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Home My WebLink About51187-Z of souTyo`o Town of Southold * * P.O. Box 1179 �0 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45959 Date: 02/06/2025 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 500 Glenn Rd Southold,NY 11971 Sec/Block/Lot: 78.-2-23 Conform s substantially to the Application for Building Permit heretofore, filed in this office dated: 07/31/2024 Pursuant to which Building Permit No. 51187 and dated: 09/16/2024 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: "As-built" in ground swimming pool fenced to code as applied for. The certificate is issued to: 500 Glenn Rd LLC Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51187 10/07/2024 PLUMBERS CERTIFICATION: uth ri d gnature �aoFso&Tyo TOWN OF SOUTHOLD BUILDING DEPARTMENT ' 'Alt 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#: 51187 Date: 09/16/2024 Permission is hereby granted to: 500 Glenn Rd LLC 515 E 89th St Apt 4B New York, NY 10128 To: Legalize as-built in ground swimming pool at existing single family dwelling as applied for, with DEC &Trustees#9996.Additional certification may be required. Premises Located at: 500 Glenn Rd, Southold, NY 11971 SCTIVI#78.-2-23 Pursuant to application dated 07/31/2024 and approved by the Building Inspector. To expire on 03/18/2026. Contractors: Required Inspections: FOOTING/REBAR, ELECTRICAL- ROUGH, ELECTRICAL-FINAL, DRAINAGE, FINAL, Fees: AS BUILT-SWIMMING POOL $600.00 CO-SWIMMING POOL $100.00 Total S700.00 �N Building Inspector SOUr��! Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlin(cD-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 500 Glenn Rd LLC Address: 500 Glenn Rd city:Southold st: NY zip: 11971 Building Permit#: 51187 section: 78 Block: 2 Lot: . 23 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Paul Burns Electrical License No: 3897ME 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 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED 'Exit Fixtures Sump Pump Other Equipment: Pentair Intellicenter 10 Circuit/4 Used, Pump 220GFI, Heater 220GFI, (3) Lights 100W Trans. 120GFI, Ionizer Waterbond Notes: Pool Inspector Signature: Date: October 7, 2024 500GIennRdPoolElectric SOUTyO� C.d� # TOWN OF SOUTHLD BUILDING DEPT. 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: t C4-('- DATE .INSPECTOR L oF soUTyOID �Q- # # TOWN OF,SOUTHOLD BUILDIN� 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 rl PRE C/O [ ] RENTAL REMARKS: DATE I INSPECTOR OE sooTyolo # * TOWN,OF,SOUTHOLD BUILDING DEPT. 10ou 631-765-1802 �-ttg�' INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. -] FOUNDATION 2ND [ ] I UL IO1N/CA/ULKING ( ] FRAMING /STRAPPING [ FINAL Qpl✓ [ ] FIREPLACE &.CHIMNEY [ } FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION . [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]. RENTAL REMARKS: I �( DATE INSPECTOR ?IELD INSPECTION REPORT DATE COMMENTS ►o FOUNDATION (1ST) - -- ------------------------------------- FOUNDATION (2ND) � z 0 C> d � ROUGH FRAMING& a _ \ PLUMBING �1 So o r t� INSULATION PER N.Y. STATE ENERGY CODE I l i US v FINAL ADDITIONAL COMMENTS �Z -70V 0 - - � z o 9 3 -- ?O J 1 n _x x d b H =per°SUFeu oh TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 ay • p�� Telephone(631) 765-1802 Fax(631)765-9502 https://www.southoldtownny.gov APPLICATION FOR BUILDING PERMIT For Office Use Only � DD PERMIT NO. Q Building Inspector: k, L JUL 3 1 2024 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an BUILDING DEFT. Owner's Authorization form(Page 2)shall be completed. 'rQWN ➢Ir 50C1THOI*' Date: OWNER(S)OF PROPERTY: Name:500 Glenn Road LLC SCTM#1000-78-2-23 Physical Address:500 Glenn Road, Southold NY 11971 Phone#: Email: Mailing Address: CONTACT PERSON: Name:.Constantine Rig-as __ Mailing Address:22260 Main Road,_Orient NY 11957 Phone#_917-509-8751 DESIGN PROFESSIONAL INFORMATION: Name:Joseph_Fischetti_PE Mailing Address:1725 Hobart_Rd, Southold NY 11971 Phone#:631-765-2954 Email: CONTRACTOR INFORMATION: Name:Constantine Rigas T Mailing Address:22260 Main Road, Orient NY 11957 Phone#:917-509-8751__ _ Email:c@rigasco_com _T DESCRIPTION OF PROPOSED CONSTRUCTION Pool ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Rother Pool $75,000 Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? BYes ONO 1 PROPERTY INFORMATION Existing use of property:_Singte-.Fam-------a _-- Intended use of property:S.ingle_Fam_W/Dool�._. 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. B 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 building(s)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 na ,��, BAuthorized Agent ❑Owner Date: Applicant:r na Sigtue of Da —31 - ---- --- v____�,----- - - - ---- - -- - - - - --- - _ ..- - ---�--- �-apt- - - -- _- - _ - STATE OF NEW YORK) SS: COUNTYOF 5U-W01K ) C0&2s�,� v—k �4 being duly sworn,deposes and says that(s)he is the applicant (Name o individual signing contra t)above named, (S)he is the (Contract r,Agent,C 'rporate Officer,etc.) of said owner or owners,and is duly authorized to or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of 20 2 Lf tary Public TRACE L. DWYER NOTARY PUBLIC,STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION NO .01DW6sol;soo OLIALIFIED IN SUFFOLK COUNTY COMOSSION EXPIRES JLWE 30,2TOa see separate attached authorization 2 Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) I,Allison Christin Van Dusen,as member/agent for 500 Glenn Road LLC, property owner of 500 Glenn Road, Southold NY 11971, do hereby authorize Constantine Rigas to apply on my behalf to the Southold Building Department for any and all needed permits. AL Oct. 11, 2023 (Signature) (Date) Allison Van Dusen (Print Name) Glenn Goldsmith. President Town Hall Annex A. Nicholas Krupski.Vice President :ram® ®��' `�� 54375 Route '?a P.O. Box 1179 Eric Sepenoski 1 Southold.Ne%,,York 1197 1 Liz Gilloolv K cn c G et Telephone(631) 765-1892 Elizabeth Peeples Fa:x (631) 76.-6641 c®Uf`! L BOARD OF TOWN TRUSTEES TO« OF SOUTHOLD July 19, 2024 Robert Hermann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE:. 500 GLENN ROAD LLC 500 GLENN ROAD, SOUTHOLD SCTM# 1000-78-2-23 Dear Mr. Hermann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, July 17, 2024: WHEREAS, En-Consultants on behalf of 500 GLENN ROAD LLC applied to the Southold Town Trustees for an Amendment to Wetland Permit#9996 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 2, 2024, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found to be Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, 2 NOW THEREFORE BE IT, RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit#9996 to construct a swimming pool and grade level masonry patio with pool enclosure fencing, pool drywell and equipment area; and to modify the location and area of the 15-foot vegetated non-turf buffer (from 1,687 to 1,695sq.ft.), in accordance with the updated wetlands boundary; and as depicted on the site plan prepared by Kenneth M. Woychuk Land Surveying, received on May 3, 2024, and stamped approved on July 17, 2024. This is not a determination from any other agency. Sincerely, Glenn Goldsmith, President Board of Trustees GG:eac Glenn Goldsmith, President *®f 50�� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski B3 Southold, New York 11971 Liz Gillooly Elizabeth Peeples ® Telephone(631) 765 1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES . R.` JAN 3 1 2025 TOWN OF SOUTHOLD :'..N A'54.,:CdA6ld;,;i.Cu [{Fs:'rd" ':T`.�..'.'ta�`nr•'s`9k1 CERTIFICATE OF COMPLIANCE #2206 C Date: December 19, 2024 THIS CERTIFIES that the existing approximately 1,623.5sq.ft. one-story dwelling with attached garage, and the demolition/conversion of the existing three season room into a 240sq ft. single story addition on the seaward side of the dwelling;construction of a swimming pool and grade level masonry patio with pool enclosure fencing pool drywell and equipment area; and modification of the location and area of the 15' vegetated non-turf buffer(from 1,687 to 1,697 sq ft) in accordance with the updated wetlands boundary, At 500 Glenn Road, Southold Suffolk County Tax Map#1000-78-2-23 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 27,2021 pursuant to which Trustees Wetland Permit#9996 Dated September 15,2021,was issued and Amended July 1.7,2024, 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 existing approximately 1,623.5sq.ft. one- story dwelling with attached garage,and the demolition/conversion of the existing three season room into a 240sq.ft. single story addition on the seaward side of the dwelling: construction of a swimming pool and grade level masonry patio with pool enclosure fencing, pool drywell and equipment area: and modification of the location and area of the 15' vegetated non-turf buffer(from 1,687 to 1,697 sq.ft.) in accordance with the updated wetlands boundary. The certificate is issued to 500 Glenn Road LLC owners of the aforesaid property. ,4",- 4--Wl" Authorized Signature AWL NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03836 PERMIT Under the Environmental Conservation Law 1ECL Permittee and Facility.Information Permit Issued To: Facility: 500 GLENN ROAD LLC 500 GLENN ROAD LLC PROPERTY 515 E 89TH ST APT 413C 500 GLENN RDISctm1000-78-2-23 NEW YORK,NY 10128 Southold,NY 11971 (219) 241-4421 Facility Application Contact: EN-CONSULTANTS 1,319 N SEA RD SOUTHAMPTON,NY 11968 (631) 283-6360 Facility Location- in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 715.658 NYTM-N: 4547.068 Latitude: 41°02'46.7" Longitude: .72°26'02.6" Authorized Activity: Installation of a pool, patio and fencing. All work must be done according to the plans prepared by Kenneth M Woychuk Land Surveying,PLLC, last revised 4/30/2024 and stamped NYSDEC approved 8/14/2024. (D EP-ARIA®) EES Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-03836/00007 New Permit Effective Date: 8/14/2024 Expiration Date: 8/13/2029 1`��Y��DIEtC t�.ppr®vafl By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations,and all conditions included as part of this permit. .Permit Administrator: ELYSSA E SCOTT, Deputy Regional Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY C Stony BrookJ50 Circle Rd Stony By ok,NY 790 -3409 Authorized Signature: - Date /. i t Page 1 of 5 Aft NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ION Facility DEC ID 1-4738-03836 (Distribution List EN-CONSULTANTS Bureau of Marine Habitat Protection Elyssa E Scott Permit Components --- NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee r and contractor shall sign and return the top portion of the enclosed notification form certifying that they are (ally aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned,along with photographs of the completed work. 2. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 3. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Kenneth M Woychuk Land Surveying, PLLC, last revised 4/3 0/2024. 4. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of in an authorized solid waste management facility. These materials shall be suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area. 5. Install and Maintain]Erosion Controls Staked hay or straw bales or other DEC-approved erosion control measures are to be installed on the downslope edge of any disturbed areas. This barrier to sediments is to be put in place before any disturbance of the ground occurs and is to be maintained in a functional condition until all disturbed land is heavily vegetated. 6. No Pool ]Discharges to Wetland or Buffer There shall be no draining of swimming pool water directly or indirectly into wetlands or protected buffer areas. 7. Runoff and Discharges ]Directed to lDrywells All roof nnoff and/or pool discharges shall be directed to diywells located as shown on the approved plans. Page 2 of 5 AW NEW YOKK STATE(DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility(DEC ID 1-4738-03836 8. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 9. Seed, Mulch Disturbed Areas All areas of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass, and mulched with straw immediately upon completion of the project, within two days of final grading, or by the expiration of the permit,whichever is first. 10. Temporary Mulch, Final Seeding If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather conditions favor germination and growth but not more than six months after project completion. 11. Minimum % Vegetative Cover Suitable vegetative cover is defined as a minimum.of 85 %area vegetative cover with contiguous unvegetated areas no larger than 1 square foot in size. 12. Establish Buffer A non-disturbance buffer must be established as shown on the approved plans. The buffer must be allowed to grow in naturally and remain undisturbed. A 4'wide natural path may be established through the buffer for access to the catwalk. 13. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 14. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 15. State*May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed,the owners, shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 16. State May Require Site Restoration If upon the expiration or revocation of this permit,the project hereby authorized has not been completed,the applicant shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require,remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. Rage 3 of 5 Ask NEW FORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC I1D 1-4738-03836 GENERAL CONDITIONS - Apply to ALL Authorized Permits, 1. Facility Inspection by The.Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department)to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit.- Such application must include any forms or supplemental information'the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Submission of RenewaEApplication The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; Page 4 of 5 Alk NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID I-4738-03836 e. noncompliance with previously,issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits,are transferrable unless specifically prohibited by statute,regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PIERMI'ICT EIE OBLIGATIONS Item A: Permittee Accepts Legal responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC")for all claims, suits, actions, and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions,or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Page 5 of 5 � D gufFO�,� BUILDING DEPARTMENT-Electrical InIO or SEP 163 2024 o c TOWN OF SOUTHOLD y _ Town Hall Annex- 54375 Main Road - PO Box Southold New York 11971-0959 A%ITC DEFT. o • TOWN OFvjOUTHOIZ. y�0 apt Telephone (631) 765-1802 - FAX (631) 765-9502 1 la mesh(cD-southoldtownny.gov— seandCaD-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 9/2/24 Company Name: Paul Burns Electrical Contractors Inc Electrician's Name: Paul R Burns Jr License No.: 3897ME Elec. email:pburns1106@gamil.com Elec. Phone No: 631-365-4735 01 request an email copy of Certificate of Compliance Elec. Address.: PO Box 106 Southold, NY 11971 JOB SITE INFORMATION (All Information Required) . Name: Foley Address: 500 Glenn Road, Southold Cross Street: Shepard Drive Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Pool wiring, bonding Square Footage: Circle All That Apply: Is job ready for inspection?: Ft/� YES❑NO F%/�Rough In FIFinal Do you need a Temp Certificate?: M YES❑NO Issued On Temp Information: (All information required) Service Size❑1 Ph[]3 Ph Size: A #Meters Old Meter# ❑New Service]Fire Reconnect OFlood Reconnect OService ReconnectQUnderground ElOverhead #Underground Laterals 1 n2 H Frame 0 Pole Work done on Service? Y EIN Additional Information: PAYMENT DUE WITH APPLICATION -pq OX -Jc - 1OZ30/ 'T��ot 4 CKOn -7 DD 4}��ogufFp(�COG M" BUILDING DTOWN OF SOUTHOLDaI InspectorSEP 03. 2024 Town Hall Annex- 54375 Main Road - PO BoX V17&1NG DEFT. a Southold, New York 11971-0959' OIVNT;)r3 • q 1: ; 4 �® ao! ` Telephone (631) 765-1802 - FAX.(631) 765-9502 ja mesh(a_southoldtownny.gov — seandggoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 9/2/24 Company Name: Paul Burns Electrical Contractors Inc Electrician's Name: Paul R Burns Jr License No.: 3897ME Elec. email:pburns1106@gamil.com Elec. Phone No: 631-365-4735 [DI request an email copy of Certificate of Compliance Elec. Address.: PO Box 106 Southold, NY 11971 JOB SITE INFORMATION (All Information Required) Name: Foley Address: 500 Glenn Road, Southold Cross Street: Shepard Drive Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Pool wiring, bonding Square Footage: Circle All That Apply: Is job ready for inspection?: 0 YES❑NO Rough In Final Do you need a Temp Certificate?: R YES NO Issued On Temp Information: (All information required) Service Size❑1 Ph[ Ph Size: A #Meters Old Meter# ❑New Service[]Fire ReconnectE]Flood ReconnectOService Reconnect OUnderground ElOverhead #Underground Laterals D 1 2 R H Frame D Pole Work done on'Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 0-cif- 16V30i PERMIT# Address: Switches Outlets G F I's Surface Sconces H H's UC Lts Fridge HW . POOL Panel � (n Fans Mini Fr. WAD 'Pump l � , Exhaust Oven Sump Heater Trnsfm( In d Smokes DW Generator Salt Gen. Water Bond Carbon Micro GrbDis Lights I� Heat Pucks ERV HOT TU B/SPA Inst Hot DeHum Transfer Disc , Combo Cooktop Minisplit Blower AC AH .Hood Blower Service Amps Have Used Sub Amps Have Used Comments S.C.T.M. NO. DISTRICT. 1000 SECTION: 78 BLOCK: 2 LOT(S):23 CL 8.4 GLENN ROAD DL 9.3 EDGE'f1R PAVEMENT r ;78'.N S. 1'30".E' 100.00, 484.10' -----= N0 `9— �. w N �� 52.4' t t 15 .�� ,8 BOARD OF 1 RUSTEES I ,,'1+0 59. 22.3 TOWN OF-SOUTHOLD ,p _ q LOT 7 '•'' .'; - �: L J. :1 >n DlTEu:�, 4�: 2 .a LOT 6 PROP. ;FEttA.,'pwrFLUNG 0 D� kLL4—a"t-' 'Cj< FiTSti 4 1' t 1 175 1 �: •:N WOOD' DECK 4(e 20.6� S PROP.346 S,F. 1 a `•AT GRADE BRICK PATIO PROJECT LIMITING SILT FENCE 1 �Swll`f� 3G4�CDL!�+. AREA OF DISTURBANCE 4000 S.F.t - 0a X ��- fzcaD LAND N/F OF LAND N/F Ficbo ��•�� --- _6--'� � - +' ANDREW & MARGARET JELLETT JEFFERY & MELISSA BLUM R _ VACANT AF OF LAWN W va i4• SAVr'��: vOSED EDGE � '_ �.'�L,}�yliR7. .i PR OP i BEREEO!� va0Cv1v 00 TO L3'�8 15'WIOE x 7 pROPOSEO EDGE OF LAWN LIMIT IO PROPOSED I1 I uV''I � "_4 CN VEGETATED _ - - Z x� ,�• .� AGE: — � x�yi•t ��.� v,^c7 t'¢ t e• 3- F :K `a T TIDAL KIIAND BOUNDARY 8 'F AS D6TAYF311ED BY ETV. CONSULTANTS x ! M M1 FEB 1,2024 x ,c 04 ,\pFRL�Y.120.9..:�,� y rt x<%•�f• w�, x f *� I !�I— - � " M .G-TAT0'T' VEGETATION _-2-------- VEGE _— EXISTING 1l�IW.'WiONG,EIAN.. _ TOWN LOT COVERAGE _ $3 (BUILDABLE LAND 21,125 S.F.) EXISTING DWELLING W/COVERED PORCH: 2148 S.F. N 62045140,,W _ REAR DECK: 290 S.F. SHED: 73 S.F. rat TOTAL EXISTING COVERAGE: 2611 S.F. or 11.97 WEST 1 1 CREAK. PROPOSED SWIMMING POOL: 374 S.F. LAND N/F OF LAND N/F OF 1 .� TOTAL PROPOSED COVERAGE: 2885 S.F. or 13.79 LEA & SCOTf VITRANO I AN NE MATTHEWS TAM HARNEY MAY NYSDEC ADJACENT AREA COVERAGE kO LL; v 1 I _(AREA LANDWARD OF TIDAL WETLAND BOUNDARY: 21,125 S.F.) BOARD OF TRUSTEES DWELLING W/COVERED PORCH & STEPS: 2158 S.F... REAR DECK W/STEPS: 305 S.F.SHED: 73 S.F. TOWN OF SOUTHOW ASPHALT DRIVEWAY: 669 S.F. DATE BILCO DOOR: 24 S.F. REVISED 04-30-24 TOTAL EXISTING COVERAGE: 3229 S.F. or 15.3% REVISED 03-05-24 PROPOSED SWIMMING POOL- 374 S.F. REVISED 02-27-24 PROPOSED POOL PATIO: 346 S.F. UPDATE/REVISE ADDITION 09-21-23 TOTAL PROPOSED COVERAGE: 3949 S.F. or 18.77 ADD FLAGGING 10-01-21 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL FEMA MAP#361 03CO1 66H LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS AREA: 24,582.07 SQ.FT. or 0.56 ACRES ELEVA77ON DATUM: NAVQ88 " UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLA77ON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT 7RANSFERABLE. 77-IE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO 77-IE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDIT70NAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE S7RUEYURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF:LOT 7 CERTIFIED TO: 500 GLENN ROAD LLC; MAP OF: WEST CREEK ESTATES FILED:AUG. 19, 1963 No. 3848 SITUATED AT:SOUTHOLD TOWN OF: SOUTHOLD KE NETH M- WOYCHUK LAND' SURVEYING' PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 A uebo e q � , New York 11931 FILE # 221 —24 SCALE:1 "=30' DATE: MARCH 5, 2021 N.Y.s. Llsc. N0. 050882 PHONE (631)298-1588 FAX (631) 298-1588 S � � APPROVE® A5 NOTED OCCUPANCY "ATE. �a P# �� - OR -F Ak.va BY: USE IS UNLAWFUL ,(.)TIF BUILDING DEPARTMENT AT WITHOUT CERTIFICATE 91-765-1802 8AMT04PM FOR THE)LI-OWING INSPECTIONS: OF OCCUPANCY F01%JNDATION-TWO REQUIRED FOR POURED CONCRETE '.. r+•!.UGH-FRAMING&PLUMBING 3. INSULATION a. FINAL-CONSTRUCTION MUST COMPLY WITH ALL CODES OF BE COMPLETE FOR C.O. I�EW YORK STATE&TOWN CODES REQUIREMENTSOFTHE CODES OF NEW ALL CONSTRUCTION SHALL MEET THE AS AEp>!�pi AND CONDITIONS OF YORK STATE. NOT RESPONSIBLE FOR OUMOLD TOWN ZBA DESIGN OR CONSTRUCTON ERRORS SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S.DEC SOUTHOLD HP0 "��IA�11l.EDllTELY" SCHD �CLb�:�'POOL TO CODE ' �.PyCp C0(UIPLETION ;a, I7G ORE"WATGC' RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 Additional OF THE TOWN CODE, Certification May Be Required. �..0 , ,r. r � House R I GAS DESIGN/BUILD Joseph Fischetti, P.E. PROFESSIONAL ENGINEER il- 7/25/24 2' 4' - SuArrioyt 500 Glenn Road 60° .• Southold NY 11971 1.11 x 344• Po " • ' . : . ., . ... of ... •.: .. . . � _ PROJECT TEAM: cry .. .. .. .., . . .� .. .. .. :' t 1. :. :. Designer/Builder RIGAS CO 22260ain road,orient n 1 m y 1957 631323 8022 in lie :.. • . E g eer " n W Joseph Fischetti, P.E. 1725 Hobart Road,Southold NY 11971 < 361 631765 2954 Coping to be setback 15' from wetland as per survey and DEC/Trustees approvals v"Ew, 3 LED Lights 5 Returns 2 5kimmers 1 Flush Dual Main Drain (sidewall) New fence and gate around pool,4' high,all to code P1 Pool structure to be placed on undisturbed soil;Sand or sand and gravel(SP, SIN:ASTM standards)Engineer to be notified If conditions are encountered. RIGAS water Ilse — — — — — — — — — — DESIGN/BUILD y water depth, F— y slope from 4'-8' Joseph Fischetti, P.E. y PROFESSIONAL ENGINEER 8' 7/25/24 E 15'of 4' depth 8'of slope 11,of 8'depth 500 Glenn Road Southold NY 11971 PROJECT TEAM: coping water line Designer/Builder 3' water depth, RIGAS CO 22260 main road,orient ny 11957 6313238022 slope from 4' — 8' _IQ W Engineer �pf NFlyy :T Joseph Fischetti,P.E. +� 1725 Hobart Road,Southold NY 11971 • ��, 631765 2954 _o ~�•05t6, I Fessw�t'' . . y J, P2 Sr V R I GAS DESIGN/BUILD - 11' x 54' Gunite Pool, reinforced with #4 rebar Joseph Fischetti, P.E. PROFESSIONAL ENGINEER - 12" Beam with 10" thick walls and 8" thick floors - Nater Line Tile with Plaster Interior Finish 1011x12" reinforced gunite pool - 2 Skimmers, 5 Returns, 1 Dual Flush Main Drain, 3 LED Lights 7/25/24 beam with (4) #4 rebars continuous 500 Glenn Road Southold NY 11971 Nater Line Dashed PROJECTTEAM: Designer/Builder ' # RIGAS CO a 22260 main road,orient ny 11957 631323 8022 •'tea t• _�. . %•a�•, y.. ..�•'..;. .►•�• . "'� :;� .,p• .: i. � '' : �� Engineer Joseph Fischeth, P.E. 1725 Hobart Road,Southold NY 11971 10" thick gunite walls and 8" thick floor with #4 rebars 6317652954 at 10"OG, each way vertical & horizontal • P3