HomeMy WebLinkAbout52079-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#: 52079 Date: 07/09/2025
Permission is hereby granted to:
Donna L LaManque
114 Spring St
Port Jefferson, NY 11777
To:
Demolish existingone story framed building accessoryto an existingsingle -family dwellingas applied.
Premises Located at:
440 Sunset Way, Southold, NY 11971
SCTM#91.4-8
Pursuant to application dated 06/13/2025 and approved by the Building Inspector.
To expire on 07/09/2027.
Contractors:
Required Inspections:
Fees:
DEMOLITION 205.00
Total 920S.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
t
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 htt s:�/w�,vw. outholdtoiNrmi . Gov
Date Received
APPLICATION FOR BUILDING
PERMIT
For Office Use Only
E C E
sao � q PERMIT NO.
SUN 1 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 Building Department
Owners Authorization form(Page 2)shall be completed. Town of Southold
Date:
OWNER(S)OF PROPERTY:
Name: /��CHi9EL VIEWS SCTM # 1000- Q/, — _8
Project Address: yyo Srl'I.SE T wA Sou7not-A A) l97
Phone#: 63/- -f-9 96''7J'— Email: �/r1ER�C/P/'IG.�AY✓�/kt�o7 C�/��iL, �'G�
Mailing Address: ��y sf���'� S� v--ef{"so,,1i y /I 7 7
CONTACT PERSON:
Name: '-vlemweq- ft�
Mailing Address: lyy f/'A,X� ST �.#r q.r- j2J0/,/ f Y !/777
Phone#: 631— r6l- 9?7.r' Email: �I�►'IE74�e•9�G✓AyMIXE 0 614,411,,r61,N
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
I
Name:
Mailing Address:.
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑I4w Structure ❑Addition ❑Alteration ❑Repair emolition Estimated Cost of Project:
[ her $
Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes o
py x
1
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PROPERTY INFORMATION
Existing use of property: 'letSz44elar,AL Intended use of property: ��1ip �Tvq
Zone or use district in which premises is situated: Are there any covenants aan restrictions with respect to
this property? ❑Yes L�N0 IF YES, PROVIDE A COPY.
11
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): ❑Authorized Agent ner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF
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
day of :t_a ,. r
Notary Public
NID LEI MEDINA
Notary pubfla,Et le IltNa w yorli
� F �",�,,,,1 II I *, Ia MEE 903
Where the applicant is not the owner Quallfredl Suffolk ounly
pp DDMMISSWEx fresfebrus,
,. Z'4
I, /��°'t'R� �NJEr ,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
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f g O ' •,. _I y, E] 7-2 4- VA OWT3 SHALL BE TESTED FOR N'ATER TIGPTNE55 PRIOR,"O AF.F.IVIIJG Ou51TE USIAIG?HE
-- METHOD APPRO\ED BY MANLIER TVIRER-
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= SURFACE WATER 60 LF s z ' 'ROPER V OWNER 5.OLL BE PROVIDED TC SCC HS FOR VA Od�S AND PSD 5`�TEM. W
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IN LLLA I lIJ L HL PFO O rTIC SY IEI.A.. g m
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PROPOSED LEACHING
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Clr SURFACE WATER 115 LF - }Q
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yv81044 TRENCHES WITH I-FOOT EFFECTIVE DEPTH�H-20 TRAFFIC RATED APPROVED AS NOTED �- ao'.
F'R�2X475'WIDTHBY255 LENGTH U-PLO>--AIA.E'PSD W "� x
�e HYDROACT10N CONTROL PANEL, NIF OF THOMAS SIMON
I COMPRESSOR ASSEMBLY AND VENT COVERS TOTAL OF SIX(6)LEACHING Fast Fy{ Z <p
p ELECTRICAL: " PW -PUBLIC WATER S W o d
9 HYDROACTION:PUMP 20AMPS ' iS m_ 77•a - B}P W
4 1 ORENCO PUMP STATION: 20AMPS LFi3 SOL LcLNn ON&TE - F OFw, 'F t110`t3'aids` �LYF
f y 0TLOAM.0F.TBROWN CLAYEY SANO,3'-TBROWN dtAAL A T< '�Ites
PROPOSED PRECAST LU
HYDROACTION MODEL AN-500C NIA GROUNDWATER AT EL-o 6',T-13'WATER IN PALE BROWN TO MEDIUM SAND. �[ UJ
OWiS WIANTI-BUOYANCY 9If( .06 -
PROPOSED ORENCO SIMPLEX PSD LEACHING TRENCHES DESIGNED FOR 145 MINIINCHn TXKB RATE AND 4 V DATE:11-18-2020
STATION WIDEADMAN AND PF:3005 BEDROOM HOME,CONTRACTOR TO EXCAVATE V Tc 3rd.8D:IiLF BACKFILL WITH SCALE:1:20
PUMP -= CLEAN SAND FILL AS NECESSARY TO BASE OF PSD TRENCH,.APPROXIMATELY 30 YARDS ITIII.7�I�INGIPI� T OF CLEAN SAND FILL DS23I GNER TAO
PSD LEACHING CALCULATION: L4"F3 .�.` '�'� 0 PM FOR THE SHEET'
FUJI CEN-S:CATEGORY 1 I/A OWTS 63 r
SANITARY SITE PLAN LEACHING AT 1.5
FLLF,U EMAX325TION FOLLOWING INSPECTIONS:
LEACHING GALLEYS 4:6 SFILF,USE MA%3:255F/LF lg
440 GPD/3 0 GPDISF 13 26 SF/LF=4512 LF I'')
SCALE= 1:20 USE 2X255 LF LEACHING GALLE �/�Y TRENCHES TOTAL OF 51 LF�4512 LF, FOUNDATION-TWO REQUIRED
FOR POURED
1
ROUGH-FRAMING&PLUMBING
INSULATION
FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL coNSMUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORKISTATE. NOT RESPONSIBLE
DESIGN OR CONSTRUCTION EMRS