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HomeMy WebLinkAbout34103-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP/kRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34517 Date: 08/25/10 THIS CERTIFIES that the building SWIPING POOL Location of Property: 3683 PINE NECK RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 70 Block 6 Lot 23 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 8, 2008 purs,,~-t to which Building Permit No. 34103-Z dated AUGUST 12, 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 IN GROUND SWI994ING POOL WITH FENCE TO CODE AS APPLIED FOR PER ZBA #6165, DATED 7/17/08. · ~ne certificate is issued to DANIEL & PASQUALINA BERKOWITZ ( OWNER ) of the aforesaid building. SIIFFOI~ CO{DEPAI{T~l~TOFI{F~%STHAPI~IIO%r~J~ N/A BI~gL-rKIC~J~ C~gRTIFIC3~TH NO. 34103 08/11/10 PLI~BERS CERTIFICATION D~£~u3 N/A Rev. 1/81 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. 34103 Z Date AUGUST 12, 2008 Permission is hereby granted to: for : BERKOWITZ 3683 PINE NECK ROAD SOUTHOLD,NY 11971 CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR PER TRUSTEES DEC 7/1710% at premises located at County Tax Map No. 473889 Section 070 pursuant to application dated AUGUST Building Inspector to expire on FEBRUARY Fee $ 250.00 3683 PINE NECK RD SOUTHOLD Block 0006 Lot No. 023 8, 2008 and approved by the 12, 2010. ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application mUSt be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Finsl Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval o f electrical installation f~om Board o f Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residanees and Similar buildings and installations, a certificate of Code Compliance from architect or engineer reaponsible for the building. 6. Submit Plarming Board Approval of Completed site plan requiromeats. For existing buildings (prior to April 9, 1957) non-~onforming uses, or buildings and ,pre-existing" land uses: 1. 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, thc Building Inspoctor shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.01], Accessory building $25.00, Additions to aeeessory 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 $15.0{~, Commercial $15.00 Date. New Construction: Old or Pre-existing B ~uilding: Ho~e No. St~ · SUffo~ Co~W T~ Map No 1006, S~fion ~ Block (~ ~t Su~sion Health Dept. Approval: (check one) Hamlet Filed Map. , Lot: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ (check one) 'l'{m'n Hall Almcx .5 t37.5 Main Road 1).1.). Box 1179 N(mlhold, NY 11971-0!t.59 Tclei~honc (631) 7t;3-1802 Fax (631) 765-9502 ro.qer, dchert~town.southold.n¥.us BUILI)ING DI~;PARTMENT TOWN OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Berkowitz Address: 3683 Pine Neck Rd. City: Southold St: NY Zip: 11971 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCl Recpt Main Panel AIC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures r~lr~lR HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures I I CO Detectors Fluorescent FixtUres~t Pumps Emergency Fixture Time Clocks Exit Fixtures U TVSS pool bonding, 1 spa blower, 3 GFCI circuit breakers, 3 pool lights Notes: Inspector Signature: Date: Aug 11 2010 81-Cert Electdcal Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. // 765-1802 7/INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~ ~ /~ r .~ $ ~,'~ DATE ~~ INSPECTOR ~~ ,~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTMIT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS.~ ~i~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INS,~J,AI'ION [~"I~NAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~Jt~TION [ ] FRAMING / STRAPPING [ ,~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SA~-,., ~' INSPECTION [ ] FIRE RESISTANT CONSTRUCllON [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) REMARKS: ~j~ELECTRICAL (FINAL) DATE ~//t/~ iNSPECTOR~7, ~~~--'~ FOUNDATION (1ST) ROUG~ F~G & STATE ENERGY CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined _ ,20 Approved ~ , 20__ Disapproved a/c Expiration ,20__ BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans J Planning Boaf~,pproval Survey , Check J Septic Form N.Y.S.D.E.C. Trustees Contact: ctor APPLICATION FOR BUILDING PERMIT 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 premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,'the Building Inspector will issue a Building Permit 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 not commenced within 12 months afier 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. 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, or alterations or for removal or demolition as herein described. The ~uP tPlllio;~zr ~ ~ ignr ~;~t°o~t on}lP lpYre~niti~easl la ~Cbaubill~ I~~ ~'o ~ ~deicneas~;' ibn~ictn~~V~admit ~tur~pplicant o~.~f a corporation, ~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises~')/MX/l ~L,._ 4--'-~S~ I.l../~ L~I ff~//l- (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade s License No. Locatio_n of land__on which proposed wor~qwill be done~ ,_ ~ House Number Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet ? . ,. Block /-fig ., Lot ~5 Filed Map No .... Lot . · 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 4. Estimated Cost (~)[ trod 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, 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. Sizeoflot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. 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 X NO Will excess fill be removed from premises? YES ,~ NO__ 14. Names of Owner of premises~e~- Name of Architect Name o f Contracto_r 7~St~,'~,v ~ r~ Address'ZJa[C~ ~,~ e ~e4d [g4Phone No. 7(o6-~- f0BSf Address Phone No Address l~,~f,~a~,~- fl0'~;/,~ Phone No. ~-,d,Y-V- ~ ~/~L~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES fi( * 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. NO 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. STATE OF NEW YORK) SS: COUNTY OF ~o~ ~ ~;,~ $o c.-c.~r~o, lCL.~ being duly sworn, deposes and says that (s)he is the applicant (Name of individhal signing contract) above named, (S)He is the (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 tree 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. Not~w Pubh~ VALERI'E UNDQUIST Notmy Public State ~ N~ ~ No. 01L1~51~1 ~mm~on ~ir~ D~ 4, 2~ 20o~ ~ S(~tu~e °f API~-~ BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6775 DATE: DECEMBER 12 2007 ISSUED TO: DANIEL & PAS UALINA BERKOV~ITZ PROPERTY ADDRESS: 3683 PINE NECK ROAD SOUTHOLD SCTM# 70-6-23 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of thc Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trnstees adopted at the meeting held on December 12, 2007, and in consideration of application fee in the sum of $250.00 paid by Daniel & Pasquallna Berkowitz and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove the existing above-ground swimming pool and deck, and construct an in-ground swimming pool and patio; construct 12' x 16' screened porch addition partially in-place of existing deck, steps, and walk to be removed, and construct new steps; establish a non-turf buffer; and install a pool drywell landward of Chapter 275 jurisdiction, with the condition of the non-turf buffer be placed from the 8' elevation contour line extending seaward, and as depicted on the survey prepared by Nathan Taft Corwin III, Land Surveyor, last dated December 14, 2007, and received on December 17, 2007. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town~ 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 # 0448C BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANC! JUL 2 4 2009 BLDG. DEPT. TO~VN OF SOUTHOU) ~D~aFe~J~20.2009 THIS CERTIFIES that the removal of existing pool with deck, steps .and walk and construction 0f in-ground pool and patio, screened porch with steps and a non-tuffbuffer installed and to be maintained from the 8' elevation contour line extending seaward At 3683 Pine Neck Road, Southo!d, New York Suffolk County Tax Map # 70-6-23 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated 11/15/07 pursuant to which Trustees Wetland Permit # 6775 Dated 12/12/07 was Issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal of existing pool with deck, steps and walk and construction of in- ground pool and patio, screened porch with steps .and.a non-turf buffer installed and to be maintained from the 8' elevation contour line extending seaward The certificate is issued to DANIEL & PASQUAL1NA BERKOWITZ owner of the aforesaid property. Authorized Signature New York State Department of Environmental ConservationDivision of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) ~.~?.~0365 · FAX: (631) 444-0360 Webslte: www.dec.state.ny.ua LETTigR OF NON JURISDICTION TIDAL WETLANDS ACT February 27, 2008 Daniel Bcrkowitz 133 Raymond SU'eet Darien, CT 06820 Application #1-4738-03771/00001 Berkowitz Property 3683 Pine Neck Rd. Southold, N.Y. 11968 SCTM#1000-70-6-23 Dear Mr. Berkowitz: Based on the information you have submitted, the Department of Environmental Conservation (DEC) has determined that the property landward of the 10' elevation contour line, as shown on the survey prepared by Nathan Taft Corwin dated 3/12/07, last revised on 10/30/07, is beyond Tidal Wetlands Act (Article 25) jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is require. Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15, to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. 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. ~incerely, Laura Scovazzo~/ ' Permit Administrator ' cc: En-Consulttmt$, Inc., BMHP, tile 87/38/2888 89:15 &3iT&59064 PAE~ 82/84 APPEALS BOARD MEMBERS Gerard P. Go.bringer, Chairman Ruth D. Olive Jarncs Dinizio, .Ir. Michael A. Simon Leslie Kanes Wejsman Mailina_Addre~si: $outhold Town gall 53095 Main Road · Re, Box 1179 Southold, NY 11971-0959 Town Annex/First F~oor, North Pork Bank 54375 Main Road (at Youngs Avenue) $outhold, NY I 1971 http://southol~own.north fork. net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 · Fax (~31) 765-9064 FINDINGS, DELIBERATIONS, AND DETERM]~ATION MEETING OF JULY 17, 2008 ZBA # 6165 - DANrEL and PASQUALTNA BERKOW1TZ, APPLICANTS PROPERTY LOCATION: 3683 Pine Neck Road at Jockey Creek, Southold CTM 70-6-23 S_EORA D.ETE, R~.t~. NATI.ON! The Zoning Bo~d of Appeals has visited the property under consideration in thru application and determines that this review falls under the Type H category of the State's List of Actions, without further steps u~.der SEQRA. PROPERTY FACTSfDESCRIPTION; The subject property is a non-conforming 28,191 square foot parcel in the R40 District, measuring 122.83 ft. along Jockey Creek to the north, 130.94 wide along the southern boundary, 232.34 feet along the western boundary, and 222.99 feet along the eastern boundary, and improved with a single family dwelling as shown on the survey by Nathan Taft Corwin III, L. S., dated March 12, 2007. BASIS OF APPLICATION_: Request for a Variance under Section 280-116B, based on the Building Inspector's April 11, 2008 amended Notice of Disapproval concerning a proposed swimming pool with patio at grade and a proposed rear porch addition to the dwelling, beth proposed at less than 75 feet from the code~requlred minimum setback. LWRP DETRIqMINATION: The Seuthold Town LWRP Coordinator has determined that the proposed action is inconsistent with LWRP Policy standards regoxcting the protection and restoration of the Town of Southold ecosystem for the following reasons: The distance from the proposed patio to the wetland boundary (bx,1]rhead) is 45 feet; the distance from the proposed screened porch to the wetland boundary is 78 feet [74 according to the survey], whereas the minimum setback distance of 100 feet is required pursuant to Chapter 275-3. The LWRP Ooordinator recommends that a olinimttm o~20 ft. non-turf, native vegetation buffer landward of the wetland line be required. The ZBA finds the proposed action CONSISTENT with LWRP review based on compliance of the proposed action wi~h the Town Wetlands Law, Chapter 275-3(D)(1)(a)(5), stating that the mi,ir, run setback from the wetland boundary for a swimming pool and related structures is 50 feet. Establishment of non-turf buffer landward of the wetland, andinstallationofa pcol drywall landward o£the Chapter 275 jurisdiction, s,,~.ciently mitigates the setback requirement for the pool and patio. A 49 ft. setback substantially complies with the requirements of Chapter 275-3. ~008 89:15 6317659064 ZONINC~DOFAPPEALS PAGE 83/84 Page 2 - July 17, 2008 ZBA//6165 - DANIEL end PASQUALINE BI~RKOWITZ CTM 70-6-23 FF D: The applicant seeks a variance for the addition ora screenedporch set back 74 feet from the bulkhead, and an in-ground swimming pool, set back 49 feet from the bulkhead, wi.th an adjacent pat/o set back 45 feet from the bulkhead. The applicant proposes to remove an above-ground sw/mm/ug pool and replace it with an in-ground swimming pool. ~EASONS FOR BOARD~kCTION: On the basis of testimony presented, materials submitted and personal ~nspections, the Board makes the following ~ndings: 1. Town Law §267-b(3)(b)(3)(1). Grant of the setback var/anco with respect to the pool and patio wiI1 not have an adverse environmental effect on the character of the neighborhood or be a detriment to nearby propert/es. The LWRP~s Coordinator's finding of/noonsietency and stated adverse environmental effect was based on the Chapter 280~116 requ/xement that upland structures be set back 75 feet from the bulkhead. Grant of the setback variance with respect to the screened porch will not have an undesirable effect on the character of the neighborhood or be a detr/ment to r~earby propert/es. A one-foot reduction of setback for the proposed screened porch will not have an uncles/table effect and bring it into a]l/gnment with the existing attached deck. 2. Town Law §267-b(3)(b)(2). The benefit of an expanded in-ground pool ca~uot be achieved by some method, feasible for the applicant to pursue, other than an area var/ante. There is no more reasonable location for an in-ground pool than the locat/on of the existing above-ground pool. The new pool w/Il be set back more than the exist/ng pool. Only the deck, which an in-ground pool typica]mly requires, will result in a smaller setback than the exist/ng above-ground pool requires. A pool on this lot of any size would require a variance. With respect to the screened porch, the on.ly alternative would be s one-foot narrower porch that would bringit out of alignment with the exi.sting advantage without any attendant benefit to neighbors or environmental protection. 3. Town Law ~267-b(3)ib)(3). The proposed setback var/anco for the pool and pat/o is not substantial. It would require a 2 % reduction in setback required by the code,/rom. 50 feet to 49 feet. The proposed setback var/anco for the porch is not subetantial. Appl/cants request a one- foot reduction in setback/or that porcl~ from 75 feet te 74 feet. 4. Town Law .~2.67-b(3)(b)(5). The need for a var/anco with respect the poolhae been self-created, but only to the extent that is a result ora decision to replace the existing nonconforming above- ground pool with an in- ground pool. The need for var/anco with respect to the pool patio and the screened porch, was self-created. 5. Town Law ~267-b¢3)(b)(4). Locating a pool and patio 49 feet from the wetland boundary will not have an adverse environmental effect. Construct/on of the sm-eon porch w~ll also not have a negative environmental effect. RESOLUTION OF THE BOARD: In considering all of the above factors and apply/ng the balandng test tw. der lqew York Town Law 267-B, motion was offered by Member Simon, seconded by Member Weisman, and duly cart/ed, to GRANT the variances with respect to the pool sl~d patio a/ti porch addition, subject to the CONDITIONS that: _008 OS:lS 63i765S06~ ZOHINGBDO~APPE~LS Page 3-July 17, 2008 ZBA #6165 - DANIEL and PASQUALINE BERKOWITZ CTM 70-6-23 PAGE 04/04 1. Establishment of a minimum 20 foot w~de non-turf, native vegetation buffer landward along the entire length of the wetland li~e. Installation of a pool drywe]l landward of the Chapter 275 jurisdiction. Thai the above Z]~A conditions be written, into the B~ildin~ Inspector's Cert.~flcate of Occupancy, when issued. Any deviation from the variance g~ven such as extensions, or demolition~ which are not shown on the applicants diagrams or survey site maps, are not authorized under tbJs application when involving nonconforn~ties under the zoning code. Thi~ action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zo~3J. ng Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de n~i~imiz in. nature for an alteration that does not increase the ~n~nformity. Vote of the Board: Ayes: Members ~hringer ((~l~irm~~a, Simon, and Weisman. / ~d P. Goehrrnger, Char~--man//2~/2008 ~/~Approved for Filing Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM EXEMPTIONS: A. Docs this project meet the minimum standards for classification as an Agricultural Project. .Note: If you answered Yes to any of the. above, a Storm-water, Grading, Drainage & Erosion Control Plan Is not required. ACTIONS REQUIRING THE SUBMISSION OF A STORM;WATER~ GRAD1NG~ DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (,/) for each question is required for complete application) Yes 1~o Will this project retain all Storm-Water Run-off generated on Site? (This will include all mn-off created by site clearing and/or construction activities as well as all Site Improvements and the pernmnent creation of impervious surfaces.) ~ ~ 2. 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? }t//V: 3. Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? 4. Is there a Natural Water course running through the site or is this project within ~ One tiundred (100) feet of wetlands or a beach? ~ __ 5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to ~ One hundred ( t 00) feet of horizontal distance? L~ -- 6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? ~ /~ Will this application require the placement of material, removal of vegetation and/or the con~tmction of any item within the Town Right-of-Way or road shoulder area? (]'his item does not include the installation of driveway aprons.) · Will there be site preparation within the one hundred (100)year floodplain of any watercourse? [~ 8. Note: If any answer to questions ~)ne through eight is answered with a check mark in the Box, a Storm-water, Grading, Drainage & Erosion Control Plan Is required and must be submitted for review prior to issuance of any building permit, STATE OF NEW YORK, c~, . COUNTY OF, 5 ~J7~-['~.~.1~ ............ SS That ~,T~:~c~ ~?~2(!~%. ............. being duly sworn, ~eposes and says that he/she is the applicant for Permit, (NareS'of individual signing Document) And that He/She is the ~-4~f'~ (Owner, Conttactor, Agent, Corporate Officer, etc) Owner and/or representative of the Owner or Owner's, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in tlfis application are tree to the best of his knowledge and belier; and that the work sill be performed in the manner set forth in the application filed herewith. Sworn to before me fids; ............. ~,..~'~..., ............. day of.:~.~ ........ 20~'~. VALERIE LINDQUIST Notary Public State Of New Yo~k No. 01 LI6051621 Qualified in Suffolk County Commission Expires Dec 4, 2~ (Signature o ff~ppl~ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 ro-er r chert~x (631) 76&-950~ U . (~town.southord.n¥.us BUILDING DEPARTMENT TOWN OF $OUTHOLI~ APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Date: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: *Name: *Address: *Cross Street: *Phone No.: Tax Map District: (*Indicates required information) 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Cleady) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: YES / NO Rough In YES / NO Temp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: 82-Request for Inspection Form 3Phase 100 Underground 150 200 300 350 400 Number of Meters Change of Service PAYMENT DUE WITH APPLICATION Final Other Overhead TOWN OF SOUTHOLD PROPERTY RECORD CARD ~WN~R s'rREVr,:3 ~,.:~---.---- V'L~"GE / D'ST. SUB. LOT ~'~.~/a~' ,'s~s. VL. ~-,. ~A~ CO~. C~. ~,SC. ~,. ~ND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION nllfflo6 b~ ~¢ ~ces ~P~7~7~ - s/o~ . 4~ NOeL BELOW ABOVE -- / I DWi :A~ Acre Value Per Value illable 1 liable 2 liable 3 o~land ,ampland FRONTAGE ON WATER /~ O t~ ~ ~ u us~lond FRONTAGE ON ROAD ~use Plot DEPTH ~I BULKH~D / ,tal ~ ~ DOCK COLOR TRIM L Bldg. <tension ~tension ~tension orch ~eezeway iarage atio 'otal ,300 J Foundation Ext. Walls Fire Place Type Roof 'Recreation Roorr Dormer ~ Dinette Floors ~ ~ .~; ~ K. Interior Finish ~.~ ~ z. = ~ I~R'R. FIN. B. Rooms 1st Floor Rooms 2nd Floor P.(). Box 1179 S~mlhohl, Nh' 11971-09.59 Tek'phone (631) 7ti.5-18t)2 Fax (631) 1½1 !II,I)IN(; I)E1L'\RTMI:,NT TOWN OF $OUTHOLD July 22, 2010 Daniel Berkowitz 133 Raymond Street Darien, CT 06820 RE: 3683 Pine Neck Road, Southold TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: __ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. __ Final Health Department approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 34103-Z swimming pool APPF]OVED AS NOTED NOTI{Y EFUiLDtNG ~EPA~'I~I~i' AT 765-1802 8AM TO 4PI~I FOR TH'~- A FOLLOW,NG ,NSPECT,ONS: ~ 1. FOUNDATION - TWO ~EQUIRED FOR POURED CONCR~E 2. ROUGH ..FRAM NG & PLUMBING 3. INSU~TION 4. FINAL - CON?~UCTION MUST BE COMPLETE FOR C.O. ALL CONSTROcTION SHALL MEET THE REQUIREMENTS OF THE CODES OF N~ ~ YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YS',~ STATE & TOWN CODES ~N AS REC J REU AN~ COND TONS OF ~PLY WITH C~APTEH ~0 FLeD DAMAGE PREVENTI~ .~ STE~ ~H A MINIMUM ~ OF ~ ~R SOUTHOLD TOWN CODE. ._ 'JONST~U~T~O~ SHALL ~,~ . .-~ R~QU,~EMENTS OF THE - ...... STATE WALL SECTION A UNOER~/~JTEBS CEt~TIFJCa~ LINE ® ® SEGTmON .. ~ET~N.STORM WATER.RUI~--T -'-- :; ~- PURSUAN'~TO I~HAPT~R:2~ , : : .. , ~m~ .E,~ POOL SPECI Fi'C.,~TION CONTRACTOR: ' h'o~z. ~:r' oc m- ~':,, ;' OWNER: OR -, UNLAWFUL OUT CERTIF!CAT. ..... :CUPANCY scH=-MATIC PIPING ~RRANGEMENT JOCKEY N B2'11'10" E 13.5 0 S 80.57,39, 49.7,3' pROPOSED NON-TURF BUFFER x~ SET c S 85'40'00" 7.72' WALL :~OPOSED TEMPORARY pROJECT-LIMITING FENCE & ROW OF STAKED HAYBALES F'O0~- F~.NGt~- Dt~t INA GE ROOF ARE 2,604 443 c~ PROVIB PROPOSEr ,~Bj 43, x sET SET 7o.o' ~ I~' ~ ~.5' - E~ASEMENT FL. ~ ~.5' y FRAME HoUS~ , ITN DORMERS 9,9' ~ GEL ~ J/ x2.~ FOUND pIPE N/O/F MATTHEW TAYLOR WERNE~ 18 ' scoTT TAYLOR JA~EERSEDiTH I~E~NER -- --22 30.94' N/o/~' LAN I. BAIN LiN. ADA MILLER BAIN