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HomeMy WebLinkAbout41959-Z ��o�p UFFOI'�CpG� Town of Southold 10/8/2018 0 ti P.O.Box 1179 a' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39951 Date: 10/5/2018 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 830 Clear-view Rd, Southold SCTM#: 473889 Sec/Block/Lot: 89.-3-11.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/6/2017 pursuant to which Building Permit No. 41959 dated 9/11/2017 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 Levelis,James&Maureen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41959 6/4/2018 PLUMBERS CERTIFICATION DATED C u riz Vd ignature o��UFFot�coG TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 41959 Date: 9/11/2017 Permission is hereby granted to: Levelis, James 133 Stratford Ave Garden City, NY 11530 To: construct accessory in-ground swimming pool as applied for per DEC &Trustee approvals. At premises located at: 830 Clearview Rd, Southold SCTM # 473889 Sec/Block/Lot# 89.-3-11.5 Pursuant to application dated 9/6/2017 and approved by the Building Inspector. To expire on 3/13/2019. Fees: SWRVB4ING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING 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. New Construction: �r(y Old or Pre-existing Building: (check one) lI Location of Property: Cttps LiC 0 IBJ House No. Street Hamlet Owner or Owners of Property: Q q V Suffolk County Tax Map No 1000, Section 99 Block Lot Subdivision Filed Map. Lot: Permit No. �hoDate of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: ,/ Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 0 ' k " Applica Si re 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$15.00 Date. li If New Construction: Old or Pre-existing Building: (check one) Location of Property: � � � L'i 50 House No. Street Hamlet Owner or Owners of Property: AA o, uf e V Suffolk County Tax Map No 1000, Section 819� Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ o Applica Si re ho��OF so�ryol Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 aQ roger.richert(a)-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: James Levelis Address: 830 Clearview Road city,Southold st: New York zip: 11971 Budding Permit#: 41959 Section: 89 Block: 3 Lot: 11.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: LC Electrical License No: 38043-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 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 1 Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks 1 Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: Inground Swimming Pool to Include: Bonding, Control Panel, 2- GFCI Circuit Breakers, Salt Generator, Gas Pool Heater, 1- Pool Light, 1- Shed Receptacle. Notes: Inspector Signature: Date: June 4, 2018 0-Cert Electrical Compliance Form.xls SOUL • �o TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPE CTION ( FOUNDATION 1 ST R� [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) o�� - REMARKS: - • DATE ® /Y INSPECTOR oF souTyOlo f # TOWN OF SOUTHOLD BUILDING DEPT. ycou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLSG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: l tio(/ —or DATE T INSPECTORX/ L 6 � OF SOU 4 � oy�0 lyO TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ IjPSULATIONJ [ ] FRAMING /STRAPPING [ FINAL PGS !sem [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ]' ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 1 DATE D INSPECTOR FIELD INSPECTION REPORT DATE CO TS �. FOUNDATION(1ST) H -------------------------------- FOUNDATION (2ND) testi �z o ROUGH FRAMING& y PLUMBING t� INSULATION PER N.Y. '3 STATE ENERGY CODE FINAL ADDITIONAL COMMENTS C� z �A;om c- 15 O - � z H d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying9 TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631)765-1802Planning Board approval FAX: (631) 765-9502 Survey ; Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined' 20k_1 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: D Approved 20—U Mail to`: 1 Pn }�� Y�1` Disapproved a/c KAt,j P��� -AkP"�,-" ��a�q - I Phone: Expiration '20 D Buil ctor D SEP ZQ�7 PLICATION FOR BUILDING PERMIT - Date � 520 BUILDING DIS. INSTRUCTIONS TOWN OF SOUTHOLD 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 f6ninspection-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 issuancd 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. c1�1�s ao� e AW - (Signature of applicant or name,if a corpor t' 5 ptyes PAA., /U1��C� 11t �J (Mailing address.of applicant) State whether ap icant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build`el_r Name of owner of premises �� (As on the tax roll or latest deed) Ifppli an is a c oration-.signatumof duly authorized officer LAI (Na66 Ynd title of,corpo;ate offi er = Builders License No. : 7sl—,+ 6 Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work, ll be done: J 1 1 8-3C`20.C�y LJ - 1^O House Number Street: Hamlet County Tax Map No. 1000 Section Block Lot�� 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 b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work tj trv,.,r vf\o &aD Description) 4. Estimated Cost 6a/ Fee (To be paid on filing this application) If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars "6x If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear _Depth Height Number of Stories - Dimensions of same structure with alterations or additions Front Depth Height Number of Stories 4 Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth �.• -,- C .A..}r�.rkl..�}x.)12 �l;R.s+' },:.i�b. .jo-" 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 fill be removed from premises?YES-4 NO 14.Names of Owner of premises Aa-Ft en L?-a?-" Address M CI 'e-W p4. 5141kone No.qk': Name of Architect Address E­tY5 6�4. G �hone No 63( 3"1 `5 '5 Name of Contractor ook- ^C• Address Pb Ow. 3%3 IA F.R-acp phone No. it c483 T 6 G 5 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES 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 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. 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 ) k'j /"W C being duly sworn,deposes and says that(s)he is the applicant (Name of indivicisaysigning contract) Bove named, CONNIE D.BUNCH Notery Public,State of New York (S)He is the " No.01 BU6185050 (Co tractor, gent,Corporate Officer,etc.bQualilled In Suffolk Cm- ommission Expires April 94,2 boli% 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 t at the work will be performed in the manner set forth in the application filed therewith. Sworn�to before me this day of 20j Notary Public Sig atu e of Applicant N BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9026 DATE: MAY 17,2017 fa ISSUED TO: JAMES & MAUREEN LEVELIS 4; PROPERTY ADDRESS: 830 CLEARVIEW ROAD, SOUTHOLD RE) - SCTM# 100089-3-11.5 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 May 17, 2017, and in consideration of application fee in the sum of$250.00 Paid by James & Maureen Levelis 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 install a 201x4'01 in-ground swimming pool with a brick paver pool patio for overall dimensions of 241x541; install a pool drywell; install pool enclosure fencing; remove existing brick patio and install a 600s(f.ft.composite deck at grade with outdoor shower against the seaward side of the dwelling; and for the trimming of the existing phragmites to not more than 21 in width along each side of the existing catwalk and to no less than 12"in height- on an as-needed basis;with the condition that a split rail fence with gate be installed landward of j r` riff established non-disturbance buffer,and a 4' wide hand cut path to the dock; and as depicted on the revised site plan prepared by Jeffrey Patanjo,dated May 19,2017,and stamped approved on June 74017. 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. /0 K" O� (/j�,ol Michael J.Domino,President SUTown Hall Annex John M.Bredemeyer III,Vice-President ~ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski �p� Telephone(631) 765-1892 Greg WilliamsCDUFax(631) 765-6641 NTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1508C Date: September 18, 2018 THIS CERTIFIES that the installation of a 20'x40' in-ground swimming pool with a brick paver pool patio for overall dimensions of 24'x54'; install a pool drywell• install pool enclosure fencing,• remove existing brick patio and install a 600sg ft: composite deck at grade; as built sprinkler system installed throughout the seaward side of the property as-built fire pit with seating area; and for the trimming of the existing_phragrnites to not more than 2' in width along each side of the existing catwalk and to no less than 12" in height; on an as-needed basis; with the condition that a split rail fence with gate be installed landward of established non- disturbance buffer, and a 4' wide hand cut path to the dock; At 830 Clearview Road, Southold Suffolk County Tax Map #1000-89-3-11.5 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 12, 2017, pursuant to which Trustees Wetland Permit#9026 Dated May 17, 2017,was issued and Amended on July 18, 2018 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the installation of a 20'x40' in- ground swimming pool with a brick paver pool patio for overall dimensions of 24'x54': install a pool drywell• install pool enclosure fencing; remove existing brick patio and install a 600sq.ft. composite deck at grade; as-built sprinkler system installed throughout the seaward side of the property as built fire pit with seating area; and for the trimming of the existing phrawnites to not more than 2' in width along each side of the existing catwalk and to no less than 12" in height; on an as needed basis; with the condition that a split rail fence with gate be installed landward of established non-disturbance buffer, and a 4' wide hand cut path to the dock. The certificate is issued to James &Maureen Levelis/owners of the aforesaid property. Authorized Signature NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION v Facility DEC ID 1-4738-00956 PERMIT Under the Environmental Conservation Law ECL Permittee and Facility Information Permit Issued To: Facility:°' '= MAUREEN LEVELIS LEVELIS PROPERTY 133 STRATFORD AVE 830 CLEARVIEW RDISCTM#1000-89-3-11.5 GARDEN CITY,NY 11530 SOUTHOLD,NY 11971 Facility Application Contact: JEFFREY PATANJO 106 HEWITT BLVD CENTEk`MORICHES,NY 11934 (631) 484-9332 Facili3ty Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 719.075 NYTM-N: 4545.8 Latitude: 41°02'02.3" Longitude: 72°23'38.0" Aut or><zed activity• Construct a swimming:pool and surrounding patio. Install fence. Maintain 4' cam. '..^..3'Y.;.'sCx,:.T...^..'t,>:;u,7P.'. :1."_r.::^.c=r.�rr.."-:^,".7�,fiL:ai:fi=':%S?ba°2=kfss.1...kzL+::,.»...; ,.^..-".. .-..,. .W..".,...."..o .:>,..1 = •.w.:.3s;::ZiS?:i«?i: .::�7yn .t'SS-rZa,•»r:.: wide path to dock and trim existing Phragmates to a width of 2' on each side of existing catwalk. All authorized activitiesrsliall-be d65e,in5strict conformance with the attached plans stamped NYSDEC=''_' approved<ori�'iigust 2, 2017. SAP-1-07'002{ Permit Authorizations Tidal Wetlands-Under Article 25 Permit ID'1473 8-0095'6/00014- New `1 New Permit Effective Date: Expiration Date: 8/1/2022 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: GEORGE W HAMMARTH, Deputy Regional Permit Administrator Address: NYSDEC Region 1 Headquarters /I SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY 1 1 790 -3409 �g Authorized Signature: Date (I Page 1 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00956 Distribution List JEFFREY PATANJO Marine Habitat Protection SHERRI L AICHER Permit Components .zr.r NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS r NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Follow%i g ='" Permits: TIDAL WETLANDS 1. 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 completpn of project;the;bottom�portion=ofeaformmustaalso=bersigried=andretumed alongrwithUplrotographs�o the completed work .w :. ��.� 2. Conformance With Plans All activithes�authorized by this permit must be in strict'conformance i> witlf the approved plans submitted by the applican"ebrsappllicant's agent as;part of the permit application. Such approved plans were prepared by Jeffrey Patanjo last"revisedf*Jbly 25, 2017 and stamped "NYSDEC Approved" on August 2, 2017. 3. Notice Covenant The permittee shall incorporate the attached Covenant (or similar Department-' approved language) to the deed for the property where the project will be conducted.and file it with the Clerk of SUFFOLK County=within,�30=days-of theteffectiveKdate,of this permit. This deed,covenant shall run with the land into perpetuity.;: copy.Qf,tbq covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be submitted within 90 days of the effective date of this permit to Regional Habitat Manager _ NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Install and Maintain Erosion Controls Staked hay or straw bales or other DEC-approved erosion control measures are to be installed on the downslope edge of any disturbed areas. This barrier to sediments is to be put in place before any disturbance of the ground occurs and is to be maintained in a functional condition until all disturbed land is heavily vegetated. Page 2 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00956 5. Straw Bales to Be Entrenched Straw bales shall be entrenched two to four inches into the ground. 6. Silt Screen to Be Recessed Silt screen shall be recessed six inches into the ground. 7. Clean Fill Only All fill shall consist of clean soil, sand and/or gravel that is free of the following substances: asphalt, slag, flyash,broken concrete, demolition debris, garbage,household refuse,tires, woody materials including tree or landscape debris, and metal objects. The introduction of materials toxic to aquatic life is expressly prohibited. 8. Phragmites Removal Phragmites removal is-limited to selective,cutting up to three times per year using hand tools only to a minimum height of 12" above the root base in theMarea along the catwalk as shown on the approve'd:plans. No vegetation other than Phragmites shall be disffifW in the authorized area. Cut shoots shall�be completely removed from the site and disposed of at an authorized upland facility. 5 L 9. Seed,Mulch Disturbed Areas All areas of soil disturbance resulting from this project shall be seeded witKan appropriate perennial grass, and mulched with straw immediately upon completion of the project,within two days of final grading, or by the expiration of the permit,whichever is first. lo. Temporary Mulch,Final Seeding If seeding is impracticable due to the time of year, a temporary mulcWshall be applied and final seeding shall be performed at the earliest opportunity when weather`; conditions favor germination and growth but not more than six months after project'completion. 11.rinimum%..Vegetative Covez .Suitable vegetative coveis.defind as,a.minimum.gf 85°/o,ares a....r ....>,w.,...v... - .e..:.w... mow:... e..»°�.';.._...... .. m::•r,.�e.: a.�.�. z:'ta.»-.• '+s:�;:ss::.:... a.3z .:.^....:sr_.-.....,_::tx.'•::.cs»d,.-.�...».»,. ,_. vegetative cover with contiguous unvegetated areas no larger than 1 square foot in size. 12. State l'oY'Liable for Damage The"State;of New York shall in no case be liable}for.-;d damage dr inju Sib the structure or work herein authoriz&fl which may be caused by or resulVT6m future operations l undertaken by the State for the conservation or impr'8' r' ent,.of,nnvigatiori;or for other purposes, and_no claim or right to compensation shall accrue from any such damage. r 13. 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.&the Department_of Environmental,Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destructioWo'f the ilfdi il`res6urces of the State; the'6�6 may'be`or"d'ered'by'tY e`D'epa�ziment to remove or alter the structural work, obstructions, or hazards caused thereby without expenseJ6 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. 14. 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. Page 3 of 6 AM NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00956 15. State May Require Site Restoration If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require,remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. sm GENERAL;CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Insp'ction 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 theDepartment 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 7.17 0301 and SARA 401(3). ` The permittee shall provide a person to accompany the Department's representative during_an inspection to thpermit area when requested by the Department. A c �_y of t�his�permitincluding alv 1_referencedma sdraingsand special conditions,mustsbe,available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit u on requestUYae t representative is a violation of this permit. �,� •�j:l 2. ReMionship of this Permit to Other Department Orders and Determinations Unless expressly prodded for by the Department, issuance of this permit1does not,madify; supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements; m 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 permit renewal modification or transfer of this,`' permit. Such application must include any forms or supplemental information the Department requires_ Any renewal;modificatiori oFtra'nsfer�'ganted'bTthe Depa-r menf musf=bFiiFwrifirig:~'Submission of applications.for permit renewal,modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY 11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. Page 4 of 6 AM NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID I-4738-00956 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. ='r f r'+� v� �r 1,i a;t I3 Se r4 ( f f" .cam=• .;,;�,•• .� jl •y';x t Page 6 of 6 AM rMood NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION '®' Facility DEC ID 1-4738-00956 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; �fry,,,• ;=-"'" .....r.•= -... •..k�-;,. A c. exceeding the scope ofrthe project as described in the permit application; d. newly discovered aterial information or a material change in environmeri al;conditions,relevant technoloor applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner;any prsions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. c.� 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulationibr another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. ;Y NOTIFICATIONnO-POTH=�tR=P�RM�I�TT�� z�sp Item'=A: Permittee Accepts Legal Res ponsibilitand Agrees to Indemnificati6n i . .,ay Thepermittee, excepting state or federal agencies, expresslyagr4ees;to�inde'mnify and hold harmless de 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 permttee'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 inbcomplianceawith the�terms�andwconditions;of the.,permi-„,Thisandemnification does not extend to any claims'•suits, actions, or damages to the extent attributable to DEC's own negligent or s =.iw.c'.::._,,a,.'-'�.1T.,�•'w.”�:':•�.:..`-...w:. ' �;�o+ibil'�'_��'.:v , ,,,,,:A '�.- intentionalacts or omissions, or to any claims, suits, or actions naming the-DEC and ansmg under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's-Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Page 5 of 6 Scott A. Russell ��°SU '�v STO]K1�WWAT]EIK SUPERVISOR AWANA(G GEN CENT >Y SOUTHOLD TOWN HALL-P.O.Box 1179 0 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold 8 CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) �I( DOES THIS 1PI1®JECT INVOLVE ANY OF THE FOLLOWING: fYes No (CHECK ALL THAT APPLY)� i) ` E s ❑[AA. Clearing, grubbing, grading or stripping of land which affects more I F than 5,000 square feet of ground surface. ❑ B. Excavation or filling involving more than 200 cubic yards of material ; { within any parcel or any contiguous area. ❑ C. Site preparation on slopes which exceed 10 feet vertical rise to I� 100 feet of horizontal distance. ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. f ❑ E. Site preparation within the one-hundred-year floodplain as depicted I on FIRM Map of any watercourse. ❑ , F. Installation of new or resurfaced impervious surfaces 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 (Piopei tp Owner Design Profession 1,Agent,Conti actor,Ot�f r) S•C•T•M• �: 1000 Date Dntrict _ I I-5 �16 « Section Block Lot FOR BUILDING DEPARTMEN"r USE ONLY **` ! Contact information 31 FAX I Reviewed BY: j# I � — — — — — — — —Date. Property Address/Location of Construction Work: I ^ — — — — — — — �! �j� �;� Cs-�r►�� —� i I I Approved foi processing Building Pei mit. r.�t V S rmwatei Management Control Plan Not Required.—bj St01'm�EatCI Management Conhol Plan is Required. (Fonvatd to Engineering Department foi Review) FORM * SMCP-TOS MAY 2014 V �Y APPLICANT S.0 T M # 1000 s CHAPTER 236 (Property Owner,Design Professional,Agent,(ontractor,Orher) - — O 4- �t7 �� �- �`� X1.9 ° Stormwater Management Control Pian CHECK LIST NAME �� " J��V '��� Section Block Lot M 5 M C P -Plan Requirements Provide ONE copy or the Building Permit Application {` Date- The applicant must provide a Complete Explanation and/or Reason for not providing all Information that has been Required by the following Checkiistl ise we aoW,orc,wn,rKr � •Y 1. A Site Plan drawn to scale Not Less that 60'to the inch MUSTNIf You answered No or NA to any Item,Please Provide Justification Here[ ' show all of the following items. YE O NA 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. _ of the Site Boundary as required by§236-i7(C)(2) 0� DRAINAGE INSPIECTjONS ARE REQUIRED d. 'fest Hole Data Indicating Soil Characteristics&Depth to Ground Water Contact IDS Enaineering at e LuTuts of Clearing & Area of Proposed Land Disturbance. 0� a ore f. Existing& Proposed Contours of the Site (Minimum 2'Intervai,l 00 Insets Certification g Location of all existing& proposed structures, roads, �hat the as been installed-to Code driveways,sidewalks,drainage improvements& utilities. h. Spot Grades& Finish Floor Elevations for all existing& proposed structures. 01012 1. Location of proposed Swimming Pool and discharge ring. 00 l I Location of proposed Soil Stockpile Area(s). �� k Location of pioposed Constriction Entrance/Staging Area(s) 00 I. Location of proposed concrete washout area(s). 0� bL ���� I- ril. Location of all pioposed erosion&sediment control measures. 00 2 Stoi rm%atei Management Control Plan must include Calculation.,sho%N mg LROSION &SEDIMENT CONTROLS that the atoi mwater improvements are sued to capture,store,and infilti ate �� Shall include but not be limitedDEQ DE]n, on-site the run-off fiom all impcivious sui face,,generated by a two(2")inch A well main OWN OF s jTjHOLD rainfall/stoi m event. Fencing- 3. Details&Sectional Diawmg,for Stormwater practice,,are required for approval ' Sep 2 Items i equu•ing details shall include but not be limited to: inactive soils. a. Erosion&Sediment Controls, ar- b. Construction Entrance&Site Access. 0� c Inlet Drainage Structures (eg catch basins,trench drains,etc.) 11 d Leaching Structures (e q infiltration basins,swales,etc.) FOR ENGCNEE 1 G DEPAR —___ --T_-- ENT USE ONLY I Additional Information is Required. Reviewed& Stormwater Management Control Plan is Not Complete. ApprovedBy: — — — — — — — — — — — — — — — — — — — — — — — — Stormwater Management Control Plan is Complete. i Date. 26 /7 SMCP has been approved by the Engineering Department. FORM # SWCP Check List-TOS MAY 2014 4F 3 1 TOM Hall Annex � � aTelephone(631)765-11802 543Roa75 Main oW81) P.O. 179r0�E�riChe� le10Oltl nY US Southold,NY 11971-0959 ��� � . B UII.DIlVG DEPAKTNENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: N ompany Name: C_ 4Ci���� � Company License No.: Address: a2L _ �� ' ' n� •��_ �,®� 11G !: Phone No.: 6 JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: t *Cross Street: *Phone No.: Permit No.: Ll / cur e1 Tax-Map District: 1000 Section:- Block:_ Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) Is job ready for inspection: / NO Rough In Final *Do-you need a Temp Certificate: YES! NO Temp information(If needed) *Service Size: 1 Phase 313hase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead z o fin. n PAYMENT DUE WITH APPLICATION MAX LVIU !pd -0) BUMDING DM. 4 ? Workers' sr°a E Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) ib.Business Telephone Number of Insured Patrick's Pools Inc 631-9964687 PO Box 3024 East Quogue NY 11942 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 262929943 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Wesco Insurance Co Town of Southold 53095 Rle 25 Southold NY 11971 W Policy Number of Entity Listed in Box"1 a" W WC3282511 3c.Policy effective period 05/13/2017 to 05/13/2018 3d.The Proprietor,Partners or Executive•Officers are ❑ Included.(Only check box if ell partnerstafricers included) x❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? ❑YES [-]NO This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that 1 am an authorized representative or licensed agent of the insurance carrier referenced above and that the named Insured has the coverage as depicted on this form. Approved by: Nicholas Zulkofske (Pnnt name of authonzed representative or licensed agent of insurance carder) Approved byz�j: p� (Signal ) (Date) Title:Authorized Agent Telephone Number of authorized representative or licensed agent of insurance carder- 05/25/2017 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NQI authorized to Issue it C-105.2(9-15) www.wcb.ny.gov l Workers' YORK CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Patrick's Pools Inc 631-996-4687 PO Box 3024 East Quogue NY 11942 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number E 262929943 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Wesco Insurance Co Town of Southold 53095 Rte 25 Southold NY 11971 3b.Policy Number of Entity Listed in Bax"1 a" WWC3282511 3c.Policy effective period 05/13/2017 to 05/13/2018 ' 3d.The Proprietor,Partners or Executive Officers are included.(Only check lox A all partners/officers included) QX all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? YES ❑NO This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded Cy the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. , This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must,provide that'certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Nicholas Zulkofske (Print name of authorized representative or licensed agent of insurance camer) Approved by: C (Signal ) (Date) Title:Authorized Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 05/25/2017 Please Note:Only Insurance carriers and their licensed agents are authorized to Issue Form C-105.2.Insurance brokers are M authorized to issue it 'C-105.2(9-15) www.wcb.ny.gov �€ _ p i Nli AP DATE:4ROVED B.P.FEE: BY: NOTIFY BUILDING DEPART NT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: . 1. FOUNDATION - TWO REQUIRED a 1 FOR POURED CONCRETE Coffin 2. ROUGH - FLAMING & PLUMBING I \�" �'•$; D(' { 3. INSULATION' M a;n '`� 4. FINAL r; ": :ION, MUST 4 BE COMIFfI: cnj. �vtw��c �c� 1 1 � .�,; f ALL CONSTc` -. � $HALL. MEET THE _- t��r�=��S �.-'A' 1 REQUIREMEN.S OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR I DESIGN OR CONSTRUCTION ERRORS. n f 3 ! � I✓ �� _ GSL COMPLY WITH ALL CODES OF OCCUPANCY �R NEW YORK STATE & TOWN CODES a AS REQUIRED AND CONDITIONS OF USE S, UNLAWFUL P k SOUTHOLDTO WET CETIFI �- t��., �� r ^ �., :SOUTHOLD TO (+LTE3USTEES:-M c ft •rf '2 - W k if W.1 4 i N.Y.S.DEC al _ -- 4 c� ► yll L\ n � �g to ok u p -�. �(`o S�c� poo� �a M1.1iE�,"iA ELWE'). ELECTRICAL � V The Aaoda W� ®zz � f� t ENCLOSE OOL T.O ccs INSPECTI®NI REQUIRE® � - � � �aas����,�+� ® � ,� I - 71- UPON OMPLETIOIlr "' — o Q `° i� "t ,� CP � .- Pairic�Gennep,CSP � 1 `BEFORE"WATER-I j� 02789'b' y0� CEFtD1M SINCE 1013 RETAIN STORM WATER RUNOFF OF NE`N �' E>�IaESt®14 v` PURSUANT TO CHAPTER 236 df®`��p`�g�9E6�`` ��``�'� � 13� OF THE TOWN CODE. -�Q � , o ORCHARD LANE .. 0ru > w O ._ O _ V-. O •Q .�. .. .,., ., .... .. ... , is 0 CD }. v o ,o � ,..,, , f- _ ..:......i^'' . u O a� — _uj at w ...,....... Ln Cy ar o MU C1 — C .. ... .. .•,,. C b - to O W :R N � of .., . . _.. ...... . .. ... , '•':' �S W 1p of U ...... . . . . . Cc _ w a M ' N Z a! TrCildllrte'. Q ar n n Q ro �j C — p1 YVJa,v vtxo y, R `Finai►cfal Solutions N .. �•k v� t„ oG O .. o� sr ro — o - I•LLJ V , : .. I � t t.. G .� V wi..,ii.., c na �n ��` Q v O U W C Cl. ew ._ m Rd ; C is IL Op (0 'ds c ren' — 0 _ v a 00 oc N — cu �t 1� � cnuj W 1- RS In a W 1= ` L cn C7 F— ro f i N 0 ro • as LA ,.� • ..:... ...... ....:. _<.. a•+ p . ... . .... :.:. . ... O u O p ` C a. ry �, 8 8 � r r,1r p„ ,S• apCL ,J E 0 f a tt Pi Q i.. v - g .. :, L.. ....... ..,. J. N � K- .v 0 , ROOM N66 GRAVEL DRIVEWAY PROJECT LOCATION N.T.S. PROPOSED OUTDOOR SHOWER ENCLOSURE PROPOSED POOL DRYWELL IV66Pr stisti0 2 20,,E PROPOSED POST & RAIL FENCE WITH 4' GATE o VEGETATED WETLAND BOUNDARY AS IDENTIFIED 455 Qoo v ` BY J. PATANJO ON 3-24-17 (PHRAGMITES) �Cc /,,--ALLOW AREA SEAWARD OF PROPOSED FENCE REMOVE EXISTING BRICK PATIO (414 S.F.) TO RE-VEGETATE NATURALLY AND INSTALL NEW 600 S.F. COMPOSITE MCK �� � s T-renpl, arc,n Sv �a'^ MAINTAIN 4' WIDE PATH TO DOCK PROPOSED 20' X 40' IN-GROUND \ POOL W/ BRICK PAVER SURROUND j-:,0 y � IV W W EXISTING FIREPIT TO BE REMOVED y W y y\ y 9g 38' (90 y W . + %I, %I,, , ' APPROVED AS PER TEF��'vIS \ N2?°�>>' 14, %1, '' AND COND1 i 1C�+\1S Or EXISTING AREAS PROPOSED AREAS ?� 40,, y y W �• r� EXISTING HOUSE 1,140 S.F. (3.58%) PROPOSED POOL 800 S.F. (2.51%) \ y �' y E W W 41 \11y W ��y W Mi PERMIT NO. 1 - -a95� a0�� IV 11, EXISTING GARAGE 743 S.F. (2.33%) PROPOSED POOL PATIO 496 S.F. (1.55%) o ` W y y y �� �yam• �- DATE _ust.2-1,-otfs"+ EXISTING SHEDS (2) 128 S.F. (0.40%) PROPOSED DECK 600 S.F. (1.88%) 6 O ' y y y y y y y� EXISTING DECK 414 S.F. (1.29%) ,> FIREPIT AND SURROUND 201 S.F. (0.60%) McMAM Bin ON AWW Aa Coves IV y W W y y y I AM BW ON AM TRIM EXISTING PHRAGMITES TO 12" HIGH FOR �W W 11, W y 41y W W y�' I CEDAR A WIDTH OF 2' ON BOTH SIDES OF CATWALK y W W W BEACH OVERALL AREAS ON AN AS NEEDED BASIS. y W 0 OVERALL PROPERTY 52,578 S.F. �� W W W o ' HARBOR WETLANDS ON PROPERTY 18,778 S.F. 2 ADJACENT AREA 31,856 S.F. 20 y I M "N 300' OF WMMD BOUNDARY) .09' � O ' 7J J �1 PROPERTY OWNER: PREPARED BY:/ SAalcynp_�X6 F�s 1 5 Permit Drawings 1CA40' MAUREEN & JAMES LEVELIS JEFFREY PATANJO Evan mok@j J c- DATE: NOTES: 133 STRATFORD AVENUE 106 HEIWITT BOULEVARD P0\,�;�}GS {� � 27-17 GARDEN CITY, NY 11530 CENT MOf�ICHES, NY 11934 oo S z�e- 3-7-17 1. PORTIONS OF PLAN FROM SURVEY PREPARED BY: 63 484-9332 (��I X03 6 6S ` ROPOSED PLAN & LOCATION MAP 5-1 s-117 l ATANJO®OPTOINE.NET 6-12-17 DESTIN GRAF P.L.S., P.C. 830 CLEARVIEW ROAD 7-7-17 ROCKY POINT, NY SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-89-3-11.5 1 of 1