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Home My WebLink About52530-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#: 52530 Date: 12/10/2025 Permission is hereby granted to: Sarah C Tremaine 5026 Jones Mill Rd Crozet,VA 22932 To: Construct a new modular single-family dwelling to include screened porch, HVAC system and outdoor shower as applied for per Trustees and SCHD approvals. Premises Located at: TBD, Fishers Island, NY 06390 SCTM# 10.-5-12.26 Pursuant to application dated 09/30/2025 and approved by the Building Inspector. To expire on 12/10/2027. Contractors: Required Inspections: Fees:. Single Family Dwelling-NEW MODULAR $2,248.00 CO Single Family Dwelling-New $100.00 Total $2,348.00 S.:yd cl-" �� . Building Inspector t� TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldto nn . a�v Date Received APPLICATION FOR BUILDING PERMIT f For Office Use Only , PERMIT NO. Building Inspecton nIt ,:v�, '1 V � Date:8127/24 in I Name: Sarah Tremaine SCTM# 10100-010-5-12.26 Project Address: Lot 6 Brickyard Road, Fishers Island, NY Phone#:434-242-0113 Email: sctremairae@ gmall.com Mailing Address:5026 Jones Mill Road Crozet, VA 22932 O Jrr(f, / 0/11 f//��r� �ii;../„✓ /,,�,r;,,; /r d. 1, i �,,.u. . . CIA � 1 !Gi Name: Scott Anderson Mailing Address: P.O. Box 338, East Lyme CT 06333 Phone#: 401-556-5484 Email sanderson@ctvalleyhomes.com Name: Mailing Address: Phone#: Email: Name: Mailing Address: P.O. Box 338, East Lyme CT 06333 Phone#: 860-739-6913 Email sanderson@ctvalleyhomes com RNew Structure ❑Addition ❑Alteration ❑Repair ❑Demolitio a � n Estimated Cost of Project: ❑Other $ 00 Wil I the lot be re-graded? WYes ONo Will excess fill be removed from premises? ❑Yes INo 1 PROPERTY INFORMATION Existinguse of pro ert :Vacant Land Intended use of property:Single-Family Dwelling P v Y 9 Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-120 this property?Perty. ❑Yes ®No IF YES,PROVIDE A COPY. 5 kk Box After Readhi The'owner/c6nUvoor/design profesalnnal is responsiblaa forall dralnale and stoma water issues as provided by chapter 6 of tine Tom Code,APf'LI ATION I HEREBY"MAbE�to theBuIlding Depertrnaw)t for the Issuance of a Building Permit trk to the Building zone norkil"16e of theTown of Southold,Suffoik,'�ounty,NGewaw York and other applicable Laws,ordinances or Regaala`tio ,frorthe construction,of 6,611din9s, additions,aiiitaratioas or.fur reartra"or dea oiitlorw at iue eln d sw af6>:ci.Tha applicxant ag`reps to r�plyvAth all applicable laws,ordinafam,building code, punls bWas a ICNe and�A rnisderneaasor piiiations and to �uaont to�tiorwInspectors on Premisesand in bulloin s)for necessary Ins e �"3�9.45 of"flue hlewwr' gl �" p ctiowas.Fal se statertaents m a Application Submitted By(print name):Scott Anderson BAuthorized Agent ❑Owner Signature of Applicant: Date: .hoc e'_Wart STATE OF Niel, T RK) SS: COUNTY OF IC i ) 5�0 (;111�2XSCN1 being duly sworn,deposes and says that(s)he is the applicant (Nana'of individ I s Vining 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/h know d aai i (i f;and that the work will be performed in the manner set forth in the application file there it Sworn before me this ®� y day of &- M bq ZB C1 OOil e PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) Sarah Tremaine residing at 5026 Jones Mill Road Crozet, VA 22932 do hereby authorize Scott Anderson to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Sarah Tremaine Print Owner's Name y 2 - � 15 Albert J. Krupski, Jr. °' � sTCORMWA-T]ER SUPERVISOR MANAGEMENT SOUTHOLD TOWN HALL-P.O.Box 1179 130 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM t ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT i� ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) a I I APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) r; e NAME: C Date: v Z r 4nn Contact Informat IL-Mad 3 I elephnne Numhei) 13 well J — S Property Address / Location of Construction Site: District Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT - - - - - - - - - - - - — - - - - Area of Disturbance is less than 1 Acre, No SRD-E.S. Permit is R u'red ! - Project does Not Discharge to Waters of the State No S.P.D.E.S. Permit is Required! Area of Disturbance is Greater than I Acre &Storm-water Runoff Discharges,Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S- Pei D.E.C. Prior to issuance of a Buildin. Permit- 'rrIt DIRECTLY From N. .S-- Area of Disturbance is Greater than L Acre& Storm-water Runoff Flows ThrouQ,h Southold Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E-S- Permit through the Southold Town En ineerin De artment Prior to lssuance of a Burldin Permit. .'' Reviewed By: Date: Fr1RM * C1\/1(-P-Tr)C(Vrn1--9MC) R e- k / 0 n i+umuuo�,xa,rz.PE�e } lie-gn�rctess.dna's :eftit-ct- €pu:€ed. • S--dr- .'- c T.A.Ce -.c-tion ro r [ Tne nsta:lat o n and Constimction of the Sewage D.sposa.sys em Kw�o6ew 6DFx-:e I du�mramu �j - ' v=_e,c:..m WWl. is � 1 1 ATE SEEATTACHMENT(S) a#�t w�inn x a m Ixr7 �;� _ SM.W TRFNNNE rW�n[ Ne NT 6 e♦M � » K 44,LOT 6 x INE,-m m _ BRICKYARD fl0.1D W11Ff Fl6HFF5 bLWD,NY u xaN x xcR?$:E?.% t 3tlEi w'r#t=�e a � 'r>r¢enort w ems -�w owam.PNe¢A x xxe tuaetw. /mze /sF x ea Vi REau ® 19�PImPmEv Im ux[ouvcx PxnNev mx xx.n6 c 6znxn x. fzl e.x e•o®oxr rn. xm �� 6 rsuvo avDwvaxrr m.w¢E v mxw a ovxr6 v ex¢6 �OOiimwC�xuc m�mar"av°w'w°uwv r.°iw�m e°ex� suers F�I -- �1wm6�ei.eu¢ or ime uw rwi6w.uiauao 6�w.ra� f Tt a p r ��Nrr a[v�aax a ixc u2 eamo nE wwasm.etFnn m Ste{ % ' -_ t aza w�irtv x°up1ir wi unxr via�Mm_I Ywnes a ms wxn xwav xim xrsxmm °1eassm ox xx sva N¢zxs cxoouc'r a uwx arMrm's w$. aro ananc _ -^"•,r' t j ,IMEW e x -..� 2irR j eau xm+vr([ JI I/ £ {` SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES I a PERMIT FOR APPROVAL OF CONSTRUCTION FOR A SINGLE FAMILY RESIDENCE ONLY i - SITE PLAN \\ It DATE 1/1 012 0 24 fj-S-REF,NO, R-23-1730 APPROVED FOR MAXIMUM OF fi 8 BEDROOMS a EXPIRSTHREE YEARS FROM DATE OFAPPROVAL SHEET 1 II �f 'f�)1t'\ cil' ti�)l 'I'Ili)I,I) October 14, 2025 L d'j w. :° 6 JMO Environmental Consulting PO Box 447 OCT 2 7 2025 Quogue, NY 11959 RE: SARAH C. TREMAINE " BRICKYARD ROAD, FISHERS ISLAND SCTM 1000-10-5-12.26 Dear Mr. Just: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 16, 2025 regarding the above matter: WHEREAS. JMO Environmental Consulting on behalf of SARAH C. TREM'AINE applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 28, 2025, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 16, 2025, and again on July 16, 2025, at which time all interested persons were given an opportunity to be heard. and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application. and, WHEREAS. the proposal complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, a OW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVE the application of SARAH Cm TREMAINE to construct a 43'x20' (8 0sq ft ) two-starry, single-family dwelling with a 0'x20' screened-in parch, a 10'x43' deck with walkout below; install an I/A OWTS sanitary system; install gutters to leaders to drywells to contain roof runoff; install water and electric utilities; install a gravel driveway with parking area; construct three boulder retaining walls ( 5', 115' and 10' in length) and rerade site, and reveetate disturbed areas; with the condition to establish and perpetually maintain a non-turf buffer between the upper and lower retaining walls, and a non-disturbance buffer seaward of the lower retaining walla any boulders on property to remain in location unless roved to construct dwelling footprint® all as depicted on the site plan prepared by CH& received on October 10, 2025, and stamped approved on October 14, 2025. Permit to construct and complete project will expire three years from the date the perinA is signed. Fees must be paid if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: 0 00 Very truly yours, Glenn Goldsmith President, Board of Trustees BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW 1 ORK PERMIT NO. 10849 DATE: JI'LY 16, 2025 ISSUED TO: SARAN I THE MAINE PROPERTY ADDRESS: BRICKYARD ROAD, FISIIERS ISLAND SCTM# 1000-10-5-12.26 AUTHORIZATION Pursuant to the prm isions of Chapter 275 of the T mii Code of the hmll of Southold and in accordance%kith the Resolution of the Board of Trustees adapted at the meeting held on JulN_IG 20?5, and in consideration ol'application tee in the suit of I„ 30 00 paid by Sarah C' .1'requaiov and subject to the'I erns and Conditions as stated in the Resolution,tale so wthol(i I,o%+n 1 oord of frusta ve ,�tttthoriies and permits the Iollo%�fn_: ®i etland Permit to construct a 43'x20' (860sy.ft.) two-story, single-family dwelling with a 20'z20' screened-in porch, a 10'x43' deck with "i-alkout below; install an I/A OWTS sanitary system; install gutters to leaders to drywells to contain roof runoff; install eater and electric utilities; install a gravel driveway with parking area; construct three boulder retaining walls(25', 115' and 140' in length) and regrade site; and revegetate disturbed areas; %%ith the condition to establish and perpetually maintain a non-turf buffer between the upper and lower retaining walls, and a non-disturbance buffer seaes and of the lower retaining wall; any boulders on property to remain in location unless moved to construct divelling footprint; all as depicted on the site plan prepared by CI-IA, received on October 10,2025, and stamped approved on October 14, 2025. IN %N I I NESS \k HEREOF,, the said Board of Trustees herebN causes its Corporate Seal to be affixed, and these presents to he subscribed bv a nuijorit% of the said Board as ol'the dad and ear w 6tten abo\e H e �y rQ k w New York State Department of Environmental Conservation Divislon of Environmental Permits, Region 1 •SUNY @ Stony Brook 50 Circle Road, Stony Brook, NY 11790-3409 Phone: (631)444-0365 • Fax: (631)444-0360 Website: ,dec.ny.aov LETTER OF NO JURISDICTION February 22, 2017 James & Diane Baker � i.�� &N. 52 Armand Road Ridgefield, CT 06877 -- - Re: ---. NYSDEC-ID-#1=4738=04520/00001. _,. _... Brickyard Road Fishers Island, NY 06390 SCTM# 1000-10-5-12.26 Dear Mr. & Mrs. Baker: Based on the information you submitted, the Department of Environmental Conservation has determined that the area shown landward of the"TOP OF BANK"as shown on the survey by CME Associates Engineering, Land Surveying &Architecture, PLLC, as last revised 02/14/17, is beyond Tidal Wetlands Act(Article 25)jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no NYSDEC Tidal wetland permit is required for project activity proposed landward of the"TOP OF BANK". Be advised, 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 precautions are taken to prevent any sedimentation or disturbance within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the jurisdictional boundary and your project(i.e. a 15'wide construction area)or erecting a temporary,fence, barrier, or hale bay berm. This letter shall remain valid unless site conditions change. Please note that this letter does not relieve yo f the respons' `Iftyobtaining a . cessary permits or approvals from other agencies or local im icipalities. nce e y o roc" ae and Deputy Permit Administrator cc: JMO Environmental Consulting NYSDEC Bureau of Marine Habitat Protection File