HomeMy WebLinkAbout47275-Z TOWN OF SOUTHOLD
� BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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 #: 47275 Date: 12/28/2021
Permission is hereby granted to:
Foley„ Kathleen
500 Glenn Rd
Southold, NY 11971
To: Remove existing deck and construct new addition to existing single family dwelling as
applied for and per Trustees #9996 and DEC NJ.
At premises located at:
500 Glenn Rd., Southold
SCTM # 473889
Sec/Block/Lot# 78.-2-23
Pursuant to application dated 10/29/2021 and approved by the Building Inspector.
To expire on 6/29/2023.
Fees:
DEMOLITION $157.60
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $399.20
CO-ADDITION TO DWELLING $50.00
Total: $606.80
Building Inspector
TOWN OF 1 T 1 —BUILDING DEPARTMENT
N— U Town Hall Annex 5 375 Main Roadox 1179 Southold,NY 11971-0959
Telephone 31) 5- (631)765-9502 _` a =
Date Received
APPLICATION BUILDING
For Office Use Only _
l `s
PERMIT NO. _ Building Ins c r=
F L
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an BU11 D.NG DrPT
Owner's Authorization form(Page 2)shall be completed. TOWN 0 SOU HU D
Date:
OWNER(S)OF PROPERTY:
Name:Kathleen Foley SCTM#1000-78-2-23
Physical Address:500 Glenn Road, Southold NY 11971
Phone#: =mail--
Mailing Address:500 Glenn Road, Southold NY 11971
CONTACT PERSON:
Name:Constantine Rigas
Mailing Address:22260 Main Road, Orient NY 11957
Phone#:917-509-8751 Email:c rigasco.com
DESIGN PROFESSIONAL INFORMATION:
Name:,oseph Fischetti P.E.
Mailing Address: 1725 Hobart Road, Southold NY 11971
Phone#:631-765-2954 Email:joseph@fischefti.com
CONTRACTOR INFORMATION:
Name:Constantine Rigas
Mailing Address:22260 Main Road, Orient NY 11957
Phone#:917-509-8751 Email:C@rigasco.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure .Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other 50,000
Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? *Yes ❑No
1
PROPERTY INFORMATION
Existing use of property:Single Family Intended use of property:Single Family
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ElYes No IF YES, PROVIDE A COPY.
19 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. APPUCATION 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 misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Ig
Application Submitted By(print game): A Authorized Agent ElOwner
Signature of Applicant: Date:
CONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
SS: Qualified in Suffolk County
COUNTY OF Commission Expires April 14.,2
Constantine Rigas being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
—' r
(S)he is the Agen'U"Contraclol
(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
-�Aay of 20
Notary Public
U
(See separate owner authorization)
2
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C 12 9 9021
UILD!Ni G D F j
uiij int A tion TOWN OF SOUTHOLD
AUTHORIZATION
(Where the Applicant is nDt the Owner)
Cathleen Foley,residing at 500 Glenn Roac4 SautholdNY11971 do hereby authorize
Constantine J?ito apply on my behalf to the Southold Building Department for any permits needed.
10wrer-'s Signature) (Date)
(Print 's )
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SOUTHOLD,NEW BOARD OF SOUTHOLD TOWN TRUSTEESYORK Ing
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PROPERTY ADDRESS: 500,GLIM ),�UT�HQLD�
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a AUTHORIZATION- Pursuant provisions of 275 of Town o Cof Town o of l I� ���
accordance with the Resolutionfthe Board f Trustees meeting held on F15,2021,
411
11 d in consideration of application fee in the sum of$250.00 paid by 1 Eo&Y and subject to the Terms c
and Conditions as stated in the Resolution, Southold Town of Trustew authorizes and pemits th
following.
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Wetland Permit for the existing approximately 1,6234sq.ti.one-story dwelfing with attacked
and to demolishleonvertthe existing thrm semen room into a 240sq.fL single story
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addition on f f the dwelling; on site plan prepared by epi Fischetti, 4
y 17,2021 1.
IN FSS WHEREOF,the saidof Trustees hereby causes its Corporate Seal to be affixed,and these
presents to be subscribed by a majorityof the said €f the I 5th day of September,202 1 a
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NEWYORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVM.ON
Div[%_ort of Snvital;mrn-mlt 1 i
-31M Stant Brook 50 Circle Roar_stony Book.NY woo
444
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PERMITNO Y
October 13, 2021
500 Kathleen Foley
Glenn Rd
Southold, 1
Application -03836/00006
Foley Property, ! , NY
1 —
Dear Kathleen Foley;
The Department of Environmental Conservation (DEC) has completed a review of your
proposal to demolish an existing three—season roan and construct ars addition to an
existing single family dwelling located greater than 75 feet from the Tidal Wetlands
Boundary.
Based on the information you submitted, DEC has determined that this type of work i
listed in the Tidal Wetlands Land Use Regulations 6NYCRR Part 661,5) as a use not
requiring a permit, Therefore, no permit is required r the Tidal Wetlands Act (Article
25) of the Environmental Conservation L .
Be advised, any additional work or modification to the project as described, may require
DEC authorization. Please contact this office if such activities are contemplated,
Pleaset that this letter does not relieve you of'the responsibility obtaining
permitsnecessary r approvals from other agencies r ! cal municipalities.
Sincerely,
Laura Star
Deputy Regional Permit Administrator
cc: Robert Anderson, ! nvir rat ! Consulting, Inc.
DEC BMHP
File
Vit..
S.C.T.M. NO. DISTRICT: 1000 SECTION:78 BLOCK:2 LOT(S):23
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GLENN ROAD _0 LD >T
CL 8.4 Ot 9.3 ,'z^.'.t<#^'F St'e-- [_C
�"OF PAYEYfNf
t.7'# 4 sbC'30"E100,001 =�
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52.4'
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20.9'I
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A40 MCYHI SF}�r` r t r'`
4tH'm er I N4 ASM ADDM
LOT 6 -----� --7
LOT 7 LOT 8
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LOTCOVERAGE N6114S'4T,,W
P.O
AREA 21.46_; CANAL
EXISTING DWELLING WJCOVERED PORCH: 7711 S.F. AL
ENCLOSEDPORCH:203 S.F.
WOOD STOOPS:27 S.F.
ASPHALT DRIVEWAY. 687 SF.
SHED: 73 S.F.
TOTAL EXISTING COVERAGE 2701 S.F. or 12.6%
DEMO ENCLOSED PORCH&STOOP: —219 S.F.
PROPOSED ADDITION: 240 S.F.
TOTAL EXISTING COVERAGE:2722 S.F. or 12.7%
DRAINAGE CALCULATION
PROPOSED ADDITION: 240 S.F.
240x.766=39.84<40cf REO.
(1) 6'0x2'DEEP DRY WELL 44cf PROVIDED
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
FEMA MAP#36103CO166H LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA:24,582.07 SQ.FT. or 0.56 ACRES ADD FLAGGING 10-01-21 ELEV477ON DATUM:
UNAUTHORIZED ALTERATION OR ADDIT70N TO 77-IIS SURVEY ISA WOLA770N OF S£C77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS777U77ON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECT70N OF FENCES, ADDITIONAL STRUCTURES OR AND 07HER IMPROVEMENTS. EASEMENTS
ANDIOR SUBSURFACE S7RU&TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF:LOT 7 I CERTIFIED TO: KATHLEEN FOLEY;
MAP OF:WEST CREEK ESTATES
FILED:AUG. 19, 1963 No. 3848 ®
SITUATED AT:SOUTHOLD
rowN OF:SOUTHOLD ;KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
{ P.O. Bog 153 Aquebogue, New York 11931
FILE #221-24 SCALE:1"=30' DATE:MARCH 5, 2021 PHO (eaz)zas-Lena FAX(631) ass-Lea
N,YS LISC. NO. 050882 maintaining the records of Robert J.Hennessy Is Kenneth M.Xoychuk