HomeMy WebLinkAbout52233-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#: 52233 Date: 09/05/2025
Permission is hereby granted to:
Liberatore Fam 2013 Irr Tr
PO BOX 31
New Suffolk, NY 11956
To:
construct additions and alterations to an existing single-family dwelling as applied for.
Premises Located at:
15625 New Suffolk Ave, New Suffolk, NY 11956
SCTM# 117.-6-16.5
Pursuant to application dated 07/23/2025 and approved by the Building Inspector.
To expire on 09/05/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition &Alteration $1,229.25
CO-RESIDENTIAL $100.00
Total S1,329.25
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) 765-95021-�tt s:JJ nrw� .so�at'ltol ltown��, . �
Date Received
APPLICATIONI
u V
For Office Use Only
PERMIT NO.��3-3 Building Inspectors,
Applications and forms must be filled out in their entirety. Incomplete aetet
O'
applications will not be accepted. Where the Applicant is not the owner,an Building
of Southold
Owner's Authorization form(Page 2)shall be completed.
Date:7/17/2025
OWNER(S)OF PROPERTY:
Name:Lisa Liberatore SCTM#1000-117-6-16.5
Project Address: 15625 New Suffolk Ave, New Suffolk NY
Phone#:914-479-2832 Email:clay@kaconstructionpartners.com
Mailing Address:15625 New Suffolk Ave, New Suffolk NY
CONTACT PERSON:
Name:Clay Sichling
Mailing Address:PO Box 223 Aquebogue NY 11931
Phone#:9144792832 Email:clay@kaconstructionpartners.com
DESIGN PROFESSIONAL INFORMATION:
Name: :T"t5 - Luct Nc4imcT
Mailing Address: 21 t *lt4 st><eEr I LOLb Skof-It4c, V4
Phone#: Email:
CONTRACTOR INFORMATION:
Name:King Arthur Construction Partners (Clay Sichling)
Mailing Address:PO Box 223 Aquebogue NY 11931
Phone#:9144792832 Email:clay@kaconstructionpartners.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition *Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $650K
Will the lot be re-graded? ❑Yes F-4No Will excess fill be removed from premises? ❑Yes WNo
1
PROPERTY INFORMATION
Existing use of property:Single Family Intended use of property.Single Family
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes *No IF YES, PROVIDE A COPY.
'
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 amel:Clay Ich�ing ®Authorized Agent ❑Owner
Signature of Applicant: �w � Date: - l ,,"S-
STATE OF NEW YORK)
SS:
COUNTY OF )
CLAybd 314-Ll r being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the
Contractor
(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
1 � day of �AU 20 Z5
Notary Public
BONNIE CLAIRE ZELLNER
NOTARY PUBLIC,STATE OF NEW Y+O " O EIRTY OWNER AUTHORIZATION
Registration No.OIZE6424367
Qualified in SutTolkCounity (W lere the applicant is not the owner)
My Commission'EX ires II,, u p
' \ • l,l V� idin at �5 5 Sv4oLk Ave
� S g
f4lk '1\^«I do hereby authorize U` v i 1 o to apply on
my behalf to the Town of outho d Building Department for approval as descri ed herein.
7 ML 14—LIOwner's Signature e
Print Owner's Name
2
Id E�i�'rO E S D LISTPLO"OIFANDRAWINGS: Ci
GENERAL NOTES&STANDARDS Ni
SOUTHOED, NEW YORK EXISTING FLOOR PLANS Al
FRONT&REAR ELEVATIONS A2
-- SIDE ELEVATIONS A3
FOUNDATION PLAN A4
PROPOSED 1ST FLOOR PLAN A5
PLAsncFE 73'3 'J!-'"E `` 21 l,0 clF PROPOSED 2ND FLOOR PLAN A6
BUILDING SECTION,PLUMBING RISER Ay
1ST FLOOR ELECTRICAL PLAN E1
2ND FLOOR ELECTRICAL PLAN E2
TOSTINAN
1ST FLOOR CEILING FRAMING PLAN Si
CEILING FRAMING PLAN&ROOF PLAN Sz
a STRAPPING SHEET S3
_ _ c SEALANT SHEET S4
6.
(a RE
TO MAIN,S)ED
0
a � Snrvc sHcv z J
'V£ D
Tk
PR PGseD RODF N 78 34 g 98 L
RE9 RENOYE
EMSTIG N000 ADECX
REA E _ �` PROPOSED uA3wgx
c ° °coos:, BUILDING PLAN REVIEW NOTE:
O ARE OF:AT IST
CORNERS AT ST �' ENISIiNE23TDRY t ,f BUILDING PLANS EXAMINER SHALL REVTEIV THE ENCLOSED DOCUMENT FOR MINIMUM
a0m REAR €" F1AAlff NESTDFN'E _ t SlEERT Ep .
(2 Y) b13G 3 ACCEPTPBLE PLAN SUBMITTAL REQUIREMENTS OF THE TOWN/
E" - VILLAGE AS SPECIFIED II.THE 2020 NYSRC 2020 NYSMC AND THE 202D NYSECCC
LIVFL.1-EAUTv FOOM $R �T s ( THIS REVEW DOES NOT GUARANTEE COMPLIANCE WITH THAT CODE THE SEAL OF AND
THE SIGNATURE OF THE DESIGN PROFESSIONAL HAS BEEN INTERPRETED AS AN
FEM PLATE 1—T .� ,< _�—RICR ALTERATOVS ATTESTATION THAT,TO THE BEST OF THE LICENSEE'S BELIEF AND INFORMATION,ME
PRO:'OS�O 2ND - l TO ST&2ND FLDOR WORK IN THE
fLODR CI`)
s. DOCUMENT I5:
(54
EnSTICCO COVERED > ACCURATE
N00:EO IN EA%Isi '=U SOBM SS10NmTM GOVERNING CODES APPLICABLE AT THE TIME OF
�-•y LO_ W t E
CONFORMS IN1M REASONABLE STANDARDS OF PRACTICE AND LNTH`AEA i0 THE §!(
} PROPo5E0 PARKAC ,- - - K SAFEGUARDING OF LIFE,HEALTH,PROPERTY AID PUBLIC WELFARES! D OVWIW THE RESPONSIBILITY OF THE LICENSEE
�- ' THE 14ECHANICAL SYSTEM SHALL BE INSTALLED IN ACCORDANCE TH BLLuuN Al
BLOCA cuRe WI
1, ',� UT CHAPTERS 12-14 OF 2020 NYSIAC&2D20 NYSRC
- NOTE:ALL NEV!MECHANICAL ECUIPMENT SPECIFICATIONS SHALL BE FILED VRTH
BOLDING DEPARTMENT FOR APPROVAL PRIOR TO INSTALLATION
r
CJ - ii THE FUEL Gas SYSTEM SHALL BE £D IN ACCORDANCE WTH
� s CHAPTER 21 OF 2020 NTEMC&202020 NY NYSRC
G " S THE PLUMBING SYSTEM SMALL BE INSTALLED N ACCORDANCE VAN CHAPTERS 35 33 OF 2020 NTSIAC&2020 NYSRC
O
ri1 T ELECTRICAL EQUIPMENT AND WRING SHALL BE INSTALLED IN ACCORDANCE WITH
% - CHAPTERS 39 43 OF 202D NYSMC&2D20 NYSRC
PLANS SUBMITTED WITH THIS APPLICATION CONFORM TO ALL THE APPLICABLE
t REQUIREMENTS OF THE 2020 NYSMC,2020 NYSRC,AND 2020 NVSECCC.
-
u uP AS PER SECTION 301 DES IN OF IR PLANS SUBMITTED WITH THIS APPLICATION
+ CONFORM AND ARE DESIGNED IN ACCORDANCE VRTH THE AMERICAN FOREST
AND PAPER ASSOCIATION(AF&PE)WOOD FRAME CONSTRUCTION MANUAL
SITE ALIGNMENT PLAN NEW S U F F 0 LK AVENUE FOR ONE AND TWO DWELLINGS(V FCM 2018)
Scale: 1" — 20'-0" -; c _
_ _ _- 3_... ]I FOR 1110 i'T3 P€RKTT d lkT-i�S
SECTION:--___117 _ AEAYE ...AgS`IS50PRFE€9A'N: `•`—:
LOT -165 - i r LIB ERATORE RESIDENCE
--
z —� � _� 136P3 NEW SUFFOLK AVE SOUTHOLD NEW YORK
INFORMATION RECEIVED FROM
ADi E 9--DE LL' II'PEGT
SURVEY PREPARED BY: '' f
PAT T,SECCAFICO .v NA1N Olv sv NEwr xK�nw
PROFESSIONAL LAND SURVEYOR,P.0 CLIMATE AND GEOGRAPHIC 4E3G-Et CI;lYER3R ^
328A MAIN STREET _ O
CENTER MORICHES,NY
631-878-0120
„ oro
30 F:3 w INP, NEI D s —RE TV YES 1 YES B `
FILE NAME:UIP-1.1-CONST:1��5 „3# ,S"PLOT CA i rT e= G, -a".
w
Albert J. Krupski, Jr.
STORK. [WA\T]ER
SUPERVISOR ]EIMUENT
SOUTHOLD TOWN HALL-P.O.Box 1179u ^ ]� ]/�
53095 Main Road-SOUTHOLD,NEW YORK 11971 ^� R � �� u t/G 0 G w
u
Building lel)Ort ent
CHAPTER 236 - 5TORMWATER MANAGEMEWUMRRAL FORM
( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. )
APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other)
NAME: s ictiL%VJ A F0 Date: .
Ain,a� zt� soZS
'4`"1(bq r11 yNQ A"4
Contact Information: , ' __► c'oNfMVI�I �4" ''�T" �' _•
E n4ad&Telephone Number) mm Vu - 2
Property Address / Location of Construction Site:
IsZS Newer wv� S.C.T.M. #: 1000
District
1 t'1
Section Block Lot
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
�- Area of Disturbance is less than 1 Acre. No S.P.D.E.S. Perrnit . . l
770 N Discharge to Waters of the State. No S.P.D.E.S. Permit s Re q d
❑ - Project does .t b
❑ - Area of Disturbance is Greater than 1 Acre& Storm-water Runoff Discharges Directly
to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit
DIRECTLY From N.Y.S. D.E.C.Prior to Issuance of a Building Permit.
❑ - Area of Disturbance is Greater than 1 Acre & Storm-water Runoff Flows Through Southold
Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN
a S.P.D.E.S. Per ent
Prior to Issuance of a Building Permit.
a
o
Reviewed B Date: S
FORM * SMCP-TOS December 2024
1 O
LOT 4 "
0 49,838 S.F.
N o O 1. 144 Ac. Ict
CL
CP
Q I
�r ST (26.6) (27.0)
9.0•„ (z<.<) N78'34'00"W
35.1' a 0 95.00'
zss N
LOT 3 1 1A STY BRICK PORCH I O
VACANT I ° FRAME& BRICK (ROOF OVER)DWEIN I O
I FFL=27.6 8.0 O
32.201 1a N 3o.9, N LAND N/F OF
2 ° c `` OUINTIERI
(BRICK
23.PORc� 56
..OVER 0'
O (14.7) (5.0) SEPTIC IN REAR
"t EXACT LOC. UNKNOWN
L
N/ 3 WELL
0 I C4 00 60f IN CELLAR
f 4 l
WELL.
368. 14'
V
NYTj116 NYT�I 7
1I7. 1, p
19.45 20.57 22.33 23.67 25.30 27.21
N E E`N U E
SINGLE 17AMILYRESIDENCE
si,mi 6vater supply t5etliHes it M loatlon have been APR 0 3 1998
FOR
OF
:.r,. ..i:Fed l y ttris p ea ana fuaca A!o
mot^
CERTIFIED TO � � SURF � OF
ANGELO & ROSARIA L7� AT0#E"" 4
MAP OF
KOUROS ACRES
EASEMENTS ,AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED SITUATE AT
ARE NOT GUARANTEED UNLESS PHYSICALLY LVDENT ON THE PREEMSES AT NEW SUFFOLK
THE TIME OF THE SURVEY
GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON(S) FOR TOWN OF SOUTHOLD
WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COM-
PANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON, SUFFOLK COUNTY, NEW YORK
AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE
NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. SCALE I" = 5O' JULY 28, 1997
THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO
THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE—
FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING
WALLS, POOLS, PATIOS, PLANTING AREAS, ADDITIONS TO BUILDINGS AND S C.T.M. DIST. 1000 SEC. 1 17 8LK. 6 LOT 16.5
ANY OTHER CONSTRUCTION.
JOB NO. F792
MAP NO. 6692 � cf A c Ll V 1r�1
FILED 6120178