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Home My WebLink About33639-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33181 Date: 07/31/08 THIS CERTIFIES that the building ISP Location of Property: 2170 MAPLE (HOUSE NO.) County Tax Map No. 473889 Section 38 LA (STREET) Block 8 GREENPORT (HAMLET) Lot 1 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 8, 2008 pursuant to which Building Permit No. 33639-Z dated JANUARY 21, 2008 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR, WITH FLOOD PERMIT. Tbe certificate is issued to JOSEPH & CAROLYN FERRARA (OWNER) of the aforesaid building. N/A SUFFOLK COmITY DEPARTMEIIIT OF HEALTH APPROVAL 06/08/08 ELECTRICAL CERTIFICATE NO. 8616 PLUMBERS CERTIFICATION DATED N/A ~~4 ~th9fized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 \ \ ,\ " / APPLICATION FOR CERTIFICATE OF OCCUPANCY \ )____1 \~,~~._- . ,.....--- This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2, Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form), 3, Approval of electrical installation from Board of Fire Underwriters. 4, Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2, A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25,00, Alterations to dwelling $25.00, Swimming pool $25,00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100,00 3. Copy of Certificate of Occupancy - $.25 4, Updated Certificate of Occupancy - $50,00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date, ~ III ! 0 <6 New Construction: >< Old or Pre-existing Building: (check one) Location of Property: d 1-:::rD M a .h Ie L.fl.hl.e ~ House Norr- I ~et C Owner or Owners ofproperty: \J 0 ~ r (!UI\.J r1..if 0 6 vl Suffolk County Tax Map No 1000, Section ?> r Block 5r J 6r~~t- ./ Hamlet -\-<VV' I c)..A/ ^ I v Lot Subdivision Permit No.:3 ~ ~ '1- Date of Permit. Health Dept. Approval: Planning Board Approval: Filed Map. Lot: Applicant: Underwriters Approval: /t' /t 6-f.oJ? Request for: Temporary Certificate Final Certificate: ( check one) Fee Submitted: $ ;)5 0 0 ttJ \i+.- CAt dNt- CM4 I~/I/O~ @ l'J (D.'Z 33,,91 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 21, 2008 PERMIT NO. 33639 Z Date JANUARY Permission is hereby granted to: JOSEPH & CAROLYN FERRARA 26 SUBURBAN AVE PELHAM MANOR,NY 10803 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR WITH FLOOD PERMIT at premises located at 2170 MAPLE LA GREENPORT County Tax Map No. 473889 Section 038 Block 0008 Lot No. 001 pursuant to application dated JANUARY 8, 2008 and approved by the Building Inspector to expire on JULY 21, 2009. Fee $ 350.00 '- e ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdT own.N orthFork.net l( ,/ i (. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health / 4 sets of Building Plans Planning Boa~cW>pproval _ Survey v ./ Check Septic Form , - N.Y.S.DEC./ - Trustees ,/ Storm-Water Assessment Form_ PERMIT NO. Examined ) I /l)/ , ,20 T Approved Disapproved a/e ,20~ Contact: Mail to: Phone :S,? 5 - S?- l' ~ ~ ExpiratioTI._. ,20 \. "1:- 1\' I ~..." I I ) (- :','~ ~ ~ I>. n W Is r~i'l :, r-'---li i'" I I II r I JAN -8 .fUI! iLJU"U : L _.---.1 Building Inspector APPLICATION FOR BUILDING PI' RMIT " ~C'\ ~1 Date ,20_ If)' J INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premise>. relationship to adioining premises or public streets or areas, and waterways. . c. The work covered by this application may not be commenced h. . "'" issuance of Budding Permit. d. Upon approval of this application, the Building Inspector will i,. 'c' a Building Perm,: to the applicant. Such a permit shall,be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has no! commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or 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 for necessary inspections. PUSTlGc SUCIHMIl--JG PoCJL (Signature of applicant or name, if a corporation) 1".0 ~ &1'0 ,E\'I,~T \....)'1 1\94-1 (Mailing address of applidant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises '10!;..E.?\4 ~ CA\OOL.'{w FER.KRKA (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer "JO::.6'11 CEGL10 PQEC,IDE\..l\ Of tDRPOa>.l)()j (Name and title of corporate officer) Builders License No. ~ '1 j ~ 3 =-8- Plumbers License No, Electricians License No, Other Trade's License No. 1. Location ofland on which proposed work will be done: dS10 Hf1?LE l..~\.JE E'1s,'T House Number Street M~~\00 wY Hamlet II '1 :f\ County Tax Map No. 1000 Section Subdivision '~0 - , ;; Block ~ :In;,,,', Filed Map }{~,I. ~' ., Lot 0/ Lot (Name) ~ ~ cr:::;:;" :'~;',:: 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition it 54060 Addition Alteration Other Work S\.IGIHH\WG POOL (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear /! 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO >< 13. Will lot be re-graded? YES_ NO--'L- Will excess fill be removed from premises? YES_ NO_ Phone No. Phone No Phone No. Address Address Address 14. Names of Owner of premises Name of Architect Name of Contractor 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? .YES _NO - . IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO_ . IF YES, D.E.C. PERMITS MAY BE REQUIRED. . 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? · YES_NO_ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS' COUNTY OF S#u I ~ . :JosG;\-\ Cf.(;,L\\) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the c,O\stR f'C1'O\2... (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn !piRefore me this ({ day of 'l" G, '^ 20 ~ ~ . JOHN C. 8KUSC"1 Not c Notary PubliC~ Stale of New York No.OlaR6170665 Qualified ,n Suffolk County Commission EKpires July 16,2011 ~~.;Z<2 3303 IE TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] I~TION [ ~INAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION w .... DATE INSPECTOR 2~ ~ 3y~ TOWN OF SOUTHO LDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. ~ ] FOUNDATION 2ND [ ] INSU ATION ] FRAMING I STRAPPING [ FINAL ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON REMARKS:@/J-{C 6H-Es 7Z5 A~ bvrM~ M CUr b/M (JUT- r,J;"m ~ M ;t;;~)~~ cJ;C kcLoJuJL ~) /;wvik d ~ 6U.A-. UILt- r ~-1C-q4- DATE ~/; % r INSPECTOR FIELD INSPECTION REPORT DATE I COMMENTS IJ. . . . t~ . FOUNDATION (1ST) . VJ~ -..[)'l> ------------------------------------ (\J FOUNDATION (2ND) ~iiJ '\) i'l Z 9-) 9 - 0 v:. ....; ROUGH FRAMING & f;i .to PLUMBING -,-)....; " " r- D r- "S --- -- b - ---- ---- - --- ~------ i;' = ------- .' ~ INSULATION PER N. Y. .- to ....; STATE ENERGY CODE .- . Gl j///.A iPft.-JA// ( '. 73 /L ,/ L /, /A f'. -, Ai' ,f-,' / / IJh,}c/ ~~/ _0.. - ,,~- " / A- .f- ~ .::z;/CAL 'v 0, , r'i 7:=?}_ }~ r. . r '. A.JJ,\ .1: 0 .;~ -A .4Jcx. .J JiCfrr r.&..A~ ~/~ 'jL j -.4/y ./' ( , , C) FINAL ?~d ,p "U /" UJ / ~ //j ~ 1'.- /1 / / ~/ 4. . U./. " 1L-" .~ ,f i // / / / ~ .J~./ V / ~ :/ . .-- " ADDITIONAL COMMENTS ;\:,. , / ~, '- ^llu? /'Izc c;',(/- /let'/} ;..' , -; ." ~~ 0 - ::E ( 'z L.lm 0::0 ~ -\.... -' ....Jto ~.~ ~ ~ }- .., .' - -:.) 0 Z [;l ;;.::..1; .., '. = --1 y tJ to ." ~ crt 7- qC(f- 0/ S-~ SUFFOLK+. BUREAUoi fLF.CTRiCAL INSPECrOR$.'nc. 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 6314958136 . Fax: 6319806455 . E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: Bethel Electrical Cont May 21 ,2008 8616 8616 May 21 ,2008 Suffolk County Tax Map No.: Certificate No.: Final Inspection Date: Building Permit No.: 038 0008 001 This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: M Ferrara Site Location: 2170 Maple Lane, Greenport, NY 11944 Owner's Address (if different): ~ Residential o Indoor o Commercial o Outdoor o New o Renovation o Addition o Survey Single Phase Heat Three Phase Hot Water Main Panel AC Cond Sub Panel AC Blower Transformer Appliances Disconnect Bckt Switches 2 GFCI Breaker 2.20 Heat Pump 2 Other Equipment: o Basement o First Fioor o Second Floor o Service ~Pool o Attic o Shed o Hottub o Garage Other: INVENTORY Duplex Recpt Ceiling Fixture HID Fixtures GFCI Recpt Wall Fixture Single Recpt Recessed Fixture R,ange Recpt Flourescent Dryer Recpt Emergency Twist Lock 2 Exit Fixtures Electric Heat poor lumina ire Smoke CO Detect Pumps 2. 2h Time Clock 2 TVSS Exhaust Fan The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Bethel Electrical Cont Inspected By: Gene surd~4 /~ Signature: ~, License No.: 2880ME Date Of Certificate: Jun 08 , 2008 95-20-' (11103) -9d . New York State copy Department of Environmental Conservation o NOTICE 0 The Department of Environmental Conservation (DEC) has issued permit( s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of the approved work and any Department conditions applied to the approval, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Permit Number ~rnal Permit Administrator JOHN ,\;V. PAVi\GIC Expiration Date NOTE: This notice is NOT a permit . ~/ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-4738-02879/00003 FACILITY/PROGRAM NUMBER(S) . EFFECTIVE DATE PERMIT Under the Environmental Coneervatlon Law November 9, 2007 EXPIRATION DATE(S) November 8,2012 TYPE OF PERMIT. New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate o Article 15, Title 15: Water Supply o Article 15, TRle 15: Water Transport o Article 15, Title 15: Long Island Wells o Article 15, Tille 27: Wild, Scenic and Recreational Rivers o Article 19: Air Pollution Control o Article 27, TRle 9; 6NYCRR 373: Hazardous Waste Management o Article 34: Coastal Erosion Management o Article 36: Floodplain Menagement o Article 15, Title 5: Protection of Waters o Article 17, Titles 7, 8: SPDES o Article 23, Title 27: Mined Land Reclamation o Article 24: Freshwater Wetlands . Article 25: Tidal Wetlands o Articles 1, 3, 17, 19, 27,37; 6NYCRR 380: Radiation Control o 6NYCRR 608: Water Qualily Certlflca- o Article 27, Title 7; 6NYCRR 360: tion SaUd Waste Manaoement PERMIT ISSUED TO TELEPHONE NUMBER Joseph and Carolyn Ferrara (9141738-2903 ADDRESS OF PERMITTEE 26 Suburban Avenue, Pelham Manor, NY 10803 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER En-Consultants, Inc., 1319 North Sea Road, Southamoton, NY 11968 (631 )283-6360 NAME AND ADDRESS OF PROJECT/FACILITY Ferrara Prooerty, 2170 Maole Lane, East Marion, NY 11939 S.C.T.M. #1000-38-8-1 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Gardiners Bay E: 722.8 N: 4554.7 DESCRIPTION OF AUTHORIZED ACTIVITY: Install a pool, fencing, drywell and grade. All work must be done in accordance with the attached plans stamped NYSDEC approved on November 5, 2007. By acceptance of this permit, the permittee agrees that the permit Is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions (see page 4 & 5) specified and any Special Conditions (see pege 2 and 3) Included as part of this permit. DEPUTY PERMIT ADMINISTRATOR: ADDRESS Region 1 Headquarters Mark Carrara KAF SUNY at Stan Brook, 50 Circle Road, Stan Brook NY 11790 - 3409 AUTHORIZED SIGNATURE DATE 11/06/2007 Pa e 1 of 5 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION . SPECIAL CONDITIONS 1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and/or protected buffer areas. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands or protected buffer areas. 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the pe'rmitted activities. 4. All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project comple- tion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 5. The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 100 linear feet from the tidal wetland boundary. 6. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales / silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. DEC PERMIT NUMBER 1-4732-00797/00002 PAGE 20f5 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 7. All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilized. 8. All fill shall consist of "clean" sand, gravel or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 9. Dry wells for pool filter backwash shall be located a minimum of 150 linear feet landward of the tidal wetland boundary. 10. There shall be no draining of swimming pool water directly or indirectly in tidal wetlands or protected buffer areas. 11. Necessary erosion control measures e.g., staked haybales, silt fencing, etc. are to be placed on the downslope edge of any disturbed areas. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is estab- lished. DEC PERMIT NUMBER 1-4738-02879/00003 PAGE 3 of 5 I NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE 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 ofthe 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, 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. GENERAL CONDITIONS General Condition 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. General Condition 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. General Condition 3: Appllcatlonll for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for 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. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1 ,SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790 - 3409 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. 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; 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. DEe PERMIT NUMBER 1-4738-02879/00003 PAGE 4 of 5 I NEW VORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) 1. Iffuture 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. 2. 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. 3. 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. 4. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across or along the bed of a waterway or floodplain, deposits within any regulatory f1oodway, or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 5. There shall be no unreasonable interference with navigation by the work herein authorized. 6. 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 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. 7. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 8. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully 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 and, ifrequired, a survey, 9. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by JoseDh A. Inaeano on Januarv 9. 2001 last revised on ADril 22. 2007. DEe PERMIT NUMBER 1-4738-02879/00003 PAGE 5 of 5 New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, New York 11790-3409 Phone: (631) 444-0365 . FAX: (631) 444-0360 Webslte: www.dec.state.ny.us ~ ... ~ Alexander B. Grannis Commissioner .n..dOQ November 5,2007 Joseph and Carolyn Ferrara 26 Suburban Avenue Pelham Manor, NY 10803 Re: Permit #1-4738-02879/00003 Dear Mr. and Mrs. Ferrara: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, \ i ~WW Kelly Ann Fell e Agency Program Aide Enclosures cc: En-Consultants, Inc. MHP file -_...__..~- James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD cOpy; April 27, 2007 Robert E. Herrman En-Consultants, Inc. 1319 North Sea Road Southampton, NY 11968 RE: CAROLYN & JOSEPH FERRARA 2170 MAPLE LANE, EAST MARION SCTM# 38-8-1 Dear Mr. Herrmann: The Southold Town Board of Trustees reviewed the survey prepared by Joseph A. Ingegno last dated April2f' 2007 and received on April 25, 2007, and determined the proposed construction of an inground swimming pool, pool fence, pool drywell, and grading activities to be out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. 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 seaward of the coastal erosion hazard area as indicated above, or within 100' landward from the top of the bluff, 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. --- _....---- . 2 This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Jat:;n~2 Board of Trustees JFK:eac FORM NO. 4 COpy FOR YOUR INFORMATION TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of ~he Building Inspec~or Town Hall Sou~hold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30719 Date: 01/26/05 THIS CBRTIFIKS that the building ALTERATIONS/ADDITIONS Location of l'zoperty: 2170 MAPLE (HOUSE NO.) County Tax Map No. 473BB9 Section 3B LA (STREET) Block ~ GREENPORT (HAMLET) Lot 1 SUhcli vision Filed Map 1IJo. Lot No. conforms subs~an~ially to the Application for Building Permit heretofore filed in this office dated MARCH 2B, 2002 pursuant to which Building Permit No. 2B267-Z dated APRIL 13, 2002 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 ALTERATIONS AND ADDITIONS, INCLUDING SUNROOM ADDITION, COVERED PORCHES, SECOND FLOOR DECK, AND ROOF OVER DRIVEWAY AREA AS APPLIED FOR PER ZBA #5151 DATED 9/5/2. 'l'he certificate is issued to JOSBPH & CAROLYN FERRARA (OWNER) of the aforesaid building. SUFl'OLI[ COllIITY DEPJlR'l'MBIIT OF IlBALTH APPROVAL RIO - 0 1- 0 1 0 7 12/07/04 BLBCTRICAL CERTIFICATE RO. 1130293 07/01/04 PLUJIBBRS CBRTIFICATIOII DATED 03/06/04 THOMAS AZZlIRIA Rev. 1/B1 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28267 Z Date APRIL 13, 2002 Permission is hereby granted to: JOSEPH & CAROLYN FERRARA 26 SUBURBAN AVE PELHAM MANOR,NY 10803 for : ALTERATIONS AND ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING WITH NONHABITABLE ATTIC AREA at premises located at 2170 MAPLE LA GREENPORT County Tax Map No. 473889 Section 038 pursuant to application dated MARCH Block 0008 Lot No. 001 28, 2002 and approved by the Building Inspector. Fee $ 6,298.80 ~~ j~~ /VA..~ Autho ized S nature Rev. 2/19/98 ORIGINAL FORM NO. 3 - TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28267 Z Date APRIL 13, 2002 Permission is hereby granted to: JOSEPH & CAROLYN FERRARA 26 SUBURBAN AVE PELHAM MANOR,NY 10803 for : ALTERATIONS AND ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING WITH THIRD STORY AND CERTIFIED SPRINKLER SYSTEM AS APPLIED FOR PER ZBA APPROVAL at premises located at 2170 MAPLE LA GREEN PORT County Tax Map No. 473889 Section 038 Block 0008 Lot No. 001 pursuant to application dated MARCH 28, 2002 and approved by the Building Inspector to expire on OCTOBER 13, 2003. Fee $ 6,298.80 Authorized Signature ORIGINAL Rev. 5/8/02 ,t, --. .-.... ( -~ r, J~../;':;" i ll.EGISTHAJ1 or- VlTN. STATlSllCS M^nnIACr. OfFICI.:n RECORDS M.N'I^CEMENT OFFIC!::11 nU:EDOM OF INFORMATION OFFICEn r{llJ!; H'all. 5.Tn\.!:" fvl<iIU po. nox 117<' S(lIJlhllld. New 1'or" II F::n Ll1(\I 7(,.':..1 R"l, Tt.:lcrh(1nc ('<\1('1 7(,~~il .' . I . "JlJP'lTH T. TERRY - TOWN CLEJU{ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southotd hereby adopts two (2) new forms to be used under tlie Flood Damage Prevent regulations .. of the Code of the T oV(n of Sou thold: ) ) Application" (FDP(93) J, J~nd "Certificate Special Flood Hazard A:ea [CIC(93)]. "Floodplain DevelopmeR.t Permi t of Compliance for Development in -'l ~ - _ J ; i i~1 ., . :. .-:-:-_.~. 8w\3. Oc.r! TOWN OF SOlJlHOLD Lr~ ~T_T~ Southold Town Clerk August 25, 1993 ., . , APPLICATION /I PAGE I or 4 TOWN OF SOUTHOLD fLOODPlAIN DEYELOPMENT PERMIT APPLICATION This Corm is to be ailed out in duplicate. ~ , SECTION 1: GENERAL PROVISIONS (APPLICANT 10 read and sirn); L No work may start until a permit is issued. . 2. The permit may be revoked if any false stalements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if DO work is commenced within six months of issuance. 6. Applicant is hereby informed that olher permits may be required to fulfilllocaJ, state and federal regulator)' requirements. 7. Applicant hereby gives consent to the Local Administratnr or his/her representative to make reasonable . inspections required to verily compliance. . 8. 1, TIlE APPUCANT, CERTIFY TIIA T ALL STATEMENTS HEREIN AND IN A TIACHMEl'ITS TO _ TIllS APPUCATlON ARE, TO TIlE BEST OF MY KNOWLEDGE, TRUE AND ACCURATE.... (APPUCANT'SSIGNATUR~ 7~ DATE 2/2J/oY SECTION 2: PROPOSED DEVELOPMENT (To be comnleted bv APPLlCAA'Tl NAME ADDRESS TELEPHONE APPLICANT BUILDER ENGINEER PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and. outside urban areas, the distance to the nearest intersecting road or well. known Lindmark. A sketch attached to this application sbowing (he project location would be hclpfuJ. FDP(93) -' , " ,. " , " APPLlCATJOI\ /' PAGE 1 OF d DESCRIPTION OF WORK (Check all appuGlble boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE o New Structure o Addition o Alteration o Relocation o Demolition' o Replacement o Residential (1-4 FamUy) o Residential (More than 4 FamUy) o Non-residential (Floodproofmg' 0 Yes) o Combined Use (Residential & Co=erci.aJ) ,. 0 MaJlufactured (MobUe) Home (In Manu- factured Home Park?, 0 Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMEl'ff ACDVlTlES: o Fill 0 Mining 0 Drilling 0 Grading o Excavation (Except for Structural Development Checked Above) o Watercourse Alteration (Including Dredging and Channel Modifications) o Drainage Improvements (Including Culvert Work) o Road, Street or Bridge Construction o Subdivision (New or Expansion) o [ndividual Water or Sewer System o Otber (Please Specify) ,J Nter completing SECDON 2, APPLICANT should submit form to Local Administrator for re\icw_ SECTION 3: FLOODPLAfN DETERMINA.TlON [To be completed bv LOCAL ADMINISTRATOR) The proposed development is located on F1RM Panel No. . Dated The Proposed Development: o Is I!!QI located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMEl'ff PERMIT IS REQUrRED). o Is located in a Special Flood Hazard Area. FIRM rone de."ignation is 1oo-Year nood elevation at the site is: FL NOVO (MSL) o Unavailable o Tbe proposed development is IOC1lICd io a floodway. FBFM Panel No Dated OSee Seclion 4 (or addilional inS(fUClioos. SIGNED DATE .. .. APPLlCA TION ,II PAGE) OF 4 SECTION 4: ADDITIONAL INFORMATION REOUI RED (To he comnlcted bv LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before tbe application caD be processed: o A site plan sbowing loe locatioo of all existing Slructw-cs, watcr bodies, adj~cc[J1 roads, lot dimeosioo.s and proposed developmClll. o Development plans, drawn to scalc, and speciGcatitlns, including where applicable: details [or ancboring structures, proposed elevation of lowest noor (including basemc[]t), type~ or water resistant materials used below tbe rust Ooor, details of OoodproofLllg of utilities loea led below the [ust Ooor and details o[ enclosures below the [lrst Ooor. Also. o Subdivision or otber development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whicbever is tbe lesser, the applicant must provide loo-year Oood elevations if they arc not otherwise available). o Pla.ns showing tbe extent of watereourse relocatioD and/or landform alterations. o Top of DeW [ill elevation Ft. NGVD (MSL). ." o Floodprooflng protection level (DoD-resideDtial only) Ft; NOVO (MSL). For Ooodproofed structures, applicaDt must attacb certification. [rom registered engineer or archilect. / o Certification from a registered eDgineer tbat the proP0~~ activity in a regulatory Ooodway will Dot result inl!!!Y increase in the height of the 1oo-year Oood. A copy of all data and caJCt!lations supporting this [wding must also be submitted. o Otber. SECTION 5: PERMIT DETERMINATION lTo be comoleled bv LOCAL ADMINISTRATOR) I hive determined that tbe proposed activity: A. 0 Is B. 0 Is Dot in conformance with provisions of Local Law '" , 19 The permil is issued subject to the eODditions aU ached to and made part of this p<:rmit. - SIGNED , DATE If BOX A is checked, tbe LocaJ Administrator m 'y issue a DevelopmeDt Permit upon paymeDt o( desiV1aled fee. If ~OX B is checked, tbe Local Adminislrator 'vViJ1 provide a \'{filleD summary of dcrlciencics. Applicant may rCVl5C and resubmit an application to {he Loc.al Administrator or may request a bearing (rom lbe Board of Appeals. . .. , " '" APPLICATION H PAGE40F4 .' APPEALS: Appealed lo Board of Appeals' 0 Yes 0 No Hearing dat e: Appeals Board Decisioo --- Approved' 0 Yes 0 No Coadilioo..s SE:CffON 6: AS.OUlLT ELE:VATlONS ITo be submilled bv APPLICANT before Certificate of Comoliance is issued) The foUowing information must be provided for project struclUrcs. This sectioo must be completed ~y a registered profession,a! engineer or a lieensed land surveyor (or atlacb a certificauon to Uili application). Complete 1 or 2 below. L Actual (As-Built) ElevauoD of the lop of the lowestlloor, including basement (in Coastal Hio:h Hau'rd Areas. bottom of lowest SlI1Ictural member of the lowest lIoor, excluding piling and columns) is: Fr. NGVD (MSL). ' J 2.' Actual (As-Bu~t) Elevation of lIoodproofmg protection is FT. NGVD (MSL). NOTE: Any work performed prior (0 st~miuaJ oC the above infonnation is at the risk of the Applicant. j , ' SECTION 7: COMPLIANCE ACTION lTo be comoleted bv LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete tbis section as applicable based 00 inspectioo of the project to ensure compliance wilh the community's loc.aJ law for lIood damage prevention, INSPI::CTlONS: DATE DATE DATE BY BY BY DEFlCIENOES? DEFICIENCIES? DEFlCIENOES? o YES 0 NO o YES 0 NO o YES 0 NO SE:CTION 8: CERTIFICATE: OF COMPLlANCElTo be comnleted bv LOCAL ADMINISTRATOR) Certificate of Compliance issued: DA IE: BY: ..... .,1 -. " . . ". ..; Attactunent B j / j SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area ... ~ , . , . II I. ~ . . .' '. , TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAlN THIS CERTIFICATE) ~, PREMISES LOCATED AT: OWNERS NAME AND ADDRESS: PERMIT NO, PERMIT DATE CHECK ONE: o NEW BUILDING o EXISTING' BUILDING o VACANT LAND .J THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # ,19 SIGNED: - DATED: B, CmlfPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # ,19_. AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C Ie (93) .,/ - i '-- 33lo ?f7 TOWN OF SOUTHOLD PROPERTY RECORD CARD -J-(; ....... .It!- ~~ )jr)-3g- -I OWNER STREET DIST. LOT VILLAGE SUB. ... IMP. os . i Utrol F: \fraftt FORM~ OWNER tt s S/1( #1LU1/6eVl ~r.Jt: +("l.{S r'Y. OSI,' SIr, ,fw.( . ~/"'... (, \;..... '.' .. SEAS. ES'7-IO LAND [;(,'1-00 , 2- '+00 \2 '\D:) AGE NEW FA~M , 'fllable 1 iIIable 2 illable 3 loodland Nampland rush land ouse Plot )tal 10 AC r _ -' ,M- TYPE OF BUILDING iJ, D/v. P/l\,f Mkt. Value ~>C",,' ~ VL. TOTAL [4, Y~., ,f~' JUkr S/i16 {/ /~,no . v""'.,) 0 0 \?oM>O<{~ p~ 12 ~4 200 NORMAL ABOVE BELOW Acre Value Per Acre Value '. "" FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD D e. .~ 00 rH' cl 'f.e 6 <>.d-.r () 0.- or 00 :.Ja . @ 3.J~';: /~Lh ~ ...... DOCK I - - i ! .' ~ . "'.-- , . , , I " I I I I .1': t I " I COLOR , I'.'" I G-Ve'-f . . I I.. . , , TRIM I -1/ .,.... . i I - : , " / . ( uA 11~ I' , \ ., If I .~ .. . ,I i, I \ I I r , , 'I ! , ,. , ~ I. I - - - ~ 3~ 11 I,r ~ II! .,..... / - .~~.=~~=,.-,~._.. - ------- 8 VI> , I . , ~ M. Bldg. ' 'C' . . . r, . J' Foundation ;3 ~ / Bath 3 Dinette :.' . , \ t. h I.J) :. . Extension j. . . Basement ; Floors K. , . . .... 'I,; , - ------ Extension , Ext. Walls 6- s \:" ~, , Interior Finish ~ ,. ./ c . LR. I h' . , - J - , . . Extension .. Fire Place ~ Heat Sf-, . DR. " . '-./ , i\ Y ~" ~ /. , 'I ~l__) Type Roof Rooms 1st Floor BR. , iI . . Porch -'i" Recreation Room Rooms 2nd Floor FIN. B. 17 \: , - - . - Porch , Dormer ---- S fDD7Dway 0'{ '6 - .', / LJ 't.' / Driveway - . . I -. Garage '- ---- PatiO' O. B. I ~ Total I . , L. /) .c. .'~' , .. n ---- , .. , , r .., -. ., 'i, ... , I ,"'- o' " " q~ , ~ !srI. I \~ ~ \, ift" ~ "- ,~ .... ;,.. """, '~ . . 4r ~ ~~-:: . .",.,"" . "'1\' , .~~tz ~ , ..'~~ " " .. ., .. ~ n , , 'f .. r. . " . > '. ,- . ~ .. ~ '" .. I..J 1\. 1M I ,. " ....'~ I.... ... Ie IL. I . ' IUI -:: , ,. j'j ~ ~ . i J I. 1- r-II (Q A ..., hI. 1-4 "" 11- .. ... Jtil'J,. ,~ IIG lA 0 II} 0 ~ It<< t; ~ .~ , t. , ',,' ." . '';':,'''-~ .' I" , ~~ - ",..:.--.". -- ~" ," "'J.'.':""',:"_," b..<' I) IIG ~ 38.-8-1 2106 l4-Lh I s ... I~,I '1.1 , , 38.-8-1 out building 2/06 _..l\;:\. ~ ~1'\.l' , \S,4..... , ,.,. ~" BJ~~ c.. I 4~ Foundation PC Fin, B, ~,<t.. Bath -1 '12-- Di nette 2<?O 0 ....d l\l'ol2- CB , . , ~ ~-x..: , COMBO ./ Extension 2"-\:1 \('~ Basement PARTIAL Floors Kit. SLAB ,...~....~~ -- --- - Extension 232..4 Q()' 2.5'0 t;;~,D Ext. Walls (ldA~~I,...(~ Interior Finish 4(12- , LR .j r--- - _.._-,~, -- --- f------- . , ---- -- --~- 3-d \~.. 2- - ,/ Extension 3lQ0Q Fire Place :kJ)+tk\ .l"2.- Heat p ,\. D.R ...,;:, - C!.- , ~- '. - -. ~~ ~~,~ .~'" ,~~q ~'1'1- ~R Woodstove BR lA S '-1loCl - ----- ----- ----- ,- '& V. ~o:c1i\ ~ '1-2-' =\~ '('20 .- 'SO @.,so Dormer Baths II (2 r-3 13. lD-lIQ=\o 0"<..\2:: IQ~ - Deck \'<\S = I~? .}1'-' ,~ 79 Dock Fam, Rm, ~~ ' b" '- -, , -- r------- --- I .. . AC. ~ ~ aoo L\e.e~ ... (~_a~agi " (~'(,~I f----- ---- I-- ---- - ~~ I ". '\, . ~6--r- ~'/ I . G.B, 200 v~ 259 ~.,~-.( .;; ..."..\- [7 (2c.,~ 4+-:2- ~ \\oC - 2.4 '2.115 ( -'. , j \ uw. ~--. ~._..- _______L_,-+__ --~- ..... . \ip.,,,, \ " J , /' ',,- . IOU \.W:.t" M. BIOg . r\-eo~'T'\i\.'-' \ 5'" '._c'" :. '? -=0 -------- ""'\ ,.-\ ---I -4 ~ .two' ,--1!~.'mdatiOn ~ ~ - .~~ " . I I I-I , I I I I ~ 5. I, \. .l- t ='" . I.. I" u, I... "" . u . \. ~ .... , ..... - ~ ,hi \ I.... . , I... ~. II~ L. I- - I/) r- ~ J I r- 1(Q It?- ~~ tb In. - t- IPiI'l- IIa- ~ 0 I') P 1.< 1; >I . f I,," , -~ 1'5 ,,<) I~(" "'L~ I s ... ~ ... pt, ~ , , <,$$ I out building 2/06 .- !~\. )( 14- -- - - ------ 1 Fin. B. ~.~ Bath , \"'1 'J..., I njnnU.., Town of Southold PROPERTY LOCATION: S.C.T.M. #: Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM ~ Section Block ---.:or-- THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Ilem Number: (NOTE: A Check Marl< (~) for each Question is Required for a Complete Application) Yes ~ - -1- - - - -~I~h~ ~;c~R:a: ~ ~o~~:e~R~n~;G~n~ra~d~Y~ ~W~(;):~ ~i:I~:S:?- - - - - - - -'J - r -I (This item will Include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of Impervious sulfaces.) bJ 2 3 4 5 6 7 8 9 Does the Site Plan andlor Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlowl Will this. Project Require any land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? Will this Application Require land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') teet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm~Water Run-Off into and/or in the direction of a Town right-of~way? Will this Project Require the Placement at Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-at-Way or Road Shoulder Area? (This Item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? i bJ bJ bJ bJ bJ D D NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Markin the Box, a Storm.Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Pennltl EXEMPTION: Yes Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm~Water, Grading, Drainage & Erosion Control Plan Is NOT Requiredl ~ ..; J .J.. .>I... ~ J No STATE OF ~~~N~~~ .....3iAff~JK........ 55 That I, ...........?Q?'S~.......~~.\,,\Q....................... being duly swom, de~oses and says that he/she is d,e applicant for Permit, (Name of individual signing Document) (Owner, Contractor, Agent, Corporate Officer, etc.) F..... FORM - 06/07 APPRO ED AS NOTED DATE: l 21 ~ B.P. #::::-,,?r:. ..,'(1?-- FEEd:;,:')?". BY~..L- NOTI'FY BUILDING DEPARTMENT AT 765.1802 8 AM TO 4 PM FOR THE FOllOWING INSPECTIONS: 1. FOUNDATiON. TWO REQUIRED FOR POURED CONCRETE 2. ROUGH. FRAMING & PLUMBING 3. INSULATION 4. FINAL. CONST9UCTION MUST RU WT>.iER RUNOff BE COMPLEE COR C.O. RETMN 8TO ,.. 236 All CONSTRUCTiON SHALL MEET THE PURSUT>.NT TO CHAPTER REQUIREMENTS OF THE CODES OF NEW OF THE TOWN CODE. YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. "'MMEDIATEL V" ENCLOSE pOOL TO CODE UPON COMPLETION BEFORE "WATER" COrvlPL Y WITH ALL CODES OF NE'v\! YOFW ST..; .-~ R, TO'NN CODES AS REGUJiED p.1\C) CC,ND'TiONS OF ;V/~1 ~~U~ J:.~' TOM: L:i ~c _ _ p:J'mING BOARD "::__ .sC.. ,":JL5 -:,~/v'N TRUSiIES __/ _ iIY.5. DEe ,,_,ALL CONSTRUCTION SHAll ,: T THE REQUIREMENTS OF THE "ODES OF NEW YORK STATE. 'tt~"-'< OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFICATE REQUIRED 1 FLOOD ZONE At: cS ) COMPLY WITH CHAPTER "46" flOOD DAMAGE PREVENTION SOUTHOLD TOWN CODE. '" _(FT.) A II C ---L A POOL. PLAN 12" / " _OF WALL VA_ '''TO'"_ AREA (8Q. FT.) CAP. (GAL.) II / // ~ D WATIII LINE I_ A. A " I"XI"nLEF ~ ~ ~I~ ~, d ~, 11/2" RIlUIlN TO INUT . i E N DRAIN WITH HVDftOlTAllC VALVl! AND COLLECTOR 1IIlIE IN llRAVl!L BAn WoJI8L1 DUIT A_ _TIC Pl.UMIING AIUlANOIMINT " : .lr-..~- -;! HDIaZ. 1ro.c. 12"o.C. WRT. 1ro.c. .wo.c. A.OC::R 1r'o.C.UQolWAYQlt _ICUIUNT GENI!RAL NOTEI : 1. THE _18 _ ONA IlRAIHAClI! IIOIL WITH c 10% lILT. GROUND WATER IHALL NOT IilU8T_THE LIIlIITll OF THE EXCAVATION. IF GROUND WATIII EXI81Il WITHIN.. 0" IIELOW ClRAIlE. ~IAL DEWA1ERJNG fACILl18 WILL BE _ WATIII DI8fIOaAL 18 LlMTEIl TO OWNER'S ~I(. 2. NO llUIICHAllGE ALLOWED WH1THIN 4' 0" 01' IHALLOW END AND "0" OF DEEP END. S. THE PNEUMATICALLY AI'PUEIl CllIICRETa (GUNI1a) IHALL BE A 1:418 WITH AMAXIMUIII OF S 112GALLONI OF WATER PER lACK Of CEMENT. 4. _ITEEL IHALLBE ~TEGRADE IIILL&TITEEL WITH A _ LAP OF 30 lIAR DIA. .. POOl.. WATER ___ Y BY 0WIlEII'1 GARDEN HOSE OR fILL IPOUT AI REQUIRED TO 81 KEPT FULL DUIUNG FREEZING WEATHER. PUMP CAPACITY T09I::!~IIll'MTTnIQllD't'V_ .........ut!!II.. _'fVPtI'AI '.vAlLpe"'~"'"\N_