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HomeMy WebLinkAbout40980-Z �O�SUEFO(��oGy Town of Southold 10/8/2018 P.O.Box 1179 0 co, 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39948 Date: 10/8/2018 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1405 Anchor Ln., Southold SCTM#: 473889 See/Block/Lot: 79.4-4.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/28/2012 pursuant to which Building Permit No. 40980 dated 9/9/2016 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 with on grade patio fence to code as applied for. The certificate is issued to Forosich Family 2015 Irry Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40980 8/6/2013 PLUMBERS CERTIFICATION DATED Vk, th000 d Signature �S�FFoc�rc TOWN OF SOUTHOLD BUILDING DEPARTMENT Cn -TOWN CLERK'S OFFICE oy • 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#: 40980 Date: 9/9/2016 Permission is hereby granted to: Forosich Family 2015 Irry Trt 1405 Anchor Ln Southold, NY 11971 To: construct an accessory inground swimming pool with on grade patio, per Trustees #7942, fenced to code. Replaces BP#37947 I i r At premises located at: 1405 Anchor Ln., Southold SCTM # 473889 Sec/Block/Lot# 79.4-4.1 I Pursuant to application dated 9/9/2016 and approved by the Building Inspector. To expire on 3/11/2018. Fees: PERMIT RENEWAL $125.00 Total: $125.00 i i i Building Inspector TOWN OF SOUTHOLD 1 BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • SOUTHOLD, NY BUILDING PERMIT i (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 37686 Date: 12/11/2012 Permission is hereby granted to: Forosich Family Irry Trust 1405 Anchor Ln Southold, NY 11971 To: construct an accessory inground swimming pool with on grade patio, per Trustees #7942, fenced to code At premises located at: 1405 Anchor Ln, Southold SCTM # 473889 Sec/Block/Lot# 79.4-4.1 Pursuant to application dated 11/28/2012 and approved by the Building Inspector. To expire on 6/12/2014. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 ELECTRIC $100.00 Total: $400.00 Building Inspector n,n Ut`�" 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: I. Final survey of property with accurate location of all buildings,property lines,streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). I 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 I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and"pre-existing" land uses: 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 1 / Date. 12— — New Construction: " Old or Pre-existing Building: (check one) Location of Property: j go __ (1/-0 lali� House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot . Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Sign re Town Hall Annex O�OSUFFOC�c�Gy Telephone(631) 765-1802 54375 Main Road $ Fax (631) 765-9502 v� z P.O. Box 1179 • Southold, NY 11971-0959 �'��! �.DD! roger.richert(cDtown.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Forosich Family Irrevocable Trust Address: 1405 Anchor Lane City:Southold St: NY Zip: 11971 Building Permit#: q D Oa D Section: 79 Block: 4 Lot: 4.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Paul Burns Electrical Cont License No- 3897-e SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling 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 Ll. Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment- in ground swimming pool to include, bonding, pool lights, 2-gas heaters 1-blower,2-control panels,5-GFCI circuit breakers,1-chlorinator,1-cover motor Notes: Inspector Signature: Date: Aug 6 2013 Electrical Certificate.xis O 1 a0F SO(/l�, �o� opo c0UN1'1,� / TOWN OF SOUTH OLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE �� INSPECTOR 1�� OF SOUlyol cou TOWN OF SOUTHOLD BUILDING DEPT. 765.18®2 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Yom/ GGLGG �� /Z' DATE INSPECTOI;?` vv �O�aOE SOUTyolo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) c' REIIOIARKS: .: E DATE INSPECTOR OE SOUlyo TOWN OF SOUTHOLD BUILDING DEPT. . 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: �(� Clot-IM DATE INSPECTOR : a0F s0 �o� Olo Ulm, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: is Awlytlyl, hill-- z - a DATE ` INSPECTOR- FIELD INSPEQN REPORT DATE CommNTS FoU"AnoN(1ST) • I 1 'pV FOUNDATION(2ND) ' t ROUGH FRANMG& y PLUMBING cp INSULATION PER N.Y. y STATE ENERGY CODE � . 4 73 �CI� C o 1N .s Qd trt FINAL dcc - �, ADDITIONAL COMMENTS a q- '4&,p CP c z L 03 e TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL �j,�(� Board of Health SOUTHOLD, NY 11971 ` v 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey Southold3Town.NorthFork.net PERMIT NO. 01 Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application ood Examined ,20 n n Fl mit ® ECE Single&Separate Storm-Water Assessment Form ct: Approved /-Z/,20 /Z Mail to: Disapproved a/c BLDG DEPT. TOWN OF SOUTHOLD Phone: Expiration 6111 ,20/d Building Inspector APPLICATION FOR BUILDING PERMIT Date d d- , 20loq, INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on 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-l2 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 regulaf to admit authorized inspectors on premises and in building for necessary inspection 4°8M,h®9rA` EL (Signature of ap nai if a corporation) ENCLOSE P, 0411 CODE lJF_ON CQ.4 LETtON dative Environmental Desi BEFORE",511AT `' (NMnBgjdrjq6®of applicant) 1 Peconic,NY 11958 State whether applicant is owner, lesse , agen ), rchitect, engineer, general contractor, electrician, lumber or builder APPROVED AS NOTED DATE I -- Name of owner of premises g-L —s — �O ;L1,ga•pa4xvr �M�:_\ V- OCCUPA C;�k ` he tax roll or 1= eg LDING DEPARTMENT N, If applicant is a corporation, signatBgue, .£ y t or fcer 765-1802 8 AM TO 4 PM FOR THE 4Ja� � FOLLOWING INSPECTIONS (Name and title of corporatVAMN')�`J i CERTIFICATE 1' FOR POURED CONFOUNDATION- CRETE REQUIRED Builders License No. , �a 2 ROUGH-FRAMING,PLUMBING, Plumbers License No. .. � ;�_. 4 b ', ,, r STRAPPING, ELECTRICAL&CAULKING Electricians License No. 3. INSULATION Other Trade's License No. ELECTRICAL 4 FINAL-CONSTRUCTION &ELECTRICAL MUST BE COMPLETE FOR'C 0 MP C�TIO REQU0 D ALL CONSTRUCTIO7 SHALL MEET THE L Location of land on which propose work will be done: REQUIREMENTS OF Tll�CODES OF NC'v"J 1 q0_5 IA L,-�_ tkj. I�� YORK STATE NOT RF!�-RONSiBLE 1^'Of� House Number StreetalleR RETAIN STORM WATER NUNOFF County Tax Map No. 1000 Section Block PURSUANT TOt��CTE361 OF THE TOWN CODE. 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 c-.4m, �ew c;;-- b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition _ _ __ ._;Iteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee ��1U ' (To be paid on filing this application) 5. If dwelling, number of dwelling units ;S Nuttlbw- of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front )DO'- Rear Depth ©fl 10. Date of Purchase I Name of Former Owner 1.1��I�F(oma 7 �CQ54 , 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES r NO ✓ J� 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES f NO 6LMI1 Try 74xS-4 Cert 14. Names of Owner of premises Address !,-a._ Phone No. )03 SbG�3 j Sfi� Name of Architect Address Phone No Name of Contractor`�uc>'el Address �So J&O Phon�No. '73!J— /`I� 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES •/ NO. ®n 1bL�koe-r— * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. ' b. Is this property within 300 feet of a tidal wetland? YES ✓ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. _ iDV\ 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_sut�ey. - 18. Are there any covenants and restrictions with respect to this property? YES NO * IF YES, PROVIDE A COPY. STATE OF NEW Y ) COUNTY O� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, Caeative Environmental Design (S)He is the ��U �` t,��L�- PO Box 160 (Contractor, Agent, Corporate Officer, etc.) Peconic,IY 11958 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 fore me this day/6f--'\ - Notary Pu5k crate of iVew Yor Ji`ied in sufiolk County NotaryPublic - Commissin!` E''I)lros July 7s3,20-T32 Signature o plicant Michael J.Domino,President so yo Town Hall Annex John M.Bredemeyer III,Vice-President �� 1p 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith Telephone(631)765-1892 A.Nicholas Krupski !OeOUFax(631) 765-6641 yNTI,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1377C Date: August 8,2017 THIS CERTIFIES that the installation of an 18'x36' gunite in-ground swimming pool with associated patio,fence,and pool equipment area;replace the decking,railings and relocate stairs on existing deck;new entry on existing bileo doors:with the condition of establishing and subsequently maintaining a non-turf buffer on the northeasterly corner of existing property; At 1405 Anchor Lane, Southold Suffolk County Tax Map#1000-79-4-4.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated October 24,2012 pursuant to which Trustees Wetland Permit#7942 Dated November 14,2012,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 installation of an 18'x36' Unite in-ground swimming pool with associated patio,fence,and pool equipment area;replace the decking_railings and relocate stairs on existing deck;new entry on existing bilco doors;with the condition of establishing and subsequently maintaining a non-turf buffer on the northeasterly corner of existing property. The certificate is issued to FOROSICH FAMILY IRREVOCABLE TRUST owner of the afores 'd property. Authorized Signature Town of Southold - Chapter 236 - Stormwater Management s x SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) j CANTEx Owner-Agent-Consultant-Contraotor or Other(Circle One) Property OWNER Different than licani) C2 W Address:y g 1W v ` 7-<- o e(owt Address: O aLr_r1( (.V,. S01 Telephone Fax# Telephene# Fax I-7 3 - Z_ ` E-Mail: /� T VQ-115-Ml _N o.CoW E-tNad Property Address: Brief Description of Construction Acdvi%Proposed Strustatal BMPs,Soil f j 0 *7~GI1 Lw-. +'dC3 �ppp StabAmtion BMPs,Project Scope and/or Sequence of Construction.Activity �y� I or9trrd sed,on � L'at IP(oaida Additional Pagan as Nem¢eI i f Name of Conlrector andlor Contact Person Responsible for lmplementetion of SWPPP: 5 me as Address: _ _ _. Telephone t. Fax#: --'---- E-Mair: ._ -----------------------..__--__-_-_..___--_--- Name of Persons Responsible for Installation&Mpintenance of Eroslon Control Practice: An, ka4a -------------------------------------------- Adrrss: --------------- ^_-------____—__--- --- j Telephone#: Fax# i E-flail: Total Area ofAti v ✓ Total Area of tsrtd Clearing 5'r r`�1 A ! ProJeclParceJs: �� '>r andlorGround D:sturbance. _____________________________.________---^-_ ( IAces} (SRIA—) i Project Duration: J$IartJ+ —.-____—_—___—..___. --__-_--_--.____..__-.-_----- (Anticipated) �p VKOVAC, Date: � Dai. 6 13 l (Mm,ntr d Calen�r evysl --------------------------------------------- Will --,•---_.._,_---- -.--_.----._._-.-_.-----------•---_•-----__-- Will this Project Disturbe five(5)or More Acres at i Any One Time During the Proposed Development 7 Yes No --------------•_-----------------------_---___ I IfYES:PleaseAnswerUmFollowingl ---_,-------,-••-----------•-­—.11--------------- a. Does the Applicant have a Qualified Inspector On Q Staff To Conduct tate Required Inspections? Yes No j b. Does the SWPPP Indicate How Frequently the Site O O List the NAMES or description of all Potentially Impacted Waterbadies andfor Wetlands: Inspections will Occur and for What Period of Time? Yes No E c. Does the SWPPP Adequately Identify All Temporary andlorPermanent Soil Stabat(zationMeasures? Yes No d. Does the SWPPP Adequately Iden*aComplete = = ----_--_---__-_.--------____-_-._---_---__--- -.__-_-__--- ----_ Project Phasing Plan? Yes No status of Impacted Waterbody:(eq.TMDL,303(d)Listed,Impaired_) I e. Does the SWPPP Indicate Additional Site Specific Practices that Will be Utilized to Protect Water Quality? Yes No i f. Has the Applicant Submitted a Completed DEC Notice Type of impacted waterbody:(eg.Lake,Creek,say,Pond,Sound,FreshwaterWcUand...) Of Intent and SWPPP Acceptance Form for Review = 0 by the Town of Southold 7 Yes No ----------._-____.__------ ._.---__. -.__•----•--------.-_--- STATE.OF NEW YORK, COUNTY OF.... ...............................•----SS I That I................ ..... .. .. ... ........ .................being drily sworn,deposes and says that he/she is the applicant for Permit (Name of individual signing Document)- Andthat he/she is the ......................................... .. .... ........................................................._... j. ((Thier,Contractor,Agent.Corporate Office,etc 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 befo a this; V.....................•__ -• -2- day of... ...... --•----------....,20.(.. Notary Public: (Signature odf } SWPPP Assessment FORM: 03.72 VICKI TOTH Notary Public State of New York No.01TO-6190696 Qualified in Suffolk County Commission expires My 7.8 7.01_ i To``II Hall Annex ¢ Telephone(631)765-1842 54375 Main Road P.O.Box 1179 @ roQer.richert&MAN)07VOIA.nv us Southold,NY 11971-0959 ® �® BEING DEPARTS TOWNGIFSOUTHOLD APPLICATION FOR ELECTRICAL IN PECTICN REQUESTED BY: Date: J� I- 1�3 Company Nape: Name: License No.: _ Address: Phone No.: C� i _3 6,Y--c i y - i i JOBSITE INFORMATION: (*Indicates required information) *Marne: l� *Address: ` �S' , • ; *Cross Street: } Phone No.: Permit No.: Tax-Map District: 4000 Sedfion: Stock: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) - f (Please Circle All That Apply) *Is job ready for inspection: YES Y NO Dough 1 Final *Do-you need a Temp Certificate: YES NO Temp Information(If.needed) I *Sen ice Size: 9 Phase 3Phase 100 150 200 300 350 400 Other j *New Service: Fie-connect Underground Number of meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form I� 2r,== Southold Town Building Department t1FP0(,tc P.O.Box 1179, Permit#: 37686 53095 Main Rd co co _ Southold,New York 11971 Permit Date: 12/11/2012 4,o o�0 (631) 765-1802 ,- Expiration Date: 6/12/2014 Parcel ID: 79:4-4.1 BUILDING PERMIT RENEWAL LETTER Dated: 7/2/2015 Applicant: Creative Environmental Design Location: 1405 Anchor Ln, Southold Work Description: IN GROUND POOL construct an accessory inground swimming pool with on grade patio, per Trustees#7942, fenced to code A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Forosich Family Irry Trust Address: 1405 Anchor Ln Southold,NY 11971 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. 1 S--7� O't'OF SOUlyol � o Town Hall Annex AL Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • Q Southold,NY 11971-0959 %' lylrouffm BUILDING DEPARTMENT TOWN OF SOUTHOLD September 27, 2016 Forosich Family 1405 Anchor Lane So hold, New York 11971 NOTE: Before the Certificate of Occupancy for the pool can be processed the Building Inspector needs the safety data for the automatic pool covers' 4/- / TO WHOM IT MAY CONCERN: The items marked below are required to obtain your Certificate of ccupancy. Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Survey with Health Department Approval. umbers Solder Certificate. (AII permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trus=#765-1:89:22):DV4' Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT: 40980-Z swimming pool 'cif y/o 4 W O 3 64.0Pe S }A= hho'A:°' „I 31.?e° SURVEY OF s 10 LOT 15 2 ���V 1 `\+ y MAP OF HARBOR LIGHTS ESTATES 11 4 SECTION No 1 FILE No. 4362 FILED JUNE 8, 1955 915 I iq I1 r \V ¥\ o- �� SITUATE {00i'! �\ � �' ��" r BAYVIEW / ' „,,, \\�\ 111111��/11111•�II \ i I1I�d ,1 I�h TOWN OF U SUFFOLK COUNTYY, NEW OYORK 1%111\1\1111 1111 I I� I +;� III 11 ti a S.C. TAX No 1000-79-04-4.1 11 1 `1111\\\ 1 'o ` SCALE ,��=209 171'1 \I oo N 8 �° � JULY 15, 2009 � 1 1\` N 4'0 1S'I AREA = 21,782 sq It ir��L 1 1� \r� Op (,I, 0 500 ac 'Y'Y �Y \\ �• • � � �1 11\ �1y1\ \ NOTES, V� �� r� rcRr fR'TMe 1 \�' 1 ELEVATIONS ARE REFERENCED TD N G V.D. 1929 DATUM /� "" �•ey NODsc 1 EXISTING ELEVATIONS ARE SIIOWN THUS•�e° -- •_A 6 I EXISTING CONTOUR LINES ARE SHOWN THUS, FIRST tf �e1 / AJ doti% 2. FLOOD ZONE INFORMATION TAKEN FROM: 1 / "R•E'`ev ` "+f' FLOOD INSURANCE RATE MAP No 36103CO166 G / d \ ZONE X• AREAS OF 500-YEAR FLOOD,AREAS OF 100-YEAR FLOCD WITH AVFRAGE / .. DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN SOUARE MILE,AND AREAS PROTECTED BY LEVEES FROM 100-YEAR FLOOD ZONE X AREAS DETERMINED TOF'�BE OUT510E 500-YEAR FLOODPLAIN FLOODCOASTAL BARRIER INSURANCE NOT STRUCTURES AVAILABLE AFTERR NOVEM8ERNEW SI GU 1990,�N DESIGNATEDLLY COASTAL BARRIERS \\ j` Jp , y X T 'E MIN INES O,p0, nRYn'E.I ITE i n vrgwF°'�i.osw'Iwo °.ss°a To Rxe xEx or NE4yY0 yA~p�tAFT CO,P�'F L NDSu Y 5 W. No 50467 R Dx RMEY 6�AA v]nU Of "°'° "` Y°"x 6T" Nathan Taft Corwin [it eouunuW PRS OF lw 9/M. wP S OR //��� . ..�°""°YE'0" E °R Land Surveyor �C/ CF rvW SWLL NRF BE LMSmFPCE v4D IIRF CCFY i1¢R0R.4tm N_"9O1L RV! ... 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III fel III WALL DETAIL _ J 3S A3r^iKTlN10 F THE LAI FOR A viv PERSON, ''.;;_ESS ACT;iN=U-51-DER WE � PECT11071 w iF A 2 LENSED - i .s:CECT s O ALTEP PINY �.,Ells+'."'o R�{:.ry 1C�D ?EF.A7110 c tF_ IS; BE - ` '= `'- D 1 At IZE5IDENGE POOL aRcyr� ,REATIVE ENVIRONMENTAL DE5IGN Robert I . brown Architect, P.C. w/ Fairweather De51ejn A55ocia. ,5, Inc. . r y FN ?O5) DAY AVFN?;` 20 12 vlRFl—NPORT, �`.�'. + 1 1 LEGEND GMVONNAw- QTY FLOWER, PERENNIAL Ail-uviN JOY 11 HEucHERA, PEWTER VEIL 6 LimopE. Big 5-uE 11 <, WI-05LEE-)ING ART 10 5W,U[39 DECIDUOUS ANE 13ARr3ERRy, Pycmy 9 5piRAEA. ANTHONY WATERER 2 ., 5PIRAEA, 5NOWMOUNI) 5L&m-:P, 5wEE-r CLETHRA 5 5w,tj3, EVERGREEN13RoAL)LEAF BAYBERRY, NORTI-IERN 11 C� BOXWOOD GiZEN VELVET ro BOXWOOD, CamoN Z � JAPANESE PIER15, WNTAINFiRF- Z TREE, DECIDUOUS Oar, REP 1 1 TREE, EvERGREEN Apu3ovrrAE, GREEN GIANT 33 DRIVEWAY ti ■ - o Elu El r-� n t BLUESTO�E PATIO APPROX. 1160 50. FT. , I GN CL � . BULT W i NON-TURF BUFFER LINE POOL (CE� 5POOL � / EX. WHITE OAK TREE <. � POOL CAVER VAUL L- TANK--- � SANK PF�Qr Mmommmi FENCING NON-TURF BUFFER LINE 5cv 10006MM79l=,04w�401 4 0 5t AN1Ci R ANE, I IAR IGHT5, )nuTHo P, NY Revision #: Scale, Landscape an: 8-29-12 Landscape Design by. David Cichanowicz Date. 1112812012 ��s° _ � � e irmons 1 ,K,;a tiveEnvironmen i n oto es