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HomeMy WebLinkAbout51956-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#: 51956 Date: 05/29/2025 Permission is hereby granted to: Creek Capital LLC 180 Water St Apt 810 New York, NY 10038 To: Construct a new single-family modular dwelling with HVAC system as applied for per SCHD approval. Premises Located at: TBD, Fishers Island, NY 06390 SCTM#9.4-17 Pursuant to application dated 04/22/2025 and approved by the Building Inspector. To expire on 05/29/2027. Contractors: Required Inspections: Fees: Single Family Dwelling-NEW MODULAR $2,258.50 CO Single Family Dwelling-New $100.00 Total $2,358.50 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 littps://www.southoldtowplly.gov ao Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only" PERMIT NO.� Building Inspector: 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: April 14 2025 OWNER(S)OF PROPERTY: Name: Liz & Phil Shannon (Capitol Creek LLC) scrM#l000- g_4-17 Project Address: C/o Fones St. & Oriental Ave., Fishers Island (Oriental side designated "front") Phone#: (860) 202-0864 Email: lizshannon@gmail.com Mailing Address: 71 Stony Corners Rd., Avon, CT 06001 CONTACT PERSON: Name: Stacey Bishop (East End Construction Svcs, LLC) Mailing Address: PO Box 63, Southold, NY 11971 Phone#: (631) 905-4382 J Email: Modulargall@aol.com DESIGN PROFESSIONAL INFORMATION: Name: Icon Legacy Custom Modular Homes, LLC Mailing Address: 246 Sand Hill Rd, Selinsgrove, PA 17870 Phone#: (570) 374-3280 Email: randya@iconlegacy.com CONTRACTOR INFORMATION: Name: PENDING Mailing Address: Phone#; Email: DESCRIPTION OF PROPOSED CONSTRUCTION ®New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: El Other single family Modular Home $950,000 Will the lot be re-graded? ❑Yes 5W No Will excess fill be removed from premises? R'Yes ❑No 1 PROPERTY INFORMATION Existing use of property: Vacant-determined S&S by Town Intended use of property: Modular Home-single family Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R40 this property? ❑Yes i@No IF YES, PROVIDE A COPY. 8 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 name): `-'`aCes. op BAuthorized Agent ❑Owner Signature of Applicant: Date: i7/ la j00 /�YLz STATE OF NfW1'6f K) 1� 1l SS: COUNTY OF �i�;nr"✓�IC ) Q t being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the I (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 l day of ✓► I ZCf� Notary Public Notary Public,Maine - - _-......, . My commission Expires February 7,2031 (Where the applicant is not the owner) 1, 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 Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) l L Z C, residing at (Print property owner's name) (Mailing Address) 10 µ 39 do hereby authorize � � (Agent) 4—' to apply on my behalf to the Southold Building Department. jw4nerigi4la (Date) (Print Owner's Name) C 03/l'7/202.S N0"�°RY; agar. Saw.eS uwheo. C.��vw+tni� 0-001- Ca IL =Public NNEA al e of Illinois Mar 16, 2027 Town Hall Annex ro�� � Telephone(631)765-1802 54375 Main Road �r Fax(631)765-9502 P.O. Box 1179 Southold, NY 11971-0959 4� & .✓�°""^r�pdi a �ii,� BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION, PRE-ENGINEERED WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION Date: aopj— Owner: 412 4- Vle- 1- 0, 6:4�01Z_ Q ,A-:� te-, ) Location of Property Please take notice that the (check applicable line): New commercial o @side6tia 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) w Pre-engineered wood construction (PW) Timber construction (TC) in the following location(s) (check applicable line): Floor framing, including girders and beams (F) X Roof framing (R) Floor and roof framing (FR) Signature: Name (pu rr submitting this form): � � Capacity check applicable line): Owner Owner representative TrussReg15.dccx Effective 1/1/2015 Town Hall Annex �, Telephone(631)765-1802 54375 Main Road P.O.Box 1 179 Southold,NY i 1971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 24, 2024 To: Stacey Bishop (Shannon/FI Utilities Co Inc) PO Box. 63 Southold,NY 11971 RE: SCTM# 1000-9.4-17—Fishers Island Utilities Co Inc, determination of merger request Ms. Bishop: Based on the application, deed, and single and separate search submitted to our office, along with the records and files of the Town of Southold, we have determined that a waiver of merger is not necessary. It is our opinion that the property in question is single and separate. Should you or anyone have additional questions, please feel free to contact me at(631) 765-1802. Respectfully Yours, 'A4-- Amanda Nunemaker, Plans Examiner 1).C.T.M.# DISTRICT 1000 SECTION 9 BLOCK 4 LOT 17 SCHD # R-24- 1825 INOWITS Fuji Clean SUFFOLK COUNTY DEPARTMENT OP HEALTH SERVICES PERMIT FOR APPROVAL OF CONSTRUCTION FOR A rr SINGLE FAMILY RESIDENCE ONLY 2/18/2025 EF. R-24 18 25 I, DATE APPROVED FOR MAXIMUM OF 4 uBEDROOMS EXPIRES THREE YEARS FROM DATE OF APPROVAL SANITARY NOTES 1.THE OWTS INSTALLER SHALL HOLD AN ENDORSEMENT FROM THE SUFFOLK COUNTY DEPARTMENT OF HEALTH. OUTLET SOLVENT WELDED TO 4" 2 ANg PROVIDED TO THE SCDHS EXE PR �ANCE CONTRACT BETWEEN THE MAINTENENANCE PROVIDER AND THE LATERAL 3 INLET PORT ADAPTER ALL PORTS LONG STUB OF 4"SCHEDULE 40 3.PROVIDE A 2°VENT PIPE FROM THE OWTS TO THE DWELLING AND CONNECT TO THE SANITARY VENTING WITHIN THE HOUSE DWELLING (35.0) ARE 4"OPENINGS PIPE CONNECTED TO FUJI 4" SDR 35 DWE (TYP) CLEAN CEN UNIT(TYP) ITCH 1/8°/FT THE VENT PIPE SHALL BE PITCHED TOWARD THE OWTS SO ANY LIQUID WILL DRAIN TOWARD THE OWTS 4.AN EFFLUENT FILTER SHALL BE INSTALLED UNDER THE ACCESS COVER OF THE CEN5 UNIT ON THE OUTLET PIPE GRADE GRADE( GRADE (31.0) GRADE 5/o MAX EL(31.5) PROPOSED SEPTIC SYSTEM UP TO 4 BEDROOMS SANITARY DESIGN BY: C/O TO INV29.46 (1)FLUICLEAN CEN5 500 GPD(OWTS) RICHARD M. MATO A.I.A. INV29.91 INV29.56 EL29.71 (1)LEACHING POOLS 8'x12'DEEP PO BOX 2284 INv29.38 (1) EACH (1)EXPANSION LEACHING POOLS AQUEBOGUE NY 11931 4" SDR 35 8'0x12'DEEP PHONE:(631)523-5879 PITCH 1/4"/FT >< LEACHING 0 EMAIL: RMATOARCHITECT@GMAIL.COM POOL EL 24.77 _ e, - o o a a 0 EL17.71 eD A07 FUR CEN5 C O WATER EL 2.0 HIGHEST EXPECT. GROUND � SANITARY INVERTS . �418�� C "N " RICHARD M. MATO A.I.A. NYS LISC#041861 022.45" 021,65" 1 INLET. V 7 OUTLETS GRADE 020.65" rz " WELECTRICAL BOX ACCEPTS: LIGHT COVER TOP VIEW HEAVY COVR##3017-C20 GRATE #3017-G20 ysr6"TALL RISER#3009ENGINEER'S CERTIFICATION REQUIRED GRQUNL] ,r12"TALL RISER#3009-R122 .55"" ✓ND NC)CAPTYPESl9SMlT P.F. CR R.A. CERTIFICATION SUPPLY o rn LEVELING DEVICE FOR INSTALLATION AND CONSTRUCTION TP TREATMENT UNIT (6 vi * r 1 <� r)r IA/OWTS wur+mux M..� :w. ,,.«�, � ASIN GEOTEXTILE FABRIC 150 /' AT6�M "at N' �.w ",..-.—.,.,, y �.M WOOD OR METAL / W X MARL{ 'L'k4G+ 4. '+"A'KE'R FLOW DIRECTION SUPPORT POSTS 31 15 O,�, " DWELLINGS EXCAVATED AND "#� � '^ ^ " ♦ W/PUBLIC WATER " � 150'� BACKFILLED TRENCH LEACHING POOL NTS ExlsnNc GROUND O i / � ° ✓' iA t 5 a y CATCH BASIN �F sew CHAMBER Volume(gal) ♦ ' �5 '7 `" � � Aa4m r Gam" Sedimentation Chamber 277 BCD -- �' E ,r Anaerobic Filtration Chamber 278 D+? Aerobic Contact Filtration Chamber 127 Clarification Chamber 63 33,� �":� . : � tal Vo b X MARK Disinfection Chamber ,p 'M b 749 To lume it �,y.' 9 SPECIFICATIONS Anaerobic Media PP/PE r 9 a Board T e Aerobic Media PVC/PP/PE «' _ Blower AerobiG Media PP/P2 8 cfmE * �^.'" .., .w -- .:. R� Tank FRP34 STK. 3 Piping PVC/PP/PE PIPE 32 "•: D W Access Covers Plastic/Cast Iron ^ „ X 1 r J Y , „ a 3B 3'7 Disinfectant(02tionall I Chlorine Tablets 4 � ✓ 38 /^. �`. i 3 1 pr ELEV. 31.0 DWELLING ELECTRICAL PANEL ��. 3�"` `"� �taaPHALT^'a^" � r + snn ..,....— ,.:, w O s�" DR BROWN �„ �, � .. � ;•/ � .,� �,, �3 r LAND N/F OF OL LOAM q f R9VEWAY `� " � t'I LOWRI FOYLE#.fujiClean — Toward Clean Water... BR6NAKER t I « . 1 wIDW L CINGS WATER SM LOAMY SAND& 0 / . .„ LARGE STONES 2.0' SCUM BAFFk B LAND N/F OF p l. �� , •° 150, APRIL WHITE 1 , r ,� BROWN r 1 SP MEDIUM e .� "5 X DWELLINGS 37 8.. SAND& AIR LIFT PUMP A LARGE STONES +n® 30AMP w W/PUBLIC WATER 'w.„,. , 3.5' CIRCUIT ECVRCULATWON 150' ", BREAKER 'p" LIGHT BROWN _—DISINFECTION � a ^ TO PALE CYLINDER(OPTIONAL) DEDICATED ' STK. SW MEDIUMCOARSE 14.3 -:Ec'rRpCAUa*'E'RVN>;C'c[r "" 4"INLET P1 "OUTLET PIPE HYDROACTION CONTROL PANEL """""`—"' / .,y r ^, SAND& y .A .- „: „• •„ LARGE STONES 4'.gt..N"FtC, �A .Ry. , d I' _ EFLIJEWF NO WATER INLET BAF"iF AIR LIFT PUMP CONTROL 1 T PANEL ZONED R-40 MAX GROSS FLOOR AREA: JULY1,2024 © NON—CONFORMING LOT 2100 S.F. + (12.5%X2651) = 2431 S.F. K.WOYCHUKLS kl—LiOW BAFFLE . A-AIR INTAKE RECIRCULATION PIP (CLEANING OPENING) B PRIMARY FRONT: 350 MIN MAX. LOT COVERAGE: 20% or 253D S.F. FLOW OPENING(TYIR. PLAN VIEW SECONDARY FRONT: 20' MIN THE WATER SUPPLY, WELLS, DRYWELLS AND CESSP00. S SHOW ARE ROM IELD IBINFEG:bON SIDE YARD: 10' MIN AND ORNDATA OBTAINEDFFROMFOTHERS.SERVA770NS 20•ACCESS CO 20"ACCESS COtERR 24"ACCESS CKSVVEI ) REAR YARD: N/A (rYP) (NP) (TYP) CYLINDER(OPTIONAL) °°°� REAR SQ.FT. or 0.29 ACRES ELEVA77oN DATUM: NAVD8S to uuL PLUG '�"J7' (THREADED) 6 SQUARE ..' e• UNAUTHORIZED ALTERA77ON OR ADD177ON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY/S PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS71TU77ON CONCRETEE UTBOX m LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS777U770N, GUARANTEES ARE NOT TRANSFERABLE. © CLEANOUT w THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE ADAPTER ADAPTER NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS s) 30 DEGREE FITTING UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY s.-y. �, SURVEY OF:UDESCRBED PROPERTY BSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED CERTIFIED T0: ELIZABETH SHANNON; aov MAP OF: r° Flow FILED: y{up SEWER LINE V �Nlry'�`+ r Iu SITUATED AT, FISHERS ISLAND Nrs TOWN OF: SOUTHOLD CLEANOUT DETAIL10 �.� � I . /LYF� KENNETH M WOYCHUK LAND SUEVEYINC, PLI W YORK Professional Land Surveying and Design SECTION A-A VIEW SUFFOLK COUNTY, NEW P.O. Bog 153 Aquebogue, New York 11931 FILE 22 - 9 SCALE: DATE: MARCH S 2024 „ PHONE 631 296-1588 FAX 631 298-1588 REVISED O1/]1/25 # 4 2 1 30' N.Y.S. LISP 050882 1