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HomeMy WebLinkAbout52106-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#: 52106 Date: 07/16/2025 Permission is hereby granted to: Brittany A Charters 3245 Beebe Dr Cutchogue, NY 11935 To: Construct in ground swimming pool at existing single family dwelling as applied for,with SCHD approval. Maintain minimum 10 foot setbacks to rear and side property lines(pool and equipment). Premises Located at: 3245 Beebe Dr, Cutchogue, NY 11935 SCTMl# 103.-9-4 Pursuant to application dated 05/27/2025 and approved by the Building Inspector. To expire on 07/16/2027. Contractors: Required Inspections: Fees: CO Swimming Pool $100.00 SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 Total 400.00 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 htt s-Hwwiv.seutllrildtcrn� Date Received APPLICATION I L For Office Use Only �f PERMIT N0. O� Building Ins ector. �Q� g p M AY 2 7 2025 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 Owner's Authorization form(Paget)shall be completed. Town of Southold Date: OWNER(S)OF PRQPRTY: Name: C �� �, 4 SCTM # 1000- xj j_ 9 E I Project Address: 3,�5 Etc I t ivy v < - cdo c- L /r' 5 Phone#: ('III,_3 l_ C998_ 410 Email: Mailing Address: CONTACT PERSON:°Name: J KSC1h -�'LcS Mailing Address: g4zo J,&-«, W(4vC k Phone#: � i- C�fJ_ GlC)/ l! Email: h , ck 0o'ke "Cr CGS DESIGN PROFESSIONAL INFORIVIATIC+N: Name„ Mailing Address: Phone#: Email CONTRACTOR INFORMATION Name: A)0 "VA Mailing Address: nt 0 Off' Email: Phone#: G --- Y" � , � - DESCRIPTION OFPROPOSED CONS'fRUCThDN i1w, - � R New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: [Other /. L (� i �c /�+5 $ Will the lot be re-graded? ❑Yes LNo Will excess fill be removed from premises? Yes ❑No 1 PROPERTY INFORIVIAT�YI ,, ,m„ Existing use of property: Intended use of property:. &'Up ' Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes El No IF YES, PROVIDE A COPY. El /;er/ai nv /rn ,it � I rr rofessionai is f ' `fl$IQi f r a7i Irid$ hi storm lllatEl I Su///i/aSr �Ovidetl€b heck'BAfr IRea¢ Urag 7i ' r ,pf / J° P /�/, �// „�%il���//,,�„�/(%Jri%�7,��%%/�',"�Y� /! , '„ , CFia r`236'of the dde%APPLI° S,Htl B r r,� he Buildln pe a, 5 a G Idl r"ml#" 'Is`a # e iiuiidin Zone o 1` ,� . A. Prt „ 1 „ i 1 X. ,, . Fite I, B. , �l ' „, p t3 f7, r P 1� 7�rr '/" ..., �. g/ n: � a// //r l Ordi artce, f/ d rr /or thofd of ` `f / / ' dth , iicahie-Lai eof a ilsps fa Xf tIl T© S a B /PP ' ;,.: J� ;� �"r/, ,. � �J>� i, /,r/, . !, /,,,r ii,,,l additto 5' 1 ra#la s oYfar emoval a tl oll oh,. r i rrbed.-The a flcant aoni r Kr f llcabi aws fdl `k 6 1d1 code q t p / r P 4?e 1 rY �� r. ,,, ", y it/r� piY/rlrir /����»/ l�ii/%�i �i' hous n "code',a o, r m rrr/l,r q /i✓ !/ // / //r/i//,,,, r nd.re ulatl'oiis/and to adm u oryzec�lns r;on"remises and in'b i 1 slra In ctlons F ise s#a "HIS rein are w, `J,/L, ,/ i1J,'�� g & ��� � is P ��� ��y� f�r /Jai f P� r�, punishable as,a Class A;mistlgrneanor"puPstfn#to S�ctron 2}0r'dS;of the°New Yofk S#at¢p I1 �/' ;, Application Submitted By(prin a e : thorized Agent ❑Owner Signature of Applicant: Date; 5-a r-7-j�?S. STATE OF NEW YORK) COUNTY OF 50 ) AVl�o Q4-e-1S being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the `6(- (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 r Ok Ia of - 20 _&5 ELJkA (TNotary Public F) �� „H OWNER AU,T1,,,,I lid I Ti IIOd No.01 STATE i d Yt I NOTARY� (Where the applicant is not the owner) r'"4! ."r"IED IN SlYz" XK C,01,J"4!y Ci MMI"3'ON EXPFIES JUNE 300 ►' s i/! residing at �Z`>' e�� 40,C -': do hereby authorize 1610 V 11h 6,41 r.� z- to apply on my behalf to the T LM hold Building Department for approval as described herein. der gnature Date M Print Owner's Name 2 S.C.T.M. NO. DISTRICT., 1000 SECTION:103 BLOCK: 9 LOT(S):4 • EDGE OF PAVEMENT V.V. WILSON ROAD U.P. wM ® �P GEN. eP,&7E5TOlNE&RVEwAY CELW MIT at.a_ f _z as.o --- 1rT WOOD DECK DECK C 12a 9 T' LAND N/F OF UP' 11 DEMARINIS LIVING TRUST 0 0 eqtAjm10T taxi e cr„01 � A re 127 N;Tyq 5r " r U.P. THE WATER SUPPLY, Wfl15; DRYWELLS AND CESSPOOL LOCA7TOVS SHOWN ARE FROM FIELD OBSERVA BONS AND OR DATA OBTAINED FROM OTHERS AREA:21,636.01 SQ.FT. or 0.50 ACRES ELEVATION DATUM: UNAUTHORIZED ALTERATION OR ADDI77ON TO THIS SURVEY IS A WOLA710M OF SECTION 7209 OF 7HE NEW PORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURWYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID 7RUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOA THE SURVEY IS PREPARED AND ON HIS BEHALF TO 7HE 717LE COMPANY, GOVERNMENTAL AGENCY AND LENDING/NS717U77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUC77ARES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES ADD17IOINAL STRUCTURES OR AND 0774ER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE S7RUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY ENDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OR DESCRIBED PROPERTY CERTIFIED TO: CARL RUTHINOSKI,, MAP OR BRITTANY CHARTERS: FILED: SITUATED Ar.EAST CUTCHOGUE TowN OF..SOUTHOLD KENMUL if 1►(1'1<C UX LAAIC �1LT11 ( SUFFOLK COUNTY, NEW YORK Profeeeional Land Surveying and Deai&in P.O. Box 159 Aquebogue, New York 11991 FILE#223-49 SCALE:1"=30' DATE:APRIL 20, 2023 N.Y.S. LISC. NO. 050882 PHONE (e.91)2e6-15ee FAX(891) 2ee-1580 i Suffolk County Department of Health Services Office of Wastewater Management 360 Yaphank Avenue,Suite 2C Yaphank,New York 11980 631)852-5700 OR HealthWWM@suffolkcountyny.gov CERTIFICATION OF SEWAGE DISPOSAL SYSTEM ABANDONMENT f Health Department Ref+ rnce Number: R-25-0713 Suffolk Tax Map#: Dist: 1000 Scct(s)103 Bl ( )9 Lot(s)4 Project Name or,address„ 3245 Beebe Dr, Cutchogue NY 11937 Subdivision Name&Lot I# Applicant Name:Carl Ruts inoski i I HEREBY CERTIFY THAT: 1. The first septic tnk/laching pool, from the foundation,was located and uncovered,AND 2. if liquid sewage was oted therein,was pumped dry by a licensed sewage hauler, AND 3. Tank/pool was inspected for outlet line to an overflow pool, AND 4. Overflow pool(s) was/were located, uncovered and items #2 and 43 were repeated until all parts of sanitary system were located,AND 5. All parts of sanitary system were removed or filled with clean backfill and any corbelled block domes collapsed. I 1 also certify that the sani6ry system abandoned consisted of: First tank/pool feet diameter 5 feet deep(v)precast ( )block ( ) other First overflow pool feet diameter feet deep(se)precast ( )block ( )other Next overflow pool 8 feet diameter feet deep (v)precast ( )block ( ) other Next overflow pool feet diameter feet deep (v)precast ( )block ( ) other Company which pumped but sanitary system if different from certifying company: Name of Company:Twin Forks Septic Address:1348 Speonk Riverhead Rd,Eastport NY 11941 Consumer Affairs Licensee Number: I I Contractor Signature: �'" Date Bryn McGowin/Bridgewater Environmental 631-655-3066 Print Name/Company: � Phone Address:135 Main Street ate" „Westhampton Beach,NY 11978 Consumer Affairs License Number: Lw 57911 I This certification shall not be used in lieu of inspections required by personnel of the Department and may be duplicated on company letterhead, provided it contains the above information. I PHOTOCOPIES OF DOCUMENTS WILL NOT BE ACCEPTED WWM-080 (Rev.02/12) I Suffolk County Department of Health Services Office of wastewater Management 360 Yaphank Avenue,Suite 2C Yaphank,New York 11980 (631)852-5700 OR HealthW WM(eisuffolkcountyny.gov CERTIFICATION OF SEWAGE DISPOSAL SYSTEM BY INSTALLER Leave blank any items that are not applicable to the installation. a aA setva e d`is oral syssem sketch alog lvlth ltxcatitxxx xxt6asxtl exxlexlts a xrxrl at least trvxx buLlding corners xltxtAst be xrtxtfiixlerl on the Ixacl, or on a se agate sheet and attached to this f�xxxx*� Health Department Reference Number: R-25-0713 p 1000 ) 103 ( ) 4 Suffolk Tax Ma #:Dist: Sect s„ Ill('.;l 9 l of s . .... Project Name or Address: 3245 Beebe Dr,Cutchogue NY 11937 Applicant/Homeowner Nana": Carl Ruthinoski Date of System Installation. 6/1 V25 I/A OWTS TREATMENT UNIT SEPTIC TANK Make and Model: Fuji Clean/CEN 7 I/A-OWTS Volume(gallons): Rated Daily Treatment Capacity(gallons): 700 Material: [] Concrete, [] Fiberglass/Plastic Material: [ ] Concrete [vj Fiberglass/Plastic Shape: [] Rectangular, [] Cylindrical Top: [] Slab, [] Traffic Slab, [] Dome DLSTRIBUTIONLEACHIiN POOLS(If applicable) Name of Tank Manufacturer: Number of Pools Diameter and Effective P pth GREASE TRAP Top: [] Slab [ ] Traffic Slab [] Dome Volume(gallons): Name of Precast Manufacturer: Material: []Concrete, []Fiberglass/Plastic Top: [] Slab, [] Traffic Slab, []Dome LEACHING POOLS✓GALLE I'S Name of Tank Manufacturer: Total Number of Pools/galleys a 19 Diameter/Dimensions and Effective Depth __ 4 ey, _ OTHER LEACHING STRUCTURES Top: [] Slab [] Traffic Slab [] Dome Make and Model (if applicable): [�J N/A Name of Precast arufacturer: suffolk Precast Total Linear Feet of Leaching Structure(s): COVERS AND LIDS Installed covers comply with current standards (secondary safety device installed if cover weight less than 60lbs.) f4 Yes [] N/A hereby certify that the stMbstirfihce sewage disposal system components described herein,have been installed by me in accordance with the approved plans and/or standards of the Suffolk County Department of Health Services as well as any other municipal agency requirements;and any and all mechanical/electrical components have been tested and are operational in accordance with manufacturer's recommendations. Installer's Signature: "' Dattw Installer's Name: Bryan McGowwln Company Name:Bridge+ atdr Environmental pltonemm631-655-3066 Company Address: 135 Main St, Ste 5,Westhampton Beach, NY 11978 Consumer Affairs Liquid Waste.License Number and endorsement(s): LW#57911 "INADDITION TO ABODE. COMPLETE BELOW FOR SANITARYREPLACEMENTIRETROFIT ONLY.- In addition to the above inforniation,I hereby certify that this OWTS replacement or retrofit meets the Department Replacement/Retrofit Standards,and that other altemat vcs are not environinentally feasible. 1 also certify that this OWTS replacement or retrofit installation represents an improvement to existing sewage disposal system conditions. Installer's Signature: Installer's Name: THIS Dt}CU"Mt ENT MUST CONT41N ORIGINAL SIGNATURES FROM THE INSTALLER WWM-078 (06119) WILSON ROAD , g SREILORMATION 7 —SEEEDRIVE CUTCHOGUE,NY-7 OF SOUTH., z - SCrO M 000.to144D P 11 asT L`j-h5€ 125.OD .o" @@ - OOPOSED- ADFT I €w PROPOSED UPENCE(4 REDO SYSTEM W 14 p �Ll 's f PiOP NE 1 STORV RESIDENCE BED) I _fTl PROF MED I OMS DESIGN-4 BEDROOMS A _ € � ,:y ' _ � _ _ — - L °-_ I41tIBFUJICIEANCEN 7TANK -. ! '� - sJtscat z� �ae.w• ( 5s4]SY4 DEEP LEACHING GALLEYS --[ORIVEWnrFC.� I I - a --- 121A 5Y0 i5Y40EEP LEACHING GALLEYS IFIITURE EXPANSIONI - z1 I i' ITS I. I e GENERAL NOTES T tTl FIT n PLAN VIEW 1] s� -THEDESIGNER SHALLGESERW THE OARS PRIOR TO BACKFILUNG AND WRING p N SY6TEM START UP .ANE CUTER OPERATIONS AND MAINTENANCE CONTRACTBETWEEN THE MAINTENANCE PROVIDERANDPROPERTYOWNERSHNIBEPROVIDEDTOSCDHS WILSONI o a THE OWTS SHALL BE TESTED FOR WATER TIGHTNESS USING A METHOD APPROVED BY$ THE MFGR PRIOR TO ARRIVAL AT THE SITE. LANDING O r - k B A FU11 CLEAN REPRESENTATIVE SHALL BE PRESENT WRING START—"` �zt � f -f - $ O I -I . THEONTSINSTA ER SHALLRED USING DDCUMENfS PROVIDED BY THE DESIGN SIGN E ENGINEER. HEOWTS WITH THE SCH �, VACANT s .. TKc T r P+ RT€`k,.SSG`"Atff-fyiiM TATEttAVT&-S R i SHALL CONFIRM CONFIRM j € €aeART» AzT:, ~- CONRt ORSSHALL FIRMINVERTELEVATIIXJOFSEWEP,ATPoIMOF GNNEGTION PRIOR TO CONSTRUCTION CONTRACTOR TO NOTIFY ENGINEER OF ANY OISCREPANCIEB s = THE OWTS INSTALLER SHALL NOT BACKFILL ANY WTNiK PRIOR TO INSPECTIONS BY THE ENGINEEP.PND SCDHS. LAB I CEN 7TANK SECTION A-A VIEW T "+ ' i acAl[xTs SECTION D-B VIEW THEOWTSINSTALLER ISRESPoNSIBLE FIXE ALL MPAK OIfTS FIXt ALL UNDERGROUND; i\ I ( UTILRIES AND SERVICES IN THE AREAANDRELOCATE THEM AS REWIRED t f� \\J 1= IHOUR�OIff THE PROCOT PER PREVALENT CODE FEDERAL STATE MC RES I I - ,. COUNTY MID LOCALSAFETYCODES. FOR LOMRIANCE WTTH WELL -ONTSIRADE,ERRLIFTS ACT AREA501STURBED T095%PROCTOR DEIVSffV 1361N I BELOW INSTALERSHALINFOR1 -OWTSINSTALLS SOON LINFORMTHE ENGINEER FOR ANY OMISSIONS EOF M. OR " e DEFICIENCIES PS SOOVIS THE OWNS 1NSTALLER BECOMES AWPRE OF M. r -- Y� x f: 40 PVC PIPE DIRECT BURIAL NOT PERMTITED.-ES SHALL BE ROUTED INAMIN2/45 CH I $€ -_•wvaAa - + -AU_18 AND 24"RISERS SHALL HOVE SAFETY SCREENS AND COVERS SHALL BE y I. roLYLOK OR TLF-TRE a"--_ OR/I i^ N^e^.Izu.w wu wyc O SINSTALLERS4AILNOTIFYTHESCDHSQHWRSPRIIXTOTHEINSPECTION - Nwwom,aMM ' b GLL EAR PU � - ..� I GLC TER T --` E CEArN OUT DETAIL LL I NORTH j'.;- ra=� ''' ' 'F"'=�_• '� _"-� SINGLE LINE DIAGRAM MOT—TA SITE PLAN SEE ATTACHMENT(S) " � - ruler•m J �_ €m� ? a fC Iw Caw CODED NOTES-QI 1-FUJICLEAN INLET ADAPTER 90g Proposed I/A OUVTS Plan 2-DISTRFUJIIEANONSOX K :< u.vnwww s v= n-SAFET DOW BoxwDH --- + 3245 BEEBE DRIVE SAFETY CS.,V DE(SEE DETAILS) a O O 4 141es+<isYA•oEEP LEACHING 7 CUTCHOGUE,NY 11937 GAutvs e �- t _L _ _ - - 5-121B SY4]SY4 DEEP LEACHING `1LL 99] T 7 GALLEYS (FETTER < 4?a EXPANSI-STING 6-FASTING SYSTEMTOTO BE REMOVEDGRAS FILLED AND IN PLACE nrvo - DISTRIBUTION BOX TEST HOLE DATA BLOWER AND PANEL DETAIL FILLEDWI SAND IN ACCORDANCE snLE xrs LL WTTH SCHD STANDARDS. FUJICUANODNT CATIONSHOANI. ]-BLO ER OM ER TOLPANEL ANO - FIN LLR CATION TOVERIFY FINAL LOCATION CONTROL PANEL = ANDEVVOFIISTOBE IN VIEW 6IA GWfS 9_ELELTRICAL LINES TOIAOWfS P 20'SAFETY SCREEN .- - 9-SEWER CLEANOUT ON INLET P SS - ,=T.= T -- BIDE OFTANK SEE CIEANOUT DETAIL M L ABS Mark h a C k r a h pr t0-VENTING TO OCCUR VIA HOUSE SEWER LINE THROUGH HOUSE VENT. eos o o Arch it e c t u r e °# I m e SAG [ DISTRIBUTION BOX SAFETY COVER - w.xTsrmKnocnwmxArfALL.is— Io-xsrTaTclT— TAT' '`` SYSTEM SECTION BRII)GIKIWATER srxe Hrs uwAnwArtA TMannrwn iLOTMaw6rAnE � _ ,,,,, '� �'-"� Environmental,