HomeMy WebLinkAbout51786-Z 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 WORK AUTHORIZED)
Permit#: 51786 Date: 03/26/2025
Permission is hereby granted to:
NF Community Club LLC
PO BOX 1672
Mattituck, NY 11952
To:
construct accessory in-ground swimming pool as applied for. Pool equipment must be located in the
rearyard with minimum side and rearyard setbacks of 25 feet.
Premises Located at:
2050 Depot Ln, Cutchogue, NY 11935
SCTIVI# 102.-2-5
Pursuant to application dated 03/07/2025 and approved by the Building Inspector.
To expire on 03/26/2027.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total $400.00
uilding 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 ]ttt)�s://www.soutlaoldtowjln . god°
Date Received
APPLICATION
m t:3 Y
For Office Use Only I
v a
R
PERMIT NO, � Building Inspectors ., 2025
5
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an ems,
Owner's Authorization form(Page 2)shall be completed.
V I
Date: S
OWNER(S)OF PROPERTY:
Name: AJ F Om loll.(.n t ISCTM# 1000-
Project Address:
Phone#: Email:
Mailing Address.:
CONTACT PERSON:
Name:&? YY10(Z(.9 �
Mailing Address: PO 13 nZ kLMQNLA GAW l
Phone#: ?J cj s 0 O Email: �O )y-)eL YY)m O�7 C . cry
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: M t-YYl PO 0�S
Mailing Address: ?0 Qo.,,! \30' , 1�1 a^mow ( '� I) qc4 (D
Phone#r �01� 6 Email: OFj�' Cvw^a t C C o m
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addltlon ❑Alters Ion ❑Re I ❑D I Project:
Estimated Cost of Proj
t par emollt on
❑Other 5Pvj,`►,�i m 1'wt o, rat+ I 00 O
Will the lot be re-graded? ❑Yes TeNo Will excess fill be removed from premises? ❑Yes 'KNo
1
PROPERTY INFORMATION
Existing use of property: � C> 'fia Intended use of property: � � �.1
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes L2'No IF YES, PROVIDE A COPY.
❑ Check Box After 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(print nam ): J�h� P. (� L7Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OFIv ww
30�n Y1 Q. � o '(2 (� �� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the C- nkr�GTU a l
(Contractor,49ent, 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
y ,
Notary Pbblic
ELIZABETH A KOEHNE
PROPERTY 0 1'JE( AUTHORIZATIONl Notary Public,state of New York
_._.__..�.._._._._.... ��. ... No.01 K06334345
-ant is not the owner) Qualified in Suffolk County
Commission Expires 01-I9- r A
do hereby authorize 6 1 r'n 0(L G �'J/f rn t to apply on
my alf to the Town of Southold Building Department for approval as described herein.
Owner's Signature r Date
Print Owner's Name
2
Albert J. Krupski, Jr. � ,
S /r 51F O RIMMAT]ER
SUPERVISOR �" l\\][ANA�G1ElwJ[]ENT
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 .. w, ` Town of Southold
CRAFTER 236 - 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: ev o IQ C56 6 i) _ Date: IA 4 r ��
._. ....... .. ._...�............................
_.�.
__. ..... .........._.
Contact Inform. ioti: ��u L D t i �� �`� �- L Z� `�J t - 6, �5 2a
.................. .�...........�..�.. ....... __ ....-
............. ..................................
_.......
...........................
......
(E`Aad&Telephone Nu ime
Property Address / Location of Construction Site:
7' e , c, Z. p,v S.C.T.M. #: 1000
Di
strict
2
Sectirn 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 BuildipS 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 EngineeringDe artment
Prior to Issuance of a Building Permit.
Reviewed B} _.. ..._...—..... .............
.. Date:
...._ /
FORM " SMCP-TOS December 2024 keCe ('v (,,J
114"
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
1, Nyd) residing at s— �,Imllv A�
............... ..........
(Print property owner's name) (Mailing Address)
do hereby authorize .................
I P (Agent)
d — to apply on my behalf to the
Southold Building Department.
,111.......................................................................................................................... .............
----;(7&;ner's Signature) (Date)
(Print Owner's Name)
DISTRICT: 1000 SECTION: 102 BLOCK: 2 LOT: 5
94 Dwalm DWELLING 1000-102-2-4 2
W/WELL WATER LAND N/F OF
I 0 OVER 150' SINGLEKEE FAMILY RHES DENCE
DIR1f T - LE" S 45 049'16" W R-80 456.091
MON " 22
IF .-- HEDGE MAN
/ N
REMAINS DRIVEWAY C,a r
CS !`on
i0 BE RIOVEQ (JJ
I o 2 4 STORAGE
�+ r7 EXISTING CONTAINER ( ) 00
W PORTION f0 r�C
W 107.1' BE REMWED v 1
/ I �'""^^p/` TI
tXIS11NG EL 24.6 EL 24.
POR ON . @4#,,.H.,
f0 Q
M.H.
i
IY`+. �WREMOVED
z w� CROP 'ELEC.S R+JIC1:<TO CONTROL PANEL � F'RAME�✓EIRICK �SWi14I«1N0 P tls �
CONkTR t PANEL AND AIR PUMP ''E1LLaG rx 1II'x3Li"� x
/ ELECTRICANDAIRS PLYHOSETOOWTS '2050 �F� J Y SCO14 PVC VENT PPOE .T 6 R as '^�.I
FFL 213 S
U O I E—E—E—E— E—E E -- PROF* 4 BEDROOMS CONC.
_U I OP' I ^•a i.°'" ar". L.P.
RAIL FENCE 4[�ps -iti?-
PROP, F PROMOS11
2 ,O PATIO V TOVERCI N OOL P44IL10 N IV O
ex cbn se tiu Tank to
&022.45" y P Jay1„66' o be removetl1 INLET, M.H. EL 2AA 7 OUTLETS 5 '� C�ONC.F a.. ENTRY PROPOSED ,• PROP0SEl1 n 1 1�020.66" I y RAIL � � I I IE REMOVED PARKING LOT �WOAw"R P 'T I � 'v
LEI BOX ACCEPTS: F �� FEAFCE `7 EXN LP ADDITION 1 LI �aE Q
C ( M.H. O
LIGHT COVER#3009C � I O (p
TOP VIEW HEAVY COVER#3017-C20 M.H.O
GRATE #3017-G20 ' BRICK RE—USE OM.H.
6"TALL RISER#3009 I �' 5o PILLAR II'. P2 E
12"'TALL RISER#3009-R12 p� ® O I
EP
FLAG T.H.
NDCAP TYPE I '"' POLE N
LEVELING DEVICE f U / L.P.�O-
\ HYD I Lp0
ENT, PµT, BOX SEAL, 26
POLYLOK SEAL I U.P.
P MON O 1 11 CCJJ / p �7 1 MON
MIN. "COMPACTED 458. /5
MIN.12"COMPACTED SAND OR ��j
PEA GRAVEL LEVELING PAD \ I � S 45 51 13 Y V /
FRONT/SIDE VIEW \
f
)X I' IyI1k DETAILS I A W/WELLLLWATER DSO.
\ I cq
OVER 150' / C) N
MAIN ROAD / SANITARY NOTES
/ 1. THE OWES INSTALLER SHALL HOLD AN ENE
/ 2.AN EXECUTED OPERATION AND MAINTENANI
4" SDR 35 SHALL BE PROVIDED TO THE SCDHS
ITCH 1/8"/FT / 3. PROVIDE A 2'VENT PIPE FROM THE OWT:
THE VENT PIPE SHALL BE PITCHED TOWAR
AIDE 25.0 GRADE (25.0) GRADE 5% MAX 4. AN EFFLUENT FILTER SHALL BE INSTALLED
• EL(�5.5)
./o TO oRAe�E, .�.�.. _
IN B OX INV23.52 PROPOSED SEPTIC SYSTEM UP TO 4 BEDRC
INV23.92 NV23.82 EL23.73 ( ) CLEAN
( )
''4""SDR 35 "SDR 3 INV23.4 (1) EACH (1) LEACHING POOLS B'0x12DEEP
4
PITCH 1/4"/FT 5 8'0x12'DEEP =1 (1) EXPANSION LEACHING POOLS
PITCH 1/8"/FT LEACHING 0
POOL 0
EL19.52 OOOOOO
FUJI CEN5 EL11.73
HIGHEST EXPECT. GROHNTI WATFR T=1 9 n