HomeMy WebLinkAbout48922-Z r 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,WORKAUTHORIZED)
Permit#: 48922 Date: 2/16/2023
Permission is hereby granted to:
910 Glenn LLC
.__...._...� ...._...... .._. .._........mm ..............
112 Green St
PO BOX 162
S Jamesport, NY 11970
To: Construct an accessory pool house (cabana) to a single family dwelling as applied for
per SCHD approval.
At premises located at:
1025 W Cove Rd, Cutchogue ...
SCTM # 473889
Sec/Block/Lot# 111.-3-15
Pursuant to application dated 11/28/2022 and approved by the Building Inspector.
To expire on 2/16/2024. ww
Fees:
ACCESSORY $273.20
CO-ACCESSORY BUILDING $50.00
Total: $323.20
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
Date Received
APPLICATION FOR BUILDING PERMIT
FAPI
For Office Use Only
PERMIT NO. I � Building Inspeettar,� �� 0
Applications and forms must be filled out in their entirety.Incomplete dlLki
( Olmm SOIf� .i"
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:November 28,2028
OWNER(S)OF PROPERTY:
Name:910 glenn Ilc SCTM #1000-111-3-15
Project Address:1025 west cove road, Cutchogue, ny
Phone#:8456645696 Email:tandi1022@gmail.com
Mailing Address:P.O.BOx 162, S. jamesport, NY 11970
CONTACT PERSON:
Name:Beth Dubas
Mailing Address:P.O.Box 162, S. Jamesport, NY 11970
Phone#:8456645696 Email:Tandil022@gmaii.com
DESIGN PROFESSIONAL INFORMATION:
Name:Robert Higgins
Mailing Address:50 hidden acres path, wading river, ny 11792
Phone#:6312083351 Email:rarchibob@aol.com
CONTRACTOR INFORMATION:
Name:910 Glenn LLC
Mailing Address:PO Box 162, S.Jamesport, NY 11970
Phone#:8456645696 Email:tandi1022@gmail.com
DESCRIPTION OF PROPOSED CONSTRUCTION
R New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other 50000
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes 59 No
1
PROPERTY INFORMATION
Existinguse of ro ert home under construction Intended use of roe single family home with pool and pool house
P P Y� P P rtY�
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
r40 this property? Dyes RNo IF YES, PROVIDE A COPY.
I Cheq:k Box After Readillng: 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 210AS of the New York State Penal Law.
9 �denn LL by Beth Du as,
Application Submitted By(print in e): '" "" J rJQS ❑Authorized Agent Owner
Signature of Applicant: Date: November 23
28ZZ
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
beth dubas
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
managing member of 910 glenn Ilc, owner
(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
(( l`
Regisiration No,OIGA6274028
�f� f " '�
Qualified in Suffolk aunty
�
�.�.. ...��:. � �,:ornataxssftarr xpirs Dec. 4+ �1— .',
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
,-"E5C GROUND ' '^ VU. DWELLING
r IId 1 W/PUBLIC WATER
ot
/ I
DWELLING
Revised plan approved: 2/�9/2�3 Expires: 1/14,
1/14,
o� —
LOT 17 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
267 PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
y o0
! p LT LIMIT / m SINGLE FAMILY RESIDENCI=AND
> OF RBANCE,�"� `� � pod house
Ike
L.P B" DATE1I1I R 1^ No. _ R-20-2070
r� ��
.� / APPROVED
( f
!� I,' I TOTAL MAXIMUM SL-DPOOIu1S— 6
TYPICAL DRYWFIL CROSS SEC710N � ° '
EXPIRES THREE YEARS FROM
E OFAPPROVAL
(CONC. PRECAST COMPONENTS) W WATER
LOT 18 ✓�
a•SM FOR NDN-TAVM aJvan 6"Cw w" I e BEDROOM SYSTEM
e'sue FOR IRNA DENIM
rA"AND AFFROYm olmar FIEr 7 2000 GAL ST.
+O oFw1E w oewleaw Rows �" �. (1Wk1e'DFEP L.P. Water lines must be inslseeted by the
Fnam+ rl+' - . - Suffolk County Dept,of Health Services.
® � Call(631)852-5754,48 hours in
❑ ❑ ❑❑ - a O �+ inspection(s).
, � PROP„ advance,to schedule ins
bF,
MY{kA1.
Fns e
IS 1 .�"' LOT 2
e2) w/PueL°W°Lic w TER
NG POOL 9.2
W mWi WA,� �
BACK FILL MATERIAL TO BE .-
CLEAN SAND AND GRAVEL ( ) C.O. \
LOT 19 , 4' in
50'MIN. .~- 16 7 a
BUTSSUFFICIENTO"P,
EDIMENT ON SITE � 2.0' 2.0
HAY BAIL AND/OR m, UNDER CONST.
/'SILT FENCING at FOUNDATION
LOCATION
AUG. J. 2022 l
1y Z 5.0'
�cIle,
,�/6, ff N — 01
")9. � 20.0'' 6• CONCIM-M WAM our AREA
J"R` •/' .. wo W 80 OF PROPOSED DRNEWAY.
T
CONSTRUCTION ENTRANCE - FOUNDATION OF COMPACTED Iykeo
3/4' STONE BLEND OR N.Y. STATE D.O.T. APPROVED R.CA -
FILL TO 18' (Min.) ABOVE EXISTING GRADE FOR DRAINAGE " OPSDINSING
I�
1 1 �Cti Oaw
W/PUBW WATER z 4 \ IIS
LOT 20
52.0ALE BROWN ,
i 1'� STAGII AREA
SANDANDRE N
PALEBROWN
FIM
SAND +
NO WATER DRAINAGE CALCULATIONS:
"M GEM .,.*D r'fr '" ' D� -4,30 B <24 70 UM
re-1s-2007 NYD� � � .1w-° ( (2 BDrA x B'DEEP 0RAVaL-507er PROVIDED
DNFORMING LOT 1 1 COQ B) SAY-1170 5t1 FT
YARD: 40' MIN a°""• y 17 �- 1170 X O„1ee.. 19W
ARD: 15'MIN (35' TOTAL) (.1)B't1tA II 5" DEWDRYWEIL� 211DT PROV!DL D
(ARD: 50'MIN
:D 12-16-22 11 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSF
.D 11-21-22 LOCATIONS SHOWN ARE FROM FIELD OBSERVAPON_'
-OC. 08-03-22 AND OR DATA OBTAINED FROM OTHERS
),077.89 SQ.FT. or 0.67 ACRES ELEVATION DATUM NAVD88
7RIZED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA71ON OF SECTION 7209 OF THE NEW YORK STA 7E EDUCATION LAW. COPIES OF 7741S SL
T BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL
i THE PERSON FOR WHOM 7HE SURVEY IS PREPARED AND ON HIS BEHALF TO THE T77LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU710
IEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
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