HomeMy WebLinkAbout51908-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#: 51908 Date: 05/09/2025
Permission is hereby granted to:
Derrick J Miller
PO BOX 125
Southold, NY 11971
To:
Construct additions and alterations to an existing single-family dwelling to include a new foundation
with egress to elevate the existing dwelling, build a two-story addition and relocate the outdoor
shower as applied for per HPC and SCHD approvals.
Premises Located at:
1820 Lower Rd, Southold, NY 11971
SCTM#70.-7-2
Pursuant to application dated 03/20/2025 and approved by the Building Inspector.
To expire on 05/09/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition&Alteration $1,110.50
CO Single Family Dwelling-Addition /Alteration $100.00
Total $1,210.50
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 hit ://www. out�iloldto g Ann . oar
Date Received
APPLICATION' FOR ING PERMIT
For Office Use Only �V2 0 �) d
PERMIT NO. !' D Building Inspector: 11JA-b
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:09-24-24
OWNER(S)OF PROPERTY:
Name:Derrick & Jennifer Miller SCTM#i0oo-70-7-2
Project Add ress:1820 Lower Rd, Southold NY 11971 (49205 Main Rd)
Phone#:917-406-0148 Email:mrderrickjmiller@gmail.com
Mailing Address:1820 Lower Rd, Southold NY 11971
CONTACT PERSON:
Name:Ashley Hancock
Mailing Address:PO Box 400 South Jamesport, NY 11970
Phone#:631-703-0800 Email:Ashley@ PowersHancockDesign.com
DESIGN PROFESSIONAL INFORMATION:
Name:Powers Hancock Design
g
Mailing Address:PO Box 400 South Jamesport, NY 11970
Phone#:631-703-0800 Email:Ashley@ PowersHancockDesign.corn
CONTRACTOR INFORMATION:
Name:Thornas Ludlow
Mailing Address:105 Ole Jule Ln, Mattituck NY 11952
Phone#:631-680-2651 Email:Tom@LudlowHomesCo.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure RAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other 00,000
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ®Yes ❑No
1
PROPERTY INFORMATION
Existing use of property:Residential Intended use of property:Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
B=Business this property? Dyes ®No IF YES, PROVIDE A COPY.
I Check Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water issues as provided by
Chapter Z36 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.
Ashley cock
Application Submitted By(print name EAuthorized Agent ❑Owner
Signature of Applicant: Date:09-24-24
STATE OF NEW YORK)
SS:
COUNTY OF, )
Ashley Hancock
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
Agent
(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.
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Sworn before me this . l;.••" "••• "G ,
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Jul
day of 5-CV4vh � ,20 _
Notary ub c 1� 1."&IliN"
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IIIIIII l;i° (� ill�l !IIIC"Illlli IIII'1014.�.,�
(Where the applicant is not the owner)
Derrick Miller 1820 Lower Road, Southold NY 11971
I, residing at
Ashley Hancock
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Sept. 24, 2024
Owner's Signature Date
Derrick Miller
Print Owner's Name
2
'i David Mam out urGumina,Chairperson ." o � 54375 Main Road,NYS Route 25
Anne Surchin,Vice Chair PO Box 1179
a" O�� ' Southold,NY 11971
Marina de Conciliis .�
Jeri Woodhouse LOW Telephone:(631)765-1809
Allan Wexler kimf@southoldtownny.gov
Daryl Ketcham C
Kim E.Fuentes,Coordinator -
� eu�s�r
Town of Southold Historic Preservation Commission
Certificate of Appropriateness
FEBRUARY 27,2025
RESOLUTION#02.27.2025.1
RE: 1820 Lower Road, Southold, NY. SCTM# 1000-70-7-2
Owner: Derrick and Jennifer Miller
RESOLUTION:
WHEREAS, 1820 Lower Road, Southold,NY, is on the Town of Southold Registry of Historic
Landmarks; and
WHEREAS, as set forth in Section 170-6 of the Town Law(Landmarks Preservation Code)of the Town
of Southold, all proposals for material change/alteration must be reviewed and granted a
Certificate of Appropriateness by the Southold Town Historic Preservation Commission
prior to the issuance of a Building Permit; and
WHEREAS, the applicant submitted a proposal on December 16, 2024, requesting permission to
construct alterations and additions to an existing single family dwelling, located at 1820
Lower Road, Southold,NY. SCTM No. 1000-70-7-2.
WHEREAS, the applicant's representative, Ashley Hancock, appeared before the Commission for a
public hearing on February 27, 2025,to describe the proposed alterations and additions to
the existing single-family dwelling; and
WHEREAS,the improvements are proposed for a two-story addition to a two-story single-family
dwelling, all as depicted on a Site Plan(Sheet A-001), last revised November 27, 2024 and
Architectural Plans (Sheets A-000, A-003, A-010, EX-100, EX-02, A-100, A-101, A-102,
and A-201) last revised January 29, 2025, prepared by Christopher G. Powers, Registered
Architect, and
WHEREAS,the applicant shall submit to the Commissioners photographs of the finished
improvements upon completion; and
WHEREAS,the Commissioners may conduct a site inspection of subject premises once improvements
are completed; and
Certificate of Appropriateness,Res.#02.27.2025.1
Miller, 1820 Lower Road, SCTM No. 1000-70-7-2
Page 2
NOW THEREFORE BE IT RESOLVED, that the Southold Town Historic Preservation Commission
determines that the proposal for improvements of a two story addition attached to a two-
story single family dwelling, all as depicted on a Site Plan (Sheet A-001), last revised
November 27, 2024 and Architectural Plans (Sheets A-000, A-003, A-010, EX-100, EX-
02, A-100, A-101, A-102, and A-201), last revised January 29, 2025, prepared by
Christopher G. Powers, Registered Architect, meets the criteria for approval under Section
170-8 (A) of the Southold Town Code; and
BE IT FURTHER RESOLVED, that applicant shall parge the exposed foundation on the entire
dwelling, as indicated on Sheet A-201 of the Architectural Plans, last revised January 29,
2025, and the corner stones shall remain"intact and be reused at the corners of the existing
volume", if possible; and
BE IT FURTHER RESOLVED,that the Commission approves the request for a Certificate of
Appropriateness, subject to approvals by all involved agencies; and
BE IT FURTHER RESOLVED,that any deviation from the approved plans referenced above may
require further review from the Commission.
Motion made by: Commissioner de Conciliis
Motion seconded by: Commissioner Woodhouse
VOTES: AYES: Commissioners Mammina, de Conciliis,Ketcham, and Woodhouse(4-0) (Member
Surchin Abstained) (Member Wexler Absent)
RESULT: Passed
Please note that any deviation from the approved plans as referenced may require further
review from the commission.
Signed: . --- �n Dated March 3,2025
Kim E. Fuentes
Coordinator for the Historic Preservation Commission
Lead: DK
•u
our 4Jndr8tr
David Mammina,Chairpersons 54375 Main Road,NYS Route 25
Anne Surchin,Vice Chair ' `� PO Box 1179
Marina de Conciliis v � ,- ' Southold,NY 11971
SOUTHOLD
Jeri Woodhouse * Telephone: (631)765-1809
Allan Wexler kimf@southoldtownny.gov
Daryl Ketcham Ak. d '
Kim E. Fuentes,CoordinatorRVA
Town of Southold Historic Preservation Commission
Certificate of Appropriateness
APRIL 24, 2025
RESOLUTION/402.27.2025.1 AMENDED
RE: 1820 Lower Road, Southold, NY. SCTM# 1000-70-7-2
Owner: Derrick and Jennifer Miller
RESOLUTION:
WHEREAS, 1820 Lower Road, Southold,NY, is on the Town of Southold Registry of Historic
Landmarks; and
WHEREAS, as set forth in Section 170-6 of the Town Law(Landmarks Preservation Code)of the Town
of Southold, all proposals for material change/alteration must be reviewed and granted a
Certificate of Appropriateness by the Southold Town Historic Preservation Commission
prior to the issuance of a Building Permit; and
WHEREAS, the applicant submitted a proposal on December 16, 2024, requesting permission to
construct alterations and additions to an existing single family dwelling, located at 1820
Lower Road, Southold,NY. SCTM No. 1000-70-7-2; and
WHEREAS, the applicant's representative, Ashley Hancock, appeared before the Commission for a
public hearing on February 27, 2025, to describe the proposed alterations and additions to
the existing single-family dwelling; and
WHEREAS, the Southold Town Historic Preservation Commission determined that the proposal for
improvements of a two story addition attached to a two-story single family dwelling, all as
depicted on a Site Plan (Sheet A-001), last revised November 27, 2024 and Architectural
Plans (Sheets A-000, A-003, A-010, EX-100, EX-02, A-100, A-101, A-102, and A-201),
last revised January 29, 2025, prepared by Christopher G. Powers, Registered Architect,
met the criteria for approval under Section 170-8 (A) of the Southold Town Code; and
WHEREAS, that the Commission approved the request for a Certificate of Appropriateness, subject to
approvals by all involved agencies; and
k
Certificate of Appropriateness, Res. #02.27.2025.1 —AMENDED 4/24/2025
Miller, 1820 Lower Road, SCTM No. 1000-70-7-2
Page 2
WHEREAS, by letter dated April 10, 2025, the applicant's representative Ashley Hancock, requested
an Amended Certificate of Appropriateness to reflect changes to the foundation,
explaining that the foundation will be newly poured and lifted two feet higher in grade;
and
WHEREAS, on April 15, 2025, the applicant submitted Architectural Plans of the Amended proposed
improvements to the single family dwelling and the foundation, including Sheets A-000,
A-001, A-101, EX-100, A-100, A-102, EX-02, A-201 and A-202, prepared by
Christopher G. Powers, Architect, and last revised April 10, 2025; and
WHEREAS, the applicant's representative, Ian Lanning, appeared before the Commission during a
work session on April 24, 2025, to describe the Amende.4 proposed improvements to the
single family dwelling; and the foundation to be further described as "grading as
necessary, with parging on exposed foundation to be not more than one foot exposed; and
WHEREAS,the front stoop will be made with similar bricks (see exhibit A), and existing corner stones
will be incorporated in the foundation, if possible; and
WHEREAS, the Commission has determined that pursuant to Chapter 170-4(E)(2) of the Southold
Town Code, the Commission has the authority to determine that some proposals do not
rise to the level of requiring a public hearing, as the proposal is de minimis in nature; and
WHEREAS, the Commission has determined that the subject application for an Amended Certificate
of Appropriateness is de minimis in nature and therefore does not require a Public
Hearing; and
WHEREAS,the applicant shall submit to the Commissioners photographs of the finished
improvements upon completion; and
WHEREAS,the Commissioners may conduct a site inspection of subject premises once improvements
are completed.
NOW THEREFORE BE IT RESOLVED, that the Southold Town Historic Preservation Commission
determines that the Amended proposed improvements depicted in Architectural Plans of the
Amended proposed improvements to the single family dwelling and the foundation,
including Sheets A-000, A-001, A-101, EX-100, A-100, A-102, EX-02, A-201 and A-202,
prepared by Christopher G. Powers, Architect, and last revised April 10, 2025, meets the
criteria for approval under Section 170-8 (A) of the Southold'Town Code; and
BE IT FURTHER RESOLVED,that the Commission approves the request for a Certificate of
Appropriateness, subject to approvals by all involved agencies; and
BE IT FURTHER RESOLVED,that this approval is subject to the condition that, relating to the
proposed newly poured foundation, "regrading as necessary and parging of the foundation
Certificate of Appropriateness, Res. #02.27.2025.1 —AMENDED 4/24/2025
Miller, 1820 Lower Road, SCTM No. 1000-70-7-2
Page 3
with not more than one foot exposed; and that these comments shall be inscribed on
revised Architectural Plans; and
BE IT FURTHER RESOLVED, that any deviation from the approved plans referenced above may
require further review from the Commission.
Motion made by: Commissioner de Conciliis
Motion seconded by: Commissioner Ketcham
VOTES: AYES: Commissioners Mammina, Surchin, de Conciliis, Wexler, Ketcham, and Woodhouse
(6-0)
RESULT: Passed
Please note that any deviation from the approved plans as referenced may require further
review from the commission.
Signed: Dated May 2,2025
Kim . Fuentes
Coordinator for the Historic Preservation Commission
Lead: DK
New York State Insurance wand PO Box 66699,Albany, NY 12206
1 nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
AAAAAA 091608652
CRANDLE AGENCY INC
44655 COUNTY ROAD 48 LY
PO BOX 1345
SOUTHOLD NY 11971 SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
THOMAS M LUDLOW DBA POWERS HANCOCK DESIGN
LUDLOW HOMES CONTRACTING CO 1820 LOWER ROAD
P 0 BOX 781 SOUTHOLD NY 11971
MATTITUCK NY 11952
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
12255 492-7 382724 11/13/2024 TO 11/13/2025 11/19/2024
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2255 492-7, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
BY CAUSING THIS CERTIFICATE TO BE ISSUED TO THE CERTIFICATE HOLDER, THE POLICYHOLDER UNDERTAKES
TO PROVIDE THE CERTIFICATE HOLDER 30 CALENDAR DAYS' NOTICE OF ANY CANCELLATION OF THE POLICY.
NEW YORK STATri SUR NONCE FUND
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER: 769920113
U-26.3
51 ORY ADDITION r
TEST HOLE 2 w
w
PRo,,poSED OUTDOOR
;H ER,NO DRAIN;
SE,T<0N GRAVEL
EXISTING UNDERGROUND
ELECTRIC LINE TO REMAIN
i
22`
LAND N/F OF
,_-EXISTING(2)SHEDS
HILL CEMETERY WILLOW TO REMAIN
.E.
STING SEPTIC TO BE REMOVED. 11/4/24
. PROPERTIES WITHIN 150' OF THE SUBJECT Revised Plan Approved
IPERTY ARE IMPROVED AND SERVICED BY PUBLIC
F ER UNLESS OTHERWISE KNOWN.
�p1reS 8/21/27
TEST HOLE DATA
DATE:SEPT 20,2023
18.0' 0.0' PROPOSED SEPTIC PLAN
OL - DARK BROWN LOAM
20 0 20 40
SP - DARK BROWN LOAM
— s.o' SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES SCALE: 1" = 20'
PER MIT FOR APP ROVA L OF COS N TRUCTI oN FORA
ELEVATIONS SHOWN ARE BASED ON USC AND GS DATUM (NAVE
SINGLE FAMILY RESIDENCE ONLY
SP - PALE BROWN FINE SAND
DATE 8/21/24 , S O, R-24-1147
APPROVED
G W 16 7 IN PALE BROWN 4 BEDROOMS
WATER FOR MAXIMUM OF
SP - FINE SAND EXPI RES THREE YEARS FROM DATE OF APPROVAL
17.0'
OMENTS: GROUNDWATER
;OUNTERED AT 16.7' BELOW GRADE
;T HOLE BY:
)ONALD GEOSERVICES
ELBOWS/BENDS IN SEPTIC LINE BEFORE SEPTIC SYSTEM ARE NOT PERMITTED FOR NEW CONS