HomeMy WebLinkAbout50975-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
" TOWN CLERK'S OFFICE
;uF 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#: 50975 Date: 7/23/2024
Permission is hereby granted to:
Giannone Vita
PO BOX 1222
Mattituck, NY 11952
To: construct single-family dwelling as applied for per SCHD approval.
At premises located at:
1185 West halia Rd, Mattituck
SCTM #473889
Sec/Block/Lot# 141.-2-21.3
Pursuant to application dated 5/14/2024 and approved by the Building Inspector.
To expire on 1/22/2026.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $2,452.50
CO-NEW DWELLING $100.00
Total: $2,552.50
Buil ' g 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 s:HN ww-sogtho1dtown gov
n � b
d,
Date Received
APPLICATION FOR BUILDING PERMIT
or Office Use Only 2
L7 0 V L7
D
PERMIT NO. Building inspector:
APB 29 2024
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an N DEPT.
Owner's Authorization form(Page 2)shall be completed. TOWN OF SOU MOLD
Date:
OWNER(S)OF PROPERTY:
Name: �!A ft� am SCTM#1000- 3
Project Address: 1 .
Jb
Phone#: Email.
5OZ- 3 ,
Mailing Address: Z 2 A afbt A I I 'S2- -
CONTACT PERSON: 11%Name: flwltI +�
Mailing Ad Tess: 2"P 11
hone#: / _ qo Email:
DESIGN PROFESSIONAL INFORMATION:
Name: 0 I 11.M. 4y (f
Mailing Address: 00"O'n)OA� mu
Phone#: r)lt?' -4 _ 1:Ema
: '
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: JKmail-
DESCRIPTION OF PROPOSED CONSTRUCTION
�Oqew Structure Additl n ❑Alteration ❑Repair ❑Demolition Esti ted Cost of Project:
❑Other
$ !SQQ k-
Will the lot be re-graded? ❑Yes 1XNO Will excess fill be removed from premises? ❑Yes NO
1
PROPERTY INFORMATION
Existing use of property: Intended use of property: w
V
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes EYNo IF YES, PROVIDE A COPY.9� IN
❑ Check I ox After Rea lh1g: 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( rint name): []Authorized Agent POwner
Signature of Applicant: Date: I le-)I
STATE OF NEW YORK)
SS:
COUNTY OF S\D I)L J
1 1 Ol hn0 V1f, being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(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
2C( day of ' 1�l r' \ ,20 2 q
Notary Public
MARIA PRIKAS GANLEY
PROPERTY
4 1 T AUTO
� � ,�� Notary PubNO'01 PR50032 hic-State of ew York
Qualified in Suffolk County
(Where the applicant IS not the owner) My Commission Expires Oct 19, 2026
RIP 0
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
ussell SUF�'r 5TO][ .M[WA\T]ER,
OR I��][A\1�A�G1EI� 1E NT
9ROLPMOLD'rOIV P.O.�Box 1179 �Y
0 Town of Southold
9� gain n 4Jt9`C1k1OLD,NL W OTd 1�: '' .
1, 6 - STORMWATER MANAGEMENT REFERRAL FORM
( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. )
- - - - - - - - - - - - -- - - - — - - - - - - - - - - - - - - - - - -
APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other)
NAME: alA t)o Date:
Contact Information:
(E-Mad&Telephone Number)
Property Address / Location of Construction Site:
S.C.T.M. #, 1000
District
Section Block Lot
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
Area of Disturbance Is less than 1 Acre. No S.P.D.E.S. Permit is Required!
❑ - Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Required !
❑ - Area of Disturbance is Greater than 1 Acre&Storm-water 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 1 Acre& Storm-water Runoff Flows Through Southold
Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN
a S.P.D.E.S. Permit through the Southold Town Engineering Department
Prior to Issuance of a Buildine Permit.
Reviewed By:
Date:
r•nR m # WCT-Tne nrrnhP,- 7n i ci
�__ .� .•„ 1VVV ►.7L' 1i11V1V 1`f1 l3LV1.114 LU1 ;�'. 1 .ej C r-
NORWE
13esign Professional's Certification Required,
Submit F.E.or R.A. Certification For SUFFOLKN N'TY DEPPRTMENT OF 1I1 E-Al DI ERvI("faS
DWELLING 11.5
The Installation and Construction of the Sewage Disposal System PERMIT FORAPPRZOVAL OF CON, TPI..IC" ION Il oR A,
Use FoiTTT WVUM-073 ®_�... IN N_ . .w._Y EF,F I NCB N I,,,,,,,
GRADE 10.5 GRADE 10.3 ITCH 1/8"/FT
_C/0 TO GRADE GRADE 5%MAX GRADE 9.8
�
NV 7.89 DATE
2/9/2024
INvs.S INvs.22 H S. io No. R-23-1538
4"SDR 35 INv7.79 (5)EACH
PITCH 1/4"/FT 4"SDR 35 _ 8'Ox2'DEEP APPROVED
PITCH 1/8"/FT LEACHING
EL3.6 POOL pp ,AWUM OF_'__4,,:,- ._ BEDROOMS
0000ED=
v
HYDRD�(INETIC• o o o o o cEXPIRES THREE YEARS FROM E OF P P ROV -u
GREEN EL6.1
MODEL 60D SYSTEM HIGHEST EXPECT.GROUND WATER EL 2.0
SANITARY INVERTS
2"RAINFALL CALCULATION
DWELLING W/COVERED PORCHES:1596 S.F. SANITARY DESIGN BY:
1596 x 0.166=265 C.F.REQ. DWELLINGS FOR. SANITARY SYSTEM RICHARD M. MATO A.I.A.
(2)8'W'DEEP DRY WELLS:265 C.F.PROVIDED W/'UBLIC WATER PO BOX 2284
� �� �-.��.. O�"PAR"TM ("�..r AQUEBOGUE NY 11931
""NO PROPOSED GAS SERVICE 150' �1;7 �CL 9.2 ,��
' PHONE: (631)523-5879
0U.P. EMAIL: RMATOARCHITECT@GMAIL.COM
11 q ON. �� °1 £
CL8.0 mac» %
go
0.5'S \
/ w.
o �' v 06 / / % a RICHARD M. M °�"A� �YS LISC#041861
N 1 /
m "' � � ���I LAND N/F OF
DWELLING WITH 3 BEDROOMS-NO GARBAGE GRINDER
X m j W C]
OSWALDO ALDAZ PROPOSED SEPTIC SYSTEM
CDWELLING I (1)HYDRO-KINETIC(OWTS)
1 ( 3 ( r I (5)LEACHING POOL 8'0x2'DEEP
f W/Puauc WATER
LAND N/F OF I
1 I I F __Mn 1 r�0 I (2)EXPANSION LEACHING POOL SO&DEEP
DEMISE ANN VOEGEL 1 $
I w I I SANITARY NOTES
WELL DWELLING
117
WAWELL WATER17 1 I F I U I 11 1.THE OWTS INSTALLER SHALL HOLD AN ENDORSEMENT FROM THE SUFFOLK COUNTY DEPARTMENT OF HEALTH.
«%' C! m cn I 2.AN EXECUTED OPERATION AND MAINTENANCE CONTRACT BETWEEN THE MAINTENENANCE PROVIDER AND THE
w ci 1 / I I CL 8.2 SHALL BE PROVIDED TO THE SCDHS
U 1 I 3.PROVIDE A 2"VENT PIPE FROM THE OWTS TO THE DWELLING AND CONNECT TO THE SANITARY VENTING WITHIN THE HOSE
/ \ / 1A 'S I THE VENT PIPE SHALL BE PITCHED TOWARD THE OWTS SO ANY LIQUID WILL DRAIN TOWARD THE OWTS
m
f\ 1 4.AN EFFLUENT FILTER SHALL BE INSTALLED UNDER THE ACCESS COVER OF THE HYDRO-KINETIC UNrr ON THE OUTLET PIPE
B "
S,Do,?.00
� o ` 1
_r
1
�m r
II cczw wIVyP"MFDiGRnF
"CC1'
TO�
J , ►) GEIIIE7fIRE FABIi1C— MIN 47 DIP'
WR 35PVC RIM OR EQUI`d. +.
\ 1'
~ 'f AIPPORA'P051S PITCD ti8 PER Fi,MIN p
IVM N, " •ODD OR METAL
CONTROL PANEL
DRAIN .
FLOW DNaMTM W.
ELECTRIC SERVICE
l WELL " TO CONTROL PANEL Co � y
r EL TRIC TO OWTS E70S1MG ORDUEO
P Es
28 "
LAND N/F OF alb o
y CdIkRnNY�MR 'k'.
W \
PAMELA ANSHUTZ « s�
= 2 + rN AIIN .
I
HYDR" IC®wET p00000DI GREEN EL.6.1
MODEL 800 SYSTEM HIGHEST EXPECT.GROUND WATER EL 2.0
SANITARY INVERTS
EXCAVATI
2"RAINFALL CALCULATION F®I
DWELLING WICOVERED PORCHES:1596 S.F. DWELLINGS
1596 x 0.166=265 CF.REQ. WIPUBLIC WATER ®y I
(2)8'ox3'DEEP DRY WELLS:265 C.F.PROVIDED 150' � L 9.2 [��
' NO PROPOSED GAS SERVICE
CL8.0
1 III
N I
1.0'E /'�\ m I
0.5'S /
m
0 N
m y / =
0
10 m N m _ z o LAND N/F OF
/ ? m x OSWALDO ALDAZ
- I c
Q DWELLING
3 W/PUBLIC WATER I
LAND F OF f ---m
N/ 150'
00
DENISE ANN VOEGEL� 1 a W I
-m A
DWELLING 1 z o j
WELL± WNVELL WATER m
CL B
L.P z _ m� 1 1A8 g81
m5 le
I r�
M N \ DRAIN
CONTROL PANEL \ �.
ELECTRIC SERVICE /4
DFtY Y, TOCpNTROt PANEL K
Z E TFPCTOOWTS /
\ R6Wx2 P L.P.
I v
\ �j -700 0 I ��
LAND N/F OF w . STY AKIN \
PAMELA ANSHUTZ oOWTS
DWELLING \ �
0 2^ V W
O WNVELL WATER �, �- �.��.: PVC ET PIPE
WELL OVER 150' Z SIDE / I
143' \ ` '
J
? /WEB I
l
a
�D
1
1 r
uWu� l rJ 1 ,z O
MON
0 IN-4
LL I I
Lm
154' a U.P. IQ cL9.a
WELL w 0 I I / �O /
LAND N/F OF o 1 I �� \
CARL MCMANN ` o ,It l
o 1 � gZ.31 1 �
DWELLING N -� U.P; I
WIWELL WATER z 1 LAND N/F OF r \
NORTH FORK CHURCH i \
1. \ OF CHRIST INC I
S � DWELLING /
WlWELLWATER SANITARY NOTES
U.P. OVER 150'
� 1.THE OWTS INSTALLER SHALL HOLD AN ENDORSEMENT FROM THE SUF
DWELLING 1 ELEV, 9.0 COVER 2 SHALL EXECUTED O OPERATION D TO THE D MAINTENANCE CONTRACT BETWEEN'
WNVELL WATER 1 PLUG
SCDHS
OVER 150' SM BROWN RNREADE _ e 3.PROVIDE A 2"VENT PIPE FROM THE OWTS TO THE DWELLING AND CC
LOAMY SAND :+ THE VENT PIPE SHALL BE PITCHED TOWARD THE OWTS SO ANY U01
BROWN CONCRETEBASE APPROVED ANOXIC
CLEANOUTBOX
SW MEDIUM OLEANOUr SEAL"40 DEVICE C RLTENDED A'
SAND 7.8' ADAPTER AUPTER C
NOTE: TOTAL SYSTEM CAPACITY: 1,785 GALLONS WATER EL 1.2 4"DAMET PRETREATMENT
RATED CAPACITY: IN Y: 5001800 GALLONS PER DAY SIP CLAYEY HIGHEST EXPECT.2.0 aogeaREErTrnNq INLET LINE CHAMBER
GENERAL NOTES: SAND 9.0'
50 a
Q FALL THROUGH THE HYDRO-KINETIC SW WATER IN
PLANT FROM INLET INVERT TO OUTLET PALE
INVERT IS FOUR INCHES. INLET INVERT IS COARSE FLOW
TWELVE INCHES BELOW TANK TOP. SAND _
15' SEWER LINE A
® ON DEEPER INSTALLATIONS,PRECAST AUG.16,2023 CLEANOUT DETAIL
RISERS MUST BE USED TO EXTEND K.WOYCHUK LS NTS A
CASTINGS TO GRADE. INSPECTION
COVERS MUST BE DEVELOPED TO WITH
TWELVE INCHES OF GRADE.
® TANK REINFORCED PER ACI STD.318.
VENTED COVER HIQi WATER AID FLOAT 4
® REMOVABLE COVERS ON RISERS WEIGH
IN EXCESS OF SEVENTY-FIVE POUNDS
EACH TO PREVENT UNAUTHORIZED MODEL A1DO OR MODEL AISD AIR PUMP CLARIFIGABON RISER
ACCESS. WITH SEALED LID
m CONTACT THE LOCAL,LICENSED DIFFUSER BAR FLOW EO ALI2ATWN - ----
HYDRO-KINETIC DISTRIBUTOR FOR -- PLAN
ELECTRICAL REQUIREMENTS.
NON-VENTED COVERS APPROVED SEAMING
® SYSTEMS CERTIFIED BY NSF TO NSF/ANSI DI ViC1
STANDARD 40 MUST INCLUDE MODEL A100 ZONED R-40
AIR PUMP. FRONT YARD:50'MIN MAX.GRO,
SIDE YARD:15'MIN(35'TOTAL) 5100 S.F.+