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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#: 52125 Date: 07/24/2025 Permission is hereby granted to: Christopher A Dinizio 1905 Grand Ave Mattituck, NY 11952 To: Construct additions and alterations to an existing single-family dwelling as applied for to include the removal of a sunroom, additions and finished basement. Premises Located at: 1905 Grand Ave, Mattituck, NY 11952 SCTM# 107.-8-42 Pursuant to application dated 06/16/2025 and approved by the Building Inspector. To expire on 07/24/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition&Alteration $1,245.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $1,345.00 Sj Building Inspector � TOWN OF SOUTHOLD—BUILDING DEPARTMENT n Town)Hall Annex 54375 Main Road P. 0. Box Ill 79 Soithold,NY 11971-0959 ZH Telephone(631) 765-1802 Fax {631) 765-9502 ltt :J�"N�. n1` altl lwat try Date Received APPLICAIMON FOR BUILDING PERMIT For Office Use Oniy R PERMIT No. 5 5_ Building Inspector: J4JiM 16 2025' Applications and forms must be filled out in their entirety.Incomplete Building o� cu applications will not be accepted. Where the Applicant is not the owner,an 9 S Owner's Authorization form(Page 2)shall he completed. SouthDepartold ..Date:. OWNER(S)OF PROPERTY: Name: Project Address: (�?or �i�-r�,.� A,1 e— M A4+,+.c Ar t S' Phone#: 631 —77`�— �dS Email: �IACLioO-l0 Mailing Address: CONTACT PERSON: Name: Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION: Name: � q Mailing Address: Phone#: S Email: 0 �a " , CONTRACTOR INFORMATION: Name: r'- Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION EJ New Structure ddition 1teratirr ORepair ElDemol'ltlor Estimated of Project: [--]other a 100.COD Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes o 1 PROPERTY'INFORMATION n Exi sting use of property: , Intended use of property: .. -v f � O en"lls v.. __..�. Zone or use district in which , r es is situated: Are there any covenants and restncti�with respect to �II ? i o _ DE A COPY. _........�.�.._.�.... thp�s rrop�� CY�s l Flo IF y�... .��... ......_.� .ES,PROVI The rawserAcsntsctors°desigsw professional is rasp�rss"sate ssratt drasTMza .,� r r g _ „rsd stcsrrrs eater issues as ptwAded b Chapster 2g6 of the i ow n'eode.�a9sf"l.9tnAtiGN is Ci"tMY MADE to the Building Ceparbiledst for vie Issuance of a Building Permit pursuant to tha 2w!4ing Zone Ordinance of the Town of Southold,Suffc4k,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 appsiicant agreos to comply with all applicable laws,ordinances„bull'diting code:, housing code and regulations and to adroit authorized inspectors oa premises and in huplding(s)for necessary inspections.False statements made herein are p punishable as a Class A misdemeanor pursuant to Section 210.45 of the New YorE(State Penal Law- Application Submitted By(print nanie): C �sls 4,, PU.- 1)ini'L ElAuthorized Agent wner Signature of Applicant: � Date: CONNIE D. BUNCH Notary Public,State of New York STATE OF NEW YORK) No. 01BU6185050 Qualified in Suffolk County COUNTY OF SS: Commission Expires April 14, 2Valy ) 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 �1� �. 2 Notary Public (Where the applicant " .. q.....,.M.. ant is not the owner) p 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 N. J. MAZZAFE O P.E. PO Box 57, Greenport,N.Y. 11944 Phone- 516-457-5596 Consulting Engineer June 1, 2025 Design, Construction Ins eetton Page 1 of 1 Town of Southold-Building Department 53095 Main Road Southold NY 11971 Re: 1905 Grand Ave Mattituck,N.Y. 11952 District-1000, Section-107 Block-8 Lot-42 Building Permit Application for Alterations Inspection—Existing Septic System On May 30, 2025, I inspected the existing septic system at the noted location. The inspection covered the location and size of the septic system components. The inspection results are: —The System includes a precast concrete septic tank(1250 gallon)and a precast concrete leaching pool. The leaching pool is (8'diameter x 12'- 0"deep) constructed with precast concrete rings and has a concrete cover. System is performing as designed. - The System size conforms to the SCDOH requirements for a five (5)bedroom house as of the date of installation and approval. The size of the System components is based upon SCDOH Standards. -The System installation was approved by SCDOH and is referenced as SHIP-25-00108. Result—Based upon inspection of this site and to the best of my knowledge,belief and professional judgment,the Septic System, as installed, complied with the SCDOH Requirements for a five (5)bedroom house. OF Nicholas J.Mazzaferro,P.E. *'0 05100 SYMBOL LEGEND W ES T V I EW DRIVE 0 MONUMENT FND © GAS METER ® I.P. /I.B. FND 21 WATER METER I.P. / LB. SET pd (50 WIDE) GAS VALVE * I.P. SPOT ELEVATIONS � WATER VALVE EDGE OF PAVEMENT - TRAFFIC SIGNAL POLE TEST HOLE — — — — —— ——— — — — — _ _ .._BLOC — — — — — _ � — — c�� UTILITY POLE � TREE CURB al > - GUY WIRE SHRUB E PLR \ � UTILITY POLE W/LIGHT 1II' BOLLARD 1 2 C \ LIGHT POLE WETLAND FLAG FEN I FEN 'C4 29 \ SIGN D.C. DEPRESSED CURB PILLAR 0.2� N78"42'40"E 0.44 °.. N 0.94 e.�J � FIRE HYDRANT FE. FENCE FND. _ FND. r 4 PVC WALL MON. MONmmmm° � FND. � MANHOLE MAS. MASONRY 0°2' ASPHALT y - A"-INLET PLAT. PLATFORM DRIVEWAY ry CONC. \ B"-INLET W.W. WINDOW WELL O I PATIO E"-INLET B/W BAY WINDOW CONC. Q J 49 9' YARD INLET C/E CELLAR ENTRANCE QO YARD INLET 0/H OVERHANG HEDGES ® ._.. _.�' ® CABLE TV BOX R/O ROOF OVER y cr) ® A/C UNIT GARAGE 4L.S.A. LANDSCAPED AREA ASPHALT o p p ELECTRIC METER CANT. CANTILEVER *-I DRIVEWAY O 1.5 N DRV 5 " 0.2' 5" N U IO 1 .5' 1.5 N � 71 w w TAX LOT 25 TAX LOT 42 a N'a a o1 STORY V) a yc Q _ FRAME RESIDENCE A I 4� #2900 � w F/S 3` __ 50.5' Ga MA, SUNROOM 1 0 No o I ara 13 NO / CONC, �' N � 10"r I ° MAS. `1 RAMP' No�` Q w � o C va, 0.5LL A/5 1 HEDGES No 1 2.6.t F/S 0. .3" t2.6' FEN SHED WALL FND yo MA WAL9 3' a10CM,ADE'w FEN. 0.8 2.6'b 1.9'� MON \ No 42 40 L a FND. o� s> 2.4 �J��.76 No 1 F/S 0.8' z SHED N Q2 MAS. V ALL MFENON. w FRAME I No LOT AREA I1 C ti, ASPHALT / i0.4° a SHED c DRIVEWAY I / 15,300.14 S.F. o +F/S 0.35 AC. GRAPHIC SCALE TAX LOT 26 V) 5.1 I p TAX LOT 41 2p 010 z I GUARANTEED TO: CHRISTOPHER A. DINZIO BRITTANY P. DINZIO IN FEET ) THE JUDICIAL FIRST AMERICAN TITLETITLE SURANCE AGENCY LLC. INSURANCE COMPANY I inch = 20 ft. OF E SUFFOLK TAX MAP NO. SURVEY OF PROPERTY Sk/,ALIkCT 1000-107.00—08.00—042.000 SURVEYING P.C. JOB No.S19-0383 SITUATE A I w a y s O 11 P O 1 11 t DATE SURVEYED: 02/28/2019 MATTITUCK 99-105 West Hoffman Avenue, Lindenhurst, New York 11757 TOWN OF SOUTHOLD ' •0 4 Email:MJScalice@mjslandsurvey.com Phone:632-957-240o Fax:63>-226-2400 DR.:MC CREW.:AL SCALE: 1" = 20' SUFFOLK COUNTY, NEW YORK t. r �wc ur rrrlw,u�a�Y. 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