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Home My WebLink About51685-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 51685 Date: 02/25/2025 Permission is hereby granted to: Randy A Statham 5805 Main Bayview Rd Southold, NY 11971 To: construct accessory in-ground swimming pool as applied for per Trustees Non-Jurisdiction letter and DEC No Permit Necessary letter with flood permit. Protection from vehicle impact shall be provided for the pool equipment. Premises Located at: 5805 Main Bayview Rd, Southold, NY 11971 SCTM#78.-7-5.5 Pursuant to application dated 01/14/2025 and approved by the Building Inspector. To expire on 02/25/2027. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Flood Permit $150.00 Total S550.00 Building Inspector ar7a� 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 htt s://www,southoldtowtinv.mov Date Received APPLICATION FOR BUILDING PERMIT For Office Use OnlyFIQ {1� 4, I PERMIT NO. Building Inspectors Applications and forms must be filled out in their entirety. Incomplete J A N 1 4 %rpi:- applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: I/ 4 ZO � � OWNER(S)OF PROPERTY: Name: SCTM # 1000-ir 7 Project Address: ~~ vI U �" Phone#: .S9 7 ' 6 Email. " c. Mailing Address: CONTACT PERSON: Name: -� i Mailing Address: s, Phone#: _ 7 _ Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: l �' Jr ADL Mailing Address: 'eoKA Phone#: 63 1 - ? Z Emai DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: C Other -5'wl $ 3� iD O(> Will the lot be re-graded? ❑Yes I2J0 Will excess fill be removed from premises? ❑Yes 96ko 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Yes [Ao IF YES, PROVIDE A COPY. x 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 bullding(s)For necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 21OA5 of the New York State Penal Law. Application Submitted By(print name): DAuthorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF JG. V rj T J" being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, ( � ._ S)he is the � I� C.� � . . ........ �.._�..�..... �. (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. yrylrrtrrfrrr � Sworn before me thisOP i —day of �, _ 20y ,,' i (, Notary Public m ? �. Where the applicant ...�� m. ( is not the owner) f4rr"rrrrrrrsrrtt�s*�� t(� F a tiAj 4 ♦tJ residing at °x ti a vi o �v Y �/U ` lea a sue., to apply on do hereby authorize _, ___w . __,,,, ,� my behalf to the Town of Southold BuilclirI4 Department for approval as described herein. ... Owner's Signature mnW Date �jPrint Owner's Name 2 Glenn Goldsmith,President � �� Town Hall Annex ski,Vice President 54375 Route 25 A. Nicholas Kru p �� P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 Coo BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 11, 2024 Robert Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: ANDREW M. PETTERSEN & RANDI A. STATHAM 5805 MAIN BAYVIEW ROAD, SOUTHOLD SCTM# 1000-78-7-5.5 Dear Mr. Herrmann: The Southold Town Board of Trustees reviewed the site plan prepared by Nathan Taft Corwin III, Land Surveyor, last dated November 4, 2024 and determined that the proposed construction of an 18' x 25' pool and pool fence is out of the 100 foot Wetland jurisdictional area under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary, or within 100' landward from the edge of vegetated wetlands, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This determination is not a determination from any other agency. Sincerel , y Glenn Goldsmith, President l NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY,a Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-03651 F:(631)444-0360 www,decny.gov NO PERMIT NECESSARY-TIDAL WETLANDS ACT October 7, 2024 Andrew Pettersen Randy Statham 515 East 89th St, Apt 4B New York, NY 10128 RE: Application # 1-4738-03072/00003 Facility: Pettersen/Statham Property SCTM# 1000-78-7-5.5 Dear Applicant: The Department of Environmental Conservation (DEC) has completed a review of your proposal to install a swimming pool and fence. All proposed work is located greater than 75 feet from the Tidal Wetlands Boundary, and results in less than 20 percent lot coverage, as per the plans prepared by Nathan Taft Corwin III, last revised 4/16/2024. Based on the information you have submitted, this Department has determined that the project is listed in the Tidal Wetlands Land Use Regulations (6NYCRR Part 661.5 (b) (#50)) as a use not requiring a permit. Therefore, no permit is required under the Tidal Wetlands Act (Article 25) of the Environmental Conservation Law. Please be advised that DEC has documented the summer occurrence of the Northern Long Eared Bat (NLEB) (Myotis septentrionalis), a species listed as "endangered" by both New York State and the US Fish & Wildlife Service, within 3 miles of the project location. We have determined that tree cutting at this location between March 1 and November 30 of any calendar year may result in the "take" of these endangered/threated species or their habitat within the meaning of Environmental Conservation Law (ECL) §11-535. The term "take" is defined in part as the direct killing or injury of individual members of a protected species, interference with critical breeding, foraging, migratory or other essential behaviors, or the adverse modification of the species' habitat. The "take" of a species listed as endangered or threatened is prohibited in the absence of a permit from this Department issued pursuant to ECL §11-535. In order to avoid an Endangered Species "take", no tree cutting activities should be conducted at the project site between the dates of March 1 and November 30 of any calendar y YNK Department of STATE Environmental Conservation Be advised, any additional work or modification to the project as described, may require DEC authorization. Please contact this office if any such activities are contemplated. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely, Mary MacKinnon Permit Administrator CC: En-Consultants, BMHP, File may. nun OF € -v 13R_ r n ow z c . j, ANT .,a a vm HIS y 1 _ i Nathan Taft Corwin III Land Surveyor_ EXISTING L ' COVERAGE TOWN DEFINED 70POSED LOT COVERAGE LAND AREA ( i,370 sq. ft.) OVER BUILDABLE )uAND AREA (51,370 sq. ft.) AREA % LOT COVERAGE DESCRIPTION AREA % LOT COVERAGE 2,068 sq. ft. 4.03% HOUSE 2,068 sq. ft. 4.03% 33 sq. ft. 0.06% ROOF OVER WOOD DECK 33 sq. ft. 0.06% t0- O 42 sq. ft. 0.08% FRONT DECK 42 sq. ft. 0.08% S 590 sq. ft. 1.15% REAR (2) WOOD DECKS 590 sq. ft. 1.15% 2,733 sq. ft. 5.32% PROPOSED POOL 450 sq. ft. 0.88% TOTAL 3,183 sq. ft. 6.20% FLNG S (A AL 46 £ N 4.2VLNG Of lb ._ AL ; . t r e FLAG E5 �Y 4 FLAG 6 2-6 - ' si < \ t_ x2 x3a FLAG E7 5` wo FLAG EB � t rr 3 e 1 6 FLAG E9 6�4- OO \ 1 FLAG El # ilk FLAG El .. I $ x 3 7— —� 13.9 FLAG El FLAG El \ 10 1I1, � � - A f FLAG El \ 4rS F' G AYA 1 Y1ti $114• s . a 33 GG 1tD x3.4 FLAG E15 AL TEST p.• '' + \ xAA / x 3 FLAG El • '. 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