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STRUCTURE OVERVIEWar
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IN FEET
1 inch F UO EL ------------' r+I g i I I i SEPTIC SYSTEM a4
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(PROVIDED BY CLIENT) LOT pf1EA 1 ¢
1.000 GALLON MPUC TANK y8
DIA•8'DEEP CESSPOOL 11,82)12 AC BF W 3e
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FOR INTERNAL USE ONLY
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w....m__.._._.. initial m, a't rt iblation
Date Sent: t
Project Name:
Project Address: 3
_ a _ Zoning District:
Suffolk CoTax Map No.:1000
unty . .
At t
Regue
(Note: Copy of Building P
ermit Application and supporting documentation as to
-proposed use or uses should lie submitted.)
Initial Determination as to whether use is permitted:
tni.
Initial-Dete.rmination as to whether site plan is required: `
r
�
Signature of Building Inspector
Planning Department (P_[).) Referral:
-Date of Comment:��.�..�`
. p.[).Hate Received:_=;
Comments:
Signature of Planning Dept.®Staff Reviewer
Final Determination
Date:--j--
Deci
()f Rrrnldina InsnPctor
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) 765-95021it[t)a,:/lwNVW.soutl�iollcltowiin
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only D � \'/
LD)
PERMIT NO. BUilding Inspecton V
J U L 2 3 2021
.. e e rll/ �� ��� �i ax ���i�f°yrh���!/rjI���Ir�'�✓/j/�6�(P'�, ,'Y���A�Ili„i�/ytf/„i I J,
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O+r r?s, iathr rWa tlOrt" orrru('a IN DEPT.
TO"t!N( F SO ..€O)✓D
Date:7/23/21
OWNER(S) OF PROPERTY:
Name:Peter Carroll SCTM #100110-_85-2-11 7.1
Project Address:38535 Main Rd Peconic NY 11958
Phone#:631-734-8207 Email:peter.carroll@oljverwyman.com
Mailing Address:38355 Main Rd Peconic NY 11958
CONTACT PERSON:
Name:AMP Architecture, Jess Magee
Mailing Address: 1075 Franklinville Rd Laurel NY 11948
Phone#:516-214-0160 17(�mail:jrnagee@ampbrchitect.corn
DESIGN
PROFESSIONAL INFORMATION:
Name:AMP Architecture, Anthony Portillo
Mailing Address: Y 11948
1075 Franklinville Rd Laurel Ne _
Phone#:516-214-0160 Email:aportiIlo@amparchitect.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:..
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition FOAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? ❑Yes *No
I
1
PROPERTY INFORMATION
Existing use of property: ��� �f` y Intended use of property: 1
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes [%No IF YES, PROVIDE A COPY.
Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are
punishable as a Class.A'misderneanor pursuant to Section 210.45 of,the New,York State Penal Law
Application Submitted By(print name): AL_t A S e:�"R 19 [- ❑Authorized Agent ZOWner
Signature of Applicant: Date: �- 112 �Z/
STATE OF NEW YORK)
S rSS:
COUNTY OF J
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the
(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
day of J 20 21 )1 fwa
Notary Public
JANE D.TURCHIANO
Notary Public, State of New York
PROPERTY OWNER AUTHORIZATION No,q TU4, 10318
(Where the applicant ualrfled in Nassau County
pp is not the owner) ommission Expires Octuber 5,
20
residing at l6/ 5 O /V� W Sk �GOL� /9Vt
)VF h/ .ski/ foz_X /VY, do hereby authorize to apply on
my behalf e T n PS uthold Building Department for approval as described herein.
_.....
_j7_
/ 2 /Z /
ner's Signat re Date
C 4Z2 04L
Print Owner's Name
2
Operating Business Address:1075 Franklinville Rd,Laurel NY 11948
e�wr�rr�ra�c
Brooklyn Office:450 95`h St,C9,Brooklyn,NY 11209
LLC Laurel Office:1075 Franklinville Rd,Laurel NY 11948
Business Phone:(516)214-0160 Anthony Portillo:(716)572-4741
August 8, 2021
Southold Town Building Department
P.O. Box 1179
Southold NY 11971
RE: Lenz Winery
38355 Main Rd
Peconic NY 11958
To Whom It May Concern,
We are proposing to create a men's,women's and handicap bathroom in existing accessory building.
The current tasting room only has 1 small bathroom, and it is not handicap accessible, nor can it handle
the amount of patrons.
The existing operation of the property includes manufacturing wine,and wine tasting.The use is not
changing,we are only requesting new bathroom facilities.
Please contact our office if you have any questions.
Thank you,
Anthony Portillo, RA
Principal I AMP Architecture,PLLC
Office: 516-214-0160