HomeMy WebLinkAbout37220-Z EFO4 AGy Town of Southold Annex 3/28/2014
P.O.Box 1179
t 54375 Main Road
�IV Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36827 Date: 3/28/2014
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 12120 New Suffolk Ave, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 116.-6-10.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/14/2012 pursuant to which Building Permit No. 37220 dated 5/16/2012
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 fence to code as applied for.
The certificate is issued to Avelno LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37220 12/20/12
PLUMBERS CERTIFICATION DATED
/,Ah6iized ignat re
,�SUFFn TOWN OF SOUTHOLD
moo XCoy BUILDING DEPARTMENT
y z 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 #: 37220 Date: 5/16/2012
Permission is hereby granted to:
1
Krause Family Trust
12120 New Suffolk Ave
Cutchogue, NY 11935
To: construct an In-Ground Swimming Pool fenced to code per Trustees & DEC permits as
applied for
At premises located at: i
12120 New Suffolk Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot# 116.-6-10.2
Pursuant to application dated 5/14/2012 and approved by the Building Inspector.
To expire on 11/15/2013.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Building Inspector
*QF $U(/ryol0
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 � Q rer.richert(aD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Gladstone
Address: 12120 New Suffolk Ave City: Cutchogue St: NY Zip: 11935
Building Permit#: 37220 Section: 116 Block: 6 Lot: 10.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Luna Electrical Corp License No: 43117-me
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 1 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
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: in ground swimming pool to include, bonding, 1-GFCI circuit breaker, 1-heat pump
2-pool lights, 1-control panel, 1-pump
Notes:
Inspector Signature: Date: Dec 20 2012
81-Cert Electrical Compliance Form.xls
OF SOpT�olo .
ti Courm,��'
Y�
TOWN OF SOUTHOLD BUILDING DEPT.,
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE-SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) P� ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTORO
3 72,,2 Of SO//lyo
lyc0UNT1,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] RO H PLEIG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRIC -(ROUGH) [ ] ELECTRICAL (FINAL)
REMARTRI / cx -rzs
.3 `
DATE � INSPECTORS
�ycoum,a
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROU "LEIG.
[ ] FOUNDATION 2ND [ ] 1 LA
[ ] FRAMING /STRAPPING [ FIN
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: �cf'
DATE INSPECTOR
cou
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] I UL
[ ] FRAMING /STRAPPING [ FIN
rW----l'
[ ] FIREPLACE & CHIMNEY [ ] FIR SAF INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE �/ INSPECTOR
ti
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1 1 !
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11 • M won$ 1 r
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLI
BUILDING DEPARTMENT Do you have or need the following,before applyi:
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 76571802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. �72?0 Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined ,20/;'- Storm-Water Assessment Form
Contact:
Approved 20 l�- Mail to:
Disapproved a/c
Phone:
Expiration ,20
D E C E Building Inspector
APPLICATION FOR BUILDING PERMIT
MAY 14- 2012 0
Date , 20_
BLDG.DEFT. INSTRUCTIONS
TOWN OF SOUTHOLD
a. is application M U ST be completely filled in by typewriter or in ink and submitted to the Building Inspector with
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 of
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 permi
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting t:
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York,'and other applicable Laws, Ordinances or
Regulations,for the construction of buildings,additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code,housing code,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
OCCUPANCY OR �.
IMMEDIATELY" ��� IS UNLAWFUL (Signature of applicant or name,ifacorporation)
ENCLOSERi,O6410 CODE
UPOf1 COMP_LET10N. WITHOUT C E RT I F I G 3�
eBERORE WATCR (Mailine address of,applicant)
OF OCCUPANCY
State whether applicant is owner, lessee, agent, architect, engineer, generala%%� �M, egtpciO p-Tumber or builde
H61FIFI 13UILDING DEPARTMENT AT
Name of owner of premises U-t-lvvt LI-C—
76 5-1902 8 AM TO 4 PM FOR THE
(As on the tax roll or K6 N TWO REQUIRED
If applicant is a corporation, signature of duly authorized officer FOR POURED CONCRETE
Q ar{a"-t" (3-I aotS-"I t _ 11P1-A1/1T RfA/1f� 'WITH 1?OUuH•FRAMING,PLUMBING,
(Name and title of corporate officer) . PPING,ELECTRICAL&CAULKING'
FRAMING UNTJLS14RVEY ..; )NSULATION
Builders License No. °QF FOUNQATION'LOCATION 4 FINAL-CONSTRUCTION&ELECTRICAL
�09��`7�-/� HAS BEEf�'APPROVED. OUST BE COMPLETE FOR C.O.
Plumbers License No. ALL CONSTRUCTION SHALL MEET THE
Electricians License No. R1:.QuIREMENTS OF THE CODES OF-NEW
Other Trade's License No. yL)RK STATE. NOT RESPONSIBLE FOR
QED bLSIGN OR CONSTRUCTION ERRORS.
RETAIN STORM WATER RUNOFF
1. Location of land on which proposed work will be done: P RSUANT T^ CHAPTER 236
ZZ�o TOWN CODE
House Number Street Hamlet
County Tax Map No. 1000 Section //Block Lot /U , 2—
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 S, . .n(, /�1�_s C�'l G
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost '73, 3 r70 Fee 3c>c,
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. /t/('D
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 Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
14.Names of Owner of premises A VI-1 4 v ., L L.C— Address Phone No.
Name of Architect Address Phone No
Name of Contractor sewfl one No. (,a t- �3-43
o4-
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 1 _ O
* 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 y//
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF
J c h, TOr—'c,ys n, being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the 66 i'f
(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 applicatii
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.
ALLAIREAESSLER AUOENotiY PUbliC,Ste of
Swofore me this No.OIAUU5060203
rn to e w York
day of 20 Gualifled in Suffolk Co ty
Commission Expires OCt.
Notary Public Signature of Applicant
BOARD OF SOUTHOLD TOWN TRUSTEES I
SOUTHOLD,NEW YORK
I
PERMIT NO. 7716 DATE: JANUARY 18, 2012
ISSUED TO: AVELNO,LLC,AS CONTRACT VENDEE
I .
PROPERTY ADDRESS: 12120 NEW SUFFOLK AVENUE,CUTCHOGUE
SCTM# 116-6-10.2
I
i
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 January 18,2012,and. 1
in consideration of application fee in the sum of$250.00 paid by Avelno,LLC,as Contract Vendee and subject
to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and
} permits the following:
Wetland Permit to construct a 12107' in-ground swimming pool; install pool f
I I '
enclosure fencing; and relocate drywells;with the condition that a 101 wide non-turf
buffer is installed and maintained along the landward edge of the seawall; a line of
staked hay.bales with silt fencing is to be installed prior to construction; and as
depicted on the survey prepared by John C.Ehlers Land Surveyor, last dated January
26,2012, and stamped approved on February 3, 2012.
IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,
and these presents to be subscribed by a majority of the said Board as of this date.
.!
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6312834697 TORTORELLA POOLS 03:32:11 p.m. 03-26-2014 2/2
t7d/L1/Lb14 ub::eq bd1 1bDbb41 SUU I HULU I KJb I LLb F AUL F l/K
John M.Bredemeyer III,President ftV Town Hall Annex
Michael J.Domino,Vice-President �� �p 64376.MWn Road
79
James F.En Tm tee � � ,New
Box k 11
Pn Southold,�Iew York 11871-09b9
Dave Bergen,Trustee G,
892
Charles J.San�den,Tmetee �� Telephone
(631)7185 66641
RO,AW OF TOWN TRUSTEES
TOWN OF St7(TTHOLD
CERTIFICATE OF CONREIANCE
#0. 959C Date: Mich 2L 2014
THIS CERTIFIES that the cons-tombon of a 12'07' in-ground swimming pool with
pool drywelh MIILeaciw�drywells rel sated for roof runoffon,dwellins=: and a 10' wide nlon-
turf buffer to be subsewently maint�ed along the Landward edge of the Seawall.
At 12120]HSN Suffolk Avenue,Cutc mm,New York
Suffolk Cownty Tax Map# 1 I(-kl0.2
Conforms to the applications for a Trustees Permit heretofore filed in this office
Dated December 23_.2011 pursuant to.which Trustees Wetland Permit#ZZ-16 Dated
Januatv_1.$._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 the construction of a 12'R37' in-snvund swimming pool_v% apc�l dzYw_ell• Wool fencing;
drywells relocated for roof runoff on d3ydling:and.a-10' wide non•-turfbu er to bg subsequently
maintained along the landwedge oftlxo seawall.
The certificate is issued to AWL_NOLLLC owner.of the
aforesaid property.
Authorized Signature
New York State Department of Environmental Conservation
Division of Environmental Permits, Region One
SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409
Phone: (631)444-0365 Fax: (631)444-0360 oboe
Website:www.dec.ny.aov
Joe Martens
Commissioner
February 7, 2012
Avelno, LLC
C/O Barbara Gladstone
515 West 20 Street
New York NY 10011
Re: NYSDEC Permit# 1-4738-03418/00002
Avelno, LLC (Contract.Vendee)
12120 New Suffolk Avenue
Cutchogue
SCTM # 1000-116-6-10.2
Dear Permittee:
In conformance with the requirements of the State Uniform Procedures Act
(Article 70, ECL) and its implementing regulations (6 NYCRR, Part 621)we are
enclosing your permit. Please carefully read all permit conditions and special permit
conditions contained in the permit to ensure compliance during the term of the permit.
If you are unable to comply with any conditions, please contact us at the above
address.
Also enclosed is a permit sign which is to be conspicuously posted at the project
site and protected from the weather, and a Notice of Commencement/ Completion of
Construction.
Sincerely,
Matthew R. Penski
Environmental Analyst 1
cc: En-Consultants Inc.
Habitat =TW
DEP File
AM
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-03418
PERMIT
Under the Environmental Conservation Law ECL
Permittee and Facility information
Permit Issued To: Facility:
AVELNO LLC AVELNO LLC VENDEE PROPERTY
C/O BARBARA GLADSTONE 12120 NEW SUFFOLK AVEISCTM1000-116-6-
10.2
515 W 24 ST CUTCHOGUE,NY 11935
NEW YORK,NY 10011
(212)206-9300
Facility Application Contact:
EN-CONSULTANTS INC
1319 NORTH SEA RD
SOUTHAMPTON,NY 11968
(631.) 283-6360
Facility Location: in SOUTHOLD.in SUFFOLK COUNTY
Facility Principal Reference Pointe NYT'M-E: 711.1 NYTM-N: 4540.8
Latitude: 40°59'27.9" Longitude: 72°29'25.4"
Project Location: 12120 New Suffolk Avenue, Cutchogue
Authorized Activity:
Construct a 12 foot by 37 foot in-ground swimming pool, drywell;.fence, and relocate the existing
dry .ells. All work shall be in strict conformance with the survey prepared by John C. Ehlers last
revised on 12/7/11, and stamped"NYSDEC Approved" on 2/7/12. SAP-1-09-013
Permit Authorizations
Tidal Wetlands- Under Article 25
Permit ID 1-4738-03418/00002
New Permit Effective Date: 2/7/2012 Expiration Date: 2/6/2017
Page 1 of 6
A&
NLW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-03418
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 dldwtsj\cluded as part.of this
permit.
Permit Administrator:JOHN WI)ELAND, Deputy gional Permit Administr for
Address: NYSD. C REGION 1 HEAD UARTERS
S S,TO !BROO 50 CIRCLE RD
S O BF200 ;`NY 11 90-340 )
I 1 �....a t` .
Authorized Signature:
at
Distribution List
EN-CONSULTANTS INC
Habitat-TW
DEP.File
Permit Components'
NATURAL RESOURCE PERMIT CONDITIONS
GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
NATURAL RESOURCE PERMIT CONDITIONS=Apply to the Following
Permits:TIDAL`NVETI�ANDS
1. Regulated Activities Authorized By This Permit This permit authorizes only those regulated
activities/structures identified under the section Description of Authorized Activity.NYSDEC does not
issue after-the-factor as-built permits. This permit does not authorize activities, or legitimize the
existence of structures,which would have required a permit but for which no permit or other
authorization has been granted NYSDEC.
2. Notice of Commencement At least 48 hours prior.to,commencement of the project,the permittee
and contractor shall sign and return the top portion of the enclosed notification form certifying that they
are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion
of project, the bottom portion of the form must also be signed and returned, along with photographs of
the completed work.
Page 2 of 6
Mona
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-03418
3. 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.
4. Failure to Meet Permit Conditions Failure of the permittee to meet all the conditions of this permit
is a violation of this permit and grounds for an order to immediately cease the permitted activity at the
project site.
5. Accessory Structures Must Be At Least 75 Feet Landward.Of The Wetland Boundary This
permit authorizes the construction of new accessory structures located in the adjacent area at the
prescribed minimum setback only. Structures located in tidal wetlands, or structures in the adjacent area
but located less than 75 feet from the wetland boundary, are not authorized.
6. 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 John C. Ehlers last revised on 12/7/11, and stamped "NYSDEC
Approved"on 2/7/12. .
7. 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 100 linear feet from the tidal.
wetland boundary.
8. Install,Maintain Erosion Controls Necessary erosion control measures,i.e., straw bales, silt
feneing,:etc:;-are ao be:placed on the downslope edge of,any.:disturbed.area,.:'This. e4iment.bal4ei 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.
9. 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.
10. Area of Disturbance for Structures Disturbance to the natural vegetation or topography greater
than 25 feet,seaward.of.the approved structure.is prohibited..
11. Contain Exposed,Stockpiled Soils All disturbed areas,where soil will be temporarily exposed or
stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales/silt
curtains (or other NYSDEC approved devices)placed on the seaward side between the fill:and the
wetland or protected buffer area. Tarps are authorized to supplement these approved methods.
12. Vegetate All Disturbed Areas The permittee shall revegetate all exposed faces and disturbed areas
to prevent soil erosion prior to the project completion or expiration date of this permit,whichever comes
first.
13. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag, flyash,broken
concrete or demolition debris).
14. No Changes to Septic System This permit does not authorize any alteration, expansion or
replacement of existing septic systems.
Page 3 of 6
- NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-03418
15. 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.
16. 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.
17. 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.
18. 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.
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.ariy portion of the:unc' eted structure or fill
and.restore to its former condition the navigable and flood'capacityofthe watercourse. No claim shall
be made against the State of New York on account of any such removal or alteration.
20. 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 maybe 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.
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).
Page 4 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-03418
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 BROOK150 CIRCLE RD
STONY BROOK,NY11790-3409
4. Submission of Renewal,Application The permittee must submit a renewal application at least 30.
days.before.perrriit 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;
e. noncompliance with previously issued permit conditions, orders of the commissioner, any
provisions of the Environmental Conservation Law or regulations of the Department related to
the permitted activity.
6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or
another permit condition. Applications for permit transfer should be submitted prior to actual transfer of
ownership.
Page 5 of 6
AM
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-03418
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification
The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the
Department of Environmental Conservation of the State of New York, its representatives, employees,
and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the
.permittee's acts or omissions in connection with the permittee's undertaking of activities in connection
with, or operation and maintenance of,the facility or facilities authorized by the permit whether in
compliance or not in compliance with the terms and conditions of the permit. This indemnification does
not extend to any claims,suits, actions, or damages to the extent attributable to DEC's own negligent or
intentional acts or omissions, or to any claims, suits, or actions naming the DEC and.arising under
Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision
under federal or state laws.
Item B: Permittee's Contractors to Comply with Permit
The permittee is responsible for informing its independent contractors, employees, agents and assigns of
their responsibility to comply with this permit, including all special conditions while acting as the:
permittee's agent with respect to the permitted activities, and such persons shall be subject to the same
sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee.
Item C: Permittee Responsible for Obtaining Other Required Permits
The p.pp:gj ee 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.
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.
Page 6 of 6
NOTICE OF COMMENCEMENT OF CONSTRUCTION
RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0297
Bureau of Habitat-TW
50 Circle Road
Stony Brook, NY 11 90-3409
: --PERMIT NUMBER 730e-03Y19 1 009 EXPIRATION DATE:
PERMITTEE NAME&PROJECT ADDRESS:
CONTRACTOR NAME&ADDRESS:
TELEPHONE:
Dear Sir:
Pursuant to the special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on
. We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all
permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the
approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit,permit sign,and approved plans will
be available at the site for inspection in accordance with General Condition No. 1. (Both signatures required)
PERMITEE: DATE
CONTRACTOR: DATE
THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT
AND/OR ANYASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE,POST THE PERMIT SIGN, OR HAVE THE PERMIT AND
APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE
AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS.
Cut along this line �Ic lec 91C
NOTICE OF COMPLETION OF CONSTRUCTION
RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-.0297 AM-
50 Bureau of Habitat-TIN Circle Road
u Stormy Brook,NY 1 790-3409 -
PERMIT NUMBER: I" 1730"03Y/9 00004a EXPIRATION DATE:
PERMITTEE NAME&PROJECT ADDRESS:
CONTRACTOR NAME&ADDRESS:
TELEPHONE:
Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed.on
We have fully complied with the terms and conditions of the permit and approved plans.(Both signatures required)
PERMITEE: DATE
CONTRACTOR: DATE
THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY,AS APPROPRIATE, MUST BE
SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT.
�I Pit
Town Hall Annex Jt l ( Telephone(631)765-1802
54375 Main Road N (630 765- 5
P.O.Box 1179 G roster.ddhertfa town.soUt�i015.nV us
Southold,NY 11971-0959
BUILDING DEFARTMEENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:. �� ��`' Date:
Company Name: cr - 1
'Name: rn O d'�G�d� ►(�
License No.: 3 1� r �
Address:
'Phone No.:
JOBSITE INFORMATION: (*IInnd.icatel s required information)
*Name:
*Address: �e-A Sta ;
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District: - 1000 Section: _ Block: Lot: j r
*BRIEF DESCRIPTION OF WORK (Please Print _Clearly)
�vim, M M`► b 0
{Please Circle All That Apply)
*Is job ready for inspection: YES/ NO Rough In Final
*Do-you need a Temp Certificate: YES/ NO
Temp Information (if needed)
*Service Size: 1 Phase .3Phase 100 150 200 300 350 400 Other
New Service: Re-connect' Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82=Request forinspection Form
PROPERTY OWNER'S ENDORSEMENT
(to be completed if the person applying for the permit is NOT the property owner)
STATE of NEW YORK }
}
COUNTY of SUFFOLK }
I, /" ► dl-o , being duly sworn, deposes and says
that (s)he resides at 0-0 /JQ,I,t) l �L�1 in the County of
SUFFOLK in the State of New York, and that (s)he is the (owner in fee) or
( s� of the Corporation, which is he owner in fee) of the
premises described in the foregoing application to the De artment of Planning and
Development for a building permit and that (s)he has authorized J. Tortorella
Swimming Pools, Inc. to make the foregoing application.
(CORPORATE SEAL)
Sworn to before me this e
Day f 2012
Notary Public Owne , Partner, Corporate Officer
STACEY TUNIS Title
Notary Public-State of New YorK .
No.01 TU6227238
Qualified in Westchester County
My Commission Expires August 30,2014
if necessary,attach additional Property Owner's Endorsement Forms
6312834697 TORTORELLA POOLS 09:34:11 a.m. 05-14-2012 1 /2
ri-TORTORELLA
CUSTOM GUNITE POOLS
1764 County Road 39
Southampton, NY 11968
631-283-7373 phone
631-283-4697 fax
Glenwood@tortorella.com
Fax
To: Town Of Southold, Building Dept. From: Glenwood Morris
Fax: (631)765-9502 Pages: 2 including cover
Phone: (631)765-1802 Date: 05-14-12
Re: Avelno LLC Attn: Connie
Good morning Connie:
Please find the attached cross section for the swimming pool at 12120 Suffolk Ave,Cutchogue,NY.
Regards,
Glenwood Morris
6312834697 TORTORELLA POOLS 03:32:04 p.m. 03-26-2014 112
TORTORELLA
CUSTOM GUNITE POOLS
1764 County Road 39
Southampton, NY 11968
631-283-7373 phone
631-283-4697 fax
glenwood@tortorelia.com
Fax
To: Town of Southold From:Glenwood Morris
Fax: (631)765-9502 Pages:2 including cover
Phone: (631)765-1802 Date: 03-26-14
Re: 1210 New Suffolk Ave,Cutchogue Attn:
To whom it may concern,
Attached, please see the certificate of compliance from the trustees department. Please
notify me if you require any additional documentation in order to obtain the CO for the
swimming pool permit.
Regards,
Woody
•SURVEY OF PROPERTY NYSDBCADJACMUA BA TABLE
51TUATE: GUTGHOGUE 454 9'F
P ARe Be 9.F. f0.2f
TOlw�l.l: 5O IZHO� P TSO 6 FOFT us S.F. 1.7i
��I /�<�Y ✓�.�/v/� {,��/ Mfg A"S.F. I.J.
s/' F OLK VVUNTYI N 1 � R�POSID P001. AY 9.F. I.Q. C
SW MR.OF SAPN 1S3 9.F. 0.3t
5URVEY: 11-12-2001, L"MVEAAOC B Sas S.F. 11.Sf
NETLAND5 10-21-2011 S
` PROP.POOL 12-6-20I1 TowN op sourH=BuILDABLB LAND
LOT COVERAGE 12-1-2011 � I
MLOT
MF "-"
iaov><AQBUM X 9.415UFFOLK COUNTY TAX# S.S%1000- 116 -6- 10.2 1.15 O.Si IS.St
aRTIPME)TO:
AVELNO,YI.0
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NOTES:
o PIPE FOUND pp N�yy C g -
KATER LINE 15 5HEATHED IN AREA C.Eye ` \ 4��' _ "
��^
NEAR 5EPTIC IN ACCORDANCE WITH ,` p �,_ p O 4-2w y ,w
,' . �. • PHCPCSEO POOL
i . 7CERTHM M LOT CBVMGF 1 7.47E H.F. 15.
AVMXO,
APPROVED BY _ '� ®lk ue
BOARD OF TRUSTEES • 760 '20-E° "-
TOWN OF SOUTHOLD
t
r Stan
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_X
r O
'tP htidL `fir �'
t �
.L it "It r 2 o ��[r� 1
i '---__
6E FLA66ED AND SHOHN
ON SURVEY BY PELONIO ,�� 110.ram` o w� u'A
' SURVEYORS / i�_I _qD EO6E
' m °e F
' o '
IN
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r O
FEB - 1 2012 ;;,�
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ol
4 ,
NOTES: e O."{`
O PIPE FOUND
1"IATER LINE IS SHEATHED IN AREA - �qy� � ��°•^.�•�•_w
NEAR SEPTIC IN ACCORDANCE WITH "•�'�°'�""''" °""°°°° °
S.C.D.H.S.STANDARDS
AREA = 52,514 S.F.or 1.2069 ACRES w � y
FLOOD ZONE DEPICTED F MAP 5610 R JOH C. EHLERS LAND SURVEYOR
36103G0501 H LAST REV.SEPT.25,200q 09
6 EAST MAIN STRHEP N.Y.S.LIC.NO.MW
OkAPHIG 5GALE I"= 40' RIVERHEAD,NY.11901 3694I288F8x36%4W
REF.C.%Usm%JoLnWropbox\03V03W3-279 WrM COVERAGE CALLS 10-24-201 Lpm
.SUR\/Ey OF PROPERTY N
SITUATE: CUTGHOC UE M SEC AIIDJACEt`Tr AREA TABLE
`TOl N: JVU 1 1 IVLD AREA WITHIN 300' OF WETLANDS 45.811 S.F. —44r,
W
SU:::FOLK COUNTY NY 7 HOUSE AREA 4 80 S.F. 10.2E
,,, / PATIO 6 CAR PORT 84 S.F. 1.7%
'S RVEY: 11-12-2007, WALKS' 50 S.F. 1.3%
WETLANDS 10-21-2011 SH MR...00F BcARN 1834 S.F. o.
'PROP. POOL 12-6-2011 LOT covERABE S.686 S.F. 14.5x S
LOT GOVERAGE 12-7-2011
AMENDED O I-26-2012 05-10-2012 TOWN OF SOUMULD BUR DABLE I AND
SUFFOLK COUNTY TAX # `:: "W"` uff
°DVER"M
BUILDABLE AREA LANDWARD OF SEAWALL 47.347 S.F.
1000 - 116 - 6 - 10.2 ROUSE AREA 4,6BO S.F. 9.9%
CAR PORT 275 S.F. 0.6% ,
BARN 2.076 S.F. 4.45
CERTEFM TO: PROPOSED POOL 444 S.F. 0.9%
p Q JELN LLC LOT COVEAA6E: 7,475 S.F. 15.BZ
�w New
W®lk
' 'YsPholt Rogd
76°58,20' w W
-
o '
r
I g p
_14,
4
tort'
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ame
r r ,. p
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�lD l5.0• ° r �.
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PROPOSED POOL NOTES: z& 4. - --0
POOL FILTER DOES NOT BAGKWASH 50 �LL �" 24/j 9 Q OQ o
NO DRYWELL NECESSARY BY FILTER b F,Qstor9
N . yo�s e
EXISTING 2' DEEP BY 8' DIA. DRYWELLS
TO BE DOUBLED IN CAPACITY TO BE
* DEEP BY 8' DIA. TO AGGOMODATE
OGGASEIONAL POOL COVER PUMP OFF.
trig `°�• •to 2 ai
k Patio M U
_ r
TEST HOLE
04
3-22-12 � q Lac _` _16_J borN;,e
D2ry,F�1Eo `
DARK BROWN
1-St LOAM OL m Ndig �a$m
--- ---
BROWN SILT MLIA
--------- - ; cO ST<i'�y I , 1� _16.P O WFA-I.D pb-L '
- -- BROWN SILTY y o , }
SAND SM voll
p n a s LIc '��° oo "
35
_ ° r � R•�t �OpOsto� _
PALE BROWN o rn �� Fd to `�+K'
FINE SAND SP N r '
s
WATER --__ fie• m COD
o
r-0ncr�i _-�� x �-X8•zr i r
WATER IN PALE BROWN
FINE SAND SP
13'
1V68osp�
�� O�"[ 'Um�uk.-Ized oltuotron or-d,u—to a survey
M✓ � map hew:g o ncensee Iorw wrveyor s seal is a
ululation of section 1209,sutrdivlsbn 2,of file
®/we .(7,
23^' New Yak Slate Eeucat—i—.'
•on,y copies From the-gimi of this si, 9
mo'ked with m a'g'm!of the,one surveyors
NOTES: >ta,ed ea,�i, aor�—d to we
capes•
�/ ' 'Gertiikouoru Indicated hereon s iry Ltt t
a.tn tt.e
[his
/dqJ Bey.ns f fe--ee m r l-O wn o.-
O PIPE FOUND may` o.Y-1.sta:e At. fssoa,—5 OF""eiI.I.-I 1ed
W surveyors.Soil certif—tlo-shall run only
to the person For..hpn the survey b prepared,
rnd on his b Il if to the title-q—ii,governmen-
tal agency Ora lend4g.."ion listed hereon,and
AREA = 52,574 S.F. or 1.206q ACRES he assignees of t�ie a.g trsNtut on. Gerh aa-
�T tit,s — transferable to addltio al institv[id5
3610 FLOOD ZONE R DEPICTED ON FEMA MAP JO�Zl�l C. EHLERS LAND SURVEYOR
36103G0501 H LAST REV. SEPT. 25, 200Q
6 EAST MAIN STREET N.Y.S.LIC.NO.50202
GRAPI-II G SCALE I"= 40' RIVERHEAD,N.Y.11901 369-8288 Fax 369-8287
REF.C:\UsersUohn\Dropbox\03\03\03 279 WITH COVERAGE CALLS 10-24-201 Lpro
ALL BE -12" POOL DECK SHALL BE PAVED WITH MASONRY, OR W
1NITE to„ WJTH 4"OF POURED IN PLACE CONCRETE. co
W
X.
ch
EXPANSION JOINT
LL �`'' (SEALANT I5 OPTIONAL)
4 • . A ' . •
5'-O"OR r
ONTALLY ' ' • - OS o
EATER :- MINIMUM SLZE OF COPING STONE SHALL BE 1 S6" M
5HALL BE THICK BY 12"WIDE o
aNG 0 6" r �• 70 4"SAND BASE, WHEN NECESSARY TO AID
�fE TOP OF
OTTOM TO 1. L� DRAINAGE IN SLOW.DRAINING SOIL �!
IOR. POOL WALLS AND FLOOR SHALL BE T'THICK,AND
BE BENT 1 • BOND BEAM SHALL BE 10"WIDE X 12"HIGH.
1+ = 4- #4 BAR5 SHALL BE SPLICED TO FORM
BRED, #3 =% ' CONTINUOUS REINFORCING WITHIN BOND BEAM
INSIST OF - — n 1 INTERIOR FINISH ON GUNITE SHALL BE fill THICK
TROWELED-ON "MARBLEDUST"
7°) TO EACH
RADIUS AT INTERSECTION OF GUNITE WALL ANC,-,
• '•' FLOOR VARIES. ! w
A
• CRUSHED STONE. WHEN NECE55ARY TO AID oo
=o ' '- o :'' .° • r • •��� DRAINAGE IF GROUND WATER 15 ENCOUNTERED IN `
. ,• SLOW DRAINING SOIL cD
• • `.�� . ul
/ A
L I
+ \ O
/ N
E
\11TE POOL . SECTIONt N
N
A = 1 - 0