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HomeMy WebLinkAbout50193-Z SOUlyo� Town of Southold * P.O. Box 1179 _ 0 53095 Main Rd 700UNV.;'o, Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45683 Date: 10/24/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 4955 Moores Ln Cutchogue,NY 11935 Sec/Block/Lot: 116.-2-3 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 12/07/2023 Pursuant to which Building Permit No. 50193 and dated: 01/09/2024 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, per ZBA decision #7787, as applied for The certificate is issued to: Lucy Wohltman Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 50193 08/16/2024 PLUMBERS CERTIFICATION: A thorized Signatur o�SufFQc�co TOWN OF SOUTHOLD &Q ay BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE c . SOUTHOLD, NY BUILDING PERMIT 1 (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS .UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 50193 Date: 1/9/2024 Permission .is hereby granted to: Wohltman, Lucy 98 Crown Ter San Francisco, CA 94114 To: Construct an accessory 15' x 50' inground swimming lap pool as applied for per Trustees and ZBA approvals. Flood permit is required. Pool equipment must be elevated as per code. r ` At premises located at: 4955 Moores Ln, Cutchogue SCTM #473889 Sec/Block/Lot# 116.-2-3 Pursuant to application dated 12/7/2023 and approved by the Building Inspector. To expire on 7110/2026. Fees SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO- SWIMMING POOL $100.00 Flood Permit $150.00 Total: $550.00 Building Inspector pF SOUT�,oI Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �o sean.deviina-town.southold.ny.us Southold,NY 11971-0959 1y00UMY,�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Lucy Wohltman Address: 4955 Moores Ln city:Cutchogue st: NY zip: 11935 Building Permit#: 50193 Section: 116 Block: 2 Lot: 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Platinum East Electric License No: 34091 ME SITE DETAILS Office Use Only Residential X Indoor 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 2 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 F1 Exit Fixtures Sump Pump other Equipment: Pentair Easy Touch Pool Panel 10 Circuits / 7 Used, Pump 220GFI, Heater 220GFI, Deckbox Transformer 120GFI, Pentair Salt Generator, Autocover w/ KeyLocked Switch 120GFI Notes: Waterbond - Ionizer POOL Inspector Signature: Date: August 16, 2024 S.Devlin-Cert Electrical Compliance Form �O'*OF SOUTyO� 5 C ` q �4 q S-45-- TOWN OF SOUTHOLD BUILDING DEPT. o �0 631-765-1802 -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: DA t1l a JI,Aeon DATE - INSPECTOR OF SOUIyOIo � l��_'F7 1 0( g's; AA a-Prra cs # TOWN YOF` SOUTHOLD BUILDING DEPT. coum, 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 LECTRICAL (ROUGH) E. ]. ELECTRICAL (FINAL) [ ] CODE VIOLATION [ j PRE C/O [ ] RENTAL REMARKS: Q CA In -ol __j DATE q INSPECTOR I hO�aOF SOUIyO� �l� I � J —l at � # '-TOWN OF SOUTHOLD BUILDING DE T. cou 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: cn v lea ir ©� �1 DATE / � INSPECTOR 'Q��✓ �o��°e soulyO� # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 'INSPECT-ION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING Iv(FINAL PeW- FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANTZONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O ' [ ] RENTAL REMARKS: Ae— 0 Tj2U_S�_s DATE gyp"a/"o? INSPECTOR Robert I. Brown Architect, P.C. 205 Bay Avenue,Greenport,NY 11 944 info@ribrownarchitect.com x 631-477-9752 April 1, 2024 Town of Southold Building Department To-V Southold,NY 11971 Re: Sweeney Residence Pool 4955 Moores Lane, Cutchogue,NY 11.935 Building Permit No. 50193 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. ✓ D Ap Sincerely, Robert Brown, A.I.A. OF N Cc: Creative Environmental Design, David Cichanowicz , f t � Y i' .'t_ r i 14 r Ai lk s. o 14 - .. 'M ►A f IN Im +, . I � 1 %j �L� ,'I ! I �4� � ` ;c Al �aA� °,t'I t q:.: ► rrF r aI/M■ 11I� rf � r, �� � I r� TS1 � t y1� � j _ 4 ` ,,(/vwld ' I I - I . , \'� � ! ter" '.' ✓ ' .../'� i :. .f r� f { )!."r '�;r f �� ✓.:.- y.,'.'�'\ \.,\ / 1 Y-�+v �-����r��.:r t►1` \ �'f f a Y^�`. f r a, 44 7 . ot +� r• ` {�✓i7r� � k:�r a � `y tr t � jL•,+.�a, � :�.31�,'. �!(,� k a 4 s r+�'�°}'� � ''';I•a�►''�r � . -.•t�l '�a�r;�T {f �' r� A 'GS��`�j'•ft 1e�i �1 �- -:�.n�� �3�t" t',, ' i '+ t 'r�' "i � i � ,�,f TSR.`f2t,�� S � '_� * r.`• i ► �.S' _ '1isy�.t: .... i v�1•.X% ,rr a:'�.T`Qy••t'.',Ci�. t .�t f � , 1 • • • v J ;r � F^i ���,'k.,t ,dam •�'- i 1. .rxi `Fwle i f Y� � � � t'v Ay LF t` �•� ,at � � w"yt t�° ��,a�,�t i�t�.. +� + � �� �, � �� � .- �,�� t;.i,: .r. .. �' ,� � � �yi t �` r ♦�; �r.,yr� �Y. �S, 11 f' t 'ye••µ •�• r r t< t r - low 'lot "o� , r FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) H w� ------------------------------------ FOUNDATION (2ND) So cn H ROUGH FRAMING& PLUMBING H r � N r INSULATION PER N.Y. � H STATE ENERGY CODE o.a/•.r FINAL ADDITIONAL COMMENTS C> S 23 no rc Oho 77 --- . 1 .4—CO 19 c tv d H O z x r� H x m b H =o�SOFF�lr�oGy TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy�o as Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received -'- APPLICATION FOR BUILDING PERMIT For Office Use Only r 1 PERMIT NO. ✓ V I I Building Inspector: DEC — 7 2023 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: December 6th 2023 OWNER(S)OF PROPERTY: Name:Lucy Wohltman SCTM#1000-116-2-3 Project Address:4955"Moores Lane,Cutchogue, NY 11935 Phone#:631-734-7923 (Agent) Email:creativeenvdesign@yahoo.com Mailing Address: 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: @y_� creativeenvdesi9 n ahoo.com" _ _ DESIGN PROFESSIONAL INFORMATION: Name: Agent/Contact Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Nam e:Agent/Contact_ Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther inground pool, patio, pool fencing, pool drywell and pool equipment area $212,000.00 Will the lot be re-graded? ®Yes ❑No Will excess fill be removed from premises? ❑Yes BNo )i PROPERTY INFORMATION y" Existing use of property Intended use of property: . r u _esic�.�r�tial...�__--__--_ _ _ _ resid�n#ialw.�..�______ � ' Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to - __-- this property? ❑Yes ONo IF YES,PROVIDE A COPY. 0arWA#*sna4wrWw*10U"W'Owwra .•.. w ;dli RY f. w ►i~1rrts' E1 rbA i9ru,.,�tiNrllaE, rba"�oi' wi3iiiiF$"n�:au1d�I+«;nwCp ant'Ik OW/Mid mats �uN�,at "�o��tiu lei .CY.; .yrrlc�aaot�t�, y�lnwa�cM•orJt.rv�«tto»r,fdelhe r �lon.cf bvild�, ��+artar�.. s:aK°�'ai haridn�'rlwe'a�q�dWE.�rt.apeeeioiaompiy wRla aw�awrs,awdA+erx�e,iwiidk�cale, f�+.ra�.wt: tw<vlr4'frnE��a�koatt���t rc.+Nslw;a 7itril� sf for wsar�ssnr ivpr�ltlaey rihe s[rca made waxaire an `�rld�b#.,ar;. �►�pri +�l wh�t2yR:�S�kflhr . _;:�ksrirs#�tepe�ai•I.t�t, - Application Submitted By name): ®avi is oWiCz ®Authorized Agent ❑Owner Signature of Applicant: Date: December 6th,2023 3 STATE OF NEW YORK) SS: COUNTY OF Suffolk ) ., ®avid Cichanowicz being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, *^ {S)he is the A9611t Contractor, Corporate ) { Agent Cor rate 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-irt1he manner set forth in the application file therewith. Sworn before me this day of 66-e ot Nary Public PENNY LOUISE MAFFE70NE NOTAP.Y PUBLIC,STATE OF NEW YORK• Registration No,01 MAo402379 PROPERTY OWNER AUTHORIZATION Qualified in suffolk County (Where the applicant is not the owner) Al Comm,, :n Expires December 30 2023 Lucy Wohltman residing at4955 Moores Lane ,. CUtchOgue, NY 11935 do hereby authorize David Cichanowicz to apply on my behalf to a Town of old Building Department for approval as described herein. Ow er Signa re Date n4' Print Owne s Name J G`'r Z i o I BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson, ®f S10) 53095 Main Road-P.O.Box 1179 Patricia Acampora ®� ® Southold,NY 11971-0959 Eric Dantes Office Location: Robert Lehnert,Jr. Town Annex/First Floor Nicholas Planamento � a@ 54375 Main Road(at Youngs Avenue) 1��,®U �� Southold,NY 11971 RECEIVED http://southoldtownny.gov ZONING BOARD OF APPEALS J N 2 0 2023. TOWN OF SOUTHOLD Tel.(631)165-1809 Southold Town Clerk FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF JUNE 15,2023 ZBA FILE: 7787 NAME OF APPLICANT: Lucy Wohltman PROPERTY LOCATION: 4955 Moores Lane, Cutchogue,NY SCTM No. 1000-116-2-3 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 not required to be referred to the Suffolk County Department of Planning under the Suffolk County Administrative Code Sections A 14-14 to 23. 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. PROPERTY,FACTS/DESCRIPTION: The subject property is a 42,902 sq.ft. conforming parcel located in an R- 40 Zoning District. The parcel has a 146.29 feet frontage along Short Road,then runs west for 319.78 feet to Moore's Lane,the property then turns south for 149.73 feet along Moore's Lane before returning 269. 8 feet back to Short Road. The property is improved with a two-story frame residence,with a brick patio and trellis. All as shown on a survey prepared by Kenneth M.Woychuck, Land Surveyor dated August 5,2022. (Proposed pool to be relocated) BASIS OF APPLICATION: Request for a Variance from Article 1I1, Section 280-15 and the Building Inspector's February 15, 2023 Notice of Disapproval based on an application for a permit to construct an accessory in-ground swimming pool at; 1) located in other than the code required rear yard; located at 4955 Moore's Lane, Cutchogue, NY. SCTM No. 1000-116-2-3. RELIEF REQUESTED: The applicant requests a variance to construct an accessory in-ground swimming pool in the non-conforming side yard, instead of a conforming rear yard location. ADDITIONAL INFORMATION: The property has two road frontages,but the property address is listed as Moore's Lane. The existing residence currently has a Certificate of Occupancy,#10459,dated April 17, 1981 for the existing dwelling,and another Certificate of Occupancy#40957 dated December 23,2019 for alterations to the dwelling. The applicant's representative presented a landscape plan, depicting landscaping that will create privacy screening from both road frontages, prepared by David Cichanowicz, dated November 10, 2022 showing the pool location being shifted further east toward Short Road and setback 110 ft.7 in.from the front yard property line. The applicant was asked to pfovide a signed and sealed site plan or survey by a design professional with the revised location and distances. Page 2,June 15,2023 #7787,Wohltman SCTM No. 1000-116-2-3 / I _a 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)(b)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The house is sited on the property with two front yards,such that the side yard is the functional rear yard of the house. The placement of the pool will not have any undesirable change to the character of the neighborhood. It will be screened from view by existing and proposed landscaping r 2. Town Law 4267-b(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. Due to the property being a"through lot"with two road frontages,any placement of an accessory structure on the property would need variance relief. 3. Town Law 4267-b(3)(b)(3). The variance granted herein is mathematically substantial,,representing a 100% relief from the code. However, due to the fact that the property has two front yards, the side yard is the functional rear yard of the property.Additionally,the pool is proposed as far from the wetlands along Moores Lane as possible and,as proposed,conforms to all the setback requirements for an accessory structure. 4. Town Law 4267-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 and conditions of this board. 5. Town Law&267-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. Town Law 5267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of an-accessory in-ground swimming pool while preserving and protecting the character of the neighborhood and the health,safety and welfare of the community. RESOLUTION OF THE BOARD:In considering all of the above factors and applying the balancing test under New York Town Law 267-B,motion was offered by Member Lehnert,seconded by Member Planamento,and duly carried, to GRANT the variance as applied for,and shown on the Landscape Plan prepared by David Cichanowicz and signed and sealed'by Robert 1.Brown,R.A.,dated June 2,2023. SUBJECT TO THE FOLLOWING CONDITIONS: 1. 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 2. 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 Page 3,June 15,2023 #7787,Wohltman SCTM No. 1000-116-2-3 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 apossible 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 variance(s)grantedherein as shown on the architectural drawings,siteplan and/orsurvey 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 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 Vote of the Board: Ayes: Members Weisman(Chairperson),Acampora`Dantes,Lehnert,and Planamento(5-0). CL Leslie Kanes Weis an, Chairperson Approved for filing /1bir /2023 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 10501 DATE: NOVEMBER 15,2023 , ISSUED TO: LUCY WOHLTMAN PROPERTY ADDRESS: 4955 MOORES LANE.CUTCHOGUE f SCTM#1000-116-2-3 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on November 15,2023, and in consideration of application fee in the sum of$1250.00 paid by Lucy Wohltman. and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a 151x50' in-ground lap pool;"a 12'x25'patio on the south/east side of pool and a 10' patio surrounding the pool; install pool enclosure fencing with gates; install'a pool drywell and pool equipment area; and to install and-perpetually maintain a 10' wide vegetated non-turf buffer area using native species located along a portion of the south property line between the pool area and the edge of tidal wetlands using approximately 125 plantings;with the condition of the removal of the miscanthus"fountain"grass between the pool and the wetland area;and as depicted on the site plan prepared by David Cichanowicz, Creative Environmental Design,received on November 15,2023,and stamped approved on November 15,2023. E IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these k presents to be subscribed by a majority of the said Board as of the day and year first above written. � $uFFot. �, a � A;Q.C'.htl�i.11 Glenn Goldsmith,President ®F so Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President ho� ®�� P.O.Box 1179 Eric Sepenoski J�d 1 Southold,New York 11971 _ Liz Gillooly coy Telephone(631) 765-1892 { J F�iaft C E � ples �lC Fax(631) 765-6641 OU 0 CT 2 4 2024 BOARD OF TOWN TRUSTEES Butildind Department TOWN OF SOUTHOLD T(>Wn of Southold CERTIFICATE OF COMPLIANCE #2174 C Date: September 11,2024 THIS CERTIFIES that the construction of a 15'xW in-ground Ian pool,• a 12'x25'patio on the south/east side of pool and a 10'patio surrounding-the pool,• installation of pool enclosure fencing with gates,• installation of a pool drvwell and pool equipment area,• and installation and perpetual maintenance of a 10'wide vegetated non-turf buffer area using native species located along a portion of the south property line between the pool area and the edge of tidal wetlands using approximately 125 plantings, with the condition of the removal of the miscanthus"fountain"grass between the pool and the wetland area, At 4955 Moores Lane,Cutchogue Suffolk County Tax Map#1000-116-2-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 1,2023 pursuant to which Trustees Wetland Permit#10501 Dated November 15.2023,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for-which this certificate is being issued is for the construction of a 15'x50' in-ground lap pool, a 12'x25'patio on the sbuth/east side of pool and a 10'patio surrounding the pool:installation of pool enclosure fencing with gates,• installation of a pool d1ywell and pool equipment area-,and installation and perpetual maintenance of a 10'wide vegetated non-turf buffer area using native species located along a portion of the south property line between the pool area and the edge of tidal wetlands using approximately 125 plantings;with the condition of the removal of the miscanthus"fountain" grass between the pool and the wetland area. The certificate is issued to LUCY WOHLTMAN owner of the aforesaid property. Authorized Signature �o�$UfFO1���G TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 https://www.southoldtgMnny.gov Floodplain Development Permit Application PROPERTY INFORMATION: Flood Zone: A&(� FIRM Panel: SCTM#1000-116 a— 3 Address: Zf 965 I—Am e City: CONTACT PERSON: Name: (LI �4.1� pw)l90- Phone#: Mailing Address: �G ttyl0wi 2 r✓ PROJECT DESCRIPTION: /Nh� �—i�o✓d �N �� �w�mmi� IDOL SECTION A:STRUCTURAL DEVELOPMENT(CHECK ALL THAT APPLY) Type of Structure Type of Structural Activity rResidential(1 to 4 families) El New structure ❑ Residential(more than 4 families) El Demolition of existing structure ❑ Combined use ❑Replacement of existing structure ❑Non-residential ❑Relocation of existing structure ❑ Elevated ❑Addition to existing structure ❑ Flood proofed(attach certification) ❑Alteration to existing structure D ❑Manufactured Home ,P1 Other: IA167-424 r7 7701V e0F /At GPo�J y Od L ❑ Located on individual lot ❑ Located in manufactured home park SECTION B:OTHER DEVELOPMENT(CHECK ALL THAT APPLY) ❑ Clearing of trees,vegetation or debris ❑ Mining R Grading ❑ Drilling ❑ Dredging ❑ Connection to public utilities or services ❑ Paving R Placement of fill material [2 Drainage improvement(including culvert work) ❑ Roadway or bridge construction Fence or wall construction ❑Watercourse alteration (attach description) Excavation (not related to a structured development) ❑ Other development not listed (specify): By signing below I agree to the terms and conditions of this permit and certify to the best of my knowledge the information contained in this application is true and accurate. I understand that no work may start until a permit is issued.The permit may be revoked if any false statements are made herein. If revoked,all work must cease until permit is re-issued. Development shall not be used or occupied until a Cert.of Compliance is issued.The permit will expire if no work is commenced within one year of issuance.Other permits may be required to fulfill regulatory requirements.Applicant gives consent to local authority or representative to make reasonable inspections to verify compliance. /� / Application Submitted By(print name): AVlb C'te4414P2ulG2, PW5• Cffc�rrz 5AN, DP5/GAY Signature of Applicant: Date: �o fPU)LDING DEPARTMENT-Electrical Inspector l i TOWN OF SOUTHOLD „ APR 2 5 202r Hall Annex- 54375 Main Road - PO Box 1179 CA SoutholdfNew York 11971-0959 4Fr ;f.. ;. ..;...<. ...,<< 'telephone (631) 765-1802 - FAX (631)765-9502 roaerr southoldtownny.4ov- seand -routholdtownny.Qov APPLICATION FOR ELECTRICAL INSPECTION 7ELECTRICIAN INFORMATION (Ali information Required) Date:Name: P ` CAL` ! 'ec Name: 4 IT& License No.: Mr- 3 �09/ Elec. email: I170 -ea5 Elec. Phone No: 31 &g 9 request n email copy of Certific a of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: D/R �J Address: 60 r Cross Street: Phone No.: Bldg.Permit#: b email: '4111wa Vk4V.cv Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES®NC Rough In Final Do you need a Temp Certificate?: ElYES WNO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New service0 Fire Reconnect[]Flood Reconnect[]Senrice Reconnect OUnderground[]overhead #Underground Laterals 1 M2 r7l H Frame 0 Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Y PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's G rr 12q, UC Lts Fridge HW POOL Panel Fans Mini Fr. W/D Pump �� Exhaust Oven Sump Heater °�-� TrnsfmrA eL Smokes DW Generator Salt Gen,. , t � Water Bond ►r� N Carbon Micro GrbDis Lights Heat Pucks ERV. HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo C0oktop Minisplit Blower AC -AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments CN v ' I' ------------ -------------------------------------------- - ec'r 3:1 =>rr•���``h.F ^c�`� �'�n• c..s:^� � c-`'�: ,Y.� - „�'. c tiv .. - - _----------`_.__-__. i ---------------------- ----------------------------------tom--'��— I��a f iY y1,q _ ______________________^1 _______ > �F \ ___-�-------------- ---------- qq N Ai 20 COODO_O,O^��O 73 V, I s i I 1 f 1 I 1 1 ' 7o 70 1 1 � i •, ' 1 '1 I ` 1 D N < FINAL MAP ----------•--------------•--------------•--------•-------- ----------------- --•--._ REVIEWED BY ZBA - -- -- -- -- -- -- -- - DECISION# --)1'9- _.__._ ------------ DATED: �0 3033 - -- -- -- -- ---- - --'-- -- ---- y- IJGB 8G023 A 1ODO-1w&/2-3 ZCINiNGBONiDOFPPHIS - Revision #: Scale: Landscape Plan: 11-10-22 Landscape Design by: David Cichanowicz Date: 6/2/2023 1" = 10' Sweeney Creative Environmental Design Suffolk County Dept.of Labor,Licensing✓,°CoinsurrrdrAffairs HOME IMPROVEMENT LICENSE Name DAVID J CICHANOWICZ Business Name This certifies that the INDIAN NECK CORP DBA bearer is duly licensed License Number H-29895 by the County of suffoik Issued: 12/13/2001 Jecl.�Ca,lwe-Ya, Expires: 12/01/2025 Commissioner A ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 11/20/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certifl ate holder Is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIV ED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not co ifer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:CT Matt Daley Farm Family Insurance PHONE E . 631-744-3350 a NO7631-744-3383 85 Echo Ave-Suite 2 E-MAIL matt.daley@farm-family.com y@farm-family.com Miller Place, NY 11764 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Farm Family Casualty 13803 INSURER B: Indian Neck Corp. DBA Cr ative Environmental Design INSURERC: PO Box 160 INSURER D: Peconic NY 11958 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT T E 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 CONDIT10145 OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR I ADD S BR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE D POLICY NUMBER MMIDD MM/DD/YYYY LIMITS A COMMERCIAL GENERAL L ABILITY 3152X2360 06/01/23 06/01/24 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES Ea oc u D nce $ 100,000 x Select Business P G MED EXP Any one person $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPL ES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑jECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO OWNED SC EDUCED BODILY INJURY(Per person) $ AUTOS ONLY AU OS BODILY INJURY(Per accident) $ HIRED NO -OWNED PROPERTY DAMAGE AUTOS ONLY AU rOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXE UTIVE E.L.EACH ACCIDENT OFFICERIMEMBEREXCLUDED? N/A $ (Mandatory In NH)If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS oelow E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS!LOW TIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) MASONRY/LANDSCAPING/CARPENTRY CERTIFICATE HOLDER CANCELLATION Town of Southold 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 N Y S ' New York State Insurar cc Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) 0 0 A A A A A A 112294493 ti '' AMWINS INSURANCE BROKERAGE LLC 200 ELWOOD D IS ROAD SUITE 200 LIVERPOOL NY 13088 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER INDIAN NEC CORP. TOWN OF SOUTHOLD T/A CREATN E ENVIRONMENTAL DESIGN PO BOX 1179 PO BOX 160 SOUTHOLD NY 11971 PECONIC NY 11958 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z1318 04 -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' CO PENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS I THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDAT THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE IN URANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS CERTIFICATE 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 COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SUR NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NU BER:541632407 U-26.3 INE urn Workers' CERTIFICATE OF INSURANCE COVERAGE ATE Compensation under the NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW Board PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured INDIAN NECK CORP DBA CREATIVE LAND-SCAPE DESIGN. 39160 ROUTE 25 631-734-7923 1c.Federal Employer Identification Number of Insured or Social Security PECONIC NY 11958 Number Work Location of Insured (Only required if coverage Is specifically limited to certain locations In New York Stare,l.e.,Wrap-Up Policy) 2.Name and Address of Entity Requesting Proof of 3a Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY b Policy Number of Entity Listed in Box"I a" LNY-323682 c Policy effective period 01/01/2023 to 12/31/2023 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: ❑o 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,1 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 09/13/2023 1 E_ 70_ &0- (Signature of Insurance carrier's authorized representative or NYS Licensed Insurance Agent of that Insurance carrier) Telephone Number (212)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 Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 513 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 B (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(9-17) 111111 DB-120.1 09-17IIIIII IH ,Ro a d' APPROVED AS NOTED DATE' 14-A,rIp 9,, 5 01 Cl COMPLY VTiTH ALL CODES Or- 4 5 B1� .�..... NEW YORK STATE t TOWN CODES AS REQUIRED AND COND.TIMS OF NOTIFY BUILDING DEPARTMENT AT �4 ' .� ""I Z: 631-765-1802 8AM TO 4PM FOR THEE FOLLOWING INSPECTIONS: ` 7!�!1,r�). -, r FOUNDATION-TWO REOUIRED , (� FOR POURED CONCRETE vv ROUGH-FRAMING$PLUMBING \ !' ; r� ( � N INSULATION 4= i $a A E FINAL-CONSTRUCTION MUST +r t y! t /� BE COMPLETE FOR C.t 'OCJi'�.IaL C4�f-"T-TE►'i 46 - - - - - - _ _ _ _ - _ - - O ALL CONSTRUCTION SHALL MEET THE L UCH�1 &A 4�PF Op tOt ELECTRICAL Q T T w= F. - - - - - - - - - - - - -- _ - - - - - - - - - - _ - �' REQUIREMENTS OF THE CODES OF NEW ('ISPECTION REQUIITED POOL FENCE YORK STATE. NOT RESPONSIBLE ♦., FOR .�,,- � `�.� �: , . It DESIGN OR CONSTRUCTION ERRORS ID!ATE ENCLOSE.POOL TO CODE UPON COPinETION BEFORE"WATER" ---------------- ------------- 1 RETAIN----------- ------------------------ - ------ ------------------- '1 RSUANT TO CHAPTER 236 ----- s PG1�L �,► -------- ice. 0 LGUP , -------------------------------- -------------- --- 1 z� ,,� mmb _ _ 1 OF THE TOWN CODE IR All CxtC:!Or lfghtln,& Ins Yd,rCpt.�cedar i - - -- - ------- �� ,1 xCn,"lrcd rh 11 Conform 1 rn - , to Ch^pter 172 c� 0f th .. 1 N � l x) ,O 10 NO OP moo �o . Q) rn f .. room* 70 1 , 1 C� 7C) 1 1 1 1 I , 1 1 , 1 L 1 1 I < 1 M 1 , � 1 N ' 1 1 ®_ _ _ _ _ - - _ _ - _ - - _ _ _ _ _ _ _ - - - _ _ - - _ - -- - - _ - - _ - - _ - - - - - - - - - - - - - • - - • - - - - - - - - - - - _ _ '. 1000-11&-2-3 Revision #: Scale : Landsca e PIan : 11 - 10-22 Cichanowicz - 101 I 1inAaki'vkNior'0on &0v%ev%t -`mh1 DeSiAs"knn Date . 8/25/2023 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 BULLN05F EDGE AT REQUIRED REBAR A5 ANCHORED INTO POOL STRUCTURE. POOL (TYP.) SHOWN ,-I " STONE COPING 2'-711 AUTOMATIC POOL COVER. - � , ,I - - - - - -- - - -- -- -- - ------ - ----- ----- - . .. - - - -- - - - - - - - - - - - - - --- GRADE SEE M AN U FACTU RER'5 J cq SPECIFICATIONS FOR 51ZE WATER LINE AND REQUIREMENT5 3" CL PROVIDE POURED STEPS INTO POOL WITH #3 @ 121, O.C. VERT-. PROVIDE CONTINUOUS POUR 5 EQUAL RISERS, TO BE POURED WITH MARBLE DUST FINISH #3 @ 6" O.C. HORIZi - / BOND BEAM AND HAUNCH WITH POOL 5TRUCTU RE WITH NO COLD JOI NT5. REQUIRED REBAT IN POOL MARBLE DUST FINISH STRUCTURE BELOW FOR RADIUS 12" PAVING AS REQUIRED AT SLOPE 4LI' PER FT. MARBLE DUST FINISH STONE TERRACE TO BE CONSTRUCTED A5 A MONOLITHIC STRUCTURE WITH COMPACTED GRANULAR SAND GUNITE POOL STRUCTURE TO B POOL STRUCTURE WITH NO BE TYPICAL FLOOR - 6" TH . DRAIN LINE FROM AUTOMATIC POOL COLD JOINTS - TYPICAL FILL. COMPACT IN 12" LIFTS CONSTRUCTED AS A CONTINUOUS SINGLE GUNITE WITH #3 KEBABS AT 6" COVER BOX TO DRYWELL SURROUND FOR POOL. TO 95% DENSITY. FILL BOTH STRUCTURE WITH NO COLD JOINTS. OC EACHWAY MIN . (TYP.) UNDISTURBED SUBGRADE (TYP.) SIDES OF WALL EVENLY (TYP.) PROVIDE REBAR A5 5HOWN. POOL SECTION A ---- - 8' DIA. x 4' D DKYWELL FOR POOL BAC KWA5 H II POOL 5KIMMER POOL SKIMMER POOL SKIMMER I - I II I I I II I 50 I I it II II I I PROVIDE DRAIN WITH DRAIN UNDERWATER POOL COVER CONNECTED TO LIGHT SWITCHED AT SHALLOW END - I I SUBSURFACE DRAINAGE (I I RE51 DENCE WATER LEVEL: 4.5' DEEP I DRYWELL (TYP.) II I I II I I STEPS INTO POOL I I 5 RISERS I I AUTOMATIC POOL COVER. I I I LOCATION I I A I I I POOL RETURN POOL RETURN POOL RETURN II I I - POOL COPING (TYP.) POOL PLAN NOTE: SEE 51TE PLAN FOR LOCATION OF CODE COMPLIANT FENCE AND GATE, AND POOL EQUIPMENT. ISSUES/REVISIONS CLIENT/OWNER PROJECT DRAWING No. SWE E N EY � � h CREATIVE ��`tE��''�����;'�>, ENVIRONMENTAL 4955 Moores Lane o ' � /k - Robert I. Brown Cutchogue, NYr'3s: DESIGN : a SCTM No. l000-116-2- NEW Architect, P.C. 3 239160 RTE 25 205 Bay Ave. Greenport NY SWIMMING DRAWING TITLE PECONIC, NY info@ribrownarchitect.com POOL r 631-734-7923 631-477-9752 POOL DETAILS creativeenvdesign@yahoo.com DATE IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS SCALE ACTING UNDER THE DIRECTION Of LICENSED ARCHITECT, Aug 31 2023 TO ALTER ANY ITEM ON THIS DRAWING IN ANYWAY.ANY > , 11 , AUTHORIZED ALTERATIN MUST BE NOTED,SEALED AND DESCRIBED IN ACCORDANCE WITH THE LAW. 1 - 20