HomeMy WebLinkAbout48666-Z TOWN OF SOUTHOLD
SA
BUILDING DEPARTMENT
4" ` 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 #: 48666 Date: 12/29/2022
Permission is hereby granted to:
Steidle NR Rev Trt
10 Milburn St
Rockville Centre, NY 11570
To: Construct additions and alterations, meeting town definition of a demolition, to existing
single family dwelling as applied for, with SCHD approval.
At premises located at:
35 Sailors Needle Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 144.-5-21
Pursuant to application dated 10/24/2022 and approved by the Building Inspector.
To expire on 6/29/2024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $1,452.80
CO -ADDITION TO DWELLING $50.00
Total: $1,502.80
Building Inspector
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 htt :// N w.sotitt lioldto� i �n )IOV
Date Received
PERMITAPPLICATION FOR BUILDING
j'
For Office Use Only OCT 2 1+ 2022
PERMIT NO. �P � Building Irtspector
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date.
OWNER(S)OF 00�!)ERTY: NA
Name: � i K- --0-Te f D Lf:
SCTM#1000- J44
Project Address: CalLORcj QERDLE, I 'tyl
Phone#: 5i�o 41 D T �a � � Email: (411 c
Mailing Address: ID ka.J< /L,L E CRV7726 O
lt
CONTACT PERSON:
Name: l�-�C:��
Mailing Address: bG5l) , N6 Ol-�
Phone#: f (2q-3 -iZ C2:fl 1
Email:
DESIGN PROFESSIONAL INFORMATION:
Name: E-Jbe "
Mailing Address:
Phone#: v� Email: n '(Lu w C')9)onl— JJr " I,t
CONTRACTOR INFORMATION:
Name: Joe- KOL-L-0-t,4
Mailing Address: 1 ( Je
- '
I/
Phone#: °` -v Email-J TSO 1 a ". 0 qd ' o
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure Additionp $
�Lteration ❑Re air ❑Demolition Estimated Cost of Project:
❑Other Z 'q .o&-) . oE7
Will the lot be re-graded? ❑Yes C�'No Will excess fill be removed from premises? ❑Yes No
1
PROPERTY INFORMATION
Existing use of properly:( Intended use of property: (1 i )�uo77A c/
Zone or use district in which premises is situated: Are there any covenaWO
d restrictions with respect to
X
this property? ❑Yes IF YES, PROVIDE A COPY.
Check I13ox After Read 1111g: 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 misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): //M AIN/LY �jFL/h( .4-- []Authorized Agent 130wner
Signature of Applicant: Date: ld/2�/ 2�
l
STATE OF NEW YORK)
SS:
COUNTY OF )
�/�l
a � a being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the 1E P_
(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 20 n
NotarthAlRaynie
NotIllify public,Stdo of New York
No.411H
11P °; DIE „1„III 1('.)1111 ;, 11
Es � �^
(Where the applicant is not the owner)
C--Y-i b_ 0 LJEE residing at/0 I-In5oeiyy� ��1,�� �"
10 11 y el L1 'N AAI��i1� to apply on
JJ( �� /�� do hereby authorize,
my behalf to the Town of Southold Building Department for approval as described herein.
O is Signature bate
Print Owner's Name
2
Of SURVEY OF
OOD LOT 14
SALT
' AA7IPL�OF
�LE 'G'�
FILE No. 13 0=FI�LED MAY 1', E0,1940
Fitt° 0 16 SITUATE
R 125
MATTITUCK
TOWN OF SOUTHOLD
LOT SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-144-05-21
LOT 28\i SCALE 1"=20'
F/O E
_ MAY 5, 2022
MJILDM DEPT
r1 7 xvt tifsT t1�� AREA = 16,055 sq. ff.
` \ ?A0.369 ac,
4 \� x� erose, NOT ELEVATIONS ARE REFERENCED TO N.A.V.D. 1986 DATUM
TW EXISTING ELEVATIONS ARE SHOWN THUS:XJ
` *'f S - FFL- F16f FLOOR
• _SA VJ CFL- GARAGE FLOOR
J C
� 2. THIS PROPERTY IS IN FLOOD ZONE X AS SHOWN ON
0. Ocorst �, _ r FLOOD INSURANCE RATE IUP No. 36103CO182H H
a - •, �= aAT- y ZONE)L• AREAS OF 0.2X ANNUAL CKAHM HOMRA
OD: EAS OF IX ANNUAL GRANGE FLOOD
ry
O qr_ xLT WITH AVERAGE DFPM OF ISS THM 1 FOOT OR W1114 DRAINAGE MFRS LESS TV"
C7 _ � s 0 1 SQUARE WIE;MD AREAS PROIECfm 6Y tEVESS FROM 1%ANNUAL CKV40E FLOOD.
_ ..
•{ ',: ' Aov BUILDING COVERAGE
•� - - .i ,�t5 °, - r DESCRIPTION AREA x LATvowCOVETtA
'n a xZ6 }'= HOUSE 2M
, 0 sq.ft. 16.e%
vj
e TAT' _ P� SIN 166 q.fl. 1.0%Iffm
LD
s _.-. ER MCK
i _. 3Rd 70
14 r Da !
BALCONY q.ft.
0.4%
t� LOT
s1Q
4+'
tt 16.2%
#" T 2,626 q.
e '; ACCORDANCE SUR M11N THE NFmISDHDAROS FOR SH
EO
SIDNE
BY THE U L1L AND APPROVED AND ADOFrEO
O ^•' . i` Y__ 1FDmRw W WE NEW rpIX sORE LAND� 8 Rr?
p t?
d o
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or
r 1 x]S \ x T N.Y.S`.Lk.N3.W467
t
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than Taft Corwin 111
t Land Survey
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7 va or
+ A c SOttaAeoF TO:S J.Wkam.Jr.LS.
A.IRgepDO LS.
s �R rnr a,�—Subdi"ons— Sh R— — c�n0�60R
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r Y� Vim• F PHONE(631)727-2090 FOz(631)727-1727
O�� Nice' IE>1 I :AND MUM ADORMS
IL "� OFFXZS LOOM Ar
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Ya,Road P,E� T6
-'. .-` THE/Erin NCE OF mff OF wArs 4 fait 11.B47 angzxL, 11847
011:AMY NOT SNOWN AIEE RECORD.IIF E—Ydl:NCo�WB36aol.eam
ALL PRECAST STRUCTURES SHALL BE MANUFACTURED WITH 4000 PSI/28 DAY STRENGTH CONCRETE
SANITARY PIPE TO BE SDR-35 PVC OR AS SPECIFIED ON PLANS
DURING CONSTRUCTION,EROSION AND SEDIMENT CONTROL MEASURES TO BE UTILIZED AS NECESSARY TO PREVENT THE TRANSPORT OF
SEDIMENT TO OFF-SITE AREAS,PONDS,DRAINAGE INLETS,ETC THE METHODS AND MATERIALS EMPLOYED IN THE INSTALLATION AND MAINTENANCE
OF EROSION CONTROL MEASURES SHALL CONFORM TO"THE NEW YORK GUIDELINES FOR EROSION AND SEDIMENT CONTROL`
-
I. ALL BACKFILL SHALL BE SELECT GRANULAR MATERIAL COMPACTED TO 95°k MAXIMUM DENSITY AT THE OPTIMUM MOISTURE CONTENT,AS
DETERMINED BY STANDARD PROCTOR TEST.
7 LOT ARI:::A 16,05 S I:::
RING DIAGRAM P.2
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�N DATE 11/29/22 No R-22-1607
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BEACON
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HEALTH DEPARTMENT APPROVAL STAMP
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