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Home My WebLink About52252-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#: 52252 Date: 09/11/2025 Permission is hereby granted to: ADF Ventures LLC 138 Oregon Ave Medford, NY 11763 To: Construct in ground gunite swimming pool at existing single family dwelling as applied for, per Trustees#10691 approval and DEC no jurisdication. Maintain minimum 20 foot setback from pool equipment to side yard property line. Premises Located at: 1775 Pt Pleasant Rd, Mattituck, NY 11952 SCTM# 114.4-6 Pursuant to application dated 08/28/2025 and approved by the Building Inspector. To expire on 09/11/2027. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 To S400.00 Building Inspector yr�� ra ° 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 htts:Ilwvw.sotholdtor '. o Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only °�� PERMIT NO. Building Inspectort Applications and°forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,ani:,:sirli. � enf Owner's Authorization form(Page 2)shall be completed. of Date: " OWNER(S)OF PROPERTY Name: 1000- Pro jectAddress: !P70-p�'' Phone#: � EmailAv F uM """�r�,�eS G��'1q�L &Cu Mailing Address: /u T. -�� CONTACT PERSON: Name: Mailing Address: l e 0 Phone#: �� 3,�z_ -7 � 7!Email: DESIGN PROFESSIONAL INiFL1RW1 Name: Ile • Mailing Address° /1431 Phone#:SA , — Z Email: CONTRACTOR I"k4A IOm Name: ��e-e � Mailing Address:/3a O AI d : RD P" " +," -763 Phone#4.4—S12 - / Z Email: DESCRIPTION OF PROPOSED CONSTRUCTION D ew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Esti CC f;Vject: ❑Other Will the lot be re-graded? ❑Yes &Xo Will excess fill be removed from premises? ❑Yes o 1 PROPERTY INFORMATION Existing use of property: Intended use of property: 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 ` e): ❑Authorized Agent W15wrier Signature of Applicant: IIE D.BUNCH Date: atary Public,State of New York No. 01 BU6185050 STATE OF NEW YORK) Qualified in Suffolk County SS: Commission Expires April 14,2N COUNTY OF n b 12 being duly sworn, deposes and says that (s)he is the applicant (Name of individual si ing 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 th is n ,. day of � r 20� /'"„ fi" . Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) L "t�` /'l• 0 14 residing at Ave /�/lP/J�r/n-n /✓� *� "' _ �do hereby authorize �� ✓L to apply on my behalf th 'T Solt old Building Department for approval as described herein. - Z' Owner's ►gnat re Date IAN �1A Print Owner's Ifame 2 rown Hall Annex G�enn Goldsmith, President A, Na.r:Vno.kis Kicut ski., Vie 3-mu d' . � � ` ep r'n Il.n)�..an, 2�� ' a B x u: 54 Eric Selperiosk SOUth.OM, New York 11.971 Liz G llool r, �Y Tellu pal one (6 !1) 65 1892 Elizabeth �u�g�l� s 3`ax(p.r 31) 765 6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTOLD August 14, 2025 Robert Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: ADF VENTURES, LLC 1775 POINT PLEASANT ROAD, MATTITUCK SCTM#: 1000-114-1-6 Dear Mr. Herrmann; The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 13, 2025: RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit #10691 to construct a 20' x 46' swimming pool, set back 73 feet from the top of bank; construct a 1,483 sq.ft. grade-level masonry pool patio, set back 72 feet from the top of bank; install pool enclosure fencing along the landward limit of 20' wide vegetated non-turf buffer; and as depicted on the site plan prepared by Metes and Bounds Surveying, received on July 9, 2025, and stamped approved on August 13, 2025. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, i Glenn Goldsmith, President Board of Trustees TJF I Albert J. Krupski, Jr . � �` C ]KIMMAT]ER SUPERVISOR , - �� A\G]EMIENT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 �r i r� own of So u th o l d fie^ tl':Pel i,l' CHAPTER 236 - STORM WATER MANAGEMENT REFERRAL 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: u�"r u,ni Contact Inform (E-Mail&Telephone Number) Property Address / Location of Construction Site: ,?-' S.C.T.M. #: 1000 District /0 l Section Block Lot J 14 1 TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT Area of Disturbance is less than 1 Acre. No S.P.D.E.S. Permit is Req,Hired l ❑ - Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Required! ❑ - 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 Buildln ,Permit.. ® Area of Disturbance is Greater than 1 Acre& Storm-water Runoff Flows Through Southold Town's NIS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit through the Southold Town Engineering De artment Prior to Issuance of a Building Permit. Reviewed BY: Date: �, d a FORM * SMCP-TOS December 2024 f i Glenn Goldsmith, President � � i S Town Hall Annex A. Nicholas Krupski, Vice President l`� � �� 64375 Route 25 y� P.O. BOX 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly a Telephone (631) 765-1892 Elizabeth Peeples % Fax(631) 765-6641 w C' OUNIi, " BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 14, 2025 Robert Herrmann En-Consultants 1319 North,Sea Road Southampton, NY 11968 RE ADF VENTURES, LLC 1775 POINT PLEASANT ROAD, MATTITUCK SCTM#: 1000-114-1-6 Dear Mr. Herrmann; The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 13, 2025: RESOLVED, that the Southold Town Board of Trustees APPROVE"the Administrative Amendment to Wetland Permit #10691 to construct a 20' x 46' swimming pool,: et back. 73 feet from the top of bank; .construct a 1,483 sq.ft. grade-level masonry pool patio, set back 72 feet from the top of bank; install pool enclosure fencing along the landward limit of 20' wide vegetated non-turf buffer; and as depicted on the site plan prepared by Metes and Bounds Surveying, received on July 9, 2025, and stamped approved on August 13, 2025. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, IL i Glenn Goldsmith, President Board of Trustees SCHEDULE B . � .,,�ti � _.a�.r..avtu.,.. a .ram• ,:ar�,' wsa�. m�..n.:�..rr��r+e•�.*r� ra .v . a" BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK a q PERMIT NO. 10691 DATE: DECEMBER 18 2024 ISSUED TO: ADF°VENTURES LLC PROPERTY ADDRESS: 1775 POINT PLEASANT ROAD MALrTITUCK SCTM#1000-114-1-6 g AUTHORIZATION I w Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in ] accordance with the Resolution of the Board of Trustees adopted at the meeting held on December ]Il.2I124,, and in consideration of application fee in the sum of$L,250,00paid by ADF Ventures,L. C and subject to the y* Terms and Conditions as stated,in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: t Wetland Permit to demolish existing two-story dwelling with attached deck and remove existing septic system; conduct construction activity within 100 feet from the top of bank in order to construct a two-story,single-family dwelling with attached garage, porches,patios,outdoor kitchen,I/A OWTS sanitary system, and driveway,all to be T located more than 100' from top of bank; construct a 20'x40' swimming pool and 1,346sq.ft. grade-level masonry pool patio; install 4' high pool enclosure fencing,pool equipment,and a pool drywell; install stormwater drainage system; plant ten (10 .native hardwood trees with a minimum 3"caliper within 100'from top of bank; and to establish and perpetually maintain a 20' wide vegetated non-turf buffer along the landward edge of the top of bank;with the condition to establish and perpetually maintain a non-disturbance buffer seaward from the top of bank; all as depicted on the site plan prepared by Metes and Bounds Surveying,received on December 20,2024, and stamped approved on December 23,2024. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be sub c bed-ta jo a of the day and year written above. MAR 2 4 2025 • � � ,gym ' Southold Ton 'Board of"fruteoa p M `4 x Y�. Y r % .. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY @ Stony Brook,50 Circle Road,Stony Brook,NY 11790 P.(631)444.03651 F:(631)444-0360 vwt iv.d'ec.ny gov 0 LETTER OF NO JURISDICTION: TIDAL WETLANDS ACT & NOTIFICATION OF POSSIBLE ENDANGERED SPECIES ACT JURISDICTION September 16, 2024 ADF Ventures LLC 138 Oregon Ave. Medford, NY 11763 Re: DEC#1-4738-04849/00002 ADF Ventures LLC Property: 1775 Point Pleasant SCTM# 1000-114-1-6 Dear Applicant: Based on the information you submitted the Department of Environmental Conservation has determined that the portion of the subject property landward of the line labeled "10' CONTOUR LINE N.G.V.D 1929 DATUM", as shown on the survey prepared by fetes and Bounds Surveying, last revised August 21, 2024, is beyond the jurisdiction of Article 25 (Tidal Wetlands). Therefore, in accordance with the current Tidal Wetlands Land Use Regulations ('6NYCRR Part 661) no permit is required under the Tidal 'Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary. and your project (i.e. a 15' to 20'wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be advised that DEC has documented the summer occurrence of the Northern Long Eared Bat (NLEB) (Myods septentrionalis), a species listed as "endangered" by both New York State and the US Fish & Wildlife Service, within 3 miles of the proJect location. We have determined that tree cutting at this location between March 1 and November 30 of,any calendar year may result in the.""'take" of these endangeredlthfeatened species or their habitat within the meaning of Environmental Conservation Law (ECL)§.117535. The term "take" is defined in part as the direct killing; or injury of individual members of a protected species, interference with critical breeding, foraging, migratory or other essential behaviors, or the adverse modification of the species' habitat. The "take" of a species listed a endangered or threatened is prohibited in the absence of a permit from this Department issued''. rrr E,�t�Hra�lirtentr Conseirva)o11 pursuant to ECL§11-535. In order to avoid an Endangered Species "take," no tree cutting activities may be conducted at the project site between the dates of March 1 and November 30 of any calendar year. If you have questions about the presence of protected species on or near your property, the potential effects of activities on these species or your responsibilities as a landowner or project sponsor under the Endangered Species Regulations, please contact the Regional Wildlife Manager at (631) 444-0310. This letter shall remain valid unless site conditions change. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely, , 4EIsIaScott Permit Administrator cc: BMHP Wildlife file R�R�t pLAC9t1CfdT NOTE'.. / �1 462• g6' (5)mature hardwood trees removed e'v from wUhln 100 ft of top of banks are to be replaced 1:1 with(10)nstive ! A.. hardwoods planted within 100ft of ,r" C} ya ^" "'+ �" ,� top of bank. ,F Z I ,/ 0 a r� e abLLe T X P �° , - ? , LOT a ° g",-rlc°ff �S UOO A �r 1, .r I q"r " LAG I / Diane X P V *�s / l Qo EEC 1 I ems. y I q NO, r� &WIRE \ v s C CO 2 Oil x + -/ Y 55 Ot of OF N�N63 �Q " PfSposa� Aj FLAG 2c f . o 30 *Ompllant A,) 49*taft pool \ \ qel el. aai Gmtg \ \ m l FLAG a Pna�o 4 ,m � v v v vI .. ! Driveway..., cak'Ia"rd' ` . M EL25.5 Propowpd zzlwM `\ P v 1.� La. t; L rva ° l po4aradpal6a� 4 M , \ \ \\ \ \ atA .xa4 °araa Q / AC A \ wasal L F v \ mina �dp a8�lo\ " a 5EA h 9 l COL' Ht1 \ \ nam ° I u easel W' 1 "^" EL 5.5 Proposed 1 E — \ \ n gddatU mm bu atlaw Rpr� tt ( f !rCr Gaga s 5" tr .:. ` , io r:,,.. t sea m�tbi Y: d FRAME 0 ° #4 �_ - u � r� m � r s„. �:_ � removed t� � (Libor ,86� c�oof" 6mp �r EL27.5 TO PA' k35 � Op0O1 x 91 CL 72', ' � r / �� fN0 " '\, dl as / 1PrD(�DSod +� a4 27PS�° Cs 73� � � i i Iwo-Story � d s l _ _:To Pool a�: �ppm � e� al P�d ,* "fr".t19'ke P '' adpn / aPmpood . mmanta taa as Buildingud b X2a.8 �* "r FF a9a7aa " 11 u 9 WO qg pocyb "" /,/ 1 � Cktr dra g FLAG 4 v 41 _ WOOD DE �Gtaa4t l y �l i 4r red et 17.5 _ % _ D cK — fang t f ' , / ttxsi k V �, C o �"rcrh + a.,a V ""� VTf f pFGCuP19 � �FffE d /L /f 1 07 tV' f dd O ,, OD P1 arr� 1 s4' ' Pl " ' � d 0 / ' av _ O _ \ �crrcrs "'I V,.... � Tc7 �.:T �� / /� ✓ / �� ti,'A a D6D AS o o— \ v�fi � : l •�: _ Er9C API 9e.49' N a f i '90'F. I t"JFb..Sre"f' to pia; linut — /.,. "" .........-.-..._. f0.71�frYD ..�" *PILE 21,5 FOUND CONC. MON. ^\� \„ FOUND e 0.2'S. 0.5'E. ? C'�ON', . MON. \�3 '\.�� CONC MON. / / "`�ONC. MO'tp: (b " FLAG 5 s 2 Ekl$T1NG CESSPOOL" , r� SURVEY OF °RI wAY e N 73*47'30" W (DEED) REMOVED N ARDS I 371 .83' /G LOTS 15 OC 1 DEED d ��COI cuRes i\ LOT 17 r FLAG e N 73'47'30" W � \ (TAX MAP) Any & Richard Braunstein l 420' MAP OF POINT PLEASANT FILE No. 720 FILED MAY 17, 1916 of \ , FLAG 7 SIT UA TE Cc w o // \ ALL GUTTERS&LEADERS MATTITUCK \ " \ TO BE PIPED TO DRYWELLS SHOWN ON PLANS TOWN OF S O U T H O L D SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1 000- 1 14-01 -06 SCALE 1 "=40' WATER SERVICE NOTES: JANUARY 22, 2024. I Install piping on property,4'-6"deep below finished grade,from the building to the existing vault(tie in at authority's copper tail) J U N E 28, 2024 — ADD PROPOSED SITE P L) qm'r DRIVEWAY &WELL o Type"K"soft copper 2"diameter pipe J U LY 22. 2024 — U P D AT F S I T F P 1 AN