HomeMy WebLinkAbout41514-Z � g11FFtit Town of Southold 10/27/2017
o P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39319 Date: 10/27/2017
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 12400 New Suffolk Ave, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 116.-6-12.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/3/2017 pursuant to which Building Permit No. 41514 dated 4/10/2017
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
ACCESSORY IN-GROUND SWIMMING POOL,FENCED TO CODE, AS APPLIED FOR
The certificate is issued to Freed,Todd&Edith Webster
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41514 10-05-2017
PLUMBERS CERTIFICATION DATED
V \�MM4;
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sUot� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
"t TOWN CLERK'S OFFICE
0• o"; 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#: 41514 Date: 4/10/2017
Permission is hereby granted to:
Freed, Todd & Edith Webster
1200 Fifth Ave Apt 9A
New York, NY 10029
To: construct accessory in-ground swimming pool as applied for per Trustees and DEC
approvals.
At premises located at:
12400 New Suffolk Ave
SCTM # 473889
Sec/Block/Lot# 116.-6-12.1
Pursuant to application dated 4/3/2017 and approved by the Building Inspector.
To expire on 10/10/2018.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWDAMING POOL $50.00
Total: $300.00
Building Inspector
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$15.00
Date. 9- 11 — Z0 j
New Construction: Old or Pre-existing Building: V""" (check one)
Location of Property: 14 ao Isle Lo 5 Aver
House No. Street Hamlet
Owner or Owners of Property: Frc c-j
Suffolk County Tax Map No 1000, Section /16 Block Lot
Subdivision i Filed Map. Lot:
Permit No. 71 5/ L/ Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: . Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
App ' na
pF SO!/��®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road CO- Fax(631)765-9502
P.O.Box 1179 �, ® �Q rimer.richert(a�town.Southold.ny.us
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Southold,NY 11971-0959 1
C®u9�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Freed
Address: 12400 New Suffolk Avenue city,Cutchogue st: New York zip: 11935
Building Permit#: 41514 Section: 116 Block: 6 Lot: 12.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Arelco Electric License No: 3973-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec RecptCeding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 2
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Inground Swimming Pool to Include: Bonding, Control Panel, 5- GFCI Circuit
Breakers, 1- Spa Blower, Pool Lights, Gas Pool Heater, Pool Cover Motor.
Notes:
Inspector Signature: Date: October 5, 2017
0-Cert Electrical Compliance Form.xls
t
• �O��OF SOOjyolo
TOWN OF SOUTHOLD BUILDING- DEPT.
765-1802
INSPECTION- ,
[ ] FOUNDATION 1ST [ ] ROUGH PLRG.
[ ] FOUNDATION_2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE ® 7 INSPECTOR'
ho��OF 50(/lyolo
N O
TOWN OF: SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] I ULATION
[ ] FRAMING /STRAPPING [ FINAL Q�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
a o lofvt6-+zj6
DATE0 -Y(47,04�V INSPECTOR
l ` � BOE SOUTy
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ FOUNDATION 1ST AAAI�- [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] LECTRICAL (FINAL)
REMARKS: Qlr-
40
DATE INSPECTOR
pf SOUL
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NTI,N
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION =
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ VNSULATIO
[ ] FRAMING / STRAPPING [VI FINAL r
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] -_ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
A A
REMARKS. Pi 4 L M t
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DATE /Y 701 7'777— INSPECTOR V4o%,%
FIELD INSPECTION REPORT I DATE qj"ja
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FOUNDATION(IST) H
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'FOUNDATION,(2ND)
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ROUGH FRAMING&
PLUMBING y
INSULATION PER N.Y.
STATE ENERGY CODE
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r TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following, before applying?
TOWN HALL Board of Health
SOUTHOL%NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O Application
Flood Permit
Examined 20V Single& Separate
Storm-Water Assessment Form
Contact:
Approved U ,20_ad to.
Disapproved a/c
reative Environmental Desip
Phone. PecO ic, NY 11958
Expiration 20 � ( ^ 631,73k
Bu •n� Spector
A LICATION FOR BUILDING PERMIT
APR _ 3 2017
Date M CtuL�� 3t> 20j_�_
BUILDING DEPT. INSTRUCTIONS
a. ThisTaq a�i"on�V[l7 e cooiinpletely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans,'accurate plot plan to scale. Fee according to schedule
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.'
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months 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
iQnatui e o plicant o arae f a corporation)
rwative ntil design
1P®Box 160
State whether applicant is owner, lessee, agent, architect, engine , general contractor', lectrician, plumber or builder
Name of owner of premises�bALA V-_V9(fA_,d- f,-&Akr-, �—
(As on the tax roll or latest deed) y
If applicant is a. of duly authorized officer
(Name;aact;tofQt" 'ozeate officer)
Builders License N-6,
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
t a Lf OD `lQw tDU.; a9\\Ji ►���, 1 r.Vr�n�e 1'��/
House Number Street Hamlet
County Tax Map No. 1000 Section (o Block (n Lot
i
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy --L 4'D
b. Intended use and occupancy IQt- qiq
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work Prp [C)c3W fdl-W'Xf
(Description) 3(IL
4. Estimated Cost 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
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess Dill be removed from premises? YES NO
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 -1.,/ NO
IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS AY BE REQUIRED. OAS
b. Is this property within 300 feet of a tidal wetland" * YES NO
IF YES, D.E.C. PERMITS MAY BE REQUIRED. (�-} eu
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? '*' YES NO
IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
L\ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, CONNIE D.BUNCH
Notar&Ubitc,Stage of Nor York
( No.01SU6185050
(S)He is the
tseu
(Contract r, Agent, Corporate Officer, etc.) CommtWon Expires April 14,
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 4
Sworn o before me tl ,
day of Fr } I 20_
c�
Notary Public Signature o pplica
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTH OLD,NEW YORK
PERMIT NO.8959 DATE: FEBRUARY 15,2017
ISSUED TO: TODD FREED&EDITH WEBSTER-FREED
w
' CUTCH
PROPERTY ADDRESS: 12400 NEW SUFFOLK AVENUE; OGUE
SCTM#1000-116-6-12.1 &12.2
AUTHORIZATION
Pursuant 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 meeting held on February 15,2017,and
in consideration of application fee in the sum of$250.00 paid by Todd Freed`3c Edith Webster-Freed 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±181x371 swimming pool(with automated pool cover),a 4:10'x371 on-
grade masonry pool patio;and an approximately 464sq.f.on-grade masonry terrace on the waterside of
existing dwelling;remove seven(7)existing trees from vicinity of proposed swimming pool,including one
oak tree to be relocated to/replaced in new location;install a drainage system of drywells to collect
swimming pool discharge and surface water runoff from proposed patio surfaces;install pool enclosure
fencing with gates;remove existing flagpole from area of natural vegetation;abandon existing path to
beach and establish new 3wide path through natural vegetation to beach;and install various landscape
design features,including an 4:1811 high landscape wall,stepping stone walkways,planting beds,and
hedgerows;and for a 150sq.ft.on-grade masonry terrace with built-in grill;with the condition of a salt
water system type pool;that the abandoned existing path to beach be revegetated;that the removed six
(6)cedar trees be replaced with six(6)new evergreens; that a project limiting fence be installed prior to
and during construction;that there be no access through Lot 12.2 during construction;-and as depicted
on the survey prepared by Peconic Surveyors,P.C.,lost dated March 7,2017,and stamped approved on
March 15,2017.
IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,
and these presents to be subscribed by a majority of the said Board as of this date.
Q4%1F F9,
Char s J. Sanders
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V NO- I,
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Michael J.Domino,President 1Q t�(f�*
John M Bredeme er II Town Hail Annex
Y I,Vice-President -�`•f4.� � � +���;
Charles J.Sanders , t 54375 Route 25
P.O.Box 1179
Glenn Goldsmith Southold,New York 11971
A.Nicholas Krupsici `fi a F
���' � '-'` ��,y� Telephone(631) 765-1892
,v � '' Fax(631)765-6641
D �.. �TV
BOARD OF TOWN TRUSTEES E
TOWN OF SOUTHOLD � 0 C T 2 ] 2017
CERTIFICATE OF COMPLIANCE = -J-
#
# 1386C
T'O N OF SO UTHOLD
Date:August 28 2017
THIS CERTIFIES that the construction of an+18'x37' swimmin
,a±10'x37'on_ rade masonryool atio;and an approximately 464 Pool.(W th gut d mss
nry
cover pool
ade
terrace on the waterside of existing dwellin • remove seven 7 existing trees from vicinity of proposed
System
min ool including one oak tree to be relocated to/re laced to new location: install a drains e
s stem ofd ells to collect swimmin ool dischar a and surface water runoff from proposed patio
surfaces,• install pool enclosure fencing with sates:remove existing Flagpole from area of natural
ve etation abandon existing path to beach and establish new 3' wide ath through natural ve etation to
beach;and install various landscape dcsi gn features including an+18"iii-gli landscape wall,sic 1i11
stone walbygy-&-planting beds and hedg=erows: and for a 150s .ft.on-grade niasojyy terrace with built-in
gill: with the condition of a salt water system type pool: that the abandoned existing ath to beach be
reve,getated•that the removed six G cedar trees be replaced with six G new evergreens:that a project
limiting fence be installed prior to and during construction:that there be no access through Lot 12.2
during.construction,
At 12400 New Suffolk Avenue Cuteho&ue
Suffolk County Tax Map Cl 000-116-,-12-1 & 12-1
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated January 13 2017 pursuant to which Trustees Wetland Permit#8959
Dated February 15,2017,was issued and conforms to all of the
requirements and conditions of the applicable provisions of law. The project
for which this certificate is being issued is for theeonstruction of an+18'x37• swininjilig pool with
automated pool cover),a+10'x37' on-grade masonry pool patio: and an approximate) 4G�lsc Jt. on-grade
masonry terrace on the waterside of existint=
dwellin :remove seven(7)existing trees ti•nm vicinity of
proposed swimming pool including one oak tree to be relocated to/replaced in new location: install a
drainage system of drywells to collect 5wtmmm,pool discharge and surfice water runoff from ro osed
patio surlaces; install pool enclosure fencin = with =atcs. removc existin° Ilan*pale liom area��f natural
vegetation:abandon existing path to beach and establish new 3' wide path through natural veeetalion to
beach:and install various landscape design features, including an+18"high landscape wall,stepping
stone walkways, planting beds.and hedgerows:and for a_150%ft. on-evade masonry terrace with built-in
will,with the condition of a salt water system type pool:that the abandoned existing path to beach be
reveeetated:that the removed six(6)cedar trees be replaced with six(6)new evergreens that a project
limiting fence be installed prior to and during construction•that there be no access through Lot 12'7
during construction.
The certificate is issued to TODD FREED&EDITH WEBSTER-FREED owners of the
aforesaid property.
Authorized Signature
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-04329
PERMIT
Under the Environmental Conservation Law ECL
Permittee and Facility Information
Permit Issued To: Facility:
TODD FREED FREED PROPERTY
1200 FIFTH AVE APT 9A 12400 NEW SUFFOLK AVEISCTM 1000-116-6-
12.1
NEW YORK,NY 10029 CUTCHOGUE,NY 11935
(212)918-3625
Facility Application Contact:
EN-CONSULTANTS
1319 N SEA RD
SOUTHAMPTON,NY 11968
r
(631)283-6360
Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Cutchogue
Facility Principal Reference Point: NYTM-E: 711.111 NYTM N: 4540.837
Latitude: 40°5929.1" Longitude: 72°2924.9"
i Project Location: 12400 New Suffolk Ave - Watercourse-Great Peconic Bay
Authorized Activity: Construct a new porch,terrace,pool,drywells,pool fence surround,retaining
walls,remove trees and install plantings,perform landscaping. Abandon existing beach access path and
construct a new relocated path. All authorized activities must be in strict conformance with the attached
plans stamped NYSDEC approved on 3/27/2017. (GRZ)
4
{
Permit Authorizations
i
Tidal Wetlands-Under Article 25
Permit ID 1-4738-04329/00002
New Permit Effective Date: 3/27/2017 Expiration Date:-3/26/2022
P '
Page 1 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL.CONSERVATION �
Facility DEC ID 1-4738-04324
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.
f
i
} Permit Administrator: SUSAN ACKERMAN, Deputy Regional Permit Administrator
Address: NYSDEC Region 1 Headquarters
SUNY @Stony Br ok'150 Circle Rd
Stony Brook,N 1 790 -3409
,
Authorized Signature: Date /2`1/Zc:r)
� f
i
Distribution List
s
a
EN-CONSULTANTS
d
Marine Habitat Protection
EUGENE R ZAMOJCIN
d ,
Permit Components
i
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. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous
location on the worksite and adequately protected from the weather.
2. 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.
3. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to
escape into any wetlands or waters of New York State,nor shall washings from ready-mixed concrete
trucks,mixers, or other devices be allowed to enter any wetland or waters. Only watertight or
waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms.
Page 2 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-04329
4. 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.
5. 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.
6. 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.
7. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be
stabilized with appropriate vegetation(grasses,etc.)immediately following project completion or prior
E
to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours
or planting is impractical due to the season,then the area shall be stabilized with straw or hay mulch or
s
jute matting until weather conditions favor germination.
8. Straw Bales or Other at Tidal Wetland A row of staked straw bales or approvable erosion control
devices shall be placed at the landward edge of the buffer area as per the stamped approved plans 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.
9. No Pool Discharges to Wetland There shall be no draining of swimming pool water directly or
F
indirectly into wetlands or protected buffer areas.
� 10. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be temporarily exposed or
stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales/silt
curtains(or other NYSDEC approved devices)placed on the seaward side between the fill and the
wetland or protected buffer area. Tarps are authorized to supplement these approved methods.
11. 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
1 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
s 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.
12. 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 orany 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.
Page 3 of 6
1
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
` Facility DEC ID 1-4738-04329
r
13. Precautions Against Contamination of Waters All necessary precautions shall be taken to
preclude contamination of any wetland or waterway by suspended solids, sediments,fuels, solvents,
} lubricants, epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materials
associated with the project.
14. Conformance With Plans All activities authorized by this permit must be in strict conformance
i with the approved plans submitted by the applicant or applicant's agent as part of the permit application.
Such approved plans were prepared by John T. Metzger,L.S., last revised 3/7/2017 and stamped
NYSDEC approved on 3/27/2017.
4 15. State Not Liable for Damage The State of New York shall in no case be liable for any damage or
' injury to the structure or work herein authorized which may be caused by or result from future operations
undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no
claim or right to compensation shall accrue from any such damage.
i
GENERAL CONDITIONS - Apply to ALL Authorized Permits:
1. Facility Inspection by The Department The permitted site or facility, including relevant records, is
subject to inspection at reasonable hours and intervals by an authorized representative of the Department
of Environmental Conservation(the Department)to determine whether the permittee is complying with
this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301
and SAPA 401(3).
The permittee shall provide a person to accompany the Department's representative during an inspection
to the permit area when requested by the Department.
A copy of this permit, including all referenced maps, drawings and special conditions,must be available
for inspection by the Department at all times at the project site or facility. Failure to produce a copy of
the permit upon request by a Department representative is a violation of this permit.
2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly
provided for by the Department,issuance of this permit does not modify,supersede or rescind any order
or determination previously issued by the Department or any of the terms, conditions or requirements
contained in such order or determination.
3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a
separate written application to the Department for permit renewal,modification or transfer of this
permit. Such application must include any forms or supplemental information the Department requires.
Any renewal,modification or transfer granted by the Department must be in writing. Submission of
applications for permit renewal, modification or transfer are to be submitted to:
fi
Regional Permit Administrator
NYSDEC Region 1 Headquarters
! SUNY @ Stony BrookJ50 Circle Rd
Stony Brook,NY 11790-3409
Page 4 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-04329
4. Submission of Renewal Application The permittee must submit a renewal application at least 30
S 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:
j a. materially false or inaccurate statements in the permit application or supporting papers;
1
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.
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.
Page 5 of 6
gh
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 'q=V
Facility DEC 1D 1-4738-04329
i
{ Item C: Permittee Responsible for Obtaining Other Required Permits
f 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.
G
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.
s
7
i
S
r
i
}i6
4
7
I
i
Page 6 of 6
Scott A. Russell 0 'ryS�C'c0�][�I��1[\�rVA\T]E][�.
SUPERVISOR AWA NA\G]EA/1[]ENT
SOUTHOLD TOWN HALL-P.O.Boz 1179
53095 Main Road-SOUTHOLD,NEW YORK 1197.1 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
32017 ( TO BE COMPLETED BY THE APPLICANT)
DOES s PROJEcr iNvOLvE .ANI' oF FOLLOWING—
Yes No (CHECK ALL THAT APPLY)
❑�A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
B. Excavation or filling involving more than 200 cubic yards of material
❑L Cwithin any parcel or any contiguous area.
. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑EI/E. Site preparation within the one-hundred-year f loodplain as depicted
❑[� on FIRM Map of any watercourse.
F. Installation of new or resurfaced impervious surfaces aces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date
t District
NAME: t 7
Section Block Lot
mord
**FOR BUILDING DEPARTMENT USE ONLY*k**
Contact Information: `� -3 —`Z
trdeRAoaeM=W)
_ _ _ _- - - - _ _ _ — _ - - _ — Reviewed By. r1_0
Property Address/Location of Construction Work: _ _ Date:
--
Q'I Op V &42 Seo ���' Approved for processing Building Permit.
Stormwater Management Control Plan Not Required.
Stormwater Management Control Plan is Required.
LIJ (Forward to Engineering Department for Review.)
FORM SMCP-TOS MAY 2014
APPLICANT: S.C.T.M. # 1000 y�
(Property Owner,Design Professional,Agent,Contractor,Other) —� SID CHAPTER 236
{� Stormwater Management Control Plan CHECK LIST_,
NAME: V�D � 5ectron Block Lot a S M C P -Plan Requirements: Provide ONE copy of the Building Permit Application.
Plcae Pnd Date: * The applicant must provide a Complete Explanation and/or Reason for not providing
Teleho,m Nu
pmbers >� _all Information that has been Required by the following Checklisti
$IW llltc O�
1. A Site Plan drawn to scale Not Less that 60'to the inch MUST Fy—ES11 If You answered No or NA to any Item,Please Provide Justification Here!
show all of the following items: If you need additional room for explanations, Please Provide additional Paper.
a. Location & Description of Property Boundaries
b. Total Site Acreage.
c. Existing-Natural & Man Made Features within 500 L.F.
— ,,�EDtpAEN=tdTRQLS
of the Site Boundary as required by§236-17(C)(Z. 00� Shau include
d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. A well main a1
e. Limits of Clearing& Area of Proposed Land Disturbance. Wire Backed i
f. Existing& Proposed Contours of the Site (Minimum z Intervals) 0 Seeding of exposed and.F 11 active sells.
g. Location of all existing& proposed structures, roads,
driveways, sidewalks, drainage improvements&utilities.
h. Spot Grades & Finish Floor Elevations for all existing&
proposed structures. JU
1. Location of proposed Swimming Pool and discharge ring.
j. Location of proposed Soil Stockpile Area(s).
k. Location of proposed Construction Entrance/Staging Area W.
I. Location of proposed concrete washout area(s). �[_]
TnM��j WEM. Location of all proposed erosion&sediment control measures.
2. Stormwater Management Control Plan must Include Calculations showingNS ARE REQUIRED
that the Stormwater improvements are sized to capture,store,and infiltrate Contact 1-05 Engineering at 765-1S60 b
ED
on-site the run-off from all impervious surfaces generated by a two(21 inch �0 ac I , OR Provide En ineerfs
rainfall/stor m event, ertificntimn
t At the drainage has b
3. Details&Sectional Drawings for stormwater practices are required for approval.
Items requiring details shall include but not be limited to:
a. Erosion & Sediment Controls.
b. Construction Entrance&Site Access. 0�
c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.)
d.Leaching Structures (e. .infiltration basins,swales,etc.)
* ** FOR ENGINE G DE NT USE ONLY****
Additional Information is Required.
Reviewed & I Stormwater Management Control Plan is Not Complete.
Approved By: _ — _ _ _ _ _ _ _
! Stormwater Management Control Plan is Complete.
Date: � -7- ' 7 1 SMCP has been approved by the Engineering Department.
FORM * SWCP Check List-TOS MAY 2014
OF SO�jlyo
�o
Town Hall Annex 41 4Telephone(631)765-1862
54375 Main Road mr, n
P.O.Box 1179 roner.riChert 3�� '(
Southold,NY 1197I-0959
ry�pUNr,��
SEP 202017
BUMDING DEPARTMENT
TOWN OF SOUTHOLD BUII.UNG DEFT.
APPLICATION FOR ELECTRICAL INSPECTION TOWN OFSGUUOLD
REQUESTED BY: Date:
Company Name: C�,, CC r-t Mr� L
Name: _L A rZ A u
License No.: 'i ,
Address: A -�NS P4T14 ,av
Phone No.: 6,/ LIV-s- /V 2
JOBSITE INFORMATION: (*Indicates required information)
'Name:
'Address: /Z q o o •-W sr'r�c,� t2 AV G C-0L'
"Cross Street: elA 0
'Phone No.. A f J=c-J fro 9C>0 -
3ermit No.: _ / I L,/
1 ax,Map District: 1000 Section: Block: Lot:
`BRIEF DESCRIPTION OF WORK'(Please Print Clearly) `o�
Please Circle All That Apply)
Is job ready for inspection: YE NO Rough in Final
Do-you need a Temp Certificate: . YES I _
emp Information(If needed)
Service Size: 1 Phase 313hase 100 150 200 300 350 400 Other
New Service: Re-connect Underground Number of Meters Change of Service Overhead
Aditionai Information: PAYMENT DUE WITH APPLICATION
B241eWest for rnspectlon Form
0 �
- - \ Q PROP. LOOSE SLATE WALKS 392 sq.ft. 0.9%
P PORC�psFp o 732, g O TOTAL 8560 sq.ft. 19%
Z EQUIP,
alO P sQ DJSCHPROP2 STORY FR s.s °oo a y Z
t�Ml71NG�S/C'TMPORgRYX 4 p&EP FIN.FLRAMED HOU ✓; x PROPp O
R n�� , ° s r o pDQ LCII�IGL 11.26' SE ry 2 'o
700pO� UC WA RM a o° TOWN OF SOUTHOLD BUILDABLE LAND
,+ 'EJQC kASONR w P 426• °c+ 4/
75p sq F C IVIERED LJa' i'' DESCRIP110N AREA LOT COVERAGE
PRa' PL SrONE� 0 CRE �s�, �,. • N � N Q
`� �- a w : 57,181 sq.ft.
PROP
PR PO W7 P� �zZ%' �� 4 0 �X \ EXISTING HOUSE & PORCHES 4,550 sq.ft. 7.9%
Q/S77NG 7R HE6GEROW -- oN�?Rq Ry °O oo iz�r_ a$ �X^ PROPOSED POOL 675 s .ft. 1.2%
BE�►+o�p �,p GRgOE
' DW 0p °pQpppOa 2 TOTAL 5225 sq.
70 ft. , 9.1%
MASpNR PROPpSto
y Rq�p AD ? °p°O ty ae,rP n _ S \ I ov Cj 8
(O ro a Pap 374 Zfot ^ e A 'IRS?s' P`W � a� FLOOD ZONE FROM FLOOD INSURANCE RATE MAP
e RQOCA p) f)pSOR 11NG R avoC �,,oe `" 5� ' a _ _ MAP NUMBER 36103CO501H SEPTEMBER 25, 2009
Tp GE a�„ ROSION &SEDIMENT CONT L
p RO'�� "N�y��qu0ft to n. v Ow jW NATIONS & CONTOURLINES REFERENCED TO N.A.V.D. 1988
EE ro n0N) � Shall include but not be limite �
eEgNSPtW LgWE X o� o y A'Well maintained Construction Entrance,
PROP OSEb REp� O PROPpSEO N Wire Backed Silt Fencing, stabilization &
M� paK Rm� oNf Im N W„� Seeding of exposed and/or inactive soils.
OKE = o
L-'"av R° � GATr CT PRa�°u B� �� PARCEL 1 AREA-50 510 SQ. Fr. TO TIE LINE
aK pyyR pfCewe 0!'6Eq �'c R UMI K6• �c, . ti o +
�M�T C"ISply MlNfp B �3 To f �PO(�n �" ° P nk� w W N PARCEL 2 AREA-14,748 SQ. FT. TOTE LINE
m� �k �) 3
NG INC U Hq uµN k` �y�tl w W U 0.8EDGE
' O
o � � An W �`o TOTAL AREA-65,258 SQ. FT. TO TIE LINE
or 1.498 Acres
3. R 6 � rgngt � i /N DRAINAGE INSPECTIONS ARE REQUIRED
SPAWARO 2 k'O e SFo FC ,� iQQ �nqt F Contact TOS Engineering at 765-1560 before
opF 8&4 4 s��o �1 o D�2p'N Backfill,OR Provide Engineer's Ceptiflcati®fl
�uaER » 0KEY 7e VNF �`i i that the drainage has been Installed to 0ode•
� p DGE OF BEACH GRASS
APPROVAL OF STOR ATER M NAGEMENT
■ =MONUMENT Myr' q nNG e� l \ CQ�1i'ROL - o Co a r 236
39 Date: 7 !1
=SPOT ELEVATION no 2oNf q B� ,lA'R �3 `` CERTIFIED T0: roved
TODD FREED APP •
DW = PROPOSED DRYWELL MFS y� wos Po
N68'4?p�,� (£� 6) A '8•oc /- 4 EDITH WEBSTER FREED
A0. 01
,p W o ' ADVOCATES ABSTRACT INC #ADA2455—S
DW' = EXISTING DRYWELL ICA,r F qt n vN ^� STEWART TITLE INSURANCE COMPANY
OU F
-- = HEDGES (r coN�C wa)- I TOOL>040
= TREE TO BE REMOVED 150
4g
= TREE TO BE TRANSPLANTED OR REPLACED � My' of NEj-,Vra
.� V ��= TREE TO REMAIN I
,,�; I am familiar with the STANDARDS FOR APPROVAL
PROPOSED EVERGREEN TREE AND 'CONSTRUCTION OF SUBSURFACE SEWAGE
`` DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
Y AL7ERA770N OR ADD177ON TO THIS SURVEY IS A WOLA7701V and will abide by the conditions set forth therein and on the r� N. L/C. NO. 49618
SEC77ON 7209OF 7HE NEW YORK STA 7F EDUCA 77ON LAW. R VEYORS,
permit to construct. P.C.
:EPT AS PER SEC77ON 7209-SUBDIVISION 2. ALL CER71FICA77ONS (631 765-5020 FAX (631) 765-1797
?EON ARE VALID FOR 7HIIS MAP AND COPIES 774EREOF ONLY IF The location of wells and cesspools, shown hereon are P.O. BOX 909
•0, MAP OR (.PIES REAR THF IMPRF.SSFn SFA/ nF THF V/RWYOR1 111
STREET ADDRESS: 12400 NEW SUFFOLK AVENUE
SCDHS # = R10-14-0019 SURVEY OF PROPERTY
A T CUTCHOG UE
TEST HOLE DATA TOWN OF SOUTHOLD
BY VcDON�A1D GEOSCIENCE 1/13 PUB /w 107nj SUFFOLK COUNTY, N. Y.
R) 1000-116-06-12.1 & 12.2
EL 6;5' OIIWLL�AIG SCALE.' 1'=c30'
----- 1�DARK BROWN LOAM OL PUB'�C WAR) SEPTEMBER 6, 2012
JULY 2, 2013 (TOPO & B.O.H)
BROWN CLAYEY SAND SC �+ SEPTEMBER 6, 2013 (REVISIONS)
----- 3' SEPTEMBER 10, 2013 (LOC. VEGETATION)
YACCARINO rSy NOVEMBER 22, 2013 (SETBACK LINES & LOC. TREES)
01-09-2017
PALE BROWN FINE SAND SP DECEMBER 3, 2013 (EDGE OF BEACH FLAGS)
EL. 1.4' - -- 5.1' fD 1 Y�// FEBRUARY 5, 220 4(PROPOSED14 EPTIC SYSTEM)
E)
ATE L,A pql� �� ��ACANT) FEBRUARY
24, 2014 (REVISIONS)
N p .L�
SPU@ 2014
WATER IN PALE BROWN FINE SAND SP NEp s M _ - 576.58'20•'�`rC WAR INS jT MAY 29, 2014 (REVISIONS)
ss yq�-a aa _ ED BEET) �.N�� JULY 2, 2014 (ADDITIONS)
P JULY 2
12 Rey _ �4Aw �T JANUARY 15, 2015 (FOUNDATION(REVISIONS)
PLA 148, , MAY 13, 2016 (FINAL)
1
or prep L A
PL NANO OnUPy p 7S MAY 31, 2016 (REVISIONS)a y NANc NOVEMBER 7, 2016
DRAINAGE CALCULATIONSI a ovyW NOVEMBER 17, 2016 (REVISIONS)
/ e m pR�,� I 3,3 00, DECEMBER 20, 2016 (REVISIONS)
SMALL MASONRY TERRACE ��ru DECEMBER 29, 2016 (REVISIONS)
/ '� 8e ` JANUARY 09, 2017 (REVISIONS)
JANUARY 10, 2017 (REVISIONS)
USEPOO x 2" X 1 = 25 cuEL.ft 4i FEBRUARY 17, 2017 (REVISIONS)
USE POOL DISCHARGE DRY WELL co /2
8'0 x 4' DEEP = 201 C.F. c J / j I 1 o MARCH 7, 2017 (REVISIONS)
clvva
LARGE MASONRY TERRACE ADJACENT TO HOUSE I ,,� I Or o
464 sq.ft. r I�I y�o a o O I m�
464 sq.ft. x 2"x 1 77.5 c.f.
USE 8'0 x 2' DEEP = 84.4 C.F. w 49I m
a / ^tel o P S SY SEAN DESLOP I
B��L T
ROWDED INFORMA 17 nt
3D /� v AND DRyW,eurL r IN oRN /tl, tit
SMALL MASONRY TERRACE ADJACENT TO POOL FRo�re WIC rANK,LE "�Nc P/T ASMAT�oN / �. J
M My\A�) I I
374 sq.ft.
374 sq.ft. x 2"x 1 = 62.5 c.f. 2 3 UpD�rY
8'0 x 2' DEEP = 84.4 C.F.
LP` I O
aBLDG Tesr "I
LP
HOLE LP
NYDEC ADJACENT AREA TABLE
I DESCRIPTION AREA LOT COVERAGE
+a �� LP
AREA WITHIN 300
I ' OF WETLANDS 45,122 sq.ft.
O " N. ----'
sr PLANA G \•(s EXISTING HOUSE & PORCHES 4,550 sq.ft. 10.19
C� !DK'. 2 ! FROM BAC
2 !y PFA NG _ • I MyyM�k) PROPOSED MASONRY TERRACES 988 sq.ft. 2.29
I ENCE D'�% P o I ON GRADE
PROPOSED POOL 675 sq.ft. 1.99
a EXISTING BRICK WALK 240 sq.ft. 0.59
41 0 LANsiN - m °' z IL ? EXISTING APRON 248 sq.ft. 0.69
ek' s• r fs N H30 + U1 EXISTING CELLAR ENTRANCE 63 sq.ft. 0.19
EXIST. B.B. PART OF DRIVFWAY 1 1AnA on f+ x IV/
AP R VED AS NOTED ELECTRICAL
DATE:
L�- b g p # INSPECTION REQUIRED
FEE: '
BY:
NOTIFY BUILDING DEPARTME AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWI,•'G INSPECTIONS:
1. FOUNDATION - TWO REQUIRED IV
FOR POURED CONCRETE RMIM, Et��'' ATELY.
2. ROUGH - FRAMING & PLUMBING ENCLOSE OOL TO COBE
3. INSULATION , I N °1JP01qOUIPLETION
4. FINAL - CON�TF JC 0 MUST 'BEFORE"WATER'
BE COMPLETE
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR DRAINAGE INSPECTIONS ARE REQUIRED
DESIGN OR CONSTRUCTION ERRORS. Contact TOS Engineering at 765-1560 before
Backfill,OR Provide Engineer's Certification
that the drainage has been Installed to Code.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
--HflC N PLANNING B ARC
SOUTHOLD TOWN TRUSTEES
N.Y.S.DEC
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
#3 REBAR
m
J CERAMIC TILE CD
III u
C)Lu
(p J
III O
3" CLR Z
Q w
m
z o
o #3 @ 12" O.C. VERT.
III
III
w
6 3' CLP,
0
16
II
#3 @ G" O.C. VERT.
RADIUS VERIES FROM
12" @ 4' DEPTH
TO 5=0" @ 8'-6" DEPTH
ISI
III
IT IS F��{ r-t --PIQ4 SOF 0N, WALL DETAIL
6.r4t4°1=Oi�r.P•I'�`FEEI�OE�I,
UNLESS ACTING FENDER TPM
DIRE.CTICMM' OF A[.ICED IM µED ARc'y�
/-'RCF'aITECT,TC ALT E`s3 ANY
IT NM ON'T hyla DF-22"��AWIG I� III = I I_OII
!1.141;°�.h�'.;V F�Pt`a•�. �¢{t;?i?I�'ELD
fgUTEYiA,'i ON 'w",MS713E,
QESCRICED IPi ACCORDANCE
V(1 T I-I TI;Fm; ;".. 16341
OFNE�N�O
WEBSTER FREED Robert I. roWn
POOL Architect, P.C.
12400 NEW SUFFOLK AVE 20 Bax Ave. Greenport NY
info @ ribrownarchitect.com
CUTCHOGUE, NY 11935 631-477-9752
MARCH 30, 2017
STREET ADDRESS: 12400 NEW SUFFOLK AVENUE
SCDHS # = R10-14-0019 SURVEY OF PROPERTY
AT CUTCHOG UE
TOWN OF SOUTHOLD
TEST HOLE DATA (NrLLINC SUFFOLK COUNTY, N. Y.
BY MCDO6/1D /130SCIENCE PUBLIC WATER7)H 1000-116-06-12.1 & 12.2
EL. 6.5' P°�L c,Nc �TM
SCALE: 1'=30'
DARK BROWN LOAM OL SEPTEMBER 6, 2012
__-__ 1' WAR) JULY 2, 2013 (TOPO & B.O.H)
BROWN CLAYEY SAND SCSEPTEMBER 6, 2013 (REVISIONS)
SEPTEMBER 10, 2013 (LOC. VEGETATION)
----- 3' YACCARINO ray
NOVEMBER
1
DECEMBER 302013 (EK LINESACK
DGEOF BEACH C. ES)
FLAGS)
PALE BROWN FINE SAND SP 01-09-201 'Q,
FEBRUARY 5, 2014 (PROPOSED HOUSE)
EL. 1.4' -A 5.1' fOCE SU FEBRUARY 11, 2014 (SEPTIC SYSTEM)
un OF PA (J�j►1� j (VACANT) APRIL 24, 2014 (REVISIONS)
ry P (PUBLIC 1' 0 MAY 20, 2014 (REVISIONS)
WATER IN PALE BROWN FINE SAND SP HEo S76'Sg'20» WAR IN e rrTT MAY 29, 2014 (REVISIONS)
= Y JULY 2, 2014 (ADDITIONS)
` 1'ss Au�� B.B - E EbGE STREET) �,NU� JULY 29, 2014 (REVISIONS)
APRON PARENT JANUARY 15, 2015 (FOUNDATION LOCATION)
3o a UwN 148. MAY 13, 2016 (FINAL)
12' 3 PE LANTiNc unu 75 MAY 31, 2016 (REVISIONS)
o� a PLANnNc POLE NOVEMBER 7, 2016
/ aey � NOVEMBER 17, 2016 (REVISIONS)
Q m E PROPOSE �W DECEMBER 29, 2016 (REVISIONS)
W -
DRAINAGE CALCULATIONS / 33DECEMBER 20, 2016 (REVISIONS)
.
00
/l �RGR7REEs eE ` JANUARY 09, 2017 (REVISIONS)
SMALL MASONRY TERRACE J JANUARY 10, 2017 (REVISIONS)
150 sq.ft. x 2" X 1 = 25 cu.ft CL ZD FEBRUARY 17, 2017 (REVISIONS)
CV
USE POOL DISCHARGE DRY WELL / c ti / MARCH 7, 2017 (REVISIONS)
co
8.0 x 4' DEEP = 201 C.F. I
Ia _! `] 2
!
LARGE MASONRY TERRACE ADJACENT TO HOUSE
464 sq.ft. Q 11
464 sq.ft. x 2"x 1 = 77.5 c.f.
USE 8'0 x 2' DEEP = 84.4 C.F.
Q
AS KERN DEVELOP l
1.(y a? PROWD IL r INrpR MENT d V
' LU " AND DRYD BUIL r�Nrr/ON /d cV `�
\pp. 3 /4 TANK/LE'AcH/ " SEPTIC 1011 �l I
�CsFr W �. NG Pi r
SMALL MASONRY TERRACE ADJACENT TO POOL FROG�yq\�\ l '2/ ' As /
h I
374 sq.ft. UTIU sa fey Q
3 POLE
374 sq.ft. x 2"x 1 = 62.5 c.f.
8'0x2' DEEP = 84.4 C.F. J v / O 6
3 \
o a ecCG °w �° 1 sr LP / ~ NYDEC ADJACENT AREA TABLE
1.8' I �� OLE • LP
U W &s' DESCRIPTION AREA LOT COVERAGE
LP I
m �,•' / AREA WITHIN 300' OF WETLANDSzz! 45,122 sq.ft.
oN' PLAN\ s00, EXISTING HOUSE & PORCHES 4,550 sq.ft. 10.1%
l DRQ WAY Sr NTING __ (SET
PLA DW) _ I M Myr kj PROPOSED MASONRY TERRACES 988 sq.ft. 2.2%
p2 / F NcEG - 0;2 / ON GRADE
D
a g PL �' PROPOSED POOL 675 Sq.% 1.9%
gg < EXISTING BRICK WALK 240 sq.ft. 0.5%
a.
a ~ so I
LAN D .m ® 2D3 a i > z EXISTING APRON 248 sq.% 0.6%
W sew Wo N3o ar �3 c EXISTING CELLAR ENTRANCE 63 sq.ft. 0.1%
EXIST. B.B. PART OF DRIVEWAY 1404 sq.ft. 3.1%
o g Q PROP. LOOSE SLATE WALKS 392 sq.ft. 0.9%
PROP �rct _ $F g TOTAL 8560 sq.ft. 19%
2
POOL EQu pD �
132
P0PROPOSED 2
8DISHAR(X STORY FR AeEDU� O �RPROPOSED�MNspk-rReARYR ,OUSE
O Iq
�' 9r
O k RGR a� � Jo�o
TOWN OF SOUTHOLD BUILDABLE LAND
PROPD PUBLICR� a
J
�ZY/
RAOASONRY m P C 428• o �i 1�:;��� DESCRIPTION AREA LOT COVERAGE
1 �9 ftDE P VEREp O " 1e�, 70' Oak ,'ia! 57,181 sq.ft.
PROP L ST CRE r ��1v ! < a w
o ONE�PO ?� I.1 �� a EXISTING HOUSE & PORCHES 4,550 sq.ft. 7.9%
PROP�cE P"W Mq CH PL ROp �o a�x W " O\ PROPOSED POOL 675 sq.ft. 1.2%
1DUSnN NEpGEROW - 1ERRAc c oo ffy app pP1T iro o$ . W TOTAL 5225 sq.ft. 9.1%
G r0 BE R0►ED �O QQ ON ADE `'DW �a Opp�ppO�a • 2
O pp PL �Rq i-O
MASPROPOSEOp�� 18•+ O� v
& /
ONRY " D DE 2 000p� UNP/P8"n c _ S 5 ly Az
\ a� �o �' a FLOOD ZONE FROM FLOOD INSURANCE RATE MAP
(OAK PROP 374 �'�E ^ _ 3F NI S 2'S 1477
Sq. �� MAP NUMBER 36103CO501H SEPTEMBER 25, 2009
BE REL�A ) �71N0 7REES ANO NED w 0. � 7 a DW �+ I ��—
• ELEVATIONS & CONTOURLINES REFERENCED TO N.A.V.D. 1988
OAK 1REE IN NEW LOC Oft
10.0 `� rA` o
olve
PROPOSED TO BE OR REPLAN ) '\ PR& n AWN X a� W M •
OPOSEb
LOCA ON
ti-
RGREEN OA REi,1 RANSpLAN7ZD OF 3 m N w M
TREE K CED OAK OR Z o� •
LANDWARDPR rEMM '�� B� s PARCEL 1 AREA-50,510 SO. FT. TO TIE LINE
OA>F Lr r �• x • PARCEL 2 AREA 14,748 SO. FT. TO TIE LINE
SD�OLK ENH ON OEBEOF BEA cCir RE1pyn M1pNG O M `" o ti I AREA-
14,748
�pNDESUTERn�ED W�3 \�ALj \�� (T\ FtAoPOLE P`a n"c Wry �, 3
0.1 WGE N4 0.8 r
�EgR�c �" W W �,� '� TOTAL AREA-65,258 SO. FT. TO TIE LINE
or 1.498 Acres
cly►") 3. � p� ` �/l � �
SEAWARD 2 �)lyF q r�/Tf0 �Z�D�yl\ l awlcETq n_Q/y CMF
EOGE OF BEAC 4 BEACH
NOVEMBER 1 iGRASs
KEY 2M6
q�gRD GE OF BEA H GRASS
�____
E \
■ =MONUMENT H , i 4�Np fgeBEACy /
=SPOT ELEVATION ZON B f A�q� EDAM /� CERTIFIED T0:
nDgL EAE GR4sS, '� TODD FREED
DW = PROPOSED DRYWELL MEgy y��aiy �68�42. AFL 6) 18'°C. l,� EDITH WEBSTER FREED
O Wq ROVHD 01"{v o a ' ADVOCATES ABSTRACT INC #ADA2455—S
y
EXISTING DRYWELL AS of is Foy nE /^ ' STEWART TITLE INSURANCE COMPANY
iD W;= OwSU<T 6 r
= HEDGES N>s
` ` = TREE TO BE REMOVED �CO*1C, 1SO6
Myr
= TREE TO BE TRANSPLANTED OR REPLACED
0 = TREE TO REMAIN 1
l am familiar with the STANDARDS FOR APPROVAL �- t
= PROPOSED EVERGREEN TREE AND CONSTRUCTION OF SUBSURFACE SEWAGE0 %
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCESgO Lr,"�� ~''
N.YS. LIC. N0. 49618
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A WOLAT70N and will abide by the conditions set forth therein and on the PECONIC SURVEYORS, P.C.
OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW. permit to construct. (631) 765-5020 FAX (631) 765-1797
EXCEPT AS PER SEC77ON 7209–SUBDIVISION 2. ALL CERTIFICATIONS
HEREON ARE VALID FOR 774IS MAP AND COPIES 774EREOF ONLY IF The location of wells and cesspools shown hereon are P.O. BOX 909
SAID MAP OR COPIES BEAR 774E IMPRESSED SEAL OF THE SURVEYOR from field observations and or from data obtained from others. 1230 TRAVELER STREET 2_240
WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y 11971