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HomeMy WebLinkAbout49587-Z TOWN OF SOUTHOLD of 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#: 49587 Date: 8/16/2023 Permission is hereby granted to: Planzos, Harriet 237 Beach 131 st St Belle Harbor„ NY 11694 To: construct accessory pavilion with half bathroom as applied for per SCHD approval. At premises located at: 2470 Rocky Point Rd, East Marion SCTM #473889 Sec/Block/Lot# 31.-2-5 Pursuant to application dated 7/10/2023 and approved by the Building Inspector. To expire on 2/14/2025. Fees: ACCESSORY $330.40 CO-ACCESSORY BUILDING $50.00 Total: $380.40 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 littii.s://www.sc)utiloldt,ownlix,gov mm Date Received APPI tl �� FOR I G m III r FMIENE For Office Use Only PERMIT NO. Building Inspector. JUL 1 0 2023 Applications and forms must be filled out in their entirety. Incomplete BLTILDING DEPT. applications will not be accepted. Where the Applicant is not the owner,an 'Toi Owner's Authorization form(Page 2)shall be completed. Date: ;-)rl /0 23 111 OWNER(S)OF PROPERTY: Name: // 'Z a-1 CTM SCTM#1000- Project Address: 2-990 0(:y,- Pl til T ��.c�. . `CAST MAA-A0-%J Phone#: 919 -"716 VT$f7 Email: Mailing Address: Y20 P , RA �-- CONTACT PERSON: Name: Q)M I?L-MAZC)� Mailing Address: Z4,70 Rock wJ'— 0A t cw,) N C i f Phone#: $ -7 C31"7 _ 7116 _ $r7 ' Email:. DESIGN PROFESSIONAL INFORMATION: Name: V— KC t-EC_ Q aL [-LC— Mailing Address: 2-(os X/K'sel, J r .4,,,. � -S ©N T Wo ll-�, uY (g? Phone#: y-11-C? L1 Email: -S-S.6 tJ 6� 4. �{ O OT UN L-1 n.JJ-5 AJI=1 CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION XNewStructure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑OtheA C $ t5 006 Will the lot be re-graded? ❑Yes 5�No Will excess fill be removed from premises? ❑Yes .No 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated.: Are there any covenants and restrictions with respect to L(o this property? Dyes P(Vo IF YES, PROVIDE A COPY. ,;;Check Box Aftellr 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 misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(pri name): w Is. V—sb4` OAuthorized Agent ❑Owner Signature of Applicant: Date: O r7— 23 CONNIE D.BUNCH STATE OF NEW YORK Notary Public,State of New York No.01BU6185050 SS: Qualified in Suffolk County COUNTY OF S0FFtL tom ) Commission Expires April 14,2 O�u� —R-07-IF t�, KE t4 L being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, ( he's the g , (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 O day of Z-1.4 N., 20 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) SE6- f}iii 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 ° . W ��C'c0>>E�I��] WA\T]EIK Scott A. Russell SUPERVISOR TM\ [A\ISA\G]E1\M[]E-N]F SOUTHOLD TOWN HALL-P.O.Box 1179 T 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT 1 ONLY _ ROP E IN AREA OR LARGER. ) � Y FOR PROPERTIES ONE AC ?' APPLICANT: (Property Owner, Design Professional, Agent„ contractor, Other) Date: NAME; ��►�t� ° .lvujrbakulYh"t W4 � Contact Information: &,l I `-(Z I? `t tsetf _... _.._ + Pro erty Address / Location of Construction Site, ....... S.C.T.M. #: 1000 .R-►��?. ... 1�Y _mmf C43m _ . 701 02- 0,5- .. . .._ ..a, Section Block Loi'. TO BE COMPLETED BY SOUTHOLD TOWN ENGINEER[NG DEPARTMENT - Area of Disturbance is less than 1 Acre No S.P D.E.S. Permit is Re aired I Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is [CCLL1.ra':L Area of Disturbance is Greater than I Acre & Storm-vvater Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P D.E.S. Permit DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Building Permit. - Area of Disturbance is Greater than I Acre & Storm-,vater Runoff Flows Through Southold De artment Towns MS4 Systems to Waters of the State of Nevv York. THE APPLICANT MUST OBTAIN a S.P.D,E.S. Permit through the Southold Town Enameerin Prior to Issuance of a Building Permit. IRevievvedi By: Date: _ —r_......ee...ee . P—T(lC lhtnha Town Hall Annex Telephone(631)765-1802 54375 Main Road °t� Fax(631)765-9502 P.O. Box 1179 Southold, NY 11971-0959 � ` w p q J BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION PRE-ENGINEERED WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION Date. Owner: w_w1 � Location of Property: . Z`f?O _R ` Please take notice that the (check applicable line): New commercial or residential structure Addition to existing commercial or residential structure Rehabilitation to an existing commercial or residential structure to be constructed or performed at the subject property reference above will utilize (check applicable line): ✓ Truss type construction (TT) Pre-engineered wood construction (PW) Timber construction (TC) in the following location(s) (check applicable line): ✓ Floor framing, including girders and beams (F) ..... ✓ Roof framing (R) ............. Floor and roof framing (FR) Signature: Name (person submitt g this form): PsE Capacity(check applicable line): Owner Owner representative TrussReg15.docx Effective 1/1/2015 Ruildine Department Application AUTHORIZATION (Where the Applicant is not the Owner) .�.l..Nc� �,m�,o.S residin at 2" "C) x ok�_ (Print property owner's name) (Mailing Address) EA„ S�,- A I'O N N` 1 .3`�do hereby authorize �-- (Agent) CKe t+- tses( � hsso<< !LCA to apply on my behalf to the Southold Building Department. o6-30 ......._ �.....�....._ ... _...� _._....� _....._ ( (Date) Owner s S" natttre (Print Owner's Name) TANK L-r-/4,f' TYPE T 1_9 PROVIDE 12" THKLEVELING ....... . (MIN.) DEVICES a 1+ BED OF SAND OR PEA OUTLETS) 0 El GRAVEL BENEATH IL DISTRIBUTION E30X LEACHING POOL J MINIMUM SEPTIC CAPACITY FOR A-7 BEDROOM HOUSE 15 2,000 GALLONS w/54 S,F, LIQUID AREA. F-0-I&D (1) 10'0 SEPTir- TANK N/4' EFFECTIVE DEPTH PROVIDES 2,120 CAL. CAPACITY 4 -71 S.F. LIQUID AREA. W 2 CABANA W HALF-BATH SHALL BE CONSIDERED AS A O-BEDROOM HOUSE; MINIMUM SEPTIC CAPACITY FOR A 0-5 BEDROOM HOUSE 15 1,000 GALLONS W 21S.F. LIQUID A L U A RE (1) 5.5'(L) x 4.5'(H) x 6.0'(1)) SEPTIC TANK N/4'-2" EFFECTIVE DEPTH PROVIDES l000 rAL.CAPACITY 4 52 5 F, LIQUID AREA, 5 CONCRETE SHALL HAVE A MINIMUM COMPRE551VE 5TREN6TH OF 5,000 P51 AT 25 DAYS, 4 TANK SHALL HAVE MIN- HALL THICKNESS OF 5",TOP THICKNESS OF b", AND BOTTOM THICKNESS OF 4" 5 ALL HALLS, BOTTOM, AND TOP SHALL CONTAIN REINFORGINO TO RE515T AN APPLIED FORCE OF 500 -51`. 6 ALL JOINTS SHALL BE SEALED 50 THAT THE TANK 15 WATERTIGHT I THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX TOLERANCE OF ±1/4") ON A MINIMUM 5" THICK BE[) OF COMPACTED SAND OR PEA ORAVEL. TANK AND HOUSE SHALL BE MAINTAINED 5 A O' 1,1!IN, DISTANCE BETWEEN SEPTIC EXIST. WELL REPLACE EXIST. 501L I LEACHING SYSTEM FOR A -7-BEDROOM RESIDENCE SHALL PROVIDE 4-75 FT2 5IDE-WALL AREA 5' GLEAN SAND '2) 6'0 x 12' (EFFEGTIVE DEPTH) LEACHINr,POOL PROVIDES 600 FT2 SIDE-HALL AREA COLLAR SURROUNDING—// L.P WHERE EXIST. SAND 1) 43'm x 17 (EFFECTIVE DEPTH) LEAr-HINO POOL PROPOSED FOR 50% EXPANSION $ GRAVEL (5P/5H) .2 LEACHIIINO POOLS TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL). LAYER NOT PRESENT 5 ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE(OR EQUAL). 4 A 0' MIN. DISTANCE BETWEEN LEACHINO POOLS AND RATER LINE SHALL 13E MAINTAINED, SITE FLAN o f 5 AN e,' MIN. DISTANCE BETWEEN ALL LEACHIN6 POOLS AND SEPTIC TANK SHALL BE MAINTAINED. L_.......... .. .......... ................. ............... ........... CSP. ...... ..... �1��JAAAAi DEFIA T ENT AFFRO\,/AL A LR �-1 H.S. REFERENCE NO.: R�2 �05_75 ............................................——---------........... �SFQ��AL !LILS EM P 15N _T_ 5. Water testing: 500l tank; fill tank with i, Septic tanks shall be constructed Of precast conrsrc�e, fiberglass, after the, 24-ho,ur perfod is complete. Le . ..... elevation, let Stand For 24 hours. R�-_flll ti, 4 Or other materials In oddltiono� I01-hour period, rhe tank is opr accordance k4ith Deportment St,��ndorcls and iONrCRR,, Appendix 75-A. For the, 10-hour period, Hator pressure tt The use OF stee,11 tank,$ IS prohibited, dore onsite after InStoilotlon. 2. Unless otherwise sper-lPfccl, the ICOChlrq� strucbure/systom that FoIIoHs Selot1c. tank manufacturers shallprO06 0 septic tank shall be designed In accordance with section 5-10-7 and material in 0 prominent location at each e "j, J 5-110 OF this 5tondord, "entrance Into tank may be fatolll III'3edi­oori i 'abaiia 3, At a minimum, all septic tankhave 20-In4h covered access FRE-CAST CONCRETE SEPTIC TANK CON': openings within 12" of grade or to grade i0coted over the inlet and outlet, respectively. Covers shall be either 20-Inch diornotor " otortight I. Reinforced concrete shall have 0 n1lnIML and insect proof locking cost Iron covers or thermoplastic covers, at 5,000 pounds per sctuare, inch (psi) at 2e final grade, All rOVCr$ and chImneyS/rlsors --,hall be designed In O"OrdOnCO With section 5-111 OP thil's Standard. 2. Wall thickness shall be ci minimum of thr, 78/21 hos beer, certified q 0 NaH York License -21 -0375 4. Men a septic tank is approved to Ji:�c instolled in a drlvcpqoy or J , R I parking area, the unit ShOH be designed and./or installed to withstand COMPIYIng With 011 appropriate requlrzmCr V�7HS-20 or H-10 �00dlnq 05 dasdgrloted by AASHTC. "OlIS,bottom and top S�Oif cont reinfor force Of 500 pounds per square foot (p 5� Septic tanks shall be, watertight and constructed Of sound and dUr4POO materials that ore not Subject to excass�vo corroslon or 5. Pre-cast concrete, Sections shall be 5c decoy. rubber joint Sealant which conforms to AS 7 6. Ali tanks MOSL be, �,qotortlqht. Two methods of ensuring tanks are 4. Septic, tanks SHOJI have (,2) cOMPOrtmen watertight shall be Clthor vacuum testing or water pressure testing shall l be divided into tP40 compartments by com ortmont shoes have, a methods as Follo�'qs! p ll ofd voiurno of . Vac tostine3: Seal the, empty tank and apply a vacuum 0 volume and total System copccity� t four (4) 5� All sewer pipes 5hoif penetrate the ver inr-hr,5000mm) outer. The tank Is approved If c40% of vacuum Jr. heid For tomo minutes. shall be sealed with grout or other means Department such as watertight 5oolod flee gasket fastened to the, pipe with stainless .wl u+p% V I t`lelal A V Co. -ul--�L CaHl 4,, 48 il,,atu-s in V, advar�ce, tc� sc-hods'le �,,nspectiunls) Al"Em 080 J, 'tv'2 T) Y�� Ai Tj'D-1l�aa1,'-f WR +REW'� h,101 �0 VF'Hk-'W-Ak R F I c- .... ......... ...............- - ........................... . .......... A R I Al-1 VFAl' Al EPNIVI "A" �S F01', Ulf�TS, (VJT1NA!- D" �Cll, M! VV,11"ill N, i 1 1, bl: 4 1i 7 -7, GLEAN-OUT DETAIL SGALE: NTS5 ..................4 THE FOLLOWING MINIMUM 5EPARA ligEXIST. FROM EXISTING WELLS MUST BE N NELL - 75'TO SEPTIC, TANKS - 100' FROM WELL ON SUBJECT LEACHINr-,POOLS A D15TRIBul (PROPERTY DEVELOPED FRIO - 150' FROM WELLS ONE I6HE3O TO LEAr-HIN6 POOLS 4 DISTR ..IN -4� PROP.DOMESTIC KATER GONNEGTION TO GABANA; NEW 1000 GAL. TOMAINTAIN 10'MIN. SEPTIC TANK SEPARATION FROM SEKAOE ........ .. DISPOSAL 5Y5TEM C,,pOANA� �r4l NEW NTS O 10, PROP I TEST E.P. "N HOLE 20 MIS.- 74 NEWso X 0 PROP.— 10 I MR V'A' FpN NEW PROF. 114-0,FO:uNt;) PO OL ENSURE THE SAME L.P. INVERT ELEVATION -10 .4 0 OF BOTH INLETSEDO ' 0 (NNEW 20"tP ps 0 FOLYLOK cTGr 1° T DIST.BOX I" PROP. ABOVE-ORADE OLL� A HOT TUB ON OotCONCRETE SLAB ' As) "I t3r- 05, X 41 XtN SpWTARe ONE NEN RELOCATE EXIST. TO EX,eT,H005e- Id 2000 EXIST. SHED OAL (DRY E3LF,>C,.) SLATE 11 WALK EXIST WELL EXIST. DOMESTIC, NATER SUPPLY , LINE TO DWELLING EXIST. BURIED CABLE ?-BOX Pq/SECURITY REaV IF INLET 0 PER FOOT)5% MAXIMUM SLOPEsr, O' MA MIK