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HomeMy WebLinkAbout50100-Z pF SOUryo`° Town of Southold * * P.O. Box 1179 � o 53095 Main Rd UN" Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46570 Date: 10/11/2025 THIS CERTIFIES that the building ABOVE GROUND SWIMMING POOL Location of Property: 470 Haywaters Dr Cutchogue,NY 11935 Sec/Block/Lot: 104.-5-21.1 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 11/14/2023 Pursuant to which Building Permit No. 50100 and dated: 12/07/2023 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 above ground swimming pool fenced to code as applied for. The certificate is issued to: Anthony DeLorenzo ,Karen DeLorenzo Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 50100 07/15/2024 PLUMBERS CERTIFICATION: A h ize Signature 4 FO(� TOWN OF SOUTHOLD �gUfcoGy BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 60100 Date: 12/7/2023 Permission is hereby granted to: DeLorenzo, Anthony 182 80th St Brooklyn, NY 11209 To: construct accessory above-ground swimming pool as applied for per Trustees and DEC approvals with flood permit. At premises located at: 470 Haywaters Dr, Cutchogue SCTM # 473889 Sec/Block/Lot# 104.-5-21.1 Pursuant to application dated 11/14/2023 and approved by the Building Inspector. To expire on 6/7/2025. Fees: SWIMMING POOLS-ABOVE-GROUND WITH REQUIRED FENCING $300.00 CO- SWIMMING POOL $100.00 Flood Permit $150.00 Total: $550.00 Building Inspector SO(/�yol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q Jamesh _southoldtownny.gov Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Anthony Delorenzo Address: 470 Haywater Drive city:Cutchogue st: New York zip: 11935 Building Permit#: 50100 Section: 104 Block: 5 Lot: 21.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Alan Hubbard Electric Electrician: Alan Hubbard License No: 4285-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool X New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 1 240 pool pump, 1 240v heater, 1 light control, 2 lights, 1 salt gen Notes: POOL Inspector Signature: oe Date: July 15, 2024 470 haywater dr # # TOWN-OF SO.UTHOLD BUILIING DEPT. cou 631-765-1802 INSPECTION ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ . ] FIREPLACE & CHIMNEY [ ] FIRE'SAFETY INSPECTION [: ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE INSPECTOR - -- - uF sooryo! �D l/� �l 70 14c.c o-�e r 6 a # * ' TOWN OF SOUTHOLD UILDING DEPT. courm ' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/REBAR [ ] ROUGH PLBG. [ . ] FOUNDATION 2ND [ .] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ]. FIREPLACE & CHIMNEY .: [ ] FIRE SAFETY.INSPECTION [ ] fIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]. RENTAL REMARKS; 8 6 vi d w il`<e. c,�v<�� �,r�G A 001 coo vle C4-e-d , Atmt I no &omdd tO 0 2 o vt a I,Vtcf OIL �. k [ro o VLj DATE Y ✓ 02 INSPECTOR ho��OF SO(/T�°� 6&00 Al70 f, (A.)cLfier j0rt (-)sP— TOWN OF SOUTHOLD B ILDING DEPT. 631-765-1802 [NSPECTION. [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] . INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] .FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION . [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 0ATE '4 �� cry INSPECTOR Wad' *pF SOUTyO{o # TOWN OF SOUTHOLD BUILDING DEPT. cou 631-765-1802 I(o INSPECTION [ ] FOUNDATION 1ST/REBAR [ ] ROUGH PLBG.- ] FOUNDATION 2ND . [ ] ULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL"P [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: ", s/W( Dopv DATE 3 INSPECTO.. Z > OF 50UTho� # # TOWN OF SOUTHOLD BUILDING DEPT. ^ouffm 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE-RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: avi V S U 0 DATE YSW INSPECTOR i I i ?s .l 1 i W r�)A + r(r N I 1 M 1 i r I � 11 il�Arl J WINDOW ACE D00 ,WINDOW WATER HAZ RD ENTRANCE WATER HAZARD EN TRANCE A A . . G S . D r p pour poste, portillon et fenAtre our poste pow;jlon et fenetre �'• Alarmed entree de l'eau ri's ue t [a me d'entr�e de l'esu risque �► q Y conforms i0 ,• SYD 20' 0 ' To rD 20 ti/iod To CSA STD,C22.2 No sr�lifed To CfA art --- C22.2 ` Vt.2G1,Z,e1 C 2. Ho.205 \\ 2 {�^ ' Certi/id l!l 2017 H t22,?No. =QS•' r J�.. .�.-_rr•w K f �wtr w INSTALLATION/OPERATION MANUAL Model NO. YG03 This device meets the requirements of UL 2017. IMPORTANT: Read this manual completely prior to operating the YarclGard Alarm, Keep this manual for future reference. TABLE OF CONTFNTS Important Safety Information . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 List of Components . . . . . . . Installation . . . . . . . . . . . . . . . . . . . . . . . . . . Operating the Alarm . . . . . . . . . . . . . . . . . . . . . . 6 Winterization and Maintenance . . . . . . . . . . . . Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..7 Warranty . . . . . . . . . . . . . . . . . . . . . IMPORTANT SAFETY INFORMATION /RENSEIGNEMENTS IMPORTANTS LIES A LA SECURITE AWARNING: Read all instructions prior to i MISE EN GARDE: nstaI6 or Lire toutes les instructions avant Tinstaller ou L operating this device. d'utiliser ce dispositif. WARNING: Failure to follow the instructions may Le fait de ne pas suivre ces instructions peut MISE EN GARDE: result in injury or death. t causer des blessures ou la mort. AAWARNING: This product is not a life saving device but Ce produit n'est pas undispositifdesauvetage.11kit dune mesure MISEENGARDE; an aid to a multi-level program of pool d'aidedansle cadre d'un programme deskuritedelapiscinea safety including but not limited to, adult *aux multiples quicomprend,sanss'y limiter,lasupervaiond'un adulte,une connaissance de la reanimation ardiorespiratoire(RCR), supervision, knowledge of CPR, fences, I'installationdeclotures,l'utilisationdedisposrtrfsd'al'arme sous l'eau, sub surface alarm devices and swimming ainsi quo des coursde natation pour toutes les personnesquiulilisent instruction for all persons using the pool. la piscine. AWARNING: Proper installation and maintenance are L'installation et 1'entretien adequats du dispositif relevent MISE EN GARDE: the sole responsibility of the pool owner. de la seule responsabilite du proprietaire de la piscine. ,A WARNING: Do not permit children to use this product. Ne pas permettre aux enfants d'utiliser ce produit. MISE EN GARDE: AWARNING: Do not use this product if it Is damaged in Ne pas utiliser ce produit s'il est endommage MISE IN GARDE: any way. d'une fagon quelconque. AWARNING: Use only batteries specified in marking. Utiliser uniquement les piles specifiees. MIS1 EN GARDE: AWARNING: Use of a different battery may have L'utilisation de piles differentes pourrait avoir des MISE IN GARDE: detrimental effect on product oper consequences prejudiciables sur('utilisation du produit. WARNING: if a warning flag that is exposed Si un drapeau d'avertissement s'affiche lorsque MISE EN GARDE: battery a les piles sont retirees et le couvercle ferme, batte removed and cover closed the alarm is Non-Operational. I'alarme est non operationnelle. YG03MAN-REV 01.17-DATE 912017 % J (t1 S° 11 � f ^ry 1 F I ay S s 7L64(' s 1 1 1 1 1 ce It • ■ � ILIMA - 10 70 i \t ' - _I l .. T !,' , 1 tt y �y.' •�� `,` /� �_/ ..gyp. `• .- _ L �- _. '��',yr- '---a- -'' �• ._..e� -i,' .- AO? 4W t� Asir, �• ooOeA Ak ._�•isiw '. l 4 g io r x� 44 it } e y j IL � ■ � .ate' s�•' °� ,,,.;;,.� ,�,,, ,arr„ .. Ilk Aw Ab J .+/ r '•A r V v, it ;,=ram' i _. .� ��� J ,..d . .,�; .� "'^�_- "'�� .. i. � _ �, ._�_� _ .. .y J � +.I i .� r ,�' �z '`'��- A�"' v - .. .. A tY' '. ,1 \yy� � 7 r1 ...., ; ` y`1 w �. � � `, (. � � .. �� �i ,� �. � � � �•�. ',.v �� (� �. ITV ,' � V y �/'yM � � �_ c.t G. .s `a i w 1 �4 t �"�"' „�fry► i' s ' a. +•' � 1 i . . Ilk • ,s f ,It �t '00� / 1 CELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) G � ------------------------------------ c FOUNDATION (2ND) z 0 H C7 ROUGH FRAMING& H ^� PLUMBING t C� r� INSULATION PER N.Y. H STATE ENERGY CODE �1 t Arfff Ov-` ✓vsket, FINALS► y l ADDITIONAL COMMENTSo �- - cc cc O - z x , x d b H TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 • Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownn Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ® E D PERMIT NO. 561 b V Building Inspector: / N 0V 1 4 2023 Appi��afian st be fllieci out in thelrerrttretyr incompNete pplicat�o is wlll not be accepted Whe"re the Applicant Is nat the awnelr,an Building Department �rner s � �on ftae3(Pege �shall be completed y Town of Southold Date: Wq , ' Y F �kJ fql b� pNQ s. 1 � Name:ANTHONY DELORENZO SCTM#1000-104-05-21.1 Project Address:470 HAYWATERS DRIVE CUTCHOGUE NY 11935 Phone#:917-693-1566 Email:adelorenzo@220law.com Mailing Address:182 80th Street, Brooklyn, NY 11209 _mw ONTWPER54N: Name:same Mailing Address: Phone#: Email: bE51GN ROFl:rla7101.}��"INF, kMATIt"}N� Name: Mailing Address: Phone#: Email: ONTI GI'OR IWFORMz T,A- Name: Mailing Address: Phone#: Email: t fSCRiPTION OF PROPOSE[1 CONSTRUCTIQ(V ' w 9 r ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: (]Other above ground pool $$20,000.00 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes @No 1 PRQPERTY IiVFQRIyIATIQN Existing use of property: 1 fam[ly residence Intended use of property:1 family residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Dyes ®No IF YES, PROVIDE A COPY. Ctel�Bax ler °rhe awnerJnntraDt/d�sirirofessianat Is resansi6l l alt drainage arcf storm water iss+ asprovded by chapter 36 of the Town APPU66001 tS HEREBY MACft tot�ie Building'peparYmen or theTs5uan a of a BGild�ng f arm#pursuant#o the ButidingZo e, ClydInartce of the Town of 5otithoid,Suffolk,Country,New:Yprk and other applicable Caws,Ordinances or Regulations;for tiie'construction of bu3ldfngs, r , adi#ions,sitars#ions car fevi+a1�r dematlbn as hereinexrribed rheappiican# gs to chWy with ail applicaEe laws,or (nan" S,but#dkng Dade, h'ousk cede and regulatlnn end to admit auttiorTzed inspectors on premtse3 pi d n butldfiW('for necessary tnSi*ion faise statements made herein"Are, Ctas midi nor pyruar►t to 5ec#inr►Rio a5 the New York'Stste Pell CaW Application Submitted By(print name):ANTHONY DELORENZO ❑Authorized Agent BOwner Signature of Applicant: Date: ;�Cti3 STATE OF NEW YORK) SS: . COUNTY OF NEW YORK ) ANTHONY DELORENZO being duly sworn,deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)heisthe OWNER (Contractor,Agent,Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this 4 -1 tt, day of ,20 4-1-) Notary Public MARIO BIAGGI JR Notary Public,State of New York N 32 PROPERTY OWNER AUTHORIZATION Qualified In In N NewyorwYor k County Commission Expires November 23,20 Where the applicant is not the owner) I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959 Telephone.(631) 765-1802 https://www.southoldtowiiny.gov Floodplain. Development Permit Application PFt 'litX1fi�1�1FORIIIk Flood Zone: AE-6 FIRM Panel: SCTM#1000-1 Qt�_Qrj_21,1 Address: 470 HAYWATERS DRIVE city: CUTCHOGUE ,zip:11935 �CQtACPE $�3 t� r Name:ANTHONY DELORENZO Phone#:917-693-1566 Mailing Address:182 80TH STREET, BROOKLYN, NY 1.1209 pOJ t ' ABOVE GROUND POOL � .;:h "'f,F'r ,, { _ �. s^ t �r ,c ;Y,.,gsa � t M � - r, ,:J*�w�r adc�a r E �{h".>�i k"�„ -;_;� � ..:N�y' �,a"'„�4 "' >♦D4 FCT1a1� TtCTU1A14DEI�EIOPNdNT{CFfEI� L� IAT'ALYjy^`, �' 3 T � �#, � "`,..-��xE��t cR,�, �t�Fi�.��'"s �z � _ P'� :: �.� '.Y r � s a.�, 1� Y4'$"v°€.;� �•�-;�•� : iyfiii 4�:fs1'�. C k, r. 'c �'�"�i.� sz �''� ���'� �t��li1C.�-et�` `���`��.��� `€r� '�u t �r,�: T• `�(��.�-r�+iCtLlrt�'lk.��Ct1Ylt�:�a'�,y��r��a k �F,�d w ©Residential(1 to 4 families) ❑New structure ❑Residential(more than 4 families) ❑Demolition of existing structure ❑Combined use ❑ Replacement of existing structure ❑Non-residential ❑Relocation of existing structure ❑ Elevated ❑Addition to existing structure ❑ Flood proofed(attach certification) ❑Alteration to existing structure ❑Manufactured Home ©Other: ABOVE GROUND POOL ❑Located on individual lot ❑Located in manufactured home park � � 7r .d;,.}emu LO1IlIC.NI (CHECK/�LLIA� 'RRL1�js RE r_ , ❑Clearing of trees,vegetation or debris ❑ Mining ❑ Grading ❑ Drilling ❑ Dredging ❑Connection to public utilities or services ❑ Paving ❑ Placement of fill material ❑Drainage improvement(including culvert work) ❑ Roadway or bridge construction ❑Fence or wall construction . ❑Watercourse alteration(attach description) ❑Excavation(not related to a structured development) ❑Other development not listed(specify): nth Qw Ittg t o �m ► 1 �dlflQn .Fer►tai a k o b 4 of ^ ovule x at , RIMM _ ' ,n, s#rittayna orkmr,saruntiJ rtn�tls � .`ll er ' t;�t ;x � R :1ti e, ; Yalu . ;l, 01< 1 vustne�' unttJ�rmit jre issu v�lo eft fail nc3ttl �R sup r � U.TrI �l� WI ( L,� s y�fislW' ax'3 i s ;,s r' �s 1'„�8,, fix. ..•�;�Ta� gY. � yu, ��r,.._ y�t�� �� .:" Q,��„���,� �"��. �FSQ���Fl�t�}���nY�� 18'`��, -.• .I•��'iST" �T'[•�G�`a ��"F��3€ "^��t�� �4 ��� �"s.�.. .y�ar,,�'f F ryas" r..� z Fhy`F�.x'n . 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Application Submitted By(print name): ANTHONY -DELORENZO Signature of Applicant: Date: 1 2/g/2023 j i a. tM BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 10384 DATE: MAY 17,2023 ISSUED TO: ANTHONY&KAREN DELORENZO PROPERTY ADDRESS: 470 HAYWATERS DRIVE,CUTCHOGUE SCTM# 1000-104-5-21.1 AU THORIZATION Yi Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in kV accordance with the Resolution of the Board of Trustees adopted at the meeting held on May 17, 2023, and in consideration of application fee in the sum of$250.00 paid by Anthony&Karen DeLorenzo 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 121x24 above ground pool with pool enclosure fencing and gates; and pool equipment area; with the condition that no concrete base is used, that pool be & back-wash be tied into the existing salt water,removal of proposed pool drywell and that pool tt drywells already on the property; and as depicted on the survey prepared by Peconic Rli Surveyors,P.C.,dated March 21,2023,and stamped approved on May 17,2023. 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 the day and year first above written. 1;4e.1SF F01 L1111)&44" I X-a C2 till Glenn Goldsmith,President ®f S® � Town Hall Annex A.Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O.Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 i Elizabeth Peeples • �� Fax(631) 765-6641 c0UPM,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #2266 C Date: June 24,2025 THIS CERTIFIES that the construction of a 12'x24'above ground pool with pool enclosure fencing and gates,• and pool equipment area,• with the condition that no concrete base is used,that pool be salt water,pool backwash be tied into the existing drywells already on the property, At 470 Haywaters Drive,CutchgZue Suffolk County Tax Map#1000-104-5-21.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated November 22,2022 pursuant to which Trustees Wetland Permit#10384 Dated May 17,2023,was issued and conforms to all of the requirements and conditions of the applicable provisions of lase. The project for which this certificate is being issued is for the construction of a 12'x24'above ground pool with pool enclosure fencing and gates,• and pool equipment area;with the condition that no concrete base is used that pool be salt water,pool backwash be tied into the existing drywells already on the property. The certificate is issued to ANTHONY&KAREN DELORENZO owners of the aforesaid property. Authorized Signature u V E OCT 1 0 2025 Building Department Town Of Southold Am NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00562 PERMIT Under the Environmental Conservation Law ECL F_ Permittee and Facility Information Permit Issued To: Facility: ANTHONY DELORENZO DELORENZO PROPERTY 182 80TH ST 470 HAYWATERS DR1100-104-5-21.1 BROOKLYN,NY 11209 CUTCHOGUE,NY 11935 (212) 693-0500 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 713.763 NYTM-N: 4543.275 Latitude: 41°00'45.6" Longitude: 72°27'28.5" Project Location: 470 Haywaters Drive Cutchogue Authorized Activity: Install a 24' by 12' above-ground pool, fence, replace 328 sf of the asphalt driveway with pervious gravel and establish a 50'wide non-disturbance buffer. All authorized activities must be done in strict conformance with the site plans prepared by Donald J. Metzger, last revised 11/1/2023, stamped "NYSDEC Approved" on 12/6/2023. Permit Authorizations Tidal Wetlands -Under Article 25 Permit ID 1-4738-00562/00005 New Permit Effective Date: 12/6/2023 Expiration Date: 12/5/2028 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:KEVIN A KISPERT, Deputy Regional Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY 11790 -3409 Authorized Signature: 1% Date 12/6/2023 Page 1 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 'ROW Facility DEC ID 1-4738-00562 Distribution List Bureau of Marine Habitat Protection KEVIN A KISPERT File Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Permit Attachments Site Plan l l/l/2023 NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Donald J. Metzger, last revised 11/1/2023, stamped "NYSDEC Approved" on 12/6/2023. 2. 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. 3. 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. 4. 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 �t NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 'Row Facility DEC ID 1-4738-00562 5. 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. 6. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of in an authorized solid waste management facility. These materials shall be suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area. 7. 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. 8. 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. 9. 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 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 jute matting until weather conditions favor germination. 10. No Unauthorized Fill No fill or backfill is authorized by this permit without further written approval from the department(permit, modification, amendment). 11. Establish Vegetated Buffer To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 50' linear feet landward of the tidal wetland boundary, as per site plans by Donald J. Metzger, last revised l l/l/2023, stamped "NYSDEC Approved" on 12/6/2023. 12. Install, Maintain Erosion Controls Necessary erosion control measures, i.e., straw bales, silt fencing, etc., are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 13. No Drywells in or near Wetland Dry wells for pool filter backwash shall be located a minimum of 75 linear feet landward of the tidal wetland boundary. 14. Driveway Partially Converted to Pervious Material A portion of the driveway shall be converted to pervious material as per site plans by Donald J. Metzger, last revised l l/l/2023, stamped "NYSDEC Approved" on 12/6/2023. 15. No Pool Discharges to Wetland There shall be no draining of swimming pool water directly or indirectly into wetlands or protected buffer areas. Page 3 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00562 16. Tidal Wetland 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 the effective date of this permit. This deed covenant shall run with the land into perpetuity. A copy of the 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 Marine Habitat Protection NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 Attn: Compliance 17. Maintain Erosion Controls All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilized. 18. 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. 19. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if,upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 20. 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. 21. 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 4 of 6 v NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00562 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: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook, NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; Page 5 of 6 gUFfOL,� �, , � , = ,J` '�-� ` B�1`ILDING DEPARTMENT- Electrical Inspector J =�0�0 G ; 'a° TOWN OF SOUTHOLI) o x APB 2 4 2024rown Hall Annex - 54375 Main Road -'PO Box 1179 0 ^� Southold, New York-11971-0959 y p� T ;dIT elephone (631) 765-1802 - FAX (631) 765-9502 � � fi(a�southoldtownny.gov seand(&- southoldtownny.gou APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: �{- Company Name: C Electrician's Name: A / r/ M066 2.r License No.: /►'I C--Elec. email: �j g�r2�I�►A}S A se, , �fo0 Elec. Phone No: &3[-&i — / ?15 ❑I request an email copy of Certificate of Compliance Elec. Address.: O Gast ;U W A ve 6o6-cse, 1/ &C JOB SITE INFORMATION (All Information Required) r,- Name: AAJz--Aoi,--PE Drla , 2® Address: ,q ,4-T Co+ckoacyp Cross Street: AL, r,. Phone No.: l`7 — (9 - 1566 ! Bldg.Permit#: !�50 (�0 email: Tax Map District: 1000 Section: D Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 0 l' ©Q C Square. Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 F12 F1 H Frame Pole Work done on Service? Y N r Additional Information: PAYMENT DUE WITH APPLICATION „Q rq 'BU`IWING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD ? cm -z ; ApG, 2 4 2024Town Hall Annex - 54375 Main Road -'PO Box 1179 c • Southold, New York 11971-0959 -Cu''F';Telephone (631) 765-1802 - FAX (631) 765-9502 ' - t.obb4r southoldtownny.gov seand(absoutholdtownny._ oy APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: � 'oZ Company Name: 191 /JAb,4,R4) cTiQ e-A L Cv,uT C Electrician's Name: 4 / .n/ -K,) 6 2c License No.: f 2$rj /Iq 6-Elec. email: J66, 6z/]�► AbL, , <fo0 Elec. Phone No: 603 f-6?C , / ?1 5 ❑I request an email copy of Certificate of Compliance Elec. Address.:P0 (3osc ;2J W A 4 L)e 6©6-Lie- r J // SC JOB SITE INFORMATION (All Information Required) Name: AA J 7Ll7d 1---j DEF-/vp, Z� Address: �} �}� t-cjp C'o4 e U Cross Street: ' L7tJ Phone No.: cl l-7 & /5 6(o Bldg.Permit#: !!50 1 Da email: Tax Map District: 1000 Section: Block: Lot: o7 I. I BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO Rough In Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service SizeF11 Ph F-]3 Ph Size:' A #Meters 'Old Meter# ❑New Service Fire Reconnect[]Flood Reconnect Oservice Reconnect QUnderground Eloverhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y F1N Additional Information: PAYMENT DUE WITH APPLICATION n „Q PERMIT# Address: Switches Outlets l �-ti 6 V 0 5 4� . GFI's ` Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W/D PanelPump a��0 Exhaust Oven Sump Heater Oqo V W AMA- Trnsfmr Smokes _ DW Generator Salt Gen. �0 V Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments I a6 j4140 OP Grl-- L ,?d qw I ao OMP sP Grfi 1 ab gvxtp s P t U '7C'c0a][b Ill[\ A\'7C']E)(b ScO�t A.� Russell, SUPER—WS'OR t < r t r Il[A\ AcG�]E �1[]E1v=']F 53Q951t�ai--Road SotimotU,NE aou Town 0 Southold; .,:.;,, C DER 2- ., _,__Q T AEF J► FORM (AI?PLICANT W.M. R-Ax-no T m Com.p-p TBD BY THE:APPLICANT rc 01L I+OR PROP Eft'TIES" aNE ACRE IN AREA OR LARGER.`) ►-., , !'�::'"•- ,:. APLtCANT 'rc�p ,rty Owner; Des>gn Frofessional, Agent, Contractor, Other) .: r ANTHONY DELORENZO NAME" . .. . Da . Contacf Information. -63 1566.... t IE�NaiI�T_eleplinne Numheil,� �� ADELORENZO@220LAW COM fro eft.;.,Address, / LnfCnuo Slnte 470 HAYWATERS DRIVE F CUTCHOGUE, NY.,10165 District � �Y 05 Section Block 7rof31 ... ..:.... RN - _ atxx#tt{.....v.,..? ..,..»�F ..,,',......"%F,v.�.i:. ...:.<,,< .. r.. .....:..:�_4 x.„.;:r�, rx. �• 75 3 TO BE COMPLETEMBY SO_UTHOLD`TOW-N ENG[NE RING,DEPAR"t MENT Ai ea'of Disturbance;�s less'than 1 Aci e� No S P D E S Permit�s Rcguared'i E ❑ - Protect does Not N86harge-tp Waters of tie State I t� rP.U=I ` Pe c {: - Area'.of Runoff DYsturbance'=is GreIX eter than 1 Aare&Storm water noff Disch s arge Directly; Y y Y to Waters of the State of New Yffork: TH)J,.APIL,IAI '[''MUST OBTAIN S.P.A B S.;Perrniz, D11ECTLY From NAY S DEC Prior.to Issuance of a Building Permit ❑ - Ai ea of Disturbance�s greater thane:l Acre&Stor m water Runoff Flows Through Southold Tow.n!s 1 S4 Sxstems to Waters,of IZe State of New York: THE APPLICANT.MUST QBTAIN Pei mit:i bbu: "the Southold Town Errctearirt De "'tinent:. nce B of°a flia Perrnrt,. j Prior_:ta Issua, r X; n l Reviewed By Ape �V� Date ... ACce('Ve� 11 ) s P3 Anthony DeLorenzo 182 80t' Street Brooklyn, NY 11209 917-693-1566 adelorenzo@220law.com November 10, 2023 TOWN OF SOUTHOLD —BUILDING DEPARTMENT Town Hall Annex 54375 Main Road Southold, NY 11971-0959 Re: Permit Pool 470 Haywaters Drive, Cutchogue Dear Sir/1V4adam: I enclose a building permit application, 4 sets of plans, 2 surveys and a check for $300.00. I also enclose the Trustees Authorization. DEC has verbally approved the project and I will forward their approval shortly. If you need any further information please do not hesitate to contact me. Thank you very much for your courtesy and cooperation. Very truly yours, tdn . eLorenzo AD/mp ARD E N E/ ,Q EjaNN 23 Zd To BE CON VE D — 1AN��F BARS � �ARG \ ( 28 Sq.F )� e 0 P0�' 26 ,�, OHW`—� ® 1 A E Hw G .� I If 65 ® 1 F F 52,4 � 6UFF ER,IAL GO NO APRi � /g c I � 1 B \ � se culls 6 I tURoNNG SP I55 �Ue ED IN PERM1� / / c r l �� rMe� \� ASPHALT DRIVEWAY / IENO UILDING / °R ASPHALT NfE�-RICK / _ E ,> JROD , / 0 F 11 0 � o C;K 422 Gam' \ z a� 919 RY a x� N �o SE / FND �ZNGUO 10.8 Lo FF 0N010 0 73 `� DRIVEWAY PIPE PROP' 0 323 c ASPHALT eB cuae ` 44 Pool, OF `� ® a Z � pgo No �o k �1M•Oc,� m OJ�J o o A. 1 �w \ all 3 cn V�� 9 Po CAi O \ d GAR R()OM \ � FN D E F TID DELI N "C� \ \ PIP D EDGEp AZDER. GE (NOW S FLAGp MES LAj4; .FOR S BARD EDP joN SUR2D23 A R RSN BpEGG�N 23jG � , rL3� �0 GF M' MA t o� APkOEDAS NOTEDDATE- P.# S U FEE Y: NOTIFY BUILDING DEPART TAT 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING& PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST ELECTRICAL BE COMPLETE FOR C.O. INSPECTION! REQUIRED ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY WITH ALL CODES OF eIMM E i A 1 ELY" NEW YORK STATE&TOWN CODES AS REQUIRED AND CONDITIONS OF ENCLOSE Pool TO CODE o-gUFON COMPLETION -S8�#I9L��4�l�1ZBA� ORE:"WATER'' SWTHOLD tOW11 Pb C-BOARD L--' N.Y.S.DEC ,;gffH8L)+IP6 CHD FLOOD ZONE COMPLY WITH CHAPTER "46" OCCUPANCY OR FLOOD DAMAGE PREVENTION USE IS UNLAWFUL SOUTHOLD TOWN CODE. WITHOUT CERTIFICA-' OF OCCUPANCY RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. METRIC RECTANGLE CORNERS �21 n 2 NON-DIVING POOL USE OF DIVING EQUIPMENT 12 r� Orr IS PROHIBITED TYPE 1 IN GROUND Lf NER BEAD POOL LL 52" WA ACTUAL 46" ALL DIMENSIONS ARE FINISH DIMENSIONS PANEL 3" HEIGHT COVE 4�� 4r_2rr WATER LINE 61J .'2"SAND COVE DOES NOT GO ACROSS FACE OF STEPS 2 A I_/1D METRIC SERIES: METRIC SEZE DEALER: CUSTOMER lJ� CUSTOMER NAME 4W. RECTANGLE 12 X 24 BROTHERS 3 DELORENZO • HOPPER INFO: STEP INFO: 00'-00" CORNER STEP FORM DRAWN �' Fl"'�'�D ERIC XXXX ADDTTKINAL INFO. .Mr DRAWN DATE CHECK'D: FINAL DATE CHECK-D.- REV 6Y: CHECK D: 10/18/22 m ��� XX X -- THIS POOL IS DESIGNED TO MEET OR �- REV DATE.EXCEEDINDUSTRYRECOMMENDEDMASTR NO: CUSTOM DIRAVANG; �� SAFETY STANDARDS{ANSUAPSP-4 FORAMERESIDNTIALA ABOVE rMETER; AREA 73836 MRE1238 PAGE FOR RESIDENTIAL ABOVE GROUND �1• Ft•: EST. GALLJ-ON Gpl,: SWIMMING POOLS) 72'-1 1/8" .293 7,709 1 OF 1