HomeMy WebLinkAbout47064-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
"�' • V 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#: 47064 Date: 11/1/2021
Permission is hereby granted to:
Melly, Peter
23 Edmarc Ct
Oakdale, NY 11769
To: install deer fence as applied for.
At premises located at:
1375 Sterling Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 104.-2-24
Pursuant to application dated 10/19/2021 and approved by the Building Inspector.
To expire on ' 5/1/2023.
Fees:
DEER FENCE $75.00
Total: $75.00
L-
BWing Inspector
gpFFO(K �
ago �oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
s� Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
N $
oy�o ao�� Telephone(631) 765-1802 Fax(631) 765-9502 hMs://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
/,, For office Use Only ® E C E � ��/ E
PERMIT NO. ((G Building Inspector: L� lei v
OCT 19 2021
Applications and form`s rnustb`e filled out in their entirety.Incomplete 2
•, ,. �. ` BUILDING DEPT.
ap'plications�`will not-be accepted.'Where the Applicantisnot the owner,an'" TOWN OF SOUTHOLD
,,OWner's`AutHor'ization form,,,(P.agey2l shal[be�completed.,
Date: /0 fi
01IUNER(S�OF`PROPERTY:
Name: (- Q.q.,e
) SCTM#1000- �—a
Project Address: 13,_TSI
Phone#: mail: ba , .(_W 0 _xCo
Mailing Address:
CONTA'CTPERSON:
Name: /
S-_�_G2(�D.V
Mailing Address:
Phone#: Email:
DESIGN,.PROFESSIONAL��INF,ORMATION:ff
Name:
Mailing Address:
Phone#: Email:
,CONTRACTOR INFORMATIONi`�' �
ri4%,
Name:
Mailing Address: )
Phone#: -q
q=?-T 3 mail: �CDY1..S�l (JCIb rl__eCtO.•r�C�O'
DESCRI,PTION,OFwPROPOSED.CONSTRU,CTION
El New Structure ❑Addition EJAlteration ❑Repair ❑Demolition Estimated Cost of Project:
Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes 54
1
rk{, PE¢�ATY,,INFORMATION'
,
fes`
Existingproperty*use of Intended use of prope
_..�. ..�._p ep.ya _�i-t�rn2
Zone or use district in which premises is situated: Are there any covenants a d restrictions with respect to
this property? [E]YesNo IF YES, PROVIDE A COPY
Check BOX After Reading: The owner/contractor/desigh;professior al'is responsible,for all diainage�and stormwater issues as provided by
Ctiapter,236 of,the,TovM,Code,.`;,APPLICATIpN`IS'HEREBYMADE,to'theiBuilding Department for the'Issuance;of,a„Bullding`�Permit'pursuant`to the,Buikling,zcs
Ordinance'of-the Town of South'old,�Suffolk;County;New York and other applicable'Laws;;Orilinances`or`Regulations;for the constructlon`ofI II l ings,`”
additions,alterations oe for.r`errioval or demolition asdierein'described.The applicant agrees to,comply With all applicable.laws„ordiriarices,'building code,
housing'code and regulations'arnd',to admit authorized inspectors on;,premises aril in building(s)•for necessary,;inspectioris.Falsd s'tatements'made herein are
punishable as a Class A misdemeanor.puisuant taSectiori 21"5 of'the New,York State Penal'Lavv.=^.a. % r
Application Submitted By(print name): Y? ❑Authorized Agent ( Owner
Signature of App
lican . Date:
STATE OF NEW YORK)
COUNTY OF
LAWIV, /7RIll. being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing con ract)above named,
(S)he is the CJ tvn -�
(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
I day of Oc�W e,�— , 20
7 No a ubl
JONATHAN D. FOGARTY
PROPERTY OWNER AUTHORIZATION Notary Public State of'New York
NO.01F06241421
(Where the applicant is not the owner) Qualifed in suffoik County
My Commission Expires May 23,20_:..
I, residing at
do hereby au orize to apply on
my behalf to the Town of Southold Building Departm t for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
SCDHS REF# R-12-1131
(.�
COMPLY WITH ALL CODES OF SURVEY OF PROPERTY
AT CUTCHOGUE
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OFTOWN OF SOUTHOLD
A ,PR VED AS NOTED A SUFFOLK COUNTY, N. Y.
DATE: t B.P.# TOWN G BOARD 1000-104-02-24
FEE: 4
BY: 3-e t, ', USTEES SCALE.' 1'= 30' :... ..w_. _.,...
NOTIFY BUILDING -EPARTMENT AT MARCH 3, 2021
765-1802 8 AM TO 4 PM FOR THE MAY 27, 2021 (REVISIONS)
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED I , L'1
FOR POURED CONCRETE
8
2. ROUGH - FRAMING & PLUMBING
3. INSULATION f ,'
4. FINAL - CONSTPI11"TION MUST - .
; .. 1
BE COMPLETE F�-=
ALL CONSTRUCTION SHALL_MEET THE �
EQUIREMENTS OF THE CODES OF NEW
RK STATE. NO ESPONSIBLE FOR
,d D IGN OR NSTRUCTION ERRORS.
DITEUMO ?
„e 11TTH WELL L� � a°
p/0
123 41' 0 -- -- F.F. EL.22.o' GRADING PLAN
N85-46'00"E EL. 20.0' -�
EL. 20.5' -`0` 2' Ss+n �—
sro aro RNISHED GRADE EL 20.0'
E•0.3'N. I.E. 1 min 2 ax
w SEWERre .Z
Ln 18.3• 4N.4'N& rar
JV SEWTR PIPE T
KTCH
I
pW — TYarim ECN
INGY Wrr. CMq� "4 POOLc0 VELOPE W gorr LDGENKJeTx
PSEPTTN
O NCJ� 1 �— ` 0 DWnLINGI ftr 1250 GALLON CAPACr1Y
c3• r t CLEAN OUT DETAIL MIN
\1-Pj m NTs PROPOSED SEPTIC SYSTEM HIGHEST RECORDED GROUND WA7rR
� 1
(NO WA 7fR ENCOtINIFRED)
FOR 4 BEDROOM MAX HOUSE
LP gyp' PROPOSEf� /0 1 8 FT. DIA-x 12' FT. HIGH PRECAST CONCRETE LEACHING RING
l-� 001
��'' Mtn 10.0 Y
p �o-_. 8. 2 s roszY �R.
A �:� ° \ HousE AND _ BACKFILL MATERIAL COURSE SAND AND GRAVEL (3' COLLAR)
ST ChoG \ C7ARAC�E [11 1,250 GALLON PRECAST CONCRETE SEP77C TANK.\ t'+ eC�;;oo;�.5 .x�
� �FRANE
STORY Fin.Fir.E1.22.0' m HOUSE
TEST HOLE DATA
.�
z g.91 MCDONALD GEOSCIENCE
1A 01 1/20/2021
U / EL.19.5'
DARK BROWN LOAM OL
�
DW 150.0%�--�_ WELL 1
DIPELLWl3 gyp/ ® BROWN SILTY SAND SM
WITH WM;L 30 c� p ,3'
? w w A o 0 (bo)
-o
0
16111 -4oo v U) 60)
P
� - Y/0 1 EL. 19.7' PALE BROWN FINE SAND SP
EL.19.7' , '
S85#46,00,�vu 19 moo.o
\I9", ]�jG +CL.EL. ROAD EL. 2.5' 17'
WELL 1 ,D TERLI r 18.7' NO WATER ENCOUNTERED
CL.EL.
PUBLIC WATER IN STREET
\ PUBI.iC YAM .--
AREA= 14,506 SO. FT. DWnLWGS XITA
= MONUMENT
LOT (#I) REFER TO "MAP OF NASSAU FARMS' FILED ON
MARCH 28, 1935 AS FILE NO. 1179
ELEVA77ONS AND CONTOUR LINES ARE -
REFERENCED TO NAM '88
THE LOCA TIONS OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM
FIELD OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS
THEREFORE THEIR LOCATIONS AND OR EXISTENCE IS NOT GUARANTEED.
1 am familiar with the STANDARDS FOR APPROVAL AND CONSTRUC770N OF SUBSURFACE
SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the ;
conditions set forth therein and on the permit to construct. The location of wells and RAIN RUNOFF CONTAINMENT-
cesspools shown hereon are from field observations and or from data obtained from others. ,;�,
HOUSE KITH PORCH =J,000 SQ.FT. ;�'�f . 44-�
N.Y'S-. LIC. NO. 49618
ANY ALTERA77ON OR ADD177ON TO THIS SURVEY IS A WOLAT70N J,000 X 1 X 0.17 = 510 Cu.ft. ,V CONIC SURVEYORS, P.C.
OF SEC77ON 7209OF THE NEW YORK STATE' EDUCA7701V LAW. 510142.2 = 12.1 VF
EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77RCA77ONS PROVIDE 2 DWs. 80 X 6' DEEP (631) 765-5020 FAX (631) 765-1797
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR Connected by Gutters & Leaders 1230 TRAVELER STREET
WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 21—OD�