HomeMy WebLinkAbout52079-Z �o.�'Qf SOU o�c 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 existing one story framed building accessoryto an existingsingle-family dwelling as 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 $205.00
Building Inspector
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST)
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FOUNDATION (2ND) ...... C/)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE-
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FINAL
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ADDITIONAL COMMENTS
Pet,-of +4 0 S-m-R BP r e c- 11056-0
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t,aFFkr-oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 h:qps://www.southoldtomm.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only 1 I E v E � �+ E
PERMIT NO. S�V Building Inspector: bbb���
JUN 1 3 2025
Applicationsand form"s must be°filled out in-their entirety:Incomplete
11 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'PROPERTY:
Name: SCTM # 1000-
Project Address:
s g r.,wA _.._ _. ..._� 1'o_�Ttl.oe�..._./u
Phone#: C6_ 7f Email:
3/— /— 9,'
Mailing Address: /!!YC!77 7
`'CONTACT PERSON:
Name-
Mailing Address
Phone#: �3/ ' 9 ,?J'__. Email: i9i�'l ��s/i�G•�Ay/YI/KE a7 (��'lAlti.��'�/''�_-._.-_,_._
DESIGN PROFESSIONAL INFORMATIO14-
Name:
Mailing Address:
Phone
CONTRACTOR.INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESERIPTION OF PROPOSED CONSTRUCTION'`
❑4ew Structure ❑Addition ❑Alteration ❑Repair emolition Estimated Cost of Project:
❑Cttf er $ .
Will`ihe lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes UK
o
1
V
PROP , .
ERN°INFORMATION j`' v
Existing use of property: _ s,��,✓r-,AL Intended use of property:
Zone or use district in which premises is situated: Are there any covenants an restrictions with respect to
this property? Dyes o IF YES, PROVIDE A COPY.
-Check BOX After Reading _The owner/contractor%design professional is responsible for all drainage and storm water issues 1asr provided by,
Chapter 236 of the Town Code. APPLICATION IS HEREBY MADEto the Building'Departft nt for the issuance of a'Building Permit pursuant'to the Building Zone
Ordinance of the Town of southold Y,suffolk,County;New ork and.other.applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for or demolition as here indescrbed.The applicant agreesto comply with all applicable laws,ordinances,building code,
housing code`and'regulationi and to admit:authorised'inspectors on"premises and in building(s)for necessary inspections.•Faisestatements made herein are '.
punishable as a Class A misdemeanor pursuant to Section-216.45 of the New`York State Penal Law.
Application Submitted By(print name): ❑Authorized Agent l2eOwner
Signature of Applicant: u�e'2�� 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 �\y� , 20-�� l
Notary Public
NICOLE KMEDINA_
� Notary Public,State of Newyork
PROPERTY OWNER AUTHORIZATION _ No.01ME6336903
(Where the applicant is not the owner) Comm'0,Ualilon ediSuffolk
b►kCounty
I, Iv/°"'.ft2 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
/1 `O 5U fO SITE JNPO£MATIO:J:
-SU`FOU.4 BEDROOM
MAP i.uc,rp po5Eff Cf f7EYL y
-LOT AIJG 4 BEDROOM HOME.I:O PPOP05ED CCYJSTP,JCTIOIJ. �qR��w A-� y•q.
-LOT ARCH:0.33 ACPdS,I4.195 SP 4'� 04?'+ T�'.f•J=Gg
n -PF.OPE:TV tOCATE0 Ai 44D SUNSET WAY
SOUTHOLD,TOV•'N By SOL'THOLD.SUFPOL:51URVE'.NEN•1TJRh
-SURVEYPROVIDED BYJOHNI D.5 LAND POUNVY.•OP
SURVE'VED:07-30-2004 UPDATED 04-27-2005 ry
I -\wRT]CAL DATUM-NAVD'1955 DATUM
Existing 2�D F'ORG _ SUKFACE wA7CR SHoe'N ON svevtYnrTe PLUJ.
n7 •ALL 211,L WTHIN 150LF ARE CONNECTED TO PUBLIC WATER. .play
, x e1-6.9 GENERAL 1.JOTES:
LAND N/F OF F-�NK.MANGANO ` -Q' r '•EXISTING 4-BEDROOM nOMI!Yi ITH.-HUNG SANITARY BLOCK CE53POOU5).
5EG0l,D �" \ J 2.EMERGE:d':r IlA owm SANiTAPY FEP:ACEMEU7 Dt51GH-SUFFOLC COUNTY jIP GRANT PROJECT.
_ IMPROVED-PUBLICW TER \ gOWT55ANrT Y5TEI STOFZY DPGK I„ 3.5 1!PLAN AND P.EFERENCe ELEVApo;45 TO BE USED FOP.EhAEF,GENCY'I:
4 OVERHEAD C2145TRUCTTDN ONLY.EXACT PP.OPERW STRUCTURE FOOTPRINT.PROFEP.TY BOUNDARIES.TMI*,
ICAL ANC•LITIU�:LOCATIOFJ5N4DELEVAT10145 ARE NOI GUARANTEED.
SERVICE 4.OHSR[UTILm'MARL-OCRs TO BE PEPJOR1A!D 51 CO+TF ICTOP.FPiOP.TO PERPOPIAING SITE
ELECTR
�p,p q 9�9rT1A1T� 138'.6 ' ""' _ - 5.50IL TLST HOLE DATA PROVIDED FOP,NEIGHBO FmODD HOME LOCATED AT 2b55 CEDAR BEACN
�'6"?20 2L2 F.OAD.50UTYOLD NY.P10-13�2.SP 5AN_^MATERVd W:S FOUtJD 3.0 B!LOA'GRACP.
L� ]��w �:Irt.eo ` ,_ , A GROUNDWATER WA5 POUND AT M.O.5'+l-.
0`9, t c.< 11 4 ` G.EX15TING SAIJITA£Y ELOCK CtS5100LS TO BE PUMPED AND REMOVED OP.ABANDONED AS W
W� IJECE55AP.Y PEP SCDH55TAIYOARPJ.
S1 I 7.THE HYDRO=.CTIO:J T4"U 5 ANTICIPATED TO BE 114 GROUNDWATER.THE CONTRACTOR 15 V
% ", x,'1!]=6.E ` /t RE51`04515LE TO DELYATEP.AS NECESSARY APJD INSTALL 5CDH5 APPROVED ANTI-BUOYANCY z
DEADMAN FOR PRECAST CONCRETE HYDRO.AC TION TNIF. W
5.Orlj - ---• l x e 1-6-9 PPAPOSED VA OWTS SEFIIC 5Y5TEM.FOR OF TO 4 BEDROOM PE5IDENCE:
' Fr�nB. `t\ O J.ONE( FP.ECAS TfYDP.O.ACTIO:J RTODEL 114.50DC VA 01JT5 V4 N'TI-E %NJCY,TRAFFIC RASED Q r
{f! - a 6VikP 1 , i ...r. _ Ate• RLSEP:AND Cf5P•NGS TO GRADE.
2.O..JE:ttDROAGION BLOWER.VENT CONTROL A55EMBLY. L Z
`) �.-A, - a / _!• --_ _ p/may 3.ONE ORENCO SIMPLEX FUME STATION AND PF3005 PUMP.
T(NY�a X e 1^6• m S -"/'-•- r _ _ l�/< 4.TliVI2,'25.5 LP RG%V OP 1-FOOT EFFECTIVE D`_7TH iRCFFIC P.ATED LEACHING GALLEY P5D z IJJ
A LEACHING TP.CNCHIS.TOTAL OP SIXf6;1-FOOT LEACHING GA'Jd-Y5. w W Q
__
APPROXIMATELY 30 YARDS OF CLEAN 5AND FILL FOR PSD ACHING TRENCHES. (n
O ) Store - GGG Z 0
L x.e1=5.3 lY Frame House Q PUBLIC' GENERAL SAIIRAFY SYSTEM huO IlISi ALNiIOIJ MOTES: Z O
x e1-6.1 Pc FIN. FLOOR x el=G WATER v.AovrSEPlcs,s*eMD:51GNeoteRD=To4aEDPa tnDMEPeesJrFOLKwLllrn• LU (A=
e 1.... CT F DEPARTt5eBT OF HEALTH STARDARD5(5CDH5).
1 EXISTING SEWER INVERT TO BE RELOCATE a SERVICE 2. CONTRACTOR IS PJiS?OOSIBLE POR DE•1VATERi>4G AS IJECE55AP,Y.(,ROUHDWhiEP.N:TILIPATED -U
1 - BY LICENSED PLUMBING CONTRACTOR. $F Y 10 5E 4+(-BELOW NATIVE GRADt DEFENDING TIDAL CONDITIONS.CONTP.ACTOR TO TAT ui V
J 3 ALL NECESSARY STEPS TO PP.OPEFJ.Y INSTALL TA`JTS NJD DChON!Ali Ild P,:GH GRWIJDYPAi tP, Q
EXISTING BLOCK CESSPOOL TO BE PUMPS zls ;e2 A4 COtJDITOIJS.IMPORT OF SANG OR PEA GRAVEL MAY 9E REQUIRED. S �
AND ABANDONED PER SCDHS STANDARDS. v+two�c PROPIE B.Ya - �./ SANITARY GRAVITY OP.AM PIPE INVERT TO BE P.OLOCATED AND BE 4-INCH CAST IP,ON AT (�
11 m �+ Ens.eMOE ea= -P ." �4 FOUNDATION PENETP,ATION AND 4.1NC:1 PVC 5:P35 DLMMSTF`J.V.Of POUND.STION.
_ Y, a 1.7.2 4. VA C+NTS SHALL BE TESTED FOR 4YATtF TIGKRIESS PRIOR TO AF,F.IVIUG ON51TE USING THE
F AV r _ _ - - - METHOD APPROVED BY I'APNLI°POURER
oocz -0 �• MAIN PROPANE TANK, T.it DESIGN CNGhNEER SnA_L OVERSEE THE ONTS DURING BAEP.GEI4CY IISTALLAT101d AND
MAINTAIN IO'SETBACK TO _
..acc D < ---.-- - 1 EXISTING(($ SYSTEM STARTUP.
�
SANITARY STRUCTURES. G. S INSTALLER SHALL EE UCENStC',HOLD AANEI:OOPSEMEHT FROM SC NJD DHS BE A
Q+ ? 60'3 - \ s- MYrROA HYGPOACTION AUTHOR!2EC INSTAlLEP.
W x e 1.5.9 i�-' O Q 5 TH[OL4TS In_TALLER SHAL:P.EGSTEP.T:IE 01L-AT T.EAT/DJT STSTEIA WRH SCDHS.THE
2' 8' DESIGN WGMCE."MALL PROVIDE CERTIFIGATIOH DOCUTA!NT5 AS REOUIP.ED BY tiDHS.
EXISTING LEACHING SETBACK TO w @§- B 5. N4 OPERATION ANG MAI:TEN/V4CE COTNRACT BETV.'EEN THE MAIIJTEHANC£PPOV!D`-R ANO Tnt W-
RSURFACE WATER 60 LF % ]-6.3 w - s PROFER.. OWNER SHALL BE PROVIDED TO 5CDF15 FOP VA O1•T5 AND P50 SYEM ST .
B S= •6 I.
GARSAGE ENEFGRINDER SHALL HOT BE INSTALLED L'FStD TO OF THE ED 5E LU
115t w Lli LO !O.4Y'ATEF.5pF1ENER 3A(S WASH SHALL NOT BE FLL'SfED TO PP47POSE0 StPiIC E,YTENt, W ro
[ .COI TRACTOR IS P.ESPONSIW TO OBTAIN TOWN BUJLIVC-F F.M1LTS A5 NtCE55AKY PLOP.TO CQ.l
1 1JJ5TALLANDI!L F THE PF.OP05ED SEPTIC 5Y5TEM. J
\V PROPOSED LEACHING SETS C E O ,d - - LU 2 o r
SURFACE WATER 115 LF
X e.
) % e1P6.1 - - ,,,., a =c„n.H.A:..F::a-r.,...e•.s. 2 a z a¢
x el=7 r t W w
PROPOSED 2X 4.75'WIDTH BY 25.5'LENGTH EACHING GALLEY PSD o
Sol ps TRENCHES WITH 1-FOOT EFFECTIVE DEPTH 0 H-20 TRAFFIC RATED z APPROVED AS NOTED }co W o Q x
FIYDROACTON CONTROL PANEL, D NIF OF THOMAS SIMON COVERS.TOTAL OF SIX(6)LEACHING GALLS U y m
COMPRESSOR ASSEMBLY AND VENT Z ¢p
ELECTRICAL: I PROVED-PUBLIC WATER /� LU o
HYOROACTION: 20 AMPS OR�7-A^�C y✓�-QJ' -I x
ORENCO PUMP STATION: 20 AMPS i$� SOIL CONDITIONS, HOLD FROM FOIL OF NEIGHBORIN PROPERTY:R70-134X12fJNE .I _!! J B
PROP
HYDROACTION MODEL AN-500C NIA RG OUNDWATER AT EL 0.5',T IT WATER IN PALE ROWN FIN TO MEDIUM SAND.IUM D(SP), V �`-� 2
OWTS WIANTI-BUOYANCY •�/�(� 5 �/ W
PROPOSED ORENCO SIMPLEX PUMP PSD LEACHING TRENCHES DESIGNED FOR 1-6 MINIINCH PER 710N RATEAND4 gOv.O6 By
DATE 11-18-2020
STATION WIDEADMAN AND PF:3005 BEDROOM HOME CONTRACTOR TO EXCAVATE DOWN TO Sp
SAND AND BACXFILLWITH SCALE:1:20
PUMP CLEAN SAND FILL AS NECESSARY TO BASE OF PSD TRENCH.APPROXIMATELY 30 YARDS
OF CLEAN SAND FILL NOTIFY BUILDING DEPARTMENT AT DESIGNER:TAO
PSD LIiACHINGCALCULATION: 1-7�1802 8AM TO 4PM FOR THE SHEET:
FUJI CEN-.CATEGORY 1 VA OWTS
SANITARY SITE PLAN LEACHING NUTE
RATE FOLLOWING INSPECTIONS' �
LEACHING GALLEYS 4.8 SFAF,USE MA%3.25 SFAF � Fg
440 GPD 13.0 GPDISF 13.25 SFILF=45.12 LF
SCALE= 1:20 USE 2X25.5LF LEACHING GALLEY TRENCHES.TOTAL OF61LF>45.17LF. FOUNDATION-TWO REQUIRED
FOR POUR
ROUGH-FRAMING&PLUMBING
INSULATION
FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
r%noinm no r_nmq-mi ir.MON ERRORS