HomeMy WebLinkAbout36892-Z
Town of Southold Annex 4/8/2014
P.O. Box 1179
54375 Main Road
* Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36851 Date: 4/8/2014
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 470 Willis Creek Dr, Mattituck,
SCTM 473889 Sec/Block/Lot: 115.47-17.11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this otTiced dated
12/13/2011 pursuant to which Building Permit No. 36892 dated 12/27/2011
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:
in ground swimming pool with raised masonry patio addition, fenced to code, as applied for.
The certificate is issued to Young, Christopher & Young, Mairi
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36892 9/18/12
PLUMBERS CERTIFICATION DATED 12 ~10 1 01
Auyli ized Signature
TOWN OF SOUTHOLD
~4 BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
e 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 36892 Date: 12127/2011
Permission is hereby granted to:
Young, Christopher & Young, Maid
53 Hewlett Ln
Port Washington, NY 11050
To: construct an inground swimming pool with deck (surround) addition, fenced to code &
per Trustees permit as applied for
MAsa.J2y P~
At premises located at:
470 Willis Creek Dr, Mattituck
SCTM # 473889 _
Sec/Block/Lot # 115.-17-17.11
Pursuant to application dated 12/13/2011 and approved by the Building Inspector.
To expire on 6/27/2013.
Fees:
SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE $250.00
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $565.60
CO - SWIMMING POOL $50.00
Total: $865.60
Building Inspector
Form
TOWN OF F SOU SOUTHOLD.
BUILDING DEPARTMENT G D
TOWN HALL 0
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:
A. 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. 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 7110 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance-firom 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, IM) lion-conforming 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, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 $15.00
Date. Ili - Z~ - ( 1
New Construction: Old or Pre-existing Building: (check one) .
Location of Property: ? 4-10 W tl l.ts CQ SY_ bQ i-kwt l lK
House No. Street Hamlet
owner or Owners of Property: t LAV-6 '40l! U (r-
Suffolk County Tax Map No 1000, Section l l `J Block 11 Lot l'1. l
Subdivision `Uf AA-1. tt-gtp {{y-tU eS[. Filed Map. Lot: l l
Permit No. 36$ q a Date of Permit, l a - 1( Applicant:
Health. Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for. Temporary Certificate Final Certificate: V-'- (check one)
Fee Submitted: $
Applicant ignature
ho~~pF SO~TyOIo
Town Hall Annex Telephone (631) 765-1802
54375 Main Road Fax (631) 765-9502
P.O. Box 1179 G Q
Southold, NY 11971-0959 • ~O roger. richert(gD-town.southold.nY.us
~y00UNTi,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Chris Young
Address: 470 Willis Creek or City: Mattituck St: NY Zip: 11952
Building Permit 36892 Section: 115 Block: 17 Lot: 17.001
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Allegretta Elec License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat gas Ouplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixture Time Clacks 1
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: in ground swimming pool to include, bonding 2-pool lights, 1-salt generator
1- GFCI circuit breaker
Notes:
Inspector Signature:y Date: Sept 18 2012
81-Cert Electrical Compliance Form.xls
~~o~ soury~
~o
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS. &-A,,A- 14-1 0k -
DATE °2 INSPECTOR
C *®Y,Eo
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION I ST [ ] ROUGH PLOG.
( ] FOUNDATION 2ND [ ] IN TION
[ ] FRAMING/ STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARK S~~~ J,
Ole <
DATE 216 y INSPECTOR
6 P~Z *qt~l
TOWN OF SOUTHOLD BUILDING DEPT.
765.1602
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUG LBG.
i
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING/ STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE Y INSPECTOR
oar OF Stair
h
N
TOWN OF SOUTHOLD BUILDING DEPT.
Q 765.1802
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/ STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE / INSPECTOR' `
FnCLD N REPORT DATE COMMENTS
i" .
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-ZT
FOUNDATION (1ST)
FOUNDATION (2ND) D~
..C G
oROUGH FRAMING & i~
PLUMBING
Nat
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INSULATION PER N. Y.
STATE ENERGY CODE
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FINAL
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ADDITIONAL CO NTS o
3aO.~ cd CT =77- 8703 z
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following, before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
www. northfork.net/Southold/ PERMIT NO. ?j Y?Q Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 20 Contact:
Approved 120 Mail to:
Disapproved a/c
Phone:
Expiration, 20
~y~
wilding Inspector
LIGATION FOR BUILDING PERMIT
R DEC 1 3 UUU
Date \Z - l3 - 1l 201X_
BLDG- CEPT. INSTRUCTIONS
TWOtF ''T'OLD
TMs on a completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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 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.
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
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 inspection's.' Q
6 p i..P t W V ( nature of applicant r name, if a corporation)
U,.
GERTIs'LATt c. Ilox m33 ~ s~~al!~
I r3 AN O" (Mailing address of applicant) 1 ~q`iO
State whether applicant is owner, lessee, agent, architect, engineer, general contrAPc,r or builder
POO L COLIt'PJJaC Q-- DATE 1 B.P.
Name of owner of premises C-U12U5 `{OUt-1(i- FEE: I/ r&10 BY
(As on the tax roll or 1=11g2 g AM TO 4 PM FC rt T ,E
If applicant is a corporation, signature of duly ~r~ FOLLOWN3 INSPECTION;,
ENCLOSE 9001_ 10 CODE 1. FOUNDATION - .NO'2FD!'ii2k)
FOR PCGURE D .X:NC I r
(Name and title of corporate officer) l,#PON Ci-~~1f'LETION
$~FORE "WATT,, 2 ROLvti-
\ STR-4 -3".: ELECTF ;;F b .AuLK!'.
Builders License No..1&1q-"71: CsuFr-oUL COQ. Lt^l LA1t c- 3 INS'u.~ -9N
Plumbers License No. 1114 = - TR! IC1!C n E" TRti
Electricians License No. 'T : F'F PC,
ALL C:;NSTP' ' 1 = N S~ +F
Other Trade's License No. REM)rREMwrS _ W
YORK ;TATF ~',T FSo +1
1. Location of land on which proposed work will be done: DESIGN UP oNSykjCTIr rh,, n5
4-10 Nl1Ll15 e-MV DQ. t-~~arct-t%W-V-
House Number Street Hamlet
County Tax Map No. 1000 Section 1 L5 Block 1-j Lot 6 Z ,1
Subdivision U%WJboQ ~ilFy !C;V VA%*ttTMcY- Filed Map No. 93`t7i Lot 1
(Name) ELECTRICAL
INSPECTION REQUIRED
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction
a. Existing use and occupancy SJU&L 6^ ktL`t 4k5t9EUCE
b. Intended use and occupancy QgSIDE"'r%4-t- 5w ~%-'-k%LA (r PW L
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work.Buttes uf4sj 1b0 L
(Description)
4. Estimated Cost 406 000 . 0 d Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front - -Rear - Depth
Height Number of Stories -
Dimensions of same structure with alterations or additions: Front Rear
Depth Height - Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
1 ' t\
9. Size of lot: Front --L!50 Rear 6o Depth t=
00 ~3 11
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 %we_
13. Will lot be re-graded? YES_ NO-J., Will excess fill be removed from premises? YES_ NO X
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES t4 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 yL 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.
STATE OF NEW 4MA Rqq
S S:
COUNTY OF~Ik 3 T
1~RV ~J being duly swom, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)Heisthe cQy~~VD-Lor
(Contractor, Agent, Corporate Officer, efc.)
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 to before me thi
13 day of ~Wff'l kj4- 20If"
Notary Publ' Signa e o Applicant
THERESA H. ROLFE
NOTARY PUBLIC, Slate of New York
ft 01ROW74 Suffolk County
Term Expires 8(a6l
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD, NEW YORK
PERMIT NO. 7671 DATE: OCTOBER 19.2011
ISSUED TO: CHRISTOPHER & MAIRI YOUNG
PROPERTY ADDRESS: 470 WILLIS CREEK DRIVE. MATTITUCK
SCTM# 115-17-17.11
AUTHORIZATION
PursuaM to the provisions of Chapter 275 of the Town Code of the Town of Southold and in
accordance with the Resolution of the Board of Trustees adopted at the mating held on October 19.2011, anti
in consideration of application fee in the sum of $250.00 paid by Christopher & Maid Youna and subject to the
Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits
the following:
Wetland Permit to construct a 41x8' extension to the existing 4' wide fixed
catwalk with a 41x12' fixed "T" section at the terminal end thereof; construct a 161x32'
In-ground relied swimming pool, raised masonry patio, and an outdoor shower,
construct masonry retaining wails around the west and south sides of the pool to
contain the pool and approximately 55 cubic yards earthen material to be obtained
from pool excavation; install a drywell to contain pool backwash and a pool enclosure
fence; and establish an 8' wide non-turf butler and a variable width (+/-32' - +/-71%
approximately 11,699 square foot non-disturbance buffer; and a depicted on the site
plan prepared by En-Consultants, last dated October 19, 2011, and stamped approved
on October 19,2011; and also as depicted on (he survey prepared by Nathim Taft
Corwin III, last dated August 24, 2011, and stamped approved on October 19, 2011.
IN WITNESS W1EREOF, the said Board of Trustees hereby causes its Corporate Sal to be affixed,
and these presents to be subscribed by a mttjority of the said Board as of this date.
F4(,t
ZVF
Dave Bergen OE~,,Lbsejlt
j~ roll ~ t'/1tCxCh
j John M. Bredemeyer III, President ~OF Sol/
Michael J. Domino, Vice-President Town Hall Annex
James F. King, Trustee 54375 Main Road
#f # .O. Box 1179
Dave Bergen, Trustee P ~n Southold, New York 11971-0959
Charles J. Sanders, Trustee
O • Telephone (631) 765-1892
y~DUNT'1,~ sesQ•,BOARD OF TOWN TRUSTEES L7f
TOWN OF SOUTHOLD R ] 2014
CERTIFICATE OF COMPLIANCE
# 0961 C
Date: March 25
2014
THIS CERTIFIES that the construction of a 4'x8' extension to th' wide
fixed catwalk with a 4'x 12' fixed "1"' e existin 4 section at terminal end thereof construct a 16'x32'
in- swimming ool with d ell• raised maso
retaining walls around west and south sides of pool ool enclosure fencinr Sestabr. and
Isu1bs 699s uentl maintain an 8' wide non-turf buffer and a variable width +/-32 _ +/_71 a rox.
A Non-Disturbance buffer with a 2- ear survivabilit on the newt l trees and
underti,, anted
At 470 Willis Creek Drive Mattituck New York
Suffolk County Tax Map # 115115-17-17.11
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated August 3` 1 pursuant to which Trustees Wetland Permit #7671 Dated
October 2011 was issued and Amended on June 19 2013 and conforms to all of the
requirements and conditions of the applicable provisions of law. The project for which this
certificate is being issued is for the construction of a 4'x8' extension to the existin 4' wide
fixed catwalk with a 4'x 12' fixed "T" section at terminal end thereof construct p 16'x32' in-
ound raised swimmin ool with d ell• raised mason atio
retainin walls around west and south sides of an outdoor shower maso
ool
subs uentl of enclosure fencin establish and
Nmonaintain an 8' wide non-turf buffer and a variable width +1_71' approx.
I 1 699s .ft. -Disturb ance buffer with a 2- ear survivabon the newly Wanted trees and
understorv.
The certificate is issued to CHRISTOPHER & MAIRI YOUNG owner of the
aforesaid property.
Authorized Signature
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 14738-03486
PERMIT
Under the Environmental Conservation Law CL
Permittee and Facility Information
Permit Issued To: Facility:
CHRISTOPHER/MAIRI YOUNG YOUNG PROPERTY
53 HEWLETT LN 470 WILLIS CREEK DRISCTM# 1000-115-17-
17.11
PORT WASHINGTON, NY 11050 MATTITUCK, NY 11952
Facility Application Contact:
EN-CONSULTANTS INC
1319 NORTH SEA RD
SOUTHAMPTON, NY 11968
(631) 283-6360
Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Mattituck
Facility Principal Reference Point: NYTM-E: 709.83 NYTM-N: 4540.51
Latitude: 40°59'19.7" Longitude: 72°30'20.1
Project Location: 470 Willis Creek Drive - Watercourse - Dredged Creek
Authorized Activity: Install 4' x 8' extension with 4' x 12' fixed "T" at seaward end of existing catwalk,
install pool with deck, walkway, retaining walls, fencing and drywell. All work must be in accordance
with the attached plans stamped NYSDEC approved on I I/14/11. (CKW)
I Permit Authorizations
Tidal Wetlands - Under Article 25
Permit ID 1-4738-03486/00002
New Permit Effective Date: 11/15/2011 Expiration Date: 11/15/2016
1 NYSDEC Approval
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: MARK CARRARA, Deputy Regional Permit Administrator
Address: NYSDEC REGION 1 HEADQUARTERS
SUNY @ STONY BROOK150 CIRCLE RD
STONY BROOK, NY 11790 -3409
Authorized Signature: Date IL/_~6 /,c f
Page 1 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 14738-03486
Distribution List
EN-CONSULTANTS INC
Habitat - TW
CLAIRE K WERNER
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. 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.
2. State Not Liable for Damage The State of New York shall in no case be liable for any damage or
injury to the stricture 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. 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.
Page 2 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 90
Facility DEC ID 1-4738-03486
4. 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 EnConsultants, Inc. (dock plan) last revised 10/19/11; upland
work plan prepared by Nathan Taft Corwin, last revised 8/24/11. .
5. 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.
6. Notice of Commencement 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.
7. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from
construction of this project shall be completely removed from the adjacent area (upland) and removed to
an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas.
S. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal
wetlands or protected buffer areas as a result of the permitted activities.
9. Storage of Equipment, Materials The storage of construction equipment and materials shall be
confined within the project work area and/or upland areas greater than 75 linear feet from the tidal
wetland boundary.
10. Dock, Catwalk Size Dock or catwalk shall not exceed 4 feet in width and shall be a minimum of
two feet above grade (as measured from ground to bottom of dock/catwalk decking) over tidal wetland
areas.
11. Catwalk Decking The decking of the section of the catwalk that extends over vegetated tidal
wetlands shall be constructed with NYSDEC-approved fiberglass grating to reduce shading impacts on
the marsh.
12. No Floats This permit does not authorize the installation of floats.
13. No Prop Dredging Prop dredging, or the act of utilizing and/or directing the propeller or
propulsion system of a motorized vessel and/or the water-borne forces created by said propeller or
propulsion system, to excavate or displace existing bottom sediment and benthic habitat for the direct or
indirect purpose of establishing or increasing water depth, is a regulated activity and is not authorized by
this permit. Prop dredging is strictly prohibited without further written authorization (permit,
modification or amendment) from the department.
14. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or
underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest
that the Department will issue a permit for such activities in the future.
Page 3 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 14738-03486
is. No Permanent Structures on Dock No permanent structures shall be installed on
dock/catwalk/float without first obtaining written Department approval (permit, modification, or
amendment).
16. Docks at Property Lines Docks/catwalks/floats must not:
a. extend laterafly beyond property lines,
b. be placed so that docked boats extend laterally over adjacent property line,
c. interfere with navigation, or
d. interfere with other landowners riparian rights.
17. No Drywells in or near Wetland Dry wells for pool filter backwash shall be located a minimum
of 75 linear feet landward of the tidal wetland boundary.
18. No Pool Discharges to Wetland There shall be no draining of swimming pool water directly or
indirectly into wetlands or protected buffer areas.
19. Straw Bales or Other at Tidal Wetland A row of staked straw bales or approvable erosion
control devices shall be placed as per the NYSDEC approved plan, prior to commencement of any
regulated activities and remain in place and in good, functional condition until the project is completed
and all disturbed areas are stabilized with vegetation.
20. Establish Vegetated Buffer To protect the values of the tidal wetlands, a permanent vegetated
buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography
within the buffer zone as shown on the approved plan.
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.
Page 4 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC D) 1473"3486
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 BROOK150 CIRCLE RD
STONY BROOK, NY11790 -3409
4. Submission of Renewal Application 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;
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.
Page 5 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-03486
1 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 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 6 of 6
' New York State Department of Environmental Conservation
Building 40-SONY, Stony Brook, New York 11790-2356
(516) 751-1389
Thomas C. J
SEP 1 3 ice, Commission
~Va
Warner L. Adel, Jr. t
` 12 Fox Meadow Lane
t
Huntington. N.Y. 11743
RE. Application E11-4738-00279100001-0 Owner: Werner Adel
Property - Lot All "Harborview at Mattituck" Subdivision
E Dear Mr. Adel-.
a
A review has been made of your proposal to construct a single family
} dwelling, septic system and driveway at the above referenced location,
SCTM 1•,1000-17-17-17.11, as per the survey by Howard W. Young dated
'j 2/12/91 and last revised on 5/6/91.
.E .
Based on the information you have submitted, the New York State
r Department of Environmental Conservation has determined that the project
is landward of the 10' above mean sea level elevation contour on a gradual,
natural slope.
Therefore, no permit is required under the Tidal Wetlands Act (Article 25
of the Environmental Conse
'l t,Wd{tion law). Please be• advised, however, that no
{ construction, sedimentation or disturbance of any kind may take place seaward
I of the 10' contour or topographic crest without a permit. It is your
J responsibility to ensure that all necessary precautions are taken to prevent
any sedimentation or other alteration or disturbance to the ground surface
or vegetation in this area as a result of your project. Such precautions
{ may include providing adequate work area between the 10' contour or
topographic crest and the project (i.e. a 15' to 20' wide construction area)
or erection of a temporary fence, barrier, or hay bale berm.
The New York State Department of Environmental Conservation has also
determined that the project is more than 100 feet from regulated Freshwater
Wetlands. Therefore, no permit is required under the Freshwater Wetlands
Act (Article 24 of the Environmental Conservation Law).
Please not4 that any additional work, or modification to the project as
described, may require authorization by this Department. Please contact this
office if such are contemplated.
Please be further advised that this letter does not relieve you of the
responsibility of obtaining any necessary permits or approvals. from other agencies
i '
Very truly yours,
David DeRidder
Deputy Regional Permit Administrator
DDR/LJS/rw
STATE OF NEW YORK
DEPARTMENT OF STATE
ONE COMMERCE PLAZA
ANDREW M. CUOMO 99 WASHINGTON AVENUE CESAR A. PERALES
GOVERNOR ALBANY, NY 12231-0001 Sea+suavOFSTAM
November 08, 2011
Mr. Robert E. Herrmann
En-Consultants, Inc.
1319 North Sea Road
Southampton, New York 11968
RE: F-2011-0740
U.S. Army Corps of Engineers/New York District Permit
Application Christopher & Maid Young
Construct a 4'x 18' extension to an existing, permitted 4' wide
fixed catwalk with a 4' x 12' "T" section at the terminal end.
Deep Hole Creek, 470 Willis Creek Drive, Town of Southold,
Suffolk County
General Concurrence - Modification to
Previously Reviewed Activity
Dear Mr. Herrmann:
The Department of State received your proposed modification of the above-referenced activity on
October 19, 2011. The Department previously reviewed the original proposal and concurred
with a consistency certification for it, or otherwise indicated it had no objection to authorization of the
proposed activity.
The proposed modification involves The overall seaward extension of the catwalk has been reduced by 6 feet
(18 feet to 12 feet) from a proposed 4' x 14' extension with an additional terminal 4' x 12' fixed' ' to a 4' x 8'
extension with an additional terminal fixed
The Department of State has determined that this modification of the activity previously reviewed by
this Department would not result in coastal zone effects that would be substantially different than those
originally reviewed by the Department, and that the modified proposal meets the Department's general
consistency concurrence criteria. Therefore, further Department of State review of this modification to
the previously reviewed activity, and the Department's concurrence with an individual consistency
certification for the proposed activity, are not required.
This General Concurrence is without prejudice to and does not obviate the need to obtain all other
applicable licenses, permits, or other forms of authorization or approval that may be required pursuant to
existing State statutes.
WWW.DOSSTATE.NY.US E-wL: INFOODOSATATE.NY.US
When communicating with us regarding this matter, please contact Jeffrey Zappieri at (518) 474-6000 (e-mail:
JZanoier("os.state.ny.usl and refer to our file #F-2011-0740.
Sincerely,
Jeffrey Zappieri
Supervisor, Consistency Review Unit
Division of Coastal Resources
JZ/dc
cc: COE/ New York District - Stacey Jensen
NYSDEC/Region 1- Roger Evans
WWW.DOS.STATE.NY.US EMAIL; INFO®DOS.STATE.NY.US
I
•D, Town of Southold
Erosion, Sedimentation S Storm-Water Run-off ASSESSMENT FORM
lb
is"q RtaPIUM ~LOrC~AMOW e.C.TxA THE FOLWMINO ACTIONS MAY REQUIRE THE sUIINB>pON OF A
tow \7.1, W N AOE
5661 on ~edi Tor- CERTiFIW BY A OM ON 10 E BTATE OF NEW ft-W
SCOFE OF WORK - PROPOSED CONSTRUCTION UM # / WORK ASSESSMENT Yes No
i
a WMI te the Total Area of the Project Paroek? t WE this Project Retain AN Storm Water Run-Off
(Include Toil Area dell Parcels located wdon Generated by a Two (2') Inch Rainfall on Site?
the Scope of Work for Proposed Coeahvetlon) ( ) (This ram will Include all run-off created by site
b. What Is the Trial Area of lend Clearing cleating andfor construction activities as wed as all
andlor Ground Disturbance for the proposed Site Improvements and the permanent creation of
construction actv*/? (AP.rAar) impervious surfaces.)
j
Plan
Drainage the S Wcl Stru tunetrreandfor Sunray Show AN Pry yll~
PROVIDE BRIEF PROJECT DESCRIPCION VeoNreetlar Pow rderrq Z Does
a Indicating Sire & Location? This
Item shed include all Proposed Grade Changes and
~W l~ ~S 1 DfxA T~T1 L Swl. k QC1~ Slopes C«nnodmg Surface Water Flow.
3 Does ft Site Plan andror Survey dexslbe the @melon ?
and sediment cannot practices that wig be used lo
control aft erosion and aornf water discharges. This
Mom must be maintained throughout the Entire I.
Construction Period.
i
4 WE this Project Require any Land Filing, Grading or l
Excavation where there is a charge to the Neural
Ed-ting Grade Involving more than 200 Cubic Yards
of Material wain any Percen, o
5 WE this Application Require Lad Disturbing AcdAm
Encompassing an Area In Excess d Five Thousand ? ?
(5,000 S.F.) Square Feet of Ground Surface?
6 Is than a Natural Water Course Running thmugh tiro - j
Ste? Is this Prmjed wkhh the Tmstees jutfadipbn
general OPC SWIPPIRMWIMalift orwit in One Hundred (100') feet of a Wetland or
~L
submission or a SWPPP is required for all Co-ememn *Won lrwoWv soil Beach? '
ditrrb s done tit) or more awn: inckmdrg dduMnas ales seen one acre that 7 WE time be Site preparation on Et 1 -1 gGreds Slopes
adWiry Cm Miner - pia Sdwe unine" daub one or more, awen dWat which Exceed Fifteen (16) feat d Vertical Rise to
do DEC leedeunhbudawt a9 OF~rinagat d Is mgetred brslre poked rM then Awa
One Hundred (100') of Horizontal Distance?
pm %alw water deeherpee.
( SMN'PPw Seat err er tirtaadadr Requ§wrrles dthe BPDESONWM Per 8 WE Driveways, Parking Areas or other hnpie tro
Nalam VIA= Deeearteneom Cwnbut0macdit-wmettra OPOAaiM.) Sufacas be Sloped to Direct Storm--Weir fAm-Off
V
1. The SWPPP WW be Wepered Prior to maaubmtlul or the N01. The Nor std be Into andlor In the direction of a Town rghl-df-wW
Noltllaed to me Deprbad prlor to the mrmhenpment amrrnxtlon sdWy.
2 The nWPPP shall describe the erosion and Ir9nrht osnhol practlme and whom 9 Will this Project Require the Pteosnent of Material, /r
required. pod o rudon storm Weer mMrpMwd Practices mawdl be used rrdrr Removal d Vegetation andlor ft Construction of any ,
o dnhckd to red" the pdhands in atom waterdlecharpee and to asane Item Within the Town Y
oarnpllsndoedeehm. tena wdc=Ntl ambpwmthreddlaRma SWPPPahdl PtDhtof-wayW Road Sfndder -
Mw ft pokntlal sohnxs of Polldon whim me, renewably be erg to cocoa me Areal m,h. kr wr arordnaw. tlw MkYlw,dbdwwyaprarJ
qualiWal maastordemrps. WM- ahoy MaaertaGwaem one duough Nine Is kwoond WwAChook Mark
a. All SWPPPs do require anp on sorrauWler rmageromprecew keten and me wrdqudon eik Benebanm bbddwarr S.NO tl.al Aarekrµ
Cw Wp rA*Mboprepomdbya(ualMWDeMyn Pmteealad LxemsdinNarYrk SSbm.Wner,gamff DWnatesfimerm CenaWPimkequkedb,MeTa of
that kbawkdpenbkmtr prMdpks and pnedlcesaStorm Water Menapemerd, OXSoulhold OW Alustbe submitted for Anew Prior to la~ olAny Sellers PenelL
M: ACIard Mek(.n aenbr Ann fbrenmouewmisle l 1X*adarieIee Amaararn) i
STATE OF NEW YORK, 0
COUNPY OF .
That l,.~:hf\.....~ d ~ I
Itwmme aadvf0uel Y' fin. Avg _ emg my swom, deposes and says that be.,/she is the applrant for Permit,
And that he/she is the 0 h~ ~o C TU
IDmarr, .Apws. Codpcrere0ser, oetoj
Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed die 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 win be performed in the manner set forth in the application filed h 'di.
Swore to before me this;
13 f~ ark tiiL
day of C . 201.. I.
Notary Public:..
THERESA H. ROIN iAppB~q)
FORM ' 06110 ENARYMM"
No, 01805060715, Suffolk Covift
Term Edght+ 9b, 0 b y
~ I
SWS M Amex * TckPhw (631) 965-1804 Rmd P.O. Bw or 117
54375 1179 fOOBr
cg .601 W f1V U6
1
SowhoW, NY 11971-0959
~~RI~Ih
i
BUUMING DEPARThEM
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY.
Date: 01-14 r 12
Company Name: t-l.lsCs"IN-,h ( ,6Lv kc.Aj_ P ,
Name: Uk~GciNT A ~.t,~Crn cf
License No.: 3Sf`l l me-
Address: ISaA ~T rnorV- CmPia,J g~CS N`1 CISK(P
Phone No.:. C6 _71-3 - 36 3 0
JOBSITE INFORMATION: ('Indicates required information)
*Name: Gke-k S t{ V06-
*Address: (~\l l l5 Cp L'l{1L 1y~P CCtT1UC-
*cross Street: (vl~q pdv l &gp~,y~
*Phone No.:
i
Permit No.: 3 to °l2
Tax Map District: 1000 Section: 11 Block: 17 Lot 12. 00 I
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) WtC4 Nlr $inllwlmrw!(r (~ddL
i
(Please Circle All That Apply)
*Is job ready for inspection: 5~1 NO Rough In Final E
*Do you need a Temp Certificate: YES
Temp Information (If needed) I .
*Service Size: 1 Phase 3Phase 100 150 200 300 350 .400 Offer
*NOW Service: Re-c"ect Underground Number of Meters Change of SerAw Overhead
Additional Information: '"ON
1
8241egrresi for Inspedbn Form
BLDG. DFPT. r -
TOWN OF SOUTHOLD
ho~~pF SO~jyolo
Town Hall Annex yy Telephone (631) 765-1802
54375 Main Road 411 T Fax (631) 765-9502
P.O. Box 1179
cl~
Southold, NY 11971-0959 %
OOUNN,Nc~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
September 11, 2012
Christopher Young (11
53 Hewlett Lane v
Port Washington, NY 110506
Re: 470 Willis Creek Dr., Mattituck fy
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
A fee of $50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 411/84) -
Trustees Certificate of Compliance. (Town Trustees # 765-1892)
Final Planning Board Approval. (Planning # 765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 36892 - In-Ground Swimming Pool
ho~~pf SOUlyolo
Town Hall Annex Telephone (631) 765-1802
54375 Main Road Fax (631) 765-9502
P.O. Box 1179
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
September 21, 2012
Christopher Young
53 Hewlett Lane
Port Washington, NY 11050
Re: 470 Willis Creek Dr, Mattituck
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
A fee of $50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 411/84)
Trustees Certificate of Compliance. (Town Trustees # 765-1892)
Final Planning Board Approval. (Planning # 765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 36892 - Swimming Pool
1319 North Sea Road
, New York 11968
631-283-6360
A-CONSULTANTS Southarnpton
ts.oorn
ENwww.Fax:enooaultt+ nvulter.oom
ENVIRONMENTAL CONSULTING
December 2, 2011
Leo Strogach
Department of the Army
New York District, Corps of Engineers
26 Federal Plaza, Room 1937
New York, NY 10278-0090
Re: Cl rlstanher and Maul Youna. NAN-2011-01099-EST
Dear Mr. Strogach:
In response to your letter dated October 17, 2011, please find attached (2) copies of a project plan doted October 19, 2011, which
has been revised to depict the 11' distance from MLW to the seaward end of the proposed structure and also the distance from
MLW to MLW along the opposite shoreline, which ranges from 58' to 66' in the area of the proposed dock. I have also added an
enlarged plan view on Sheet 2 of 2 to depict these dimensions at a larger and more legible scale.
Also enclosed are copies of approvals issued by the New York State Department of Environmental Conservation and New York
State Department of State Coastal Resources Division.
Should you require anything further, please let me know.
Y Yom'
Ro E. Herrmann
Coastal Management Specialist
Enclosures
I'romaiame tgan ramu:Cagalla Mssoc rage < °T Z LROM: Iw[ ucu I I t[: IJ rind rage., OI L
OP ID: EE
CERTIFICATE OF LIABILITY INSURANCE 1 °"'0121111
t Dnu1 t
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER 631.864-1111 NCONTACT
AME:
Be iatta Associates, Inc.
823 W Jericho Turnpike Ste 1A 631-864-8274 PICNo E : AR; No:
Smithtown, NY 11787 AEAIAAIL
DOREes:
Bagalta Associates, Inc. MATRI-1
CUSTOMER 10/:
INSURER(S) AFFORDING COVERAGE NAIL I
INSURED Matrix Development Corp INSURERA: Worcester Insurance Company 26182
P.O. Box 1033 INSURERS: Tower Group Companies 44300
Hampton Bays, NY 11946 INSURER C.
INSURER D :
INSURER E
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE POUCY NUMBER LIMITS
GENERAL LIABILITY
EACH OCCURRENCE f 1,000,00
A X COMMERCIAL GENERAL LIABILITY MPA00000065795H 02/01/11 02101/12 PREMISES Eeoccunence f 100,000
CLAIMS-MADE OCCUR MED EXP(Any one person) f 5,00
X Contractual Liab PERSONAL d AOV INJURY f 1,000,0
GENERAL AGGREGATE f 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS- COMP/OP AGG f 2,000100
POLICY 71 P"0. LOC f
.IFCT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO (Ed ecodent s 1,00010
BODILY INJURY (Per person) f
ALL OWNED AUTOS BODILY INJURY (Per ecddent) f
Ix SCHEDULED AUTOS PROPERTY DAMAGE
HIRED AUTOS (Per accident f
NON-OWNED AMOS f
B BUSINESS AUTO AC700397700 02101111 02/01112 s
UMBRELLA LPB OCCUR EACH OCCURRENCE f
EXCESS LIAB CLAIMS"AOE AGGREGATE f
DEDUCTIBLE f
RETENTION 8 S
WORKERS COMPENSATION WCSTATU- OTH-
AFD EMPLOYERS' LIABILITY Y t N TORY LIMITS
ANY PROPRIETORFARTNEREXECUTIVE E.L. EACH ACCIDENT f
OFFICERIMEMBER EXCLUDED? F7 N1A
(Mandatory In NH) E.L. DISEASE-EA EMPLOYEE 4
If Yes, describe under
DESCRIPTION OF OPERATIONS oelm E.L. DISEASE - POLICY LIMB f
DESCRIPTION OF OPERATIONS I LOCATIONS I VEMCLES (Adman ACORD 101, Additional Remark, Schedule, K mom apace is mgWdd)
Proof of coverage
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
The Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS.
Building Department
Town Hall AUTHORIZED REPRESENTATNE
Southold, NY 11971
0 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
New York State Insurance Fund
Workers' Compensadon & Disability Benefits Specialists Since 1914
199 CHURCH STREET, NEW YORK, N.Y. 10007-1100
Phom: (888) 997-3863
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
AAAAAA 112399668
MATRIX DEVELOPMENT CORP
11 WOODED LANE
P 0 BOX 1033
HAMPTON BAYS NY 11946
POLICYHOLDER CERTIFICATE HOLDER
MATRIX DEVELOPMENT CORP TOWN OF SOUTHOLD
11 WOODED LANE BUILDING DEPARTMENT
P 0 BOX 1033 TOWN HALL
HAMPTON BAYS NY 11946 SOUTHOLD NY 11971
POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE
Z 639 161-9 751589 02/28/2011 TO 02/28/2012 10/2112011
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 639161-9 UNTIL 02/28/2012, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER
FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 02/28/2012 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE,
10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE.
NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW
YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
JANET BONAWANDT.SECRETARY[TREASURER
OF MATRIX DEVELOPMENT CORP
1 OF 2
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
NEW YORK STATE INSURANCE FUND
DIRECTOR, INSURANCE FUND UNDERWRITING
This certificate can be validated on our web site at https://www.nysif.com/Gert/certval.asp or by calling (888) 875-5790
VALIDATION NUMBER: 1002734706
U-26.3
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j - CHRIS YOUNG
D#3 STEEL REINFORCED
d_' 470 WILLIS CREEK DR. j
DEPTH < 5'-0" > 5'4" 11.0 077-513 MATTITUCK, NEW YORK
SECTION B-B HORIZONTAL 10" O.C. 10" O.C. p P
(NTS) VERTICAL 10" O.C. 5" O.C. POOL TY GLE SCALE: NTS
12" O.C. em. OR 12" O.C. em. OR JA ES ERKOSKI, P.E.
FLOOR MESH EQUIVALENT MESH EQUIVALENT 60 DEER DRIVE DATE: 12/9/2011
MATTITUK, NEW YORK 11952 DRAWING NUMBER
1 OF 2
NOTES:
1. NO SPOIL SURCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION AT THE SHALLOW END, OR 6 FEET OF EXCAVATION AT THE DEEP END.
2. THIS POOL MEETS THE REQUIREMENTS OF ANSUNS PI-5 "AMERICAN NATIONAL STANDARDS FOR RESIDENTIAL INGROUND SWIMMING POOLS" AND 1996 BOCA CODE- SECTION 421. DIVING EQUIPMENT IS NOT ALLOWED.
3. THE PNEUMATICALLY APPLIED CONCRETE (GUNITE) SHALL BE 1:4 MIX WITH A MAXIMUM OF 3-1/2 GALLONS OF WATER PER ONE SACK OF CEMENT.
4. THE REINFORCING STEEL SHALL BE INTERMEDIATE GRADE STEEL WITH MINIMUM LAP OF 30 BAR DIAMETERS.
5. SWIMMING POOL AND POOL EQUIPMENT SHALL BE COMPLETELY SURROUNDED BY AN ENCLOSURE THAT COMPLIES WITH THE CODE OF THE TOWN OF SOUTHOLD SECTIONS OF THE ENCLOSURE THAT ARE COMPRISED OF A FENCE SHALL BE GREATER THAN 5' OR LESS
THAN 6' IN HEIGHT AND BE NONCLIMBABLE. ALL GATES IN THE FENCE SHALL BE SELF CLOSING AND SELF LATCHING AND BE SECURED WITH A LOCK OPENABLE FROM THE OUTSIDE ONLY. FINISHED SIDE OF FENCES SHALL BE LOCATED ONTHE OUTSIDE OF THE REQUIRED
FENCE. THE RESULTING CONSTRUCTION SHALL COMPLY WITH CLAUSES 3109.4.1 THROUGH 3109.4.3 OF THE NEW YORK STATE BUILDING CODE CHAPTER 31 AND THE NEW YORK STATE RESIDENTIAL CODE APPENDIX G.
6. DURING CONSTRUCTION THE CONTRACTOR SHALL ERECT A TEMPORARY BARRIER AROUND THE EXCAVATION IAW CODE OF THE TOWN OF SOUTHOLD.
7. POOL MUST BE EQUIPED WITH AN APPROVED POOL ALARM CAPABLE OF DETECTING A CHILD ENTERING THE WATER AND SOUNDING AN AUDIBLE ALARM WHEN DETECTED THAT IS AUDIBLE AT THE POOLSIDE AND AT ANOTHER LOCATION ON THE PREMISES WHERE THE
POOL IN LOCATED. THE ALARM MUST BE INSTALLED, MAINTAINED AND USED IN ACCORDANCE WITH TEH MAUFACTURERS INSTRUCTIONS. THE ALARM MUST MEET ASTM F2208 "STANDARD SPECIFICATION FOR POOL ALARMS'. THE DEVICE MUST OPERATE INDEPENDENT
(NOT ATTACHED TO OR DEOENDENT ON) OF PERSONS.
8. POOL SUCTION FITTINGS (EXCEPT FOR SURFACE SKIIMERS) MUST BE PROVIDED WITH A COVER THAT CONFORMS TO ASMEIANSI Al 12.19.8M OR A MINIMUM 12712' DRAIN GRATE OR A CHANNEL DRAIN SYSTEM. SUCH VACUUM RELIEF SYSTEMS SHALL CONFORM WITH ASME
Al 12.19.17 OR BE A GRAVITY SYSTEM APPROVED BY TEH TOWN OF SOUTHOLD. POOL SALL BE PROVIDED WITH A MINIMUM OF 2 SUCTION FITTINGS OF THE ABOVE MENTIONED TYPE, THE SUCTION FITTINGS SHALL BE SEPARATED BY A MINIMUM OF 3' AND MUST BE PIPED
SUCH THAT WATER IS DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A VACUUM RELIEF-PROTECTED LINE TO THE PUMP (OR PUMPS). VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN ACCESSIBLE POSITION, MINIMUM OF 6' AND NO GREATER THAN 12' BELOW
THE MINIMUM OPERATIONAL WATER LEVEL OR BE AN ATTACHMENT TO THE SKIMMER/SKIMMERS.
9. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70 (NEC), PRINCIPALLY ARTICLE 680 AND THE NYS RESIDENTIAL CODE SECTION 4102 THROUGH 4106. ALL ELECTRICAL DEVICES MUST BE APPROVED BY UNDERWRITERS LABORATORIES AND BE
PROTECTED BY A GOUND FAULT CURRENT INTERRUPER (GFCI). CURRENT CARRYING ELECTRICAL CONDUCTORS EXCEPT FOR THOSE PROVIDING POWER TO POOL LIGHTING AND POOL EQUIPMENT SHALL MEET THE SEPARATION REQUIREMENTS OF TABLE E4103.5. ALL
METAL ENCLOSURES, FENCES OR RAILINGS NEAR OR ADJACENT TO THE SWIMMING POOL THAT MAY BECOME ELECTRICALLY CHARGED DUE TO CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELY GROUNDED.
10. WATER SOURCE FILLING THE POOL SHALL BE EQUIPPPED WITH A BACKFLOW PROTECTION DEVICE IAW NYS PLUMBING CODE 608.
11. ALL PIPING IS DIAGRAMMATIC UNLESS OTHERWISE STATED.
12. WALKS, IF PROVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM THE POOL EDGE.
13. A MEANS OF EGRESS FROM DEEP AND SHALLOW ENDS MUST BE PROVIDED IAW ANSI/NSPI-5 SECTION 6.
14. CONTRACTOR TO PLACE THE POOL IAW TOWN OF SOUTHOLD CODE SETBACKS.
15. ALL DRAINAGE FROM THE POOL SHALL BE MAINTAINED ON THE SUBJECT PROPERTY.
16. POOL AREA 512 SFT, PERIMETER 96 FT, VOLUME 18,240 GALLONS.
17. THE DESIGN IS BASED ON A DRAINAGE SOIL WITH <10/ SILT. GROUNDWATER SHALL NOT EXIST WITHIN THE EXCAVATION. IF GROUNDWATER EXISTS WITHIN 6'0" FROM GRADE, DEWATERING FACILITIES WILL BE REQUIRED.
18. ALL GAS AND OIL WATER HEATERS (IF INSTALLED) FOR THE IN-GROUND SWIMMING POOL SHALL BE NATIONAL APPLIANCE ENERGY CONSERVATION ACT (NAECA) COMPLIANT. POOL HEATERS SHALL BE TESTED IAW ANSI Z2156 AND SHALL BE INSTALLED IAW
MANUFACTURERS SPECIFICATIONS. OIL FIRED POOL HEATERS SHALL BE TESTED IAW UL726. POOL HEATERS SHALL BE LOCATED OR GUARDED TO PROTECT AGAINST ACCIDENTAL CONTACT OF HOT SURFACES BY PERSONS. POOL HEATERS SHALL BE PROVIDED WITH
TEMPERATURE AND PRESSURE-RELIEF VALVES. FOR HEATERS NOT PROVIDED WITH THE FOLLOWING ENERGY CONSERVATION MEASURES:
18.1 ALL POOL HEATERS SHALL BE EQUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR EASY ACCESS TO ALLOW SHUTTING OFF THE OPERATION OF THE HEATER WITHOUT ADJUSTING THE THERMOSTAT SETTING AND TO ALLOW RESTARTING WITHOUT RELIGHTING THE PILOT
LIGHT.
18.2 TIME CLOCKS SHALL BE INSTALLED SO THE PUMP CAN BE SET TO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERIODS, AND CAN BE TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOL WATER IN A CLEAN AND SANITORY CONDITION IAW APPLCIABLE
SANITORY CODE OF NEW YORK STATE. `
19. THIS DRAWING IS FOR STRUCTURAL SHELL ONLY. ALL ACCESSORIES AND APPURTENANCES ARE DEFINED BY OTHERS. OF NEW 1-
20. THE POOL WAS DESIGNED IAW THE FOLLOWING: c~ ) DQ oO
P J'
20.1 THE BUILDING CODE OF NEW YORK STATE (2007) ~
20.2 THE ENERGY CONSERVATION CONSTRUCTION CODE OF NEW YORK STATE (2007) m w CHRIS YOUNG
W
20.3 THE FUEL GAS CODE OF NEW YORK STATE (2007)
R.
% ° i3ti 470 20.4 THE RESIDENTIAL CODE OF NEW YORK STATE (2007) O Sa0 M ATTITUCKWILLIS, NEWCREEKYO ORK
20.5 THE NEW YORK STATE SANITORY CODE.
20.6 ANSVNS PI-5 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS. POOL TYPE: RECTANGLE SCALE: NTS
20.7 BOCA CODE SECTION 421.
JAMES DEERKOSKI, P.E. DATE: 121912011
20.8 CODE OF THE TOWN OF SOUTHOLD. 260 DEER DRIVE
MATTITUK, NEW YORK 11952 DRAWING NUMBER
2 OF 2
sl SURVEY OF
LOT 11
MAP OF
10.1
HARBOR VI :BOR VIEW AT MATTITUCK
FILE No. 83. FILE No. 8377 FILED AUGUST 21, 1987
R=40 00' SITUATE
L-59.78 M MATTITUCK
TOWN TOWN OF SOUTHOLD
ti SUFFOLK I )UFFOLK COUNTY, NEW YORK
ti S.C. TAX Nc . C. TAX No. 1000-115-17-17.11
SCALE I"=30'
Al AUGUST 29, 2010
r. NOVEMBER 11, 2( IVEMBER 11, 2010 ADDED TOPOGRAPHICAL SURVEY
u DECEMBER 1, 2 Dock o JUNE 3, 21 DECEMBER 1, 2010 ADDED SOUNDINGS BY DOCK JUNE 3, 2011 ADDED PROPOSED POOL
AUGUST 24, 2 AUGUST 24, 2011 REVISED PROPOSED POOL
TOTAL ARE (TO TIE LIN TOTAL AREA = 44,453 sq. ft. (TO TIE LINE) 1.021 ac.
z„ UPLAND ARE UPLAND AREA = 40,930 sq. ft.
WETLANDS AR o_ (TO TIE LIN JETLANDS AREA = 3,523 sq. ft.
(TO TIE LINE)
f A A O A
0 m NN
! o LOT
I m 219.37' m mi o<<om
! ! ca c ON !n
DOCK ' EXISTING L 'XISTING LOT COVERAGE OVER
I ° TOWN OF SOUTF 1 00'00" wE OF SOUTHOLD BUILDABLE LAND
(BUILDABLE LAND= ABLE LAND= UPLAND AREA NOT INCLUDING
12' DRAI v IG ! ! -r PROPOSED 8' WIDFI ly - N L ILL o-u u Im 12' DRAINAGE EASEMENT)
' N N T RF BUFFER ~I p (BUILDABLE (BUILDABLE LAND= 38,353 sq. ft.)
\ lDy z!! I 111 F1~ 11 m r~~ DESCRIPTION IPTION AREA % LOT COVERAGE
Lam' Q / 507 - EXIST. HOUSE AND usE AND
- v I' ROOFED PORCH. m O tS ~~nrn h! ryp y e z~ ` sK.e' P! ORCH, 2,846 sq. ft. 7.4%
b Fes-{ J ' op. \ a cC'o/•m -
ti PV o ~z f OD, , s PROPOSED 1 ROPOSED LOT COVERAGE OVER
TOWN OF SOUTI OF SOUTHOLD BUILDABLE LAND
V~ N, L `~A (BUILDABLE LAND= ABLE LAND= UPLAND AREA NOT INCLUDING
zJ Ii FinGal ' 12' DRAI "'3 J4 F 'z/ fe lu H~~1I 12' DRAINAGE EASEMENT)
T- ?ti (BUILDABLE (BUILDABLE LAND= 38,353 sq. ft.)
IPTION AREA % LOT COVERAGE
b 1u ! lDDa (z7 a/c ze a' '">1A 11 I` r ~1i, j ` urvrzs~ as mo LOT DESCRIPTION 31
t+] 192 ! rsLwq PROP o USE AND
ao EXIST. HOUSE AND Zyl sl'~ 'FrvrAaucE I A ROOFED PORCH, FU Sgia• J ORCH 2,846 sq. ff. 7.4% ,
i x ~y I I ••vo* 16 / I ~ PROP. POOL )L 512 sq. ft. 1.3%
N ~1 ruq i I~ °;I za o' ~ A we ~ISEO TIO 1,033 sq. ft. 2.7%
O P uG O~ :cPgorv I z PROP. RAISED cN% I F o ~u o.pd0 r 1 V POOL PATIO TIO
tp r~111! '1°~- P~a 11 I,: PROP. OUTSIDE SHOWEF TSIDE SHOWER 28 sq. ft. 0.1%
TOTAL PROPOSED )POSED 4,419 sq. ft. 11.5Y.
~F~ ~d 1 r~ of m PR RAISED. F L y. 1 f I?9///~ 1// GD'-MA YPAI / ielf I V`
m 09' % y O m r I ~y Illi. IP// r O6, m. 15n m p. v.` 1 J
?Y o ~~M~ F F 0. CD
~ KIN G. 'I Z/ \ mq Q ` .i E%ISTRINOCI(BECL .F S PROPOSED LOT USED LOT COVERAGE OF NYSDEC
PaaP Po3C` ADJACENT AREA B DDC DOCH m 1 7 BAGKW5H A; 1• JT AREA BY IMPERVIOUS SURFACE
xN c ! @$ vRrwSU- _ n EWST. n Pnncr (AREA BETWEEN WETLANDS AN `v`I DBNFwpv J WETLANDS AND 1994 10' CONTOUR LINE 15,192 sq.ft.)
EZ'I FSPHaLr' Amm 1 DESCRIPTION IPTION AREA % LOT COVERAGE
1 a~, 11 N 11/ iS^ r r z r ! 4p3 .1 VFW
1 N 9~ /0'vHtia al!~ R~ Iz PORTION OF PROPOSED )F PROPOSED 484 sq. ft. 1.9%
1 g, OGV" Q' INGROUND POOL POOL
'P 1 /a w _ '1i r W, ' PORTION OF PROPOSED )F PROPOSED 485 sq. ft. 3.2%
MASONRY PATIO PATIO
)POSED 769 sq. ft. 5.1%
_ .DS oggk 'icIn Aa ~~~F k. TOTAL PROPOSED
PLAN
~ 56i ~ ~ v~up r £ II
AG
'91 77_,.3 cn LOT 12 c c 9mc UJ~ 5 TO y`m xa° fFn
tP A~ NOTES:
p N mO 1. ELEVATIONS ARE REFERENCED TO REFERENCED TO N.A.V.D. 1988 DATUM
z m 9s EXISTING ELEVATIONS ARE SH 'ATIONS ARE SHOWN THI-I
i A EXISTING CONTOUR LINES ARI cS FIRST FLOOR TOUR LINES ARE SHOWN THUS: - - - IS
N i - GARAGE rLOOR TOP OF BULKNEAD uU' LLKHFAD
Pr - SOLO. oL SULKHFAO pT - TOP OF DU RB au LKHFao AS
m Z r - ROOM OF CIIRR y • CnRB
2. FLOOD ZONE INFORMATION TAKEN FROM: m FLOOD INSURANCE RATE MAP No. 36103 ~TION TAKEN FROM: TE MAP N.. 36103CD4B2H
m 70NE AE. BASE FLOOD ELEVATIONS DEFER )D ELEVATIONS DETERMINED
ZONE K': AREAS OF 02% ANNUAL CHAN( CHANCE FLODO WITH AVERAGE 0 2% ANNUAL CHANCE FLOOD: AREAS OF I% ANNUAL LODD WITH AVERAGE DEPTHS OF LESS THAN 1 FOOT
OR WITH DRAINAGE AREAS LES° )PARADE AREAS LESS THAN 1 SQUARE MILE;
AND AREAS PROTECTED BY LEV ZONE X AREAS DETERMINED TO BE CUTS S PROTECTED BY LEVEES FROM iR ANNUAL CHANCE FLOOD RMINED TO BE OUTSIDE THE 02% ANNUAL CHANCE FLOOOPLAIN
3. APPROXIMATLY 55 a yds. OF FILL NEE yds. OF FILL NEEDED TO RAISE GRADE AROUND
PROPOSED POOL TO BE GENERATED FRO BE GENERATED FROM POOL EXCAVATION.
PREPARE[ PREPARED IN ACCORDANCE WITH THE MINIMUM
STANOARE BY THE l STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE LIALS AND APPROVED AND ADOPTED
FOR SUC TITLE AS' FOR SUCH THE NEW YORK STATE LAND TTLE AS ~P^'DOf NF1.i,y
* G
DOCK 5 NSAFT 00 0.P
* Z !au - TF
SO467
4AND NY S Lc. No 50467
UNAUTHORIZED ALTERATION OR AUCTION THIS SURVEY IS A VIOLATION
7209 OF THE NEW YORK STATE SECTOR Nathan EDUCATION LAW ithan Taft Corwin III
COPIES OF THIS SURVEY MAP NOT BEARING Lan(
THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED Land Surveyor
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY SNGcsss, T0. Successor To. Stanley J. Is a vu n, JT. I5.
IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. In9egno LS.
LENDING INSTITUTION LISTED HEREON, AND Title Surveys - Subd TO THE ASSIGNEES OF THE LENDING INSTI- e Surveys - Subdivisions - Site Plans - Construction Loyout
FLOON CERTIFICATIONS ARE NOT TRANSFERABLE PHONE (631)727-209 IE (631)727-2090 Fox (631)727-1727
THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT 9CES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF 1566 MOiD ROPE ANY, NOT SHOWN ARE NOT GUARANTEED. Jomesporl, New York 119 566 MOin Rood P.D. 60K 16 Iorl, New York 11947 JDmesport, New York 11 947
/ _ J X(3.4) ' c-
21L (3.5)
-AL AJL ' m WETLANDS BOUNDARY AS DELINE, ARY AS DELINEATED BY EN-CONSULTANTS NOVEMBER 17, 2010
X(5.6) -"(33)
\ X(3.5)
(3.4)
(4.4) (3.4)
4/ X 1 X I (3.9)
X -4
4.7 \ \ - ~4 - - - - 5
n \ X . c ~ (5.7)X, (3.5) - - - - -
- - . \
6 (7 - \ PROPOSE / NON- I URBANCE FFER - - - 10
- - PROPOSED
- \v v eo M N0N-DISTU$",r4C 'BUFFER,.
a / (&.5) (7.9) /
v / \ \ 1
12
\
~X x
9
X X ~140T<TU~BUFFERx
(12.4) 13
/A/~ ? ~X\~;~ V- i\l i rC A~ / x APPR IMAi€1E1~31NG LIMIT OF CLEARING
i PROPOSED 4 FT. WALKWAY (13.2)
BW 1,0.'0
41 5PROPOSED 4 FT. HIGH +TW 13.0
POOL FENCE
/ PROPOSED 51'-8" 1 CONCRETE X/ 2y
/ RETAINING WALL 12.9) (13.3)
10 PROPOSED
'POOL EQUIPMENT O o/ PROPOSED 16' 32' 4 ~ 32~ EXISTING PATIO /
PROPOSED LIMIT OF CLEARING o / POOL 7 PROPOSED PROPOSED
PROPOSED POOL BACKWASH DRYWELL TOP OF COPWG 13.55' / 13,55' fjAISED RELOCATED /
MASONRYP TI A/C UNIT
td r/c % X (13.5) (13.6)
N17S X
EXISTING PORCH
(12.9) X....... /
/ ,.F 11.7+ + 13.4'1 -
OUTDOOR 4.75" SHOWER /
.....................X.......'•
EXISTING A/C UNIT RESIDENCE /
~ i TO BE RELOCATED FFE 15.21'
i GARAGE F77 7\1 NON-DISTURBANCE BUFFER DEC 2 1 2011
FEE 13.49' \ I . \
EXISTING DRIVEWAY I x~ 00^ 8' WIDE T04NOFSaurHOLO
u NON-TURF BUFFER
X(12 3) TO BE RENOVATED (74.4)
(12.8) (73.5) I NOTES; NOTES;
1. NO OFF 1. NO OFF-SITE FILL REQUIRED.
(13.6) I 2. APPRO, 2. APPROXIMATE PROPOSED CLEARING -2,035 SQ.FT.
3. SEE Sll 3. SEE SITE PLAN BY NATHAN CORWIN, L.S. FOR PROPOSED
NON-DISTI NON-DISTURBANCE AND NON-TURF BUFFER AREAS.
7(3~3 .5)(13.6) I
EXISTING BRICK WALK
/ (14.7)
x
1
I II (13.2) x(13.4)
PRC PROPOSED SWIMMING POOL LAYOUT PLAN
X(12.8)
YOUNG RESIDENCE
II 14-a' 470 Willis Creek Drive Mattituck, New York
1 ~ , ~.I ? (12.9): o
landscape architecture, pc
12' DRAINAGE EASEMENT \ m p I a marshal) paetzel PO Box 1379
(13.3) (13.6) ~ - - S t U d '10 530 Montauk Highway- Sulte 203
I (12.9) X x Amagansett, NY 11930
an sCape -rc-ff eC ure ph 631-209-2410
i x mallQmplastudia.com
_ 149.74' 149.74' s e a / s e a / 0 10
\ I t. e. S 01'44'50" E OSCgp~
~ s~PFSrlgl~p yP
X(11.8) 5 'pV 9FS
0 w Scale 1"=10' w
RAWN BY:
TC 12.48 WILNS ld5P EK DRIVE TC 13.30 TC 13.62 # S. PRETZEL, RLA PL-1
BC 12.46 BC 12.85 BC 13.26 BC 13.56 DATE: 2011.0B.16 ~TqT 001004 REVISEB12011.12.21
FOF NEVJ SHEET 1 OF 1