1075 Narrow River Road city:Orient st: New York zip: 11957 Building Permit#: 50461 Section: 27 Block: 3 Lot: 6.4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Platinum East Electric Electrician: Kieth License No: ME-50461 SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st 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 CO2 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: 1 pentair panel,1 240v pool pump,1 gas heater,1 100 watt transformer,4 pool lights 1 auto cover with switch, 1 salt gen Notes: POOL Inspector Signature: Date: September 10, 2024 1075 narrow river rd ho�aOF SOUIyo� V ( ((> TOWN OF SOUTHOLD BUILDIN �DEPT. 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: DATE -LP 2K INSPECTO �z f OF SO 5o4(al !075 Illarrou) Oe-r �UT . # # TOWN OF SOUTHOLD BUILDING DEP . 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [. ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ]. FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) 1A ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: po l P' i r v 'u e u65t 1M) Se e-0Q Ef5 CKA d,� de-d ecf.5 DATE O a INSPECTOR pF SOUIyO� �'®!��1 /d C5 /Vwry vw n►avCv TOWN OF SOUTHOLD' BUILDING DEPT. cou�►,� 631-765-1802 INSPECTION - FOUNDATION 1 ST/ 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: POO 100, Ll/ DATE INSPECTOR . `! *OF SO(/Tho h� l0 # # TOWN OF SOUTHOLD BUILDING DEPT. °ycooxn��' 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION/CAULKING [ ] FRAMING /STRAPPING ' [ FINAL�Utl(L� [ ] FIREPLACE &CHIMNEY.. [ ] FIRE SAFETY-INSPECTION [ ] FIRE RESISTANT CONSTRUCTION , -[° ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]. RENTAL REMARKS: W Cam; - DATE INSPECTOR Robert I. Brown Architect, P.C. 205 Bay Avenue,Greenport,NY 11944 info@ribrownarchitect.com 631-477-9752 Zak April 22,2024 Q SS Town of Southold Building Department 1 �i S Southold,NY 11971 loll", Re: Forbes Residence Pool 1075 Narrow River Road, Orient,NY 11957 Building Permit No. 50461 To whom it may concern, This letter is to confirm that based on my inspection of this project, and to the best of my knowledge,belief and professional judgement,the•reinforcing bars for the swimming pool,as installed comply with the plans and applicable building codes. If you have any questions,or require additional information,please feel free to contact me. Thank you for your attention to this matter. Sincerely, Robert Brown,A.I.A. Cc: Creative Environmental Design, David Cichanowicz y ti.ea e�, a i # ! r ! 183a� y°Q �OFN [ELD INSPECTION REPORT DATE COMMENTS V t� FOUNDATION (1ST) --� ----------------------------------- - FOUNDATION (2ND) "O z -- O cn ROUGH FRAMING& PLUMBING y (Co INSULATION PER N.Y. STATE ENERGY CODE ZO FINAL ADDITIONAL COMMENTS O ' 5- 3 1 aS°= fir: c D 5- cnz m N y O z x r� Z � � x d r� H p��yfFa[t�oa 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 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT L-� For Office Use Only E PERMIT NO. O 1 I Building Inspector: FEB - 9 " 2024 Applications and forms must be filled out in their.entirety.Incomplete, applications will not be accepted. Where the Applicant is not the owner,ant°'Fs>`�: tS?? 'iYt3C°F? Owner's Authorization form(Page 2)shall be completed. f""'s? ��e ran ati�sf;A Date: " �0LA OWNER(S)OF PROPERTY: Name: Susan Forbes SCTM#1000-27-3-6.4 Project Address:—1075 Narrow River Road,Orient, NY 11957 Phone#:631-734-7923 (Agent)_ _ Email:creativeenvdesign@yahoo.com MailingAddress:P.O. Box 160, Peconic NY 11958 CONTACT PERSON: Name: David Cichanowicz Mailing Address: P.O. Box 160, Peconic, NY 11958 Phone#: 631-734-7923 _ Email. creativeenvdesign@yahoo.com DESIGN PROFESSIONAL INFORMATION: Name:Agent/COntact Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Creative Environmental Design Mailing Address_ P.O. Box 160, Peconic, NY 11958 Phone#:631-734-7923 m . __..._.. . Ema'il:creativeenvdesig! @yahoo.com DESCRIPTION OVPROPOSED CONSTRUCTION. ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther inground gunite pool $ 150,000.00 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes El No 1 PROPERTY INFORMATION ; Existing use of property: Intended use of property: residentia... _ _ . . _same Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑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 Chapter 236 of the Town Code. 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,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 buildings)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to,Section 210.45 of the New York State Penal Law. Application Submitted By(print name): David ichanowicz IRAuthorized Agent Downer Signature of Applicant: Date: -1 a STATE OF NEW YORK) SS: COUNTY OF Suffolk ) David Cichanowicz 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/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 t� da of V__cc-- r '% 20 d Notary Public PENNY LOUISE MAFFETONE rr NOTARY PUBLIC,STATE OF NEW YORK Registration No.01MA6402379 PROPERTY OWNER AUTHORIZATION Qualified in Suffolk County a Commission Expires December 30th,2027 (Where the applicant is not the owner) Susan Forbes residing at 1075 Narrow River Rd Orient, NY 11957 do hereby authorize David Cichanowicz to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date G � A Print Owner's Name 2 BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson �0f soUjy 53095 Main Road•P.O.Box 1179 Patricia Acampora � ®�® Southold,NY 11971-0959 Eric Dantes Office Location: Robert Lehnert,Jr. G @ Town Annex/First Floor Nicholas Planamento O 54375 Main Road(at Youngs Avenue) �,oU �� Southold,NY 11971 RECEIVED Q http://southoldtownny.gov + ZONING BOARD OF APPEALS ' A Z 0 ZOZ3 TOWN OF SOUTHOLD Tel. (631)765-1809 Southold Town Clerk FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF JUKE 15,2023 ZBA FILE: #7782 NAME OF APPLICANT: Susan A.Forbes PROPERTY LOCATION: 1075 and 1455 Narrow River Road,Orient,NY. SCTM No. 1000-27-3-6.2&27-3-5 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions,without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated March 3,2023 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. TOWN OF SOUTHOLD PLANNING BOARD: The application was referred to the Southold Town Planning Board for comment. The Planning Board issued a Memorandum,dated May 31,2023,supporting this action,citing the following: • While the smaller parcel after the transfer will remain undersized by the standards of the R-80 Zoning District, the net effect of this transfer is not substantial because the existing condition is one where an encroachment occurs and would be remedied by the transfer. t • The transfer area is necessary to meet the minimum separation distance of a potable private well and the sanitary system on-site.' • Although the area does not contain access to public sewer and water, there would be no net increase in density on the parcels resulting from this proposed change. PROPERTY FACTS/DESCRIPTION: The subject, non-conforming, 11,717 square feet, .27 acre rectangular- shaped property, located in the R80 Zoning District known as Lot#2(SCTM#: 1000-27-3-6.2) for the purpose of this application, measures 148.72 feet along Narrow River Road, then runs north 70.80 feet along a residentially developed lot to the west,then runs east 157.62 feet along a residentially developed lot to the north,known as Lot #1 (SCTM# 1000-27-3-5)for the purpose of this application,and continues back to the roadway,south, 82.60 feet along a residentially developed lot to the east. Lot#2 is developed with a single-family dwelling with attached wood deck, a gravel driveway and gravel walks, a brick,patio, a small shed straddling the northern lot line and a well located on the neighbor to the north's property. The subject, conforming, 634,565 square feet, 14.57 acre, irregular-shaped 1 Page 2,June 15,2023 #7782,Forbes SCTM Nos. 1000-27-3-6.2 and 1000-27-3-5 lot, located in the R80 Zoning District known as Lot#1 (1000-27-3-5)measures 651.02 feet along Narrow River Road,then runs north 105.10 feet along a residentially developed lot and continues 258.94 feet west(to the marker where.Lot#2 begins)and continues 157.62 feet west along the common boundary between Lot#1 and Lot#2,then runs north 53.63 feet,,241.05and continues 121.24 feet along three residentially developed lots before running east 503.04 feet and 164.96 feet along three lots to the north, then returns south-.94.70 feet and continues east 512.83 feet along another lot before running south, 667.57 feet, back to the roadway: Lot#1 is developed with a single- family dwelling with attached decks,entry stairs,a garage building with arbor and paved patio,a pool with attached deck, a gravel driveway and post/wire fencing all as shown on the survey prepared by Kenneth M. Woychuk, Licensed Land Surveyor and dated September 1,2022. BASIS OF APPLICATION: Request for Variances from Article III, Section 280-14; Article XXIII, Section 280- 124; and the Building Inspector's February 13, 2023 Notice of Disapproval based on an application for a lot line modification (conveyance of land) and to maintain a dwelling subsequent to a lot line modification; at; 1) lot measuring less than the minimum code required lot size of 80,000 sq.ft.;2)lot measuring less than the code required minimum lot,width of 175 feet;3)lot measuring less than the minimum lot depth of 250 feet;4)dwelling is located. less than the code required minimum rear yard setback of 35 feet; located at 1075 Narrow River Road and 1455 Narrow River Road,Orient,NY. SCTM No. 1000-27-3-6.2& 1000-27-3-5. RELIEF REQUESTED: The applicant requests four(4)variances to achieve a lot line change,in order to remedy an encroachment,where Lot#2;remaining non-conforming after the transfer,will increase in size by 4,240 square feet received from Lot#1,which will remain conforming. The variances required are: • Bulk schedule requires a minimum lot size of 80,000 square feet. Once the land transfer is received Lot#2 will have a non-conforming lot area of 15,957 square feet. • Bulk schedule requires a lot width of 175 feet. Once the land transfer is received Lot#2 will have a non- conforming lot width of 173.16 feet. • Bulk schedule requires a lot depth of 250 feet. Once the land transfer is received Lot#2 will have a non- conforming lot depth of 124.43 feet. • Bulk schedule requires a rear-yard setback(from the primary residence)of 35 feet. Once the land transfer is received Lot#2 will have a non-conforming rear yard setback of 33.5 feet. ADDITIONAL.INFORMATION: Improvements on Lot#1 (SCTM: 1000-27-3-5)are covered by the following-Certificate of Occupancy: #Z-39566 dated March 24,2018 covering an inground pool with fence to code. #Z-39565 dated March 26,2018 for a single-family dwelling with porch,decks,trellis and outdoor shower #Z-39567 dated March 27,2018 covering an accessory garage/pool house with half bath&outdoor shower Lot#2(SCTM: 1000-27-3-6.2)is the beneficiary of two prior Zoning Board of Appeals determinations,#1161 in 1968 relative to non-conforming lot size and#3825 in 1989 relative to the.construction of a deck. Improvements on this parcel are covered by the following Certificate of Occupancy: #Z-452 dated December 1, 1959covering a private one-family dwelling #Z-18804 dated February 15, 1990covering a deck addition per ZBA appeal#3825 #Z=23100 dated July 14, 1994 covering a two-story addition as applied for Lot#2 has an open building permit,448886,for the installation of a generator and there is a small shed that straddles' the Iot line between Lot#1 and Lot#2. Furthermore, potable water is delivered to Lot #2 from a private well, owned and maintained by the applicant, which is located on. Lot #1. Impetus to achieve the lot line transfer originated upon the discovery that the well servicing Lot#2 was not located on site;additionally,the applicant Page 3,June 15,2023 #7782,Forbes SCTM Nos. 1000-27-3-6.2 and 1000-27-3-5 proposes to make additional improvements to their property, including the addition of an inground pool,which is not subject to this application. A letter of support from a neighbor was received prior to the public hearing. During the public hearing,a neighbor spoke via Zoom in opposition to the proposed future inground swimming pool identified in this application. No other immediate neighbor or member of the community spoke in favor of or against this application. Town of Southold Planning Board Approval is required. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on June 1,2023 at which time written and oral evidence were presented. Based upon all testimony,documentation,personal inspection of the property and surrounding neighborhood,and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law 4267-b(3)M l). Grant of the variances will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The subject"receiving" property (Lot#2) along with two neighboring parcels on Narrow River Road, south of Lot#1, are all non-conforming in lot size. While Lot#1 is more in character of the surrounding area, greater in size than the minimum 80,000 square feet as required, the transfer of area between the two lots will make Lot#2 more conforming_, while still remaining non-conforming. Immediate neighbors and those using the public roadway will not be able to discern the lot size nor the'addition of 4,240 square feet of area. 2. Town Law&267-1b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method,feasible for the applicant to pursue, other than an area variance. Lot#2 as created is substandard in area relative to the Zoning requirements of the R80 Zoning District and has pre-existing,non-conforming setbacks. As a result of its small size,there is no way to make the property `more conforming' other than by transferring land area from Lot #1 to Lot#2;in so doing,an encroachment will be corrected—placing the applicant's potable well and shed on their property. 3. Town Law 4267-1b(3)(1b)(3). The variances granted herein are mathematically substantial for the lot size representing 80% relief from the code, and the lot depth representing 50% relief from the code. The variances granted herein are not mathematically substantial for the lot width representing 1% relief from the code, and the rear yard setback representing 4.7%relief from the code. However,as presently existing Lot#2 is non-conforming on all aspects of the code as currently written. Furthermore, by granting relief and increasing the overall lot size, the subject parcel is actually more conforming to the code and also corrects an existing encroachment(subject parcel potable well located on Lot#1)and existing shed straddling the existing property line. The distance between wells and sanitary systems are non-conforming'due to the small size of the parcel and the additional land, transferred, enables the separation between the well and the sanitary system to be more conforming with Suffolk County Board of Health requirements and enhances the areas water quality. 4. Town Law §267-1b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5. Town Law 4267-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase.However,by Page 4,June 15,2023 #7782,Forbes SCTM Nos. 1600-27-3-6.2 and 1000-27-3-5 transferring 4,240 square feet of area from Lot#1 to Lot#2 a significant benefit is achieved and makes the receiving parcel more conforming. 6. Town Law 4267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of an additional lot area of 4,240 square feet,making Lot#2 after the transfer, a total of 15,957 square feet, .37 acres, and maintaining Lot#1 as a conforming 630,325 square feet, 14.47 acres 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 , and duly carried,to GRANT the variances as applied-for,and shown on the survey prepared by Kenneth M.Woychuk,Licensed Land Surveyor and last revised January 25,2023. SUBJECT TO THE FOLLOWING CONDITIONS: 1. The applicant shall receive Town of Southold Planning Board approval for this action. 2. The applicant shall provide the Town of Southold Zoning Board of Appeals a copy of a new deed, as filed with Suffolk County Real Property Department within one (1) year of the final approval of the subdivision by the Southold Town Planning Board. This approval shall not be deemed effective until the required conditions have been met.At the discretion of the Board ofAppeals,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. IMPORTANT LIMITS ON THE APPROVAL(S) GRANTED HEREIN Please Read Carefully Any deviation from the survey,site plan and/or architectural drawings cited in this decision, or work exceeding the scope of the relief granted herein, will result in delays and/or a possible denial by the Building Department of a building permit and/or the issuance of a Stop Work Order, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variances) granted herein as shown on the architectural drawings, site plan and/or survey cited above,such as alterations, extensions,demolitions,or demolitions exceeding the scope of the relief granted herein, are not authorized under this application when involving nonconformides 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. TIME LINIFTS 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 J PP Page 5,June 15,2023 #7782,Forbes SCTM Nos. 1000-27-3-6.2 and 1000-27-3-5 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 REOUIRED TB E 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 Vote of the Board: Ayes:Members Weisman(Chairperson),Acampora,Dantes,Lehnert,and Planamento(5-0). Leslie Kanes Weisman Chairperson Approved for filing / 16 /2023 c BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road -PO Box 1179 Southold!New York 1197.1-0959 Telephone(631)765-1802- FAX(631)765-9502 roaerrO-southoldtownnyaov- sand aosoutholdtownny.aov APPLICATION FOR ELECTRICAL INSPECTION lELECTRICIAN INFORMATION (Ail Information Required) Date: Z Al Company Name: A t 'e Electriclan's Name: J License No.: Mir- JoA I Elea.small: oz rnum eas 1w V&11(V.(0A1 Else. Phone No: 31. - I request- n small copy of Certificate of Compliance Elea Address.: JOB SITE INFORMATION (All information Required) Name: Fo 3 S ZS1 &Xxt- Address: ►c> K412w I V C-yt Cross Street: Phone No.: L-001 $3 0 Bldg-Permit#: SQy email: Tax Ma 'District: 1000 Section: Block: Lot: BMWANINOM RIEF DESCRIPTION OF WORK, INCLUDE7, ARE FOOTAGE(Please'.Pdht Cieariy): 100L in,( a"`S , S` uare Fdota e: Circle All That Apply: Is job ready for inspection?: Q YES gNo M Rough In Final Do you need a Temp Certificate?: YE NO Issued On Temp Information: (All information required) Service Slze®1 Ph M3 Ph Size: ____A #Meters Old Meter# [_-]Now service[_-]Fire Reconnect(]Flood Reconnect0service Reconnect®Underground 06verhead #Underground Laterals Ell M2 M H Frame Pole Work done on Service? OY ON Additional Information: PAYMENT DUE WITH APPLICATION 5 30`2�( �oK� ;Zsoe ,(e- ( 015-71 i 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 rocerrOclsoutholdtownny.aov— seandOclsoutholdtownny.-a APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Z� Company Name: A �. / JVC . Electrician's Name: License No.: Mtz-'S Vol Elec. email: hoo. oAn Elec. Phone.No:: � 31• S- request n email copy of CertifiC a of Compliance % Elem:Address.: JOB SITE INFORMATION (All Information Required) Name'. Address: V C-YL v Cross Street: Phone No.: - V6,6--0G d Bldg.Permit#: , -50 CR 1 email: 1 w Tax MapDistrict: : 1000 Section: Block: BRIEF DESCRIPTION OF WORK, INCLUDE7:,,OTAGEARE FO (Please Print Clearly): �0 )� L ln,l R(ti Scare Footage: Circle All That Apply: Is job ready for inspection?: YES NO Q Rough In Final Do you need a Temp Certificate?: ' YE NO issued On Temp Information: (All Information mqulmd) Service Size01 Ph 03 Ph Size: A #Haters_______ Old Meter# []New Service[]Fire Reconnect[]Flood Reconnect[]Service ReconnectE]Unde' roundaverhead #Underground Laterals 1 M2 M H Frame F1 Pole Work done on Service? 0 Y ON Additional Information: PAYMENT DUE OT APPLICATIOPi 5`3o�2%4 —:Po�,a4 (�S' rc C--tF 1 O7 5-71 PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's �' G UC Lts Fridge HW POOH �a,r'. PC) AO Panel Fans Mini Fr. W/D Pump Exhaust Oven Sump Heater / Trnsfmrj tbo ocftl Smokes DW Generator Salt Gen.( _ / Water Bond Carbon Micro GrbDis Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit I Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments Comer W i Bunch, Connie From: Glew, Claire Sent: Tuesday, February 6, 2024 9:00 AM To: Bunch, Connie Subject: Forbes Hi Connie, The new tax map number for Forbes is 27.-3-6.4 (merger of 27.-3-5.2 & 6.2). r I believe they are trying to apply for a building permit. CUIi el CLzmr Assistant to Assessor Town of Southold Board of Assessors (631)765-1937 (0) (631)765-1356 (F) www.southoldtownny.gov claireg@southoldtownny.gov 1 OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex ®�so v P.O.Box 1179 54375 State Route 25 �� P.O. Southold,NY 11971 (cor.Main Rd.&Youngs Ave.) �® �® Southold,NY �g � Telephone:631 765-1938 www.southoldtownny.gov Cou PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 17, 2023 Patricia Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Final Plat Determination - Forbes and Cohen Resubdivision 1455 & 1075 Narrow River Road, Orient 1000-27-3-5 & 6.2 Zoning District: R-80 Dear Ms. Moore: The Southold Town Planning Board adopted the following resolutions at a meeting held on Monday, October 16, 2023: WHEREAS, this proposed resubdivision will transfer 4,240 sq. ft. from Lot 1 to 2 in the R-80 Zoning District. Following the transfer Lot 1 will be decreased from 634,565 sq. ft. to 630,325 sq. ft. and remain conforming in the Zoning District. Lot 2 will be increased from 11.717 sq. ft. to 15,957 sq. ft. and become less nonconforming in the Zoning District, and WHEREAS, on December 2, 2022, the applicant submitted a resubdivision application for review by the Southold Town Planning Board; and WHEREAS, on February 6, 2023, at their Work Session, the Planning Board reviewed the application and found it incomplete with the following items to be submitted immediately: 1. ZBA decision (creating non-conforming lot sizes); 2. Certificate of Occupancy; 3. Proof of Lot Recognition; 4. Submission of draft deeds with new legal descriptions; and WHEREAS, on March 20, 2013, the Zoning Board of Appeals (ZBA) requested comments for consideration of a lot area variance as shown in ZBA Application #7782; and Forbes & Cohen Resubdivision [2] October 17, 2023 WHEREAS, on May 31, 2023, the Planning Board responded to the ZBA's request for comments supporting a variance for a non-conforming lot in the R-80 Zoning District; and WHEREAS, on June 15, 2023, a grant of area variance was issued by the ZBA; and WHEREAS, on July 24, 2023, at their Work Session, the Planning Board found the resubdivision application complete and determined"that the proposed action meets all the necessary requirements of Town Code §240-57 for a resubdivision application; and WHEREAS, pursuant to §240-56 Waivers of certain provisions, the Southold Town Planning Board shall have the authority to modify or waive, subject to appropriate conditions, any provision of these subdivision regulations, if in its judgment they are not requisite in the interest of the public health, safety and general welfare, except where such authority would be contrary to other ordinances or state law; and WHEREAS, the Southold Town Planning Board has determined that the following provisions of the Southold Town Code §240 Subdivision of Land are not requisite in the interest of the public health, safety and general welfare, and therefore, are eligible for a waiver: a. Sketch Plat Review b. Existing Resources Site Analysis Plan (ERSAP) c. Yield Plan d. Primary & Secondary Conservation Area Plan e. Preliminary Plat Review f. Preliminary and Final Public Hearings; and WHEREAS, this application is EXEMPT from review by the Local Waterfront Revitalization Program as no new development potential will come as a result of this resubdivision; and WHEREAS, pursuant to State Environmental Quality Review Act (SEQRA) 6 NYCRR, Part 617.5(c)(16) the granting of individual lot line adjustments are listed as a Type II Action; and WHEREAS, the Southold Town Planning Board has determined that this proposed action is a Type II Action under SEQRA as described above; and WHEREAS, the applicant has submitted new deeds for the parcel boundaries and the metes and bounds match the January 2023 survey, and WHEREAS the Southold Town Planning Board found that this Final Plat application is ready for a determination outlined below pursuant to Town Code §240 Subdivision of land; and Forbes & Cohen Resubdivision 13] October 17, 2023 WHEREAS, pursuant to the resubdivision Policy set by the Planning Board in February 2011, this application is eligible for a decision from the Planning Board prior to receiving approval by the Suffolk County Department'of Health Services (SCDHS) as it meets the following criterion set forth in that policy: • Where no new development potential will be created in the parcel to which the land is transferred; therefore, be it RESOLVED, that the Southold Town Planning Board, pursuant to §240-56 Waivers of certain provisions, hereby waives the following provisions of subdivision: a. Article V. Sketch Plat Review; b. §240-10 (A): Existing Resources,Site Analysis Plan (ERSAP); c. §240-10 (B):Yield Plan; d. §240-10 (C): Primary & Secondary Conservation Area Plan; e. Article VI: Preliminary Plat Review; f. §240-19 (C-2): Preliminary and Final Public Hearings; and be it further RESOLVED, that the Southold Town Planning Board grants Final Plat Approval upon the plan entitled, "Lot Line Modification for Clifford Cohen and Susan Forbes" dated September 1, 2022 and last revised January 25, 2023, prepared by Kenneth Woychuck, Land Surveyor, with the following conditions: 1. Submit copies of the recorded deeds within six months of this decision, or if more time is needed, request an extension of the Final Plat Approval. 2. Property monuments for the new parcel boundaries shall be installed within six months of the date of this approval. Notification of installation shall be made to the Planning Department. Please Note: The Southold Town Planning Board, in waiving the requirement for SCDHS approval prior to their own approval, is simply waiving a technical requirement of Final Plat Approval under the Town Code and makes no representations as to whether SCDHS approval is required. SCDHS approval of this resubdivision may be necessary to be in compliance with the Suffolk County Sanitary.Code, and to be eligible for future construction or renovations. The statement below must be signed by the property owners to validate this approval resolution. The Chairman will endorse the approval resolution once the Health Department waiver is signed by both property owners. Forbes&Cohen Resubdivision (4] October 17, 2023 I understand that Southold Town Planning Board approval of this Resubdivision does not grant,guarantee or waive an approval,if required,from the Suffolk County Department of Health Services(SCDHS). I understand that I will need to apply separately to the SCDHS for any applicable approvals. Signature of(PropertykOwner 1) Print Name CDocu5lgned by: n Leslie Cohen SFfIGA57FR'A?WQ;: Signature of(Property Owner 2) Print Name If you have any questions regarding the information contained in this resolution, please contact the Planning Department at(631)765-1938. �esp Ily, , Donald J. INlcenski Chairman M� �u2 ARL I LAND NIFCAN OF D DIANE SIKSMRH F• JSj:i:ri i, � VACANT 1` 150• PoV N6S°14'20"E I I64.96' LAND NOr OF YON AUOREr STRAUSS LAND N/F OF m y LAND N/f OF ` 803•� 2002 FAMILY TRUST I STEPHEN J ROTELL DIRCK ROSSEVELT 11 I CART 2008 1R I VACANT1500, 1 t I KEY MAP ORIENT, N.Y. ` 512.83:LAND NIF OF 1^=soD' CHESTER MAYER ` �e N 61°23'20"E ' 11 1149°59'30" LAND N/F OF At1DTANDER BEuos EXISTING f I —_—__—_—__ 6.45675MSpra Feet ..m N.T.S. LAND N/F OF I LOT 1LECHMANSW LIVING po Yox i S.C.T.M.#1000-2735 }� O O I / m 11.717 sp.Feet 0.27 a°ree o° /} m MARROW RIVER ROAD �} I In , x\ /' m x�x / 1^ PROPOSED LAND N/F OF \x\x�J I 62 WAa et ELIZABETH HOLTZMAN x IT N.T.S. DWE111NC t. L 1 ' W^ .HATER &SEPnc OVER 150 PROPOSED PROPERTY LINE m z OOSTNG PROHRR'LINE m LAND N/F OF g' STATE OF NEW YORK AREA 16,447 Sp.feet N8>° TO BE CONVEYED. o.3e Acme MARROW ROAD �. 49gO,e 4,730 SO.Fr. m RIVER x0E Eusnxc S.C.T.M.#1000-27-3-6.2 Z z saw Lac LOT 2 In M m WA LP 72j 16 I S67°18'1e"W 258.94' I P"3 PATIO ORA N61.18'10"E �1 V Is.62' " 415.S6' 00 Z m DWEL-33 g q n D Y S 10 :<`}:p`i.E. �w`° w wATDEa I w waTET: $ Q LAND N/F OF 1 LAND N/F OF m 137,70' $ roof SUTTER 1 o I 1 B.LAW Dmffa I m In SUP. 280.00'-----VA WEWELLG1R — -- ®--_o PIN 1so• m S71°46'4D"W APPROVED BY NARROW PLANTNYG BOARD RIVER ROAD TOWN OF SOUTHOLD RECEIVED DATE to 3O ava3 6SI.02' YDN. ___--- AUG 17 2023 -- ���'°W" S.C.TM.#1000-27-3-6.2&5 Planning Board ZONE R-80 LOT LINE MODIFICATION OWNER/APPLICANT: FOR CLIFFORD COHEN AND SUSAN FORBES SUSAN FORBES LESLIE COHEN DL eAAR DEnI, 1K11CM.S AAD 4S190tA PO BOX 428 1455 NARROW RIVER RD. —A WT��I ae ORIENT NY 11957 REVISED 01-25-23 OEVAna D&W. 1075 NARROW RIVER RD. 1AVAUlHOT1,D,u IERAnw OP ADanw rD nns s WY 15 A WOLAnON OP SECDON nDD W THE HEW Y STAVE Ep/CARM"M COPIES OF MS SIIRWY ORIENT NY 11957 YAP NOT PFA WRlrmes EU&aS=SEAL SHAD NOT BE CO\9DNCD TO LIE A VALID ME COP. WAR,AN Er OCICAND SIMON sL1U RUN Myr ID ne j� PERSdf RW LARD eN01/nRr sDRIEr a PRTPARC,AND ON Na DENALF to INE nRE CO1PANr,COY7AND41ALL AC Cr AMP LD.DING 1NSRNnDN -- LISTED ErREw,AND TO THE AS99=W VIE LE D=W17WITOR WARAHROM ARE Wr rRArlsvrALae THE OiSL'TS W onh" 8 SNO'AN NEPO.Exd T121—IXry LANES TO ENE SIRUCTURES ARE FOR A SPELYRC PAPIP05L'AND USE INEREFDIM DRY ARE LOT AREAS NDT NMADm TD YdNYINr iNE PFdKRTY UN6 GT 10 OT/@E n1E ERmvm 0,RETlGES,ADOIDdIAL SPRUC1MzC OR AND DINER IYPRUWYEHIS EA3NENa AAD/UT SVftAA4(AIF SDNCIL0.LR M OZIe,.mwomDED ARE Nor WARANNED muw 1N1Y9=r EWDENT W ne:PRIOSES Ar w IWE O'SDREEY sRaEr DP.DESCRIBED PROPERTY CER'nnED To:SUSAN FORBES; EXISTING PROPOSED _ -- MAP or. LOT 1: 634,565 Sq.Feet 629,835 Sq.Feet so 0 23 50 100 200 sTDATm AT..ORIENT 14.57 Acres 14.46 Acres Tom W.SOUTHOLD 11fi mm Y BOYCHOIO Am S1IRVN w.PILC LOT 2: 11,717 Sq.Feet 16,447 Sq.Feet SUFFOLK COUNTY,NEW PORK Pmfesk—1 L-d Suiveylvy and Deel� P.O.Bo:153 Agaeb°ane,Nee York 11031 0.27 Acres 0.38 Acres FIX 1222-120....,e.1"-50' DATE:SEPT. 1, 2022 N.rs use Na osme2 Peoea lasE)zva-Eaee SAE IesE)Eao-leee I _ \ LAND OF ^•O D :. \ DGWE SIX SLX SNfIN \ VACANT \ ISO' Psi\ N65°14'20"E 164,gs YGq LAND NOF AUOREY 5T%U55 II LAND N/F OF �� LAND Jd+ � µR'�'1aNR RD N/F OF \\ 503• 2002 FAMILY TRUST i SIEPHEN J ROTELLA O9� DIRCK ROSSEVELT \ DPRr 2008 I T\ VACANT500, 1 + I KEY MAP \ o I ORIENT, N.Y. 0 CE LAND N/F OF \\ /��/ tail• -v�"- I - CHESTER MAYER N 61°23'20'E iv 49e59'30"E LAM N/F OF :r. ALDAIMER HELLOS : '.,";:.: r IXISTING TO 75M LAM N/F OF LOT 1 © Lac I LECHU4IWa LMNG TRUST m / A. uuL i S.C.T.M.#1000-27-3-5 +� 0 © m 1ZSq�.F� oet 0.27 Aes NARROW RIVER ROAD 1 +/ m rn k / I k\k / In PROPOSED 628.-5 Sq.Feet LAND N/F OF '1•� EVIAREM HOLTZMAN XJ In 10. .Acres /,,D,�W.,E�LLING I N.TS. WUMC WATER PRWM PROPBOY IAE @ SEPTIC OVER 150' .Z m g 1 DOgW PROEEHY LINE LAND N/F OF STATE OF NEW YORK 16,.7 Sq.Feet g AREA D.38 acres N8jo49gO,f TO4,730 CONVEYED. m NARROW RIVER ROAD Z E,= S.C.T.M.#1000-27-3-6.2 z SM DC LOG LOT 2 In N Up 71'Y 2S I W --- 416.56 S 67°18'10"W m p WAVa N67°/8'10"E 157.62 258.94' I Ly ' ' O I Z In OWEWNC SEPTIC I DWELLING ' W/WELL WATER DE W IX Q' C LAND N/F OF i M�WATER - In 237.70, SUTTER .U LAL OF ER LAND c I I U � OVEW N I m SUP. -- NET' 4 150* _g m a oUP. S71- '40,11 NARROW RIVER ROAD RECEIVED 65,D2' MDN. AUG 17 2023 L_gKim-ld .Yown Planning Board S.C.T.M.#1000-27-3-6.2&5 ZONE R-80 LOT LINE MODIFICATION OWNER/APPLICANT: FOR CLIFFORD COHEN AND SUSAN FORBES SUSAN FORBES LESLIE COHEN N.MAPRK IDES LRHEM4AM Ess°x PO BOX 428 1455 NARROW RIVER RD. 1075 NARROW RIVER RD. ORIENT NY 11957 REVISED 01-25-23 EEVADOl DAnnE UNAU111G9IID ALRRADOV LR ADpRM N Da5 SIRT£Y IS A NOAROV 6 SECIIOV T1G9 o<!NE ASIr iIXNf STAR'fD1,DARLYE GIr LDNES Lr DGS StARN.T ORIENT NY 11957 YAP NOT REARA'6 ux LAM)mRVEWWS ELISOSgD SEAL AOIF.NOF BF EWISOERLD W RE A VALID TRUE CDPY. W1RANIEES R.'A'G1m N£REW 9MLL MM' 012Y ro D6 PE FOR WON THE SUR IS PREPARED A/ LW N 8E W DA:RNE LDYPANY,O7IDXUIDFTAL AECY AAfD IVMW OlSDNDOY LISIED)0 d,AND W DIE ASSIOPRS•w M LENDPED M TUDDN,LXIARAMEES ARE Nor IPANSrERA6LE. DR'O4g1S OR G/MFlI9(RS SWAN ldRELnV IRON Dff FRO°ERn•M—W DIE STRUCIURES ARE iD4 A SPEORc FDRAOSE AND USE RUREFORE Tl2Y ARE LOT AREAS NOT wmM TO YLNWrMr Mf PAO°ERTY IREs OR tO OT®E ME ER 00 Or FDEQS ADVIVC L SIAUCRRl3 OR AAD OMFR IIDR°1flN M u MMIS ANo/OP SOMWACE smcnma AEcarom OR UMPE E.ARE NOT oVARAVRED UMESS FHM9 Y EVIDDET LW DR FRa I AT INE IUR o'SVRYEV SVRYEY mDESCRIBED PROPERTY CERTIFIED T0:SUSAN FORBES; EXISTING PROPOSED LOT 1: 634,565 Sq.Feet 629,835 Sq.Feet 50 0 25 60 100 200 sTrvA m AT.OR1ENT 14.57 Acres 14.46 Acres 1. TOtN1 a:sollTliDLD I(gNNETB b ROYCBUK AI SURVEYING,PLLC 11,717 S Feet 16,447 S Feet SUFFOLK COUNTY,NEW YORK Pm'.-i d Imd S1uve7lu[end Deel[n LOT 2: q• q• P.D.Be:160 Aquebogue,New York 1103L 0.27 Acres 0.38 Acres DUE 1222-120 somal'=50' DAIE:SEPT. 1, 2022 NY.S L/sG N0. De62 PH01°t002-1°A° [a taE1 S.C.T.M. NO. DISTRICT: 1000 SECTION: 27 BLOCK: 3 LOT(S):6.2 po•� AREA -7R— % o A1-8 o PROPOSED PROPERTY LINE TO BE CONVEYED. o Ld ¢-9�t�,, 4,730 SQ.FT. RECEIVED z �F 1z, LL 2023 J ROp Pp PROPOSED LAND N/F OF MAR 21 o WELL C FFNc� IN POOL SHED COHEN Zoning Board of APpeals EXISTING LOT COVERAGE o_ LOT AREA: 16,447 S.F. DWELLING W/DECKS: 2729 S.F. � /V EXISTING PROPERTY LINE SHED: 140 S.F. cl EXIST. TOTAL: 2869 S.F. or 18.0% PROPOSED POOL: 420 S.F. , LP GAS Aj l6� 28.2 ;., ;, 00 PROP. TOTAL: 3289 or 20.0% x x. _ - . 00 '-13.0" 6� EXISTING x x ,� Yonsr?`,� PROP POOL_, ' SHED : SEPTIC LOC. x x xBRICK` x X �;; 14'x30''% �: . ' Z x x x ;PAXU Y. :' 2�' N 67°18'10"E 157.62 LAND N/F OF -AX X x % X X x X - EXIST :ST F? 1D W) ELIZABETH HOLTZMAN Ul° x GRAVEL PROPOSED 8.3' GENERATOR N PROP. �. Q _ POOL WASTE WATER °wooD l0 0' DWELLING f DRYWELL w DECK , .`.`'•. #1025 ; `` E:23.3':=:;i i;:cc 50 MIN FROM WELL o y :: :�;:::: 20'MIN FROM L.P. q o 12.5'0 CONC. DECK o0 3 8.3 :::30.8' o +-3 LAND N/F OF SUTTER 2370,�Q' GRAVEL WALK ROOF OVER N GRAVEL a? • DRIVEWAY v ti V - REVISED 03-16-23 p REVISED 01-25-23 S 71046140p, W THE WATER SUPPLY, WELL$ DRYMJ S AND CESSPOOL HEDGE LOCATIONS SHOWN ARE FROM R&D OBSERVA77ONS AND OR DATA OBTAINED FROM OTHERS. 148,"721 AREA:16,447 S.F. or 0.38 ACRES aEVAnDN DATUM: � UNAUTHORIZED AL7ER4770N OR ADDIUON TO 7HIS SURVEY IS A VIOLAwom OF SECD4v 7209 OF THE NEW PORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING 7NE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICA ZED HEREON SHALL RUN A T A T�O ONLY TO 7HE PERSON FOR•BHOM THE SURVEY IS PREPARED AND ON HIS BEHALF 70 7HE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS71TU170N 1 C1j�, LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSMU170N, GUARANTEES ARE NOT TRANSFERABLE THE OFFSETS OR DIMENSIONS SHORN HEREON FROM THE PROPERTY LINES 70 THE STRUCTURES ARE FOR A SPECIRC PURPOSE AND USE 7HOWORE THEY ARE ly �E� ROA FINAL MAP NOT INTENDED 10 MONUMENT THE PROPERTY LINES OR 70 GUIDE IHE ERECRON OF FENCES, ADDIDONAL S7RUCTURES OR AND OTHER IMPROVEMENTS; EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANIEFD UNLESS PHYSICALLY EVIDENT ON 7HE PRE]WSES AT VIE RME OF SURWY SURvhYOR DESCRIBED PROPERTY CERTIFIED TO: SUSAN FORBES; REVIEWED BY ZBA # 7 1 S STUAEn ►J s7uaT ar. ORIENT DATED: �'T mI OF: SOUTHOLD EENNgTH M WOYCHUB LAND SURVEYIING. PLLC SUFFOLK COUNTY, NEW YORK Professional Lend Surveying and Besign U.P. julopalP.O. Box 153 Aquebogue, New York 1031 FILE #222-120 SCALE: 1°=20' DATE:SEPT. 1, 2022 N.Y.S LISC NO. O5om PEONS (891)288-1588 FAN(681)288-1688 Suffolk County Dept.of Labor,Licensing 8.iTdnsum-6rAffairs HOME IMPROVEMENT LICENSE Name DAVID J CICHANOWICZ Business Name This cerlifies that the INDIAN NECK CORP DBA bearer Is duly licensed License Number H-29895 by the County of suffolk Issued: 12/13/2001 Jevun,ifvr Cakwera, Expires: 12/01/2025 Commissioner v � rholder ERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YrYv) 11/20/2023 THIS CERTIFICATE IS I A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NTIVELY OR NEGATIVEILY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFINSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PAND THE CERTIFICATE HOLDER. IMPORTANT: If the certi r is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAct to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does nots to the certificate holder In lieu of such endorsement(s). PRODUCER NAME: Matt Daley Farm Familylnsuranee PHONE 631-744-3350 FAX A/C No,,631-744-3383 85 Echo Ave-Suite 2 -MAILADDRESS: matt.daley@farm-family.com Miller Place,NY 11764 INSURERS AFFORDING COVERAGE NAIC0 INSURED INSURERA: Farm Family Casualty 13803 Indian Neck Corp. DBA Gmative Environmental Design INSURER BINSURERC: PO Box 160 INSURER D: Peconic NY 11958 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT E POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTA ING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISS D OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIOVS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL S 8 POLICY EFF POLICY EXP LTR TYPE OF INSURA E D D POLICY NUMBER MM/DD MMIDD LIMITS A COMMERCIAL GENERAL tBICITY 3152X2360 06/01/23 06/01/24 'EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE CUR DAMAGE ETMISES RPNT 5_ $ 100,000 x Select Business G MED EXP Any one person $ 5,000 PERSONALBADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APFES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JECTPRO- LOC PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Me accident ANY AUTO BODILY INJURY(Per person) $ OWNED SGIEDULED BODILY INJURY Per accident $ AUTOS ONLY OS ( ) HIRED -OWNED PROPERTY DAMAGE AUTOS ONLY I rOS ONLY Per accldent $ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION 111 $ WORKERS COMPENSATION PER OTH. AND EMPLOYERS'LIABILITY YINI STATUTE ER ANYPROPRIETORIPARTNER/E UTIVE ❑ NIA E.L.EACH ACCIDENT S OFF ICER/M EMBER EXCLU DED7 (Mandatory In NH) E.L.DISEASEer -EA EMPLOYEE $ .XeSSC,describeRIPTION OF O OF OPERATION' oloW E.L.DISEASE-POLICY LIMIT I S DESCRIPTION OF OPERATIONS I LO ITIONSIVEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) MASONRY/LANDSCAPI G/CARPENTRY CERTIFICATE HOLDER CANCELLATION Town of Soutlild PO Box 1179 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Southold, NY 1 971 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD NYSI New York State insui I H Cc Fund PO Box 66699,Albany,NY 12206 nysif.com CER,rIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) CI L■l AAAAAA 112294493 .� i� AMWINS INSU ANCE BROKERAGE LLC 200 ELWOOD AVISROAD SUITE 200 LIVERPOOL N 3088 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLD CERTIFICATE HOLDER INDIAN NEC CORP. TOWN OF SOUTHOLD T/A CREATIVE ENVIRONMENTAL DESIGN PO BOX 1179 PECONIC N 11958 P BOX 160 SOUTHOLD NY 11971 POLICY NU BER CERTIFICATE NUMBER POLICY PERIOD DATE Z1318 0 -8 966723 05/01/2023 TO 05/01/2024 11/20/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1318 046-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' C WPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS I s THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF YOU WISH T RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDA THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/IWWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE III SURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS CERTIFIC ATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE U ON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAG AFFORDED BY THE POLICY. NEW YORK STATE 4 SUR NCE FUND vv DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION N J OBER:541632407 U-26.3 S Y �YORK Work s' el srAYE comp cation CERTIFICATE OF INSURANCE COVERAGE Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be comlll lleted by NYS Disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrier 1a.Legal Name&Addi ess of Insured(use street address only) 1b.Business Telephone Number of Insured INDIAN NECK COR12 DBA CREATIVE LAND-SCAPE DESIGN. 39160,ROUTE 25 PECONIC,NY 1195 1 c.Federal Employer Identification Number of Insured or Social Security Work Location of InsL ed(Only required if coverage is specifically Number limited to certain locatid is in New York State,i.e.,Wrap-Up Policy) 2.Name and Address c F Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY 3b.Policy Number of Entity Listed in Box la LNY323682 3c.Policy effective period 01/01/2024 to 12/31/2024 4.Policy provides the f llowing benefits: 0 A.Both disability and Paid Family Leave benefits. ❑ B.Disability benefits only. ❑ C.Paid Fam ly Leave benefits only. 5.Policy covers: ❑X A.All of the mployer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the I Alowing class or classes of employer's employees: Under penalty of perju ,I certify that 1 am an authorized representative or licensed agent of the insurance carrier referenced above and that the named Insured has NYS Disab ity and/or Paid Family Leave benefits insurance coverage as described above. Date Signed 01-24 024 B g r 7e&0- (Signature of Insurance carrier's authorized representative or NYS licensed Insurance agent of that Insurance carrier) Telephone Number 2 553-8074 Name and Title: ELIZABETH TELLO—ASSISTANT DIRECTOR STATUTORY SERVICES IMPORTANT: If Boxes 4A and 5A are checked,and this form Is signed by the insurance carrier's authorized representative or NYS Licel� ed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box1413,4C or 513 is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disal illity and Paid Family Leave Benefits Law.It must be emailed to PAU@wcb.ny.gov or it can be mailed for COMI Iletion to the Workers'Compensation Board, Plans Acceptance Unit,PO Box 52.00,Binghamton,NY 13902-5200. PART 2.To be comp) ed by the NYS Workers' Compensation Board(Only if Box 413,4C or 513 have been checked) State of New York Workers' Compensation Board According to inform ion maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and aid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only Insura 7c a carriers licensed to write NYS disability and Paid Family Leave benefits insurance policies and NYS licensed insurance agents of those Insurance carriers arc authorized to Issue Form DB-120.1.insurance brokers are NOT authorized to issue this form. DB-120.1 (12.21) IIIIIN"���I'��I��.I�I�������I�II��'lllll DB-120.1 (1i—^1) i i POOL E POOL GVE FENCE WELL ° P E FENCE A/ 20' ,5" POOL F 1('13 C� ON C.PW FA-flq . �• POOL P 35' 199 SHED 4 \ P POOL C E FENCE POOL Ca HFENCE SELF a-05 NG WALK GATE i � i - - _:_ - D n L� OUTDOOR i l f LOT COVERAGE CALCULATION5RESIDENCE DECK 161447 5F TOTAL LOT COVERAGE - Z729 5F I)WELL1WW)ECK - _ _ - - - - --- -- - -- 140 5F SHED 420 5F PROF05ED POOL GRAVEL WALK i 39259 5F TOTAL PROP05ED LOT COVERAGE GRAVEL 19.99010 LOT COVERAGE DRIVE NARROW RVER i0 AD ,ROW VER5CTONV NY 1000-27-3-ro,,2 1075 .W- R1 . RIOAD9 Revision #: Scale: Landscape Plan : 6-20-23 Landscape Design by: David Cichanowicz vi n SDate. 3/20/202410'1 11 PROVIDED CONTI N UOU5 PROVIDE PAVING TO MATCH TERRACE PROVIDE PRE-FAB POOL POURED GUNITE BOND OVER AUTOMATIC POOL COVER BOX WITH COPING 24" W. WITH BEAM AND HAUNCH WITH REQUIRED 5.5. SUPPORTS FOR PAVING BULLN05E EDGE AT REQUIRED REBAR A5 ANCHORED INTO POOL STRUCTURE. POOL (TYP.) SHOWN " STONE COPING 2'-711 AUTOMATIC POOL COVER. - clJ GRADE SEE MAN U FACTU RER'5 SPECIFICATIONS FOR SIZE ...................................................... WATER LINE AND REQUIREMENTS 3" CL GUNITE POOL STRUCTURE TO PROVIDE POURED STEPS INTO POOL WITH #3 @ 121, O.C. VERT. PROVIDE CONTINUOUS POUR BE CONSTRUCTED A5 A 5 EQUAL RISERS, TO 5E POURED WITH #3 @ G" O.C. HORIZ. - / BOND BEAM AND HAUNCH WITH CONTINUOUS SINGLE POOL STRUCTURE WITH NO COLD JOINTS. u / REQUIRED RESAT IN POOL STRUCTURE WITH NO COLD - STRUCTURE BELOW FOR MARBLE DU5T FINISH L JOI NT5. PROVIDE REBAR A5 PAVING A5 REQUIRED AT SHOWN. SLOPE 4" PER FT. MARBLE DUST FINISH RADIUS 12 STONE TERRACE TO BE CONSTRUCTED A5 A MONOLITHIC STRUCTURE WITH COMPACTED GRANULAR SAND POOL STRUCTURE WITH NO -�-�.PICAL FLOOR - GilTH . DRAIN LINE FROM AUTOMATIC POOL COLD JOINTS - TYPICAL FILL. COMPACT IN 12 LIFTS GUNITE WITH #3 KEBABS AT GilCOVER BOX TO DRYWELL SURROUND FOR POOL. 51 DE5 OF WALL EVENLY (TYP.) TO 95% DENSITY. FILL BOTH OC EACHWAY MIN. (TYP.) UNDISTURBED SUBGRADE (TYP.) POOL SECTION A 8' DIA. x 4' D DRYWELL FOR POOL I BAC KWA5 H J r I POOL SKIMMER POOL SKIMMER II I I I I I I I 3 2' � I PROVIDE DRAIN WITH DRAIN I UNDERWATER POOL COVER CONNECTED TO LIGHT SWITCHED AT SHALLOW END = I I SUBSURFACE DRAINAGE RESIDENCE WATER LEVEL: 45DEEP v W DRYWELL (TYP.) I I I CO STEPS INTO POOL ►— I p 5 RISERS I I � I I I I cn I I I AUTOMATIC POOL COVER. - --- ----_- LOCATION II AI 111► I 31 I I I - m POOL RETURN POOL RETURN I I I L POOL COPING (TYP.) POOL PLAN NOTE: 5EE 51TE PLAN FOR LQCATION OF CODE COMPLIANT FENCE AND GATE, AND POOL EQUIPMENT.' ISSUES/REVISIONS CLIENT/OWNER PROJECT DRAWING No. FORBES CREATIVE 1075 Narrow River Road cQ A.^cc, ENVIRONMENTAL Robert I. Brown Orient, NY DESIGN NEW Architect, P.C. SCTM No. 1000_27_3-6.5 r }, 239160 RTE 25 2o5 Bay Ave. Greenport NY SWIMMING �,- Av PECONIC, NY info@ribrownarchitect.com DRAWING TITLE 631-734-7923 631-477-9752 POOL DETAILS POOL creativeenvdesign@yahoo.com DATE IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS SCALE ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT, TO ALTER ANY ITEM ON THIS DRAWING IN ANY WAY.ANY Aug, 31, 2023 DESCRIBED N ACCORDANCE WITH THE IAW LED AND 1 20