HomeMy WebLinkAbout52361-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#: 52361 Date: 10/15/2025
Permission is hereby granted to:
Harry loannou
102 Boulder Rd
Manhasset, NY 11030
To:
Construct a pool house/cabana with outdoor shower accessory to an existing single-family dwelling
as applied for per SCHD approval.
Premises Located at:
635 Stanley Rd, Mattituck, NY 11952
SCTM# 106.-8-14
Pursuant to application dated 09/11/2025 and approved by the Building Inspector..
To expire on 10/15/2027.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $295.00
CO Accessory Structure $100.00
Total $395.00
Building Inspector
' TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
�,
µe
Telephone (631) 765-1802 Fax (631) 765-9502 httks:/,'w� wm� st)t�:tll ldlci oai�moo' y_,
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only � C E d V E
PERMIT NO. Building lrtsPctar,� � SEP 112025
2025 �
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: CIT// 1 )2 -5
OWNER(S)OF PROPERTY:
Name: �� �,� SCTM # 1000-
HAV— � %
Project Address: &:�S C-0-P-(7) fy)4--:I jl , Y W /V-(
Phone#: y 10 - Email:
Mailing Address: l) a-. ;0(j'Al_) �� f� �+ ��'�. % iVY q 3
CONTACT PERSON:
Name: , 1�j 41I.r
Mailing Address: 'C fV
Phone#: C1 10 0 9 ` Email: g.��1�IV�.I�d 2C(j-yrvl=11-`.
DESIGN PROFESSIONAL INFORMATION:
Name-
Mailing Address:
Phone#: Email:.
CONTRACTOR INFORMATION:
Name. �j /Sc-f-,/
Mailing Address:.
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
w Structure Addition. aeration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes ❑No
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 Gass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(pri name): �a t ❑Authorized Agent ❑Owner
Signature of Applicant: - = Date:
-� CONNIE D:BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
ComOmissloled in n Expires A p Suffolk
14n
ty
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 a ,,
day of " '�"'L
Notary Public
PROPERTY 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
X
Of F%w WXW min.
fto Do" X Cabow
4W BWW C.L.Fr.x
5. v*
MM
Mon.
Frsd:
3T TO SCALE)
ication Required. Abandonment of the existing sanitary system must
tification For conformance with the Department's requirement
he Sewage Disposal System p
1-073 Submit completed form V\ANM-080 as proof
18" Access Dbb%UiM Box
xn Out Covers „
24 AccessLeadft Pool
Grade 7.2 Giver Grads 56,0 Grade 56.0
INV.
53, 5 INV. r �Bng
�o w�� �
�.a
INV.
" 62 DATE
0 53.
a
5 .5 r" . 1%. D
8.5'-- '
Fgu=
CHEC
-7
Eff. 0*1h-130
S�CALI
AREA:
FU ICLEAN If A OWTS
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE A D
CABANA
DATE3f� 212025 H.S..S, REF. IVO. R-25-033Q "w
APPROVED � �w� � C
,
TOTAL MAXIMUM OOMs 6/0
EXPIRES THREE `SEAR FROM DATE OF APPROVAL
�.:_ 5G
STANLEY ROAD
tt � nm�PWa¢m¢nt
�.. .. P 2 eePSY
EAaG � N
b y Syur maPPA,elm ERA n ..0.0 Y
t; S 8711 00' E a p
I I CF�IVI) �.—�. ..
d G IRaW w 105 00 WIP
E.mb,q 6,rea",s J 'w" :4 F.f1 Dvyally 4tlal M WI Ik
S Ilrn. 11'r 1,
I ro I
rn";V NV.M, Wc, p II
'. N a N 9 Grn. �I tl "^15"R,11C ' Q
NI VI W q P t9'bM�ury .. PnArmPmtl
L A/C
n r ...N va .If .,+..:"?p"...�,�- EIAU...PIER "'„�,q nra`�W...w. Ealw7�e,y e. Pr+Pasee n s q!eri r,. ^, �' " MI,,r� nn� ;, f�` .I..,
� m` `1+Iq N IJ Fenyaronm:
m !" M .H F f' \\..I(f(
�� P, a rrnWrmama
Y. STONE SIZE-USE CLAIOR R
2. LENGT'H NOT LESS THAN STONE,' §tl
OR RECLAIMED OR RECYCI FA CONCRETE EUUNALENr t " P B 1 N, II
.m vn FEET(FHCEF'r ON A SINGLE.RESIDENCE I.UT WHERE 0. � *p - �, vwF Po�u ,snmen O we
10 FDOT WINIMUH LENGTH WOULD APPI Y}. Tar:a vY O iw 91 a. M{F '•+.*n " _ ery�;�g DP'—
AT LA S LOCATION 3 TNICHNFSS- NOT LESS THAN SIX(6)INCHES PY7 jj8,P I q (�4 FPf 6cpth
IPmie.d OT tW ' ProLaot^'GG Dwelling
TVfFI VE(12)FOOT 9lINIWUU,RSpi NpWL xy,55f➢M OI F SI WIDTH AT POINTS Wot¢r '- I
WHERE INGRESS OR EGRESS OCC'ORS.TWDLN TA`-q`OLRR(2M}RG(%T IF SINGLE .I 'R.RAa7MOQld FI
v.. FILTER CLOTH-WILL BE PLACED OVER THE ENTIRE AREA PRIOR TO PLACING, M
P pn d SY P � -^P"k�N�9vC"M Resemenl Slo,rwell
6 "SUIVArlI WW.A;AG -ALL SURFACA OWNER IX'UWK,OR WANTED TOWARD GOPsT'RUCTION
9NORMIK,ES$M64Ld.BE PIPED MCflPS5s 11M€I`,NTRAIGj.. Y PIPING IS iMMACMCAT..A �^ I " °W e \ � r"r"'•�•,"".."'m / T P y
[ UAPGJl nO[w NCFOR YnGWGlr H ISFDIE MA ONTO P IN C(NNf.%MON WM°rvGf WILL Puir..Pppme6 D+ain'lirvg hRd Pbn,-,.", *yl
V,Dj Pf N(ad BERM WITH t SLOPES WM or PERUFRY.
p a .�.,,= -Ew&rv3 WnWe. Okek
PUBIC rWOMT'W OA wY.. P of POP;o ..... k nu a R
SS.Ld O C 9 WHEN WASHING IS R.€4:VIIREb,IT aHAtl C1€i[gaw�G�ON AN AREA STABILIZED WITH
STONE
n .0 "�" �� uJJ" e
9 PERIODIC INSPECRON AND NEEDED NWIVPENANCE SHALL HE PROVIDED AFTER EACH MAIN, Tnx Lot /
AMEN
WHICH CRAMS INTO AN MPROVFD SrtOLLW9:M MAPPING DEVICE. Pr.p—.tl J q P Ip �+ \,
p g
_ ro G Q'Y5 d T G ae Hllh RI/® P 9
Udder Pev¢d A oa DRAINAGE C&CUAIMNS SYSTEM A t �+�, p � b
/ per cu,P (m Yr,.nC,nL�r.�.,i.. }}hh W 5 A a I _....11 w.,�...,., 2.e`� P-
✓:� Rw?o1[f IPl�¢R9a 2 99k.S 2/92 a kS9.t I A'A.°N.v�� 9 ..� E� O W r
Cot I P° It
fig 5
Irlax St p # W ..bn'¢a P A/f tl ll.:
P� .
I WP W,-.,a :a-.n
Vs„rAs D rare x09 9"
.n .._ .. "sP
A Rq meo!% 10929 s( ,flF 1022 euf O
. . ..m..—, 1.�. SIX F rae/'.. O pm�
tfi22 P /68,5 f pm ft oP rvg '(
2,7 Pt tl. _.. ahr r OP,, }U,
Prcu',> C fi. P &P I P, A 2.4778 .(_ P d
Uraanµygk R"pgk. " Po C 2 a77 6 e P 2/9I =493l cu.f. p�
U ra W. 2., wan 4u,o r /rae. oeP P¢r N..er dn9 R u—f '� .,___-...__I .e,." ra,"w,a, O e,w �,' I�r. mq. 4 .x'. e O
6.0 tt q d. r �.
vO Coda Areo -MO 5 a,r. C 0 7 1" Ak I 0)
s6.Gs Ptr ( s P� r 2vA,Pft
�,.,..P 6`egee..r ........g E .�.,,_v"T " N P n ee, Z .gym f y','ubu aq q oPa
r h;al V A 7,045C Y P. if PA e;.br m.v. P RP d C Rm p y G+ml O
�,..,•••._.•. N wk PP 7 4 0I P 2/Y2 3,9 352,3 s.u,f, �� F VIEW VR n..tfii"Into G'n,ro,s 5,ti ri'5yntgrnr^,. '„9{ N
y n ... r`ruG✓F.m,f Pn¢I EFkN ip9TXm'In „ kAe',byvmmWHv,'�d'y a�WY�„xAawaxav FA+
R (�. P P H P ) Wq t4 aE a rvM, A N 4 a r.' wWl OrYwMYka"A'
r
PCR P r tilt x. emn �,.. ..�.. .k, r r e..: IV IEr
� �a 29%PP. P NO PB II � ,:a U fA G.
.) M
TI-CP tr Rq ;
J n4 P _
" rR..,.,..--d :,t P we%D n n wya r,a amrvA/ p'-•aP na�n r:•.n F+vx1,
E`I N by°,,V ["� PB IAm'PFN
Ti1"M1/rvu YsmNaWr,innM G.—Id ...,...� .®� .......... _..., ... a..ua v YY a
¢a o%
II ..._ __. ..".... ... --..ter. ......� ....._ ..—.,..
T ra L tT �2tl.5nt
A %0"Mdrn
A"ro a m^ rNn Naa r s nd� 6 Id Wr..f4P 6^rn.Gr a N 88'47'00" W 105.04'
wuNenr G v¢r BuvskrNl Ud. And Arul,na�
Pool(D,3 p4rn l0 9j Si ) P N G %0.lrrha
ndr¢pmca;sw€� aE.[ll.`!viF7rvr
Improved
T,md;w-cn�.req.TarpI. SlerS an , . GU. O wg
E fOSTTFN EE CN TO F wY
W{2. IE WPRL 51E4 dOR'"OM1FI E5
'E1r,1r Y Y:Pi:LE) S- V KFC'R'C d a.M?MIV EACH OTHER THEY rFe0.n
BE vHpvF.D rV I APO p"p b
wANk NEEDED AND AIF. At FLAtlEC:HALT wl RrM
WnN'On RUXLA.4^B`sVMe4 LDP R$Il.:r EFNCb. ""........."" --"_ .. ITITIT .,,. _
L7,1 AS
TEST BORING - lanumy 22, 2025 a. d YS T/M OwT 5Tt!Ck. rM;Pk 1"s.)R u ON RIAR1IWOOx ZONING :MIsnNG PraryPn.aw[a
Pert r d By SI k Pest Rorn4 Inc. "5 APLTEr+C'AM't OAy'&ff YT4A'EI4 nglRSFI nYIG#.STp,Ph{OVPaEA'R9&t)N OR �OTTI '"'"'.. w r.......,„w„,. "...... ...,,,,,,,, G:jR E,IVOO Y OUAI...
REQUIRED
APP
.... L b A-W J 0 O SF 2D9
,.'"4Ntxsrl Gwp 92"Wide lh fi PI'tErARAFATED GNP TO BE.GE:Or'Afi FIJVIRDRENGE.OR APPROVED
1, ON n,4yA'NngE
-u$"YM,n;.•••,f C tl Ngn..a .1a F-1.Ila m,,..._ __...,...gym._ ...:".". � ........,., _...__,, r0.11.16U. N Y L t WdPn 4U 6@O 905U F mm2630�0,`+.. R� &d1fHF,S WQ� "U'bAFT 4C���SUNG C4EVAp IQbS ANp LOCATIONS OF
Y 1 _
(. 3 P Cflf n Of ScUl
a
r. •PWM;m Gr¢x,ca SAmtl f-Ir q f r u:s f y f '::'�41 " r TO SCALE:} •• .m S PAWN BAR i SI AAI.L NMN1•.'N$#WIVMWWM ORaUME
Rene / 1 f. +,.:n V ^..0 R v.nv I'nln rf "Yrrar. rIjl hr th 975 992.2' 1322' A M.l,C}P$MMcMIgT ANO CKPN'NTYAF4d AAFKM.4 514Atq b1AWS A 1'R AWi"XN;rJ'u;VgN'L1L.
xe "
O
rurP r' e, P _
dad a ml LOT COVERAGE CALCULATION_ f'RM wm+a _ 50_..... s06' ITITIT_ 502' NDx aurd;cr nW Aaw a TB r cpvrmA NEn 6 au€ M PGRY MR s Aaa
R f
See PrtH'kmn++E C,mrvaw
DaYUAI MiOv.ConerePr atrenglh pf 3000 P51 5 RWWAYP'P'PtPPA 1YNG 5'TTE IS W RNp A{kAt9P&'rePCr RC'WCb'WA�
r,� .,CbadwN Layar 2 t F,�rrr p,n(ucrp ,.vmry"s�luy ,r, r ,�x,.>mrs M�'., 7ota1 lot AreaU 300.E of =6,47 ac. .... �. 6 PLdNC BN��7M{MiktlCW'6Po4'kS XtpOgifiF:NJN'kC MN rrflAK'-C "
( 1 Ourr"S 71NI F 58va
_ .. wTADu w�a�nrua¢aG
S.xrrpm 9 x4® 5, aRBM7«L6 WcrraP TYrc
4' kfiry „y II 1 f V.p f* f:; Y , 1 / P P a Ares ido vrnrez 3'h 49.1 3'T 7 AU.BVSGvRNFA7 PTIGTi If pM E C:dk PI.AMTEO WRFI NATIVE VFGETA O
.SaV,I. n P d V r'I,y O 11 y A.,.. 59p4 ..P. U IP N V f d
✓ h rr' a r:..W u P��mp' "u y f Ana vo-�l huM r a.l r RammeW¢A Stn'rw6 Area k7969-6 P.s f Rnor 1.rd ........ FOR 5L4ti1 O'NGn4Wx IOL C Ian.
f
",.A..... ..vrs �s
-ap UtlP F"In:nlar,I,r"nq P W Yp A 6S .�.� ������ m.�
tl iRldr, r'slU/t} 1Y%4d5SGMC7MlT 961HA74UmP(Srr PNckaL4'"F Ad'M3 UAiTC.M1'K;IiG#'p'FItgM AGC'.EYaRA .
a n011.BR'@5W7rd r'GnW1Rpw..WEh"4YIR55 TB RCUMM RaP A vOCA:hop C56' YiAN
I l;r Fr>atenearAroundF lire SI..pa Area +s iPop.5r¢�f. _rg aO .....m 115J ....... 03 .. w 0 C37AD;JSH�D
E;�P 7 "v 1 V V 1 Y\ I .. r- ...., .,. ^ T1;1.Y
e,l _._..,. ........_
rn vrro y ,,I 95'1R a Mt CxN'15uTPpk aMp:W GvNkgFR O+CrW'I'TYf,w MGAS'4RbEh„H11+fR 5�MUfWRW g7ev Y'fRS
,„ r,m.Y r. ° (. r:l I P¢r;mel¢r With Two SPokaa r�mmus.. ,v Fl w§v'Id nr FIe't lrV ,^ 35 l en.2 2 ," WW+rPnldwf,®Re'NC'CdMfr1?MA"K'�E.'MrlTiry
R � RANN TAIL W P e« lox N 9962OF
"57% A4y bC P5 R£S,NN+.DI EN TY&WILCFGS EMUAdNC,E GtJ4uSsm"
P,IQI r '::I 60 i",f' -^vl r »r �N�aelll: ly :.r,,r els vrn°,''r r. rvk ' ��!.A..4. I.e.,Cover q 4Y,1 @MW IX'I GF, 19.5Ya IT." P y ...... .......,.,. 5"69 P CW CMA'WKN7"JTfl:pfW;M6"IP'd&Mf'�O '%5'IIAi&,91M1MBdIVk MM`I'Y
'.m. "e. su,rl rr.9'rnr� a ✓,7 vrri.. r.
KR
I 2G3-stY ............._ IGHS MR BRVIIOPN ANO SEV CMn CONTROL
Tw.u.•.Sr �klbtl�"W, p:C -- ,6 S9 Ft N b¢ of St X k dD FIbPA,iUAG:A TNTtlHMC PFWf,:4,RY+P6,rGA @NSGCARFllMJCB`'ly':nT,ARRG SOFT.
( 2.12 R rgc was I...W--, T(51VF.:IL:R valence Y7 Y'a8 R nG••••••9 SumrY k. I"..,..�" 01 T vV 4�'{M"Ul0'ELICCRI%11LF OsTY DATA L1p2WMW Yr41'1C4A"d RR'NCY7%7�:'k 8Td NORTNCOAST CNIL
•:M Frm � .....,
f f Y I P I n f b y )) .� 111
LMI
1 ¢
aaa
Y r a.. e.. .�..............:..............
IZ
EXISTING S �
cream On Purmduay• '..ceWaa ur Amv rlr Ir I a r <,r rl°I ,one al,Iw.,,l fr mrrl r w ,m,: Yn uun PIurI r n±a..... 1 W.,:- '.......PROPOSED CONTOUR
INN E t:u6 DATE r� �C'T PN!^'�YN.FA,wlalyh PROJEC[
a
DRd
In-' „" EXISTING SPOT ELEVATION. ,.' SITE PLAN
t'<,'PVC Bas a ME.6FY
Y.
pep9n as N¢a m 6 ar xru pr Ir x r rrl r r.r.,��: Ctli1;�Exr. L' Of' r'R(:14eE:ht1'Y
' ,,al I PROFOSF.C7 SPOT ELEVATION: qkd f�,� :O'C
r, ,
W' '..:.:...°.-•. "'.. LIMITS OF DISTURBANCE SC`.At.9
I R' mr LF P r 7n.,n n„-x, ,I, o'rot w•a"rrr�'vm`mrw Iww (}47 ACRES
Irr F=Ili, j n 1. ";E. I I ,,:: .I I} PLAN SILT' FENCE u'n-.mm n,"r ter'prrr nl r CA. 20,330,6 '� � _ _
AREA:
YAM—MAIN—MALL
� p �. TREES TO BE PROTECTED SHOWN AS: SO I T" luuarr rr. MATI..irllcu, Ivr
E
!.�?!�. ...�,.�. � , I ,� ,. :„•.+;..'� CA,rr'tleµ: >IsaPl_ Nnv(N�C1A �nw Ikl:'>r Idur, sr'rt:. Yap wYl_I<, B I[tu Ya
TREES TO F3F. REMOVED SHOWN AS: f3
gun a ROIfNrrWAtt,ra ENG[ruNlrR€u f NUMBER OE TREES TO BE REMIOVEU': O
". 'N hcoas
GRAPIIIC SCALE
�........ .... .mm......... .�
391Nf1 r"Y'P1PkCIV r'RFw.7'
;;FFF, 1 CSYS'rErE ENA'P,19Y 11771