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HomeMy WebLinkAbout37480-Z " sufwc,rc® TOWN OF SOUTHOLD BUILDINGDEPARTMENT TOWN CLERK'S OFFICE o • SOUTHOLD, NY a 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#: 3748.0 Date: 8/29/2012 Permission is hereby granted to: Pitman, William 2 Coppell Dr Tenafly, NJ 07670 To: "As Built" Roof Extension to an existing accessory garage At premises located at: ��( PC 1105 Ruch LnI Q r- � SCTM # 473889 Sec/Block/Lot# 52.-3-11 Pursuant to application dated 8/14/2012 and approved by the Building Inspector. To expire on 2/28/2014. Fees: ALTERATION OF ACCESSORY BUILDINGS = $200.00 CO -ACCESSORY BUILDING $50.00 Total: $250.00 B i Spector ' rsvFFaa�Co TOWN OF SOUTHOLD % BUILDING DEPARTMENT TOWN CLERK'S OFFICE "perms ' 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 #: 37480 Date: 8/29/2012 Permission is hereby granted to: Pitman, William & Pitman, John 2 Coppell Dr Te afly, NJ 07670 To: "As Built" Roof ensio o an existing accessory garage At premise located at: 1100 Ruch Ln, Greenport SCTM # 473889 / Sec/Blocic/Lot# 52.-2-34 Pursuant to application dated 8/14/2012 and approved by the Building Inspector. To expire on 2/28/2014. Fees: ALTERATION OF ACCESSORY BUILDINGS $200.00 CO -ACCESSORY BUILDING $50.00 Total: $250.00 Building Inspector C L ,Ct 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: 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 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and "pre-existing" land uses: 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 $15.00 Date. q - 1� - 1 ,3 New Construction: � Old or Pre-existing Building: (check one) Location of Property: I t ® O House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section ssZ Block 0Z.— Lot �{ Subdivision Filed Map. y� Lot: Permit No. 3-7 q Lq6 Date of Permit. ' 3 Applicant:76 y j-k At • /AA^J<r S J1--- Health Dept. Approval: `Z. —O®1 A Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: J (check one Fee Submitted:$ 5 d • � ApplicantZ7 0( = J. 1, �= Signature I OE SOUT,y�� G a coulm,� TOWN OF SOUTHOLD BUILDING-DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: P P w>el- o m e r DATE ����� INSPECTOR ' FIELD 1NSP CTTONWORT DATE COMMENTS � FOUNDATION(1ST) FOUNDATION(2ND) z o G ROUGH FR NnNG& PLUMBING �i • G� INSUL•ATION PER N.Y. STATE ENERGY CODE MAL ADDITIONAL COMMENTS 5-I?- o g z ao1( -P m � z d 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 `r Survey www. northfork.net/Southold/ PERMIT NO. 37`f/ 2 Check Septic Form �n � N.Y.S.D.E.C. V Trustees Examined '20 1-2- LJ C tact: Approved 20 P AUG 14 2012 Mail to: Disapproved a/c BLDG DEPT. Phone: Expiration ;201 OWN OF SOUTHOLD Building Inspector APPLICATION FOR BUILDING PERMIT Date L , 20 12— INSTRUCTIONS LINSTRUCTIONS a. This application MUST be 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 inspections. ignature of applicant or name,if a corporation) P O.Box 2003,Bridgehampton,NY, 11932 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Applicant is Agent for the Owner Name of owner of premises John Pitman (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. 1. Location of land on which proposed work will be done: 1100 Ruch Lane Southold House Number Street Hamlet .,,E County Tax Map No. 1000 Section 52 Block 02 Lot 34 Subdivision Shorecrest Filed Map No;5584. Lot (Name) I , 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Single Family Residential b. Intended use and occupancy Single Family Residential 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Roof Extension (Description) 4. Estimated Cost$0 Fee l (To be paid on filing this application) 5. If dwelling, number of dwelling units 0 Numben,of dwelling units on each floor 0 If garage, number of cars 0 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 20.3' Rear 20 3' Depth 30.2' Height Number of Stories ' Dimensions of same structure with alterations or additions: Front 20 3' Rear 18 75' Depth 4125 Height Number of Stories' 8. Dimensions of entire new construction: Front 18 75' Rear 18 75' Depth 11' Height Number of Stories' 9. Size of lot: Front 50' Rear 50' Depth 150' 10. Date of Purchase N/A Name of Former Owner Irving Pitman 11. Zone or use district in which premises are situated R-40 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO x Existing 13. Will lot be re-graded? YES NO X Will excess fill be removed from premises? YES NO X 14. Names of Owner of premises John Pitman Address 2 coppell Drive,Tenafly,NJ Phone No. 201-569-1328 Name of Architect NSA Address Phone No Name of Contractor N/A Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X 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 X 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 YORK) SS: COUNTY OF Suffolk James F Laird being duly sworn, deposes and says that(s)he is the applicant r (Name of individual signing contract) above named, (S)He is the Agent (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of,// - AV04 20 /Z Notary Public ignature of Applicant Matthew D. (vans Notary Public of New York No OlIV6053859 Qualified in Suffolk County Commission Expires January 22, 20 e,'f f BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson �� $Q(/�y0 53095 Main Road-P.O.Box 1179 Southold,NY 11971-0959 James Dinizio,Jr. 41 Office Location: Gerard P.Goehringer Town Annex/First Floor,Capital One Bank George Horning 54375 Main Road(at Youngs Avenue) Ken Schneider �1�COUNN Southold,NY 1197I http://southoldtown.northfork.net ZONING BOARD OF APPEALSIVSD TOWN OF SOUTHOLD a�— -3 - 37 Tel.(631')765-1809-Fax(631)765-9064 0;'2 3 2012 FINDINGS,DELIBERATIONS AND DETERMINATION 5 thold To Clem MEETING OF OCTOBER--18;2012 ZBA FILE: 6594 NAME OF APPLICANT: John Pitman SCTM#1000-52-2-34 and 1000-52-3-11 PROPERTY LOCATION: 1100 Ruch Lane(adj. to Arshamomaqe Pond)Greenport,NY SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type Il category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated September 17, 2012 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated September 24, 2012. Based upon the information provided on the LWRP Consistency-Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. PROPERTY FACTS/DESCRIPTION: Subject property is improved with a single family dwelling and a framed garage situation on the parcel noted as tax lot number 1000-52-3-11. The property has a private road (Ruch Lane) running through the middle of the parcel. The dwelling lot has 50.00 feet along Ruch Lane, 177.33 feet along the eastern property line, 50.71 on Arshamomaqe Pond, 185.80 feet on the western property line and the garage parcel has 50.00 feet on Ruch Lane, 150 00 feet along the eastern property line, 50.00 feet on the northern property line and 150.00 along the western property line as shown on the survey dated August 18, 2010, last revised May 15, 2012 prepared by John T. Metzger, LLS. BASIS OF APPLICATION: Request for Variance from Article XXIII Section 280-124 and the Building Inspector's August 7, 2012 Notice of Disapproval based on an application for building permit for demolition and construction of a new single family dwelling at: 1) less than the code required combined side yard setbacks of 25 feet, located at: 1100 Ruch Lane (adj. to Arshamomaqe Pond)Greenport,NY. SCTM#1000-52-2-34& 1000-52-3- 1 1 (both-parcels are considered one-lot).-J. RELIEF REQUESTED: The applicant proposes to demolish the existing dwelling and construct a new two story dwelling with total side yards of 22 feet where the code requires 25 feet. FINDINGS OF FACT/REASONS FOR BOARD ACTION: Page 2 of 3—October 18,2012 ZBA File#6595-Pitman CTM-1000-52-2.34&52-3-11 The Zoning Board of Appeals held a public hearing on this application on October 4,2012 at which time written and oral evidence were presented. Based upon all testimony,documentation,personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law §267-b(3)(b)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The applicant is proposing to use approximately the same footprint and maintain the same square footage as the existing dwelling. The entire neighborhood consists of non- conforming quarter acre lots with non-conforming setbacks. The majority of the homes/cottages on Ruch Lane were built prior to zoning. 2. Town Law _267-b(3)(b)(2). The benefit sought by the applicant could be achieved by some method, feasible for the applicant to pursue, other than an area variance, if the applicant used traditional stick-built construction where the width of the proposed new dwelling could be reduced. However,the applicant has chosen to construct a pre-fabricated modular home that cannot be varied in width to create conforming side yards on his non-conforming 50 foot wide lot. 3. Town Law 4267-b(3)(b)(3). The variance granted herein is not mathematically substantial, representing 12% relief from the code,and the existing non-conforming combined side yard will be maintained. 4. Town Law &267-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. The applicant proposes a new updated septic system in the front yard which will be an environmental upgrade. 5. Town Law 5267-b(3)(b)(5). The difficulty has.been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6:Town Law 4267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a new dwelling while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Weisman (Chairperson), seconded by Member Dinizio,and duly carried,to GRANT, the variance as applied for, and shown on the survey dated August 18, 2010, last revised May 15, 2012 prepared by John T. Metzger, LLS and the architectural drawings by Personal Building Systems, Inc, dated 8/15/11 and labeled 2840-Prestige 2 story front elevation, rear elevation left elevation, right elevation, 1st story floor plan and story floor plan. Any deviation from the survey,site plan and/or architectural drawings cited in this decision will result in delays and/or a possible dental by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the vartance(s) granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code_ This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning 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 minimis in nature for an alteration that does not increase the degree of nonconformity. Page 3 of 3—October 18,2012 7,BA File46595-Pitman CTM: 1000-52-2-34&52-3-11 Vote of the Board: Ayes:Members Weisman(Chairperson),Dinizio,Schneider,Horning Absent was. Member Goehringer This Resolution was duly adopted(4-0). Leslie Kanes Weisman,Chairperson Approved for filing /jl/ ;U2012 °° Town of Southold - Chapter 236 - Stormwater Management w SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) APPUCANT NAME: Owner-Agent-Consultant-Contractor or Other(CircteOne) Property OWNER.(if Different then Applicant) '• Bruce Anderson-Suffolk Environmental Consulting,Inc. John Pitman Address:P.O.Box 2003,Bridgehampton,NY.11932 Address:2 Coppell Drive,Tenafly,NJ,07670 Telephone#:631-537-5160 1Faxg:631-537-5291 Telephone#:201-569-1328IF-#: i E-Mail: brace@suffolkenvironmental.com E-Mats: prof Address:1100 Ruch Lane,Arshamomoque,NY Brief Description of Conenuction Activity,Proposed Structural BMPs,Soil S.C.T.M.#: 1000 52 oz+os 34+11 Staba mfion BMPs,Project Scope and/or Sequence of Construction Activity olstrld 6¢dian alotk tot I t, ,,t_(Provide Additional Pages as Needed) i Name of ContractorandlorContaidPerson Responsible for Implementation ofSWPPP: See AttacheU Descrip.LigU_- Same as Owner _____..____________ Address: -----'----.._--_-------.-_u-------------------- e p ne Faxfk -------------------------------------------- E-maul. -------------------------------------------E-Marr: -------------------------------------------- --------------------------------------------- Name of persons Responsible for installation&Maintenance of Erosion control Practice: Sameas Owner -------------------------------------------- Addnes;s: Telephone#. Faxes -------------------------------------------- E-Mail: ------------------------------------------- E-Mail: Taal 1 PrgeAreaofAil 16578s.f. Total Area of land clearing 5000 i Pro) ctParcels: andlorGround Disturbance: ' -------------------------------------------- (SF.JAaesl tSF.lAeos) Project Duration: Start End --.------------------------------------------ t (Anticipated) 4 Months date.. 7/12 Date: 11/13 (Number of 0 W-derpeys) POOP- --~____-_-_-_' Will this Project Disturbefive(5)orMore Acres at ® = ----------------------- Any One TimeDuring the Proposed Development? Yes No --------------------------..______------_---- � If YES:Please Answer theFollowingl -------------------------------------------- a. Does the Applicant have a Qualified Inspector On 11=0 [Ell Staff To Conduct the Required Inspections 7 Yes No b. Does the SWPPP Indicate How Frequently the Site ® ® Ust the NAMES ordestxiptidn of all Potentially impacted waterbodies androrWetlands: Inspections will Occur and for What Period of Time? Yes No Arshainomolque-70nd-------------------------- c. Does the SWPPP Adequately Identify Alf Temporary ® ® and/or Permanent Soil Stabaifzation Measures? Yes No d. Does the SWPPP Adequately Identify aComplete © ® --------------------------------------`--------- Project Phasing Plan? Yes No Status of Impacted Waterbody:(eq.TMdL,303(d)Listed,Impaired_) e. Does the SWPPP Indicate Additional Site Specific Q—_[] U=0 Practices that Will be Utilized to Protect Water Quality? Yes No L Has the Applicant Submitted a Completed DEC Notice Type of Impacted Waterbody(eq,Lake,Creel;Bay,Pond,Sound,FrednAraterWelland-) Of Intent and SWPPP Acceptance Form for Review ® ® CONNIE D.BUNCH by the Town of Southold? Yes No Pond _ -publio--State-of-Wwyok---------- STATF.OF NEW YORK, Suffolk o. COUNTY OF............._............................SS Qual'Ified in Suffolk County Bruce Anderson Commission Expires April 14, That I[................_.._.......................................................being duly sworn,deposes and says that he/she is the applicant for Permit; (Name of individual signing Document) And that he/she is the ............................Agent e,oto.. en, oratOfficer.. itc .........................................................(Ownrcnract.AgtCoTe j Owner and/or representative of the 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 herewith. Sworn to before me this- t 1. !.7. /.....'.......day of !!l -- =! ..._ ....... ......20� NotaryPublic: .......4 ,�.. �..... ............... ............. '.............................................. (Stgnaturo orApplicani) SWPPP Assessment FORM: 03-12 I ° " Town of Southold - Chapter 236 - Stormwater Management CONTRACTOR CERTIFICATION STATEMENT Prior to the commencement of constructlon activity,the owner or operator must identify ALL contractor(s)and sub-contractors)thatwill be responsible for installing,constructing,repairing,-replacing,inspecting and maintaining the erosion and sediment control practices Included In the SWPPP;and the contractor(i)and sub-contractors)that will be responsible for constructing the post-construction stormwater management practices included In the SWPPP. The owner and/or operator shall have'each of the contractors and/or'sub-contractors Identify At least'one'person from thelr company that will be responsible for Implementation of the SWPPP.This person shall be known as the trained contractor.The owner and/or operator shall ensure that at Least one trained contractor,is on site'on a dally basis when soil disturbance activities-are being performed. The owner and/or operator shall have each of the contractors and subcontractors identified above sign a copy of .the following certification statement below before they commence any construction activity: CERTIFICATION "I hereby certify that I understand and agree.to comply with,the terms and conditions of the SWPPP and agree to implement any'correctiye actions'identified by the'qualified inspector during'a site inspection.i also understand that the owner or`operator must comply with the terms and conditions of the most current version of the New York'State Pollutant Discharge Elimination'System("SPDES")general permit for stormwater discharges from construction activities and that It Is unlawful for any person to cause or contribute to a violation of water quality standards.Furthermore,I understand that-certifying false,'incorrect or Inaccurate'informatlon is a violation of the referenced permit and the laws of the State of New York and could subject me to criminal,civil and/or administrative proceedings." Owner 4/4/13 in ad ' on'to providing the certification statement above,,this page must also identify the specific elements of the SWPPP that each contractor and/or sub-contractor will be responsible for. Specific SWPPP Element: _--..__--_-_--_..__,......----.--_---.__----__--_--_- (PieaseDescilbeHere __- ____________ ) NAME and TITLE of the Trained Contractors) JOh n Pitman Owner 4/4/13 responsible for SWPPP Implementation_ ; NAME: Title: 'Date: NAME;address and telephone number of the Contracting Firm; Join Rknian _------____.___..--------------------- 1100 RuchLane,-Arshamomoque,-NY ______________ _- Property Address'and Suffolk,County'TaxMapNumberofthesite; 1100 Ruch Lane Arshamorhoauel NY - ___________ _ ___ -•----- --------------------------------•----------------------- S.C.T:M,#:, 1000 52 02 34 Dlstdct Section Block Lot The owner and/or operator shall attach All certification statement(s)to the copy of the SWPPP that Is maintained at the construction'site.If new or additional contractors are hired to implement measures identified'in the SWPPP after construction has commenced,they must also sign the certification statement and provlde the information listed above. For projects where the Department of Environmental Conservation requests a copy of the SWPPP or'inspection reports,the owner.-and/or operator shall submit the documents In both electronic(PDF only)and paper format within five(5)business days,unless otherwise notified by the Department. SWPPP Certification Statement FORM: 03-12 U T.O.S. "SWPPP" Preparation - Chapter 236 For Department Use Only: S.C.T.M.#: Property Address: Storm Water Pollution Prevention Plan Review Checklist Checklist # 1 0,°°° Sermon e+00k Lot REQUIRED PLAN INFORMATION AND IMPLEMENTATION DETAILS: s x i i Plan Sheet (Does the SWPPP Adequately Provide for andlor Indicate the Following:) I YES NO I N.A.,Explanation for NO or N.A. Location(pg.*) 1. Drainage Calculations&Stormwater BMPs Des gned to rrontain a Two Inch Rainfall n-site. 2. onstructlon Phasing Plan Indicating Sequence of Proposed Construction Activities. -- 3._General Location Map.. 4._Dralange Site Plan drawn to Scale at Sixty(60')teet_to the Inch or larger Indicating the Following: b. Site Acreage,_ c. All Existing,Natural and/or Man Made Features on and within 50'of the Property Boundary d. Test Hole Dala Indicating Soil Characteristics&Depth to Seasonal High Water Table; i42111 i M i _ e. Contours Indicating pot PropertyElevations Min.2'; • � f.- SGrade&'Flnish Floor Elevations for Existing and Proposed Structures; g. Location ofi Wooded Areas&I i6fitiff gees with a Mlnlmum blmenslon of Ie Diameter; -"h:Soil ConservationblsM6fSoifSurvey------ --- - _-._.._...._._...• .__'_-_____•_•-____-.___'-_`__-_•'-._ _-_-_._•-_-____.__,......._.__-._....___.___..,,�++-+��+Irl___._...._.. __'•_____.__._.... . __•_ _.-._..- ..... .._•_-___._._.......-__-_- .'_ 5. Background Information about the Scope of the Project,Location&Description of the Site, Pro sed Chan es to the Site and All ExislIn Development on the site Includin the Foll. + ------- _ _.A .Ail_Improvements)pludtngzotaL,Arpa-pfLarld_[)isturbance,$LTotai$ite_Areg;----__ __-•-.'I�+ 1 i®�----.__.-•--_-_-•----__ ._--•- - - _ --_-.--.....-_._._.......------ b. All Excavation,Filling,Stripping&Grading Proposed and Identified as to depth,Volume - & Nature of M aterials Involve c. All Areas Req_ulring Clearing andlor Grubbing;,_____,_ ,��' 1,®;�]�- •-•'•�••• d. All Areas Where Topsoil is to be Removed,Stockpiled and where Topsoil will ultimately e. All Temporary&Permanent Vegetation to be Placed on Site; _ _ _ +�, r + f. All Temporary_&Permanent Storm Water Runoff BMP Control Measures Proposed; ,- - -- _ g. The Anticipated Pattern of Surface Drainage During Penods of Peak Runoff; h. The Location of all Roads,Driveways,Sidewalks,Patios,Structures,Utilities&Other im rovements,lncludin g. Tem ora Access&Conswetion Sta-tn __.`._ iie Existing 'twlria1on(ours ane of Spotlevatlons of tfie site:- _._._...._._.__._._...-__.' i + �-_._ _..__.___.......... .___.__.--_-- _. . .. _ . ..-_-__-----._..... _.._-___-•. 6. A Schedule of the Se uence for the Installation of All Planned Soil Erosion,Sedimentation q &Stormwater Runoff Control Measures. iEMi®i�+ i 7. Description of f9LIgpon Prevention Measuresihatw_i----ll be I ---- ted ti. A Descr,pti-on of the Minimum Erosion&Sediment Control Practices to be Installed andlor + t + Implemented for Each Construction Activity that will result in Soil Disturbance. 9. Description of Construction&Waste materials ExpectedtobeStored On:Site.__ 10. Temporary&Permanent Soil Stabilization Plan that meets the Current Version of the New York State Storm Water Design Manual Technical eStandard. i ®; ,r r _ ------------ General Site Plan and ConstructnDraw ioingsfortheProjct-------------------------- fir®i�; 12. Dimensions,MaterialSpecifications$Installation Detalls for Al Erosion&Sediment Control Practices. + , _ 13,'Tempora_#rPraclicesthatwillbeConvertedt_oPermanentcontrolMeasures._�_T Y��-.µ�� _I[[�iEQi®_v•,_•_ 14. Im-plementationScheduleforStaglngTemporaryErosionControlPracticeorBMP._..-____ _ 1s. Maintenance Schedule to Ensure Continuous&Effective Operation of Erosion 81+ + - - Sediment Control Practices. 16. Names of Potentia!Surface Waters of the State of New York andlor MS4 that may be , , Impacted by Development 1101 � Cnat -a , , sb7. WPlan Imelemeo part of - Project Construction Site. •�---_-�--W� 18._AllotiierE'xisfingDatathat_Describes Storm Water Runoff and/or Natural Drainage Swales�w. �'�+ ��!®f,�m_ ,.m ., _, ._� _«-mm�- -_ TM-____,__ .___,_..,, 18. Idenfa8cation of/ul Contractor(s}/Sub Contractors} Responsible for Installing,Constructing, Repairing,Replacing,Inspecting and Maintaining the Erosion&Sediment Control Practices. Storm Water Management Control Plan Checklist#1 : 03-12 bpsuF�gk DEC "SWPPP" Preparation - Chapter 236-19 For Department Use Only: Storm Water Pollution Prevention Plan S.C.T.M.#: Property Address: , ®� Review Checklist Checklist # 2 1000 (Additional Items to be included with Checklist#1 when Article III is trigered.) cFetriat section ereok Lot REQUIRED PLAN INFORMATION AND IMPLEMENTATION DETAILS: ii NO E E N.A,E Explanation for NO or N.A.Must be Approved by SMO i Plan Sheet (Does the SwPPP Adequately Provide for and/or Indicate the Following:) YES, #) E , , Location(pg 1. Does the Plan Indicate and/or Show all Items Required by_"Checklist #T--in this Packet? .....------ .._....______. ___.____-- _..—__J E E 1____._._______._._...,.__._ _______........... _---.----___,....._...._ .-..-_ 2. Does the Plan Indicate and/or Showa Description of Each Post-Construction Stormwater E E ` E Management Practice? �' 3. Does the Site Plan/Construction Drawing(s)Indicate and/or Show the Location&Size of Each Post,Construction Stormwater Management Practice? 4. as the Site Plan/Construction Drawings)Indicate and/or Show Hydrologic&Hydraulic Analysis For All Structural Components of the Stormwater Management System for Applicable Storms? 5. Does the Site Plan/Construction Drawing(s)Indicate and/or Provide a Comparison of Post- a E E E Development Stormwater Runoff Conditions with Pro-Development Conditions?« _ _- 6. Does the Site PIanlConstra ructlon Dwings)Indlcate and/or Show All Dimensions,Material Specifications&Installation Details for Each Post-Construction Stormwater Practice? iii®i®i 7. Does the Site Plan/Construction Drawings)Indicate a Maintenance Schedule Provided by the Constractor(s)to Ensure Continuous&Effective Operation of Each Post-Construction Stormwater Management Practice? ! E E 8. Does the Site Plan/Construction Drawing(s)Indicate and/or Show Maintenance Easements to Ensure Access to All Stormwater Management Practices at the Site for the Purpose of Inspection and Re air? E E ! r _...__P___.__. __.__.-------._._.__..... __ . ._ ____--•--.._._....___- - 9. Does the Site Ptan/Constnictlon brawlmg(s)Indlcate and/or Show lrispection and Main'tenarice- i i s ; y •T_-'•"�-- . Agreement(s) that are Binding on All Subsequent Landowners? _--_._ ---_..___-______ ._ -__-i-re"s _._._._.-__—_.._-___.-__.__-_-_______._ ._-._ 10. For All Activities meeting the Threshold in 236-19(B)(1),the SWPPP shall be Prepared&Signed E E E E By a Professional in the Principles and Practices of Stormwater Management&Treatment Who i Who Shall Certify thatt he Desll n Meets the Requirements of Chapter 236. ; ; ; e 11. Daes the Plan Indicate and/or Identify All Potential Sources of Pollution which may affect the EE E E Quality of Stormwater Discharges? I�E t 12. Does the Plan Provide Documentation Supporting the Determination of Approval with Regard E E E E to Historic Places orArcheologE1lcalResourcesthatlncludestheFollowln €moi®:E01 None on the site. a. Information whether the stormwater discharge or land development activities would have E an effect on a properly that is listed or eligible for listing or eligible for listing on the _ State or National Register of Historic Places: e E t t _ b The Results of Hlstaric Resources Screening Determinatfons that have beenConducted E[n]E®E®r -------- " --- c. Description of Measures Necessary to Avoid or Minimize Adverse Impacts on!'laces Listed, E E t®€ » or Eli ible for Listin on the State or National Re Ister of Historic Places;and ` ` ` ` d. Where Adverse Effects May Occur,Any written Agreements in Place with the NYS Office ° E E E of Parks,Recreation and Historic Places(OPRHP)or other Governmental Agency to Mitigate Those Effects. 1 f t f 13.-ADE:sWI'1onoft7hatoil(sf Pre jjntaftheSite,1ncludingsn ldentifcelionafihe««---«µµw--' ` E r" Hydra _ ultcSolI reu R. !lI1EE®E t®r[ 14. Identification of Any Elements of the Design that are not 1n Conformance with the - �'«_.___ „ ._•_____`•.. Design manual,Including Reasons for the Deviation orAitemative Design and a Description ilii®i®i of the Equivalency with technical Standards. 15.rAHydrologic and Hydraulic Analysisf&:Wf_tructuralComWrientsoffhe---------------- ' ` r,«„.--__..--------- =10:311=1 _--___.._ ._____.._.___.__"._•._ E�IILIII®I Stormwater Management Control stem. E E f E g_ �.,__«__�_«___.__ _a E a � «.._----__ 1s.`A l3etaiEed Summary,with Calculations,of theSiiing Criteria that was U«sedtEi DE:sign � ���" E .«......_-"'"""'"'""'"'"'""'""'-""`"""""'""" ___«.._«_...'""' All Post-Construction Stormwater Management Practices. ®� 17: G-(5j rationsandM-aintenancePlanthatIncludesInspectionandMaiintenance--___«_...-�; j r---«__-_____.__ --- - ____ ,...._ _ Schedules and Action to Ensure Continuous and Effective Operation of Each Post-Construction Storm Water management Practice. Storm Water Management Control Plan Checklist#2: 03-12 Suffolk Environmental Consulting, Inc. Newman Village,Suite E,2322 Main Street,P.O.Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President Hand Delivered August 7, 2012 D E C E 2 Ms. Patricia Conklin I� Southold Town Building Department AUG 14 2012 P.O. Box 1179 Southold, NY, 11971 BLDG DEPT, TOWN Of SOUTHOLD Re: Pitman Property Situate: 1100 Ruch Lane, Southold,NY, 11971 SCTM#: 1000 - 52- 02 - 34 & 1000 - 52 - 03 - 11 Dear Ms. Conklin, This firm represents Mr.John Pitman,the owner of the above referenced property,who is seeking to legalize an already existing roof extension that was built without the benefit of a building permit over a decade ago. The current owner recently inherited the property from Irving Pitman who constructed the roof extension in question. Furthermore John Pitman is in the process of replacing the existing house on the premises and cannot pursue the requisite permits until the existing roof extension has been legalized. Enclosed herewith for your review please find: • Town of Southold Building Permit application • Survey of subject property, as prepared by PECONIC SURVEYORS,last dated May 15, 2012 • Check in the amount$100.00 to cover the administrative fee concerning this matter If you have any questions or comments concerning this matter, please feel free to contact this office at any time. Thank you in advance for your speedy attention to this matter. Sincerely, James F. Laird att. cc.J. Pitman Southold Town Building Department �Q�pc�11�FOt,�Cd P.O.Box 1179 Permit#: 37480 53095 Main Rd in Southold,New York 11971 Permit Date: 8/29/2012 g �,` r �� (631)765-1802 Expiration Date: 2/28/2014 1 ' Parcel ID: 4 BUILDING PERMIT RENEWAL LETTER Dated: 4/20/2015 Applicant: Suffolk Environmental Consulting, Inc Location: 1100 Ruch Ln, Greenport Work Description: AS BUILT ADDITION "As Built"Roof Extension to an existing accessory garage A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Pitman, William&Pitman, John Address: 2 Coppell Dr Tenafly,NJ 07670 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold,New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department %a� W64CQ�y P.O.Box 1179 Permit#: 37480 53095 Main Rd 8/29/2012 Permit Date: V g Southold,New York 11971 _ 4,y (631)765-1802 Expiration Date: 2/28/2014 Parcel ID: 52.-3-11 BUILDING PERMIT RENEWAL LETTER Dated: 5/10/2016 Applicant: Suffolk Environmental Consulting, Inc Location: 1105 Ruch Ln Work Description: AS BUILT ADDITION "As Built"Roof Extension to an existing accessory garage A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Pitman,William Address: 2 Coppell Dr Tenafly,NJ 07670 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold, New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. r . � �� —w •..�rf"..'•, t �4♦ $�' � �(1*::� � ���,' � r�,y � Y r r �- • .f#s ;,lf.!°' �' jp .a �!_ t 1' � +: a t �+\: T• A ;70 .NA a '�` r : .i, r r.` ;`1�► ti::A r q �i of Y ► r 4 �t�. `s, +K�. � y� .,��.!5,�. t.2 ��''. a'A � .f�,t # �w r r �r 1� fir:•# - - ��`�� rd ,�� 1!• �'• �� .'��'il�► ' ,, . � r ' ' � t � , , a � f t; y— 1 !`'. „�,'� ''`►M1 .. - •.. �!`4'r r r.�► `���,� 'y`.•a"��R'i •i t• ti ..�� 1y �'.� �����.-' n•#� ;,°R'' f _ y .., `� a � •y.� a , r _ y -•_`� '�.^ mea �i�.� J a ` •' _.. ';'' o � '.�!� *r;i �. •flu'„= 'b yi CIV 7" Ike mi ARA � � i71, ' - •� tt � 4 h I . tt * t vJ,4 r • " `_ , ai •R�o,, � ]j� '`a 46 -44. Y ~* i^ ,a { w t >� sc a` IF v a • y TEST BORING 6_ McDonald Geosclence 0,410� 7 EL,16.5 �, . Dark Brown The locations of wells and cesspools 1. 441 qA'�� Spy Loam OL shown hereon are from field observations �.�\ 6,/90, 0.5' and or from data obtained from others. \k S Brown Slit ML Therefore their locations and or existence SSy sG�FST is not guaranteed. Q, �o 0 co 3. • Brown Silty Sand ��, � �r �O, with 10% Gravel t � yA� SM � � M• 0 SS Brown line to Coarse Sand SW 15.8 EL 0.7' � °• Water In Brown Fine to Coarse Sand SW I7' 203 000 R• 4 (C. \ R0 43 ^� A, �y e 4' 4r o� Q PRbPOSED SEPTIC SYSTEM -o� (4 BEDROOMS) oo . SSo �a 1 - 1000 GAL. PRECAST SEPTIC TANK ° \ I- LEACHING POOL 8'0 x 12' DEEP WITH 3' SAND COLLAR (SWI BOTTOM TO BE E.p�'N,9S; S C.)' �\ 3' ABOVE GROUND WATER o F4j;k PROPOSED DWELLING TO DISCONNECT ,fie p0�/yL •O0, FROM EXISTING SEPTIC SYSTEM o 4f 006 \ SO EXISTING,HOUSE NOT SHOWN HEREON 'i TO BE REMOVED RAIN RUNOFF CONTAINMENT \� r HOUSE 1145 sq,fr h 1 /TtGC/cam Aq 1145 x•l x 0.17 195 c .J� 195122.3 - 9 W. C � PROVIDE P DWs'6'0 x 5'deep 4,`� p ���y o \ V 0 0 N Op?oN ob�P�° o� � SUR VEY OF PROPERTIES E cirA T Q ,o �• �yQo ,� \° G ARSI-�IA�hVIO`IEIJOQ-CIE To" OF SOUTHOfLD OpNT0,,Q SUFFOLK C0C1IV T Y, N. Y 1000 52 02 - 34 1000 - 52 -03 - 11 Scale: 1"= 30' Aug' -'8, '2010 oa` q 3p,. ib (cesspools) Se F-14,t 2 l IPF P HO E') Fe IS, 241, (revisions) yq March 13, 201? (revlsiorts) April 2, 2012 revislonsl 4Z' A= 1,6 TH �QN D v WETLANDS FLAG LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED BY of NZ% SUFFOLK I<'NVIRONMENTAL CONSUL TING, INC AUGUST 8,i 2(711 ` I am familiar with the STANDARDS FOR APPROVALh AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by The conditions set forth therein and on the l � permit to construct. �� a FLOOD ZONES FROM FIRM � � 36103CO158H � � �. LIC. tiO.49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS PECONIC SURVEYORS, P.C. HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY (631) 765-5020 FAX 765-1797 SURSAID VEYOR WHOR OSE COPIES RE APPIMPRESSED ARS HEREEON L OF THE. P.O. BOX 909 1230 TRAVELER STREET / O—/86 ELEVATIONS ARE REFERENCED TO NA VD 88 SOUTHOLD, N.Y. 11971 0-187 or -.i L.��+Fk�'-"`�i;�>.�,��Sr�h.>, � �:�,��,,,°,;tir,3^y,��a fix'=Yr•f,..: , a firzp ;P gn- e; z •� ult�, _'f' r- i' .XiM _' `gyV'3,t�,•','�° z•v�-a3`'' 77 • "_ 4 J _ <t „a�r.; �„'-'�b��f��,,`,,,�t��,�F-• �.:� a jy,�r'„'._x,,�a^^x5.r' (';-�° .v�£ .":''": �'° �} � by. >�S d.: rv��5?w� -t't•"A'`a"`ih:-'nLS`,' ,;.n.n'�6.�"�. F°4SE aN�.YS2`y��•,�`�'t.`..-;y2 �y, _ - ^�:�y AP„F .;=y �.�i_�-Y� �y' e3�i��` •iq"# ':. �%shy;,�r �ti>„�'�tr�a• �'•r' .r-:., a:�:`x.. � .C' ;' yrx� '• �b `2� s°.,.a'-a.""�..i >R,��i aa,'�'x a s,3'�':'�'* >F•`„'.'"•'2x:'` -v ' • P`t}�t. `�'i%. 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O O .,n'�??'"'�� •;`"w” �::k,':�`i+$X�``• xS..c,��` "x..?;F':wW,�R:^=,:,," =�r'�'>=m ''.'t v'••-' _ � ,� ��. .Yk::'',,f�4 a, _a ,r-' "•wip"s;"': '='%4�3* x7-xa' .ws. 3'° s`�. .'•,.> �T.;,,= ;•¢'�',.,� •a_t. "•?"� _'§":';� '�'= ;��.f<= .✓,',�R y ts`r!"„ ,,e' .'•a:,r( -<e:,a „',x" � l �j z.=. .rr�"•^^ zap::x,:� r�S',�``��•a,71 .,a�,��s,..�3:."� ,.3' ,,,t.._ •{�a n'�."',"'.�.:,c�,.i4� wt.; ,s,., «"-'��,,, a,r�...`>; ,;�'�"h"�,.-� ,:,rs` .`,a<' a; •3: ,•i.:.''�';A_-. ,.'max-l:`!,? .,,:�:�r_^y� >x,y;.: ,r�, �X.-,. "� ;J_X>•.�;;F:'�?.r air .,�x<,-..;;�� Cn I o01 7� N C) N f Er Z �g p t CL� M x 3 x CD Q d s� GJ gA vtu,CO H\ Plywood Sided 5, 65011 N Wood Shed ,C C1 18'%NC Y 0R . W E !j E °.9 uNLA FULAPPROVDASbTED N z N CD An-14-LUT CERTIFICATE DATE' B.P.#— b' NOTIFY BUILDING B EP TMENT P'_r a 765-1802 8 AM TO 4 PM FOR Th ' FOLLOWING INSPECTIONS: Yt Y 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2 ROUGH-FRAMING,PLUMBING, CERTIFICATION OF STRAPPING,ELECTRICAL&CAULKING MAILING & CONNECTIbNS 3- INSULATION n # /AA1 $E REQUIRED. 4. FINAL-CONSTRUCTION&ELECTRICAL • MUST BE COMPLETE FOR C 0. I 7 ALL CONSTRUCTION SHALL AAEET THE REQUIREMENTS,OF THE Cr DES OF NEW YORK STATE N'-'- RESPONSIBLE FOR 07077 D om.'`:41 c(,vIiiSTRUCTION ERRORS. Garage o ►�,," roil W Zt Lnb p ` wo i .. o � N N „'C 0 zr z o m 44, tCDz ' 3 y odd w0 Zz N < � N 3.5"x3.5" Posts . N Based in Concrete - N I T• v nn` 1y Roof Joists: 1.5" x 3.5" and Plywood Sided Wood Shed All joints secured by 17" on center. with Tarpaper Roof 2" Galvanized Nails I 16 i6