HomeMy WebLinkAbout52347-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 52347 Date: 10/14/2025
Permission is hereby granted to:
Emily Romecaster
33 W 93rd St Apt 1M
New York, NY 10025
To:
Construct additions and alterations to an existing single-family dwelling to include a new compliant
deck,sunroom, bedroom and finished basement as applied for per SCHD and DEC non-jurisdiction
approvals.
Premises Located at:
330 Shore Ln, Peconic, NY 11958
SCTM#86.4-4.12
Pursuant to application dated 08/28/2025 and approved by the Building Inspector.
To expire on 10/14/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition&Alteration $1,496.50
CO Single Family Dwelling-Addition /Alteration $100.00
Total $1,596.50
Building Inspector
V' 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 litt :// w, of tlio6 foAviloy.ov
Date Received
APPLICATION F:011 II ICI 1113ING PERMIT
For Office Use Only
PERMIT NO. Building Inspector: 2 u..,
AUG
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an nalGd Dnp-nomemit
Owner's Authorization form(Page 2)shall be completed. *r0wil Of'r, Miiw��� w,t
Date: 8/28/25
OWNER(S)OF PROPERTY:
Name: Emily+ Rafael Romecaster 7-SCTM#1000-86-1-4.12
Project Address,; 330 Shore Ln, Peconic, NY 11958
Phone#: 609-423-8157 JEEilR:afiAndEmilyCa)gmail.com
Mailing Address:33 W 93rd St, Apt 1 M, New York, NY 10025
CONTACT PERSON:
Name: Emily Romecaster
Mailing Address: 33 W 93rd St, Apt 1 M, New York, NY 10025
Phone#:609-423-8157 Email: emily0421 @gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name: Kimberly Peck (architect)
Mailing Address:266 New York Avenue, Brooklyn, NY 11216
Phone#:917.449.7557 Email: kim@kimberlypeck.com
CONTRACTOR INFORMATION:
Name:TBD
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition RAlteration i*Repair ❑Demolition Estimated Cost of Project:
❑Other $ 200,000
Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? ®Yes El No
1
PROPERTY INFORMATION
Existing use of property: Residential (single family) Intended use of property: Residential (Single family)
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? I9Yes ❑No IF YES, PROVIDE A COPY.
W t.J:eck 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 name): Emily Romecaster ❑Authorized Agent @Owner
Signature of Applicant: -- Date:
CONNIE D.BUNCH
STATE OF NEW YORK Notary Public,State of New York
No.01 BU6185050
SS: Qualified in Suffolk County
COUNTY OF Commission Expires April 14,20�1d�-/
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
4
t
a of ......�. - 20 Gr`N
Notary Public
C)RQPllEl; °°'l1 Y OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, 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
. FROM : FAX NO. 302 934 167e Oct. 01 2ew 07:50AM P1
FROM : C MESIANO INC F:;X NO. G31-678 3551 Oct. Q6 2@W 12etd7r}"t P`
New fork Slate Department of Environmental Conservation
Diriaion Of Hnvlrow"entgi Parnuts
Reel 212.suiidinp 40-SUNY
Stony Gmek,New York 11790.2385
Tsl6phene(B31)444-4365
Fdosimilo (8@1)44�-03A0
n .0iY91GCli
Camrniablon.r
October 2, 2C00
Scheribri :comes
2042 N Country Rd
Wading liver, NY 11792
Rat Lot # 12, lichm.ond Shores at �?ec=ic, DeConic, NY
SCTM## 1C00-66-0i-4112
D3C# 1-4738-02757100001
' z
near Sche:mbri Homes
Based on the information yo4 have subm_tted, the Naw York.,State .pepar_mont
of Envir=,ae>7cal ConservaMion has determined that e
The proyar y landward of tea 101 elevation contour as shown on the survey
prepared by .dated ra lleyisjo
AuUst 12. 200 , is beyond the ' isdictloA of Article 25 (Tidal Wetlands) _
Therefore, izi accord=ce with that Current Tidal Wetlands Land Use
Regulations (SN=CAR ?art 660 no persit ie required under the Vidal war.,ands
Act - please be advised, however, that: no cecastructso:, sedimentation, or
disturrbance of any kind spay take place seaward of the tidal wetlands
jurjediet:ior_al bounds--y, as cad--cared 'above, withaut z Vermit. it is your
_esponsibility to ensure ch-at ,all necessaxy precautions are takeA to prevent
�`ri�any sed er.tativ: or other alteration or disturbance to the ground surface
or vegetation w_t'ri'1 Tidal `Aatleads juzisdic tion which may result: from your
groj ect. S°uth procautions may incluo adeVate work area
:.r.. .. ,.;. �e c9 1; uri rdiYcti na boor: a d your project
"; *46Motion area) or eroctiAq a terporary afenco, bakrier,
or !say bale bet .
Pleases be Furcher advised t 8`, chi s letter goes not: ralie've you of the
responsibility of obta_ming any aecessary pert:tits os approvaia from other
agencies.
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a* Wieland �..-w,.«✓+""�
Permit Admix-4strator
Co: C. xetiana
A5-BUILT 51TE INPORMATION:
_ HOMEPORT ENGINEERING SHALL NOT BE RESPONSIBLE FOR THE CONSTRUCTION MEANS&METHODS UTIUZED -5UFFOLK COUNTYTAX MAP ID:1000-8G-014,12
BY 1HE CONTRACTOR,NOR FOR THE SAFETY OF THE PUBLIC OR CONTRACTOR'S EMPLOYEES.THE ENGINEER -EXISTING A BEDROOM HOME WITH PROPOSED RENOVATION.
- SHALL NOT BE RESPONSIBLE FOR THE
FAILURE OF THE CONTRACTOR TO CARRY OUT THE WORN IN DESIGN POR UP TO 9 BEDROOMS
ACCORDANCE W1TH THE SUFFOLK COUNTY DEPARTMENT OF HEALTH'S STANDARDS AND REGULAPONS. -LOT AREA:ACRE 0..5G9.24,855 5P.
CONTRACTOR SHALL NOTIFY THE ENGINEER PRIOR TO BACKHLLING OF ALL STRUCTURES AND ASSOCIATED -PROPERTY LOCATED AT 330 SHORE LANE r _
.` PIPING. PECONfC,TOWN-SURVEY PROVIDED PBSYO 2 11-2025 0RK
CAL
E _ =6 ,- -PUBLIC WATER DATUM- S
NAD'1988 DATUMOC OOUNN,NEW Y
ALL HOMES WITHIN 150LF OF PROPERTY CONNECTED TO PUBLIC WATER SERVICE. -
s r R=' E 'J SURFACE WATER/WETLANDS SHOWN ON 51TE PLAN
—P=C n A:€§ 9- ET=s 5 ,'§ sue a.0._�._.,_ ..5§ Y # €` a sue.3ti5' -a•F C € i - T's9 BEDROOM HOME
.� n
2.VA OWT5 SANITARY REPLACEMENT DESIGN. ELEVATIONS
' �^ B 6 _- t (3..SITE PLAN AND REFERENCE ELEVATIONS TO BE USED FOR I/A OWT5 SANITARY SYSTEM
FORSANITARYS.
r s =� Avandon be ARE STRUCT ONN ONLY,
EXACT PROPERTY BOUNDARIES,UTILITY LOCATIONS AND
NOT
3 ass= DEPAR a`ENT _ ��n of - san � - - 4:ELEVATIONS BASED ON COUNTY GI5 F ENGINEERS 51TE MEASUREMENTS.
[[[ i #s 5 _yrM� + 5..ON51TE UTIUTY MARK-OIfT5 TO BE PERFORMED BY CONTRACTOR PRIOR TO PERFORMING 51TE
cc mc-_. _ "` WORK.
arm�r l 180:Os C 01 G.EXISTING
SANITARY CESSPOOLS(S)TO BE PUMPED AND REMOVED AS NECESSARY PER SCDHS
ANOPRDS
7.501L TEST HOLE DATA PROVIDED BY 5UPPOLK COUNTY 501L EVALUATIONS G-16-25
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PROPOSED I/A OWTS SEPTC SYSTEM FOR UP TO BEDROOM RESIDENCE:
a' \ I.ONE()FUJI CEN-10I/A OWT5 V
2=ONE()FUJI MAC I50P.BLOWER VENT AND FUJI CONTROL ASSEMBLY. Z 00
II�ftOVEOWBuOWATFA 3=ONE(_)POLYLOK DISTRIBUTION BOX- W W �
V' 'Y - E: NOWORFORMERLY \ TYOONf, Wo,x, \ 4.51X(G)85 X 4.75 X 4 EFFECTIVE DEPTH LEACHING GALLEYS Z
r - L .1.FLANAGAN � �P *� �" 5,THREE(3)e 5 C 4,75 FUTURE EXPANSION GALLEYS. (n _
_ ry8a LOT
GENERAL SANITARY SYSTEM AND INSTALLATION NOTES: W.
1. 5 SEPTIC SYSTEMDESIGNED FOR UP 9 BEDROOM HOME PER 5UFFOLK COUNTY
�* 09+00 - \ \ \ DEPARTMENT OP HEALTH STANDARDS(SCDH5), Z
1'+ T 2= 5ANITARY GRAVITY ORAN PIPE TO BE 4-INCH CAST IRON AT FOUNDATION PENETRATION AND O U
\ \ 4-INCH PVC SOR35 DOWNSTREAM OF FOUNDATION, W
i o 3.. VA OWTS SHALL DETESTED FOP.WATER TIGFRN E55 PRIOR TO ARRIVING ONSITE USING THE N Z
METHOD APPROVED BY MANUFACTURER.
-' * t 4. THE DESIGN ENGINEER SHALL OVERSEE THE OWT5 DURING SYSTEM STARTUP= Q C3 O
Y -
_ U M
1�1_ 'how, F" ^% \ - `'� x ATE 5. THE OWTS INSTALLER SHALL BE LICENSED,HOLD AN ENDORSEMENT PROM SCDHS AND BE A W C') W
3 \ FUJI AUTHORIZED INSTALLER. d
- \ G= THE OWT5 INSTALLER SHALL REGISTER THE ON5ITE TREATMENT 5Y5TEM WITH SCDH5.THE
I< ,_ - ^- "'�--,� ` 5[."`� -_ \ S,>a v � �{ q DESIGN ENGINEERSHALL PROVIDE CERTIFICATION DOCUMENTS AS REQUIRED BY SCDH5, Q
E \ TTI 7, AN OPERATION AND MAINTENANCE CONTRACT BETWEEN THE MAINTENANCE PROVIDER AND THE
PROPERTY OWNER SHALL BE PROVIDED TO SCDH5 FOR I!A OWT5.
g s _NB
A GARBAGE GRINDER SHALL NOT BE INSTALLED UPSTREAM OP THE OWT5.
- WATER SOFTENER BACKWASH SHALL NOT BE FLUSHED TO PROPOSED SEPTIC SYSTEM,
0 INNTRACTORIS STALLATION OFPO THE ROP09ED S TO OBTAIN EPTIC SYSTEM,
MWN BUILDING PERMITS AS NECESSAPY PRIOR TO
E� W y�,� 4 \ _. \ � I I.NOTE THERE 15 AN EXISTING HOUSE TRAP,I/A OWT5 TO BE VENTED THROUGH 2 INCH CARBON
PFOP SP Is, 1. L �' _ w \ Y 1 2-NO OR PROPOSED DRYWELL5.
LEAI)1IG s..y (` 'Y= 5,V1 ^e O \ \ U -
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220.00' < �r �" ��\
LOT IMs�wT�wA R x zx�6 J. _ _ PP`4 T .... .. .....__...
ORA BEDROOMS9 DATE 0617-25
E5M THE eFARS ROM DTEE rPOVA SCALE 1.30
SANITARY SITE PLAN IDU TL D SE F9ACK �� TG JS
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SCALE= 1:30 ; SHEET:
SEE A-rTACHIMENT