HomeMy WebLinkAbout52614-Z r
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
M
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT OWN THE PREMISES
WITH ONE SET CIF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52614 Date: 01/20/2026
Permission is hereby granted to:
2707 W 16th St LL+C
511 Surf Ave
Brooklyn, NY 11224
To:
construct a new single-family dwelling as applied for per SCHD approval0
Premises Located at:
795 Wildberry Ln, Southold, NY 11971 -
SCTM# 51.-3-12.12
Pursuant to application dated 10/23/2025 and approved by the Building Inspector.,
To expire on 01/20/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling-NEW $4,413.63
CO-RESIDENTIAL $100.00
Total S4,513.63
,I
Building Inspector
TOWN OF SOUTHOLD --BUILDING DEPARTMENT
T o vvn Hall Annex 54375 Main Road P. o. Box 1179 Southold,NY 11971-0959
Telephone (631 765 1 02 Fax (631) 765 950 .1,10y,
2 Ott utbol to �,
Z95
....................
. ..............
Date Received
APPLICATION FOR BUILDING PERMIT
moFW,
Ilk,
For Office Use Only ellC -0
n �
2051 ;"
PERMIT No. 'wilding inspectors
-----------------
. � 1 TI
r d out In thelrer�t�ret « Incomplete
Y ��� �
lolt
Applications and forms must be fills Y p � ���
applications Will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)O P P .,TY
ecf, SCTM # 1000— 1.C- �-c ► �-Q0 ea,IN a m
Project Address:
Phone Email
Nsl
Mailing Address: CIL4 _ .
CONTACT
T PERSON:
i Name
Mailing Address: E)l C)o
' 1 "
Phone#: ` , -- — E rn aI � d
A ` `
C
DESIGN PROFESSIONAL INFORMATION:
Name: IN otr\
Mailing Address: '
Phone#: 1 4-} E ma i I: c c3r►` zo cloyyr►
CONTRACTOR INFORMATION:
Name:
Mailing Address.
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
XNewStructure ❑Addition C]Alteration ❑Repair ❑Dernoii Estimated Cost of Project:
tion
loo o-,
other,
Will the !at be re-graded?
_ Yes No Will excess fill be removed from premises? Yes El No
? 'C]
PROPERTY INFORMATION
m
Existinguse ofproperty: Intended use of property: c,�,
C C.�Y►
ere an covenants and restrictions with respect
- are there - p ct to
Zone or use district in which premises Is situated: Y
this property? Uq
'Yes ❑No IF YES, PROVIDE A COPY.
Check Roc After Reading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by
Chapter ter 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
h
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 rode,
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.
i
. ,� VlAutha�rized Agent El Owner
Application Submitted�� y(print nanne�. � ��c�
Signature of A licant: Oate����
STATE OF NEW'YO R K}
SS:
COUNTY OF
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
S he s the �rcvoi �
(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
e,- �.y of
Notary Ou.blic
DREW G.SCOPELITIS.
Notwy pubkc,Slate of New York
No.OISC6409893
in,14assau coumly PROPERTY OWNER AUTHORIZAT 10N
Cornoossion i (Where the applicant is not the owner)
l residing at
u
to apply on
...................................
do herebyauthorize
my
behalf to the out old Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
r R' ' k
TIM
0
"I
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I
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fliance Cert"Ificate
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Project Information
Project Title: 795 Wildberry Lane
Energy Code: 2018 IECC
Location: Southold,New York
Construction Type: Single Family
Project Type: New Construction
Project Sub Type: None
Conditioned Floor Area: 5664 ft2
Glazing Area: 20%
Climate Zone: 4a(5572 HDD)
Project No: 1754325
All Electric: false
Is Renewable: false
Has Battery: false
Has Charger: false
Has Heat Pump false
Construction Site: Owner/Agent: Designer/Contractor:
795 Wildberry Lane Michael Michaeli Vincent Albert Architect,PLLC
Southold,NY 11971 516-765-3734
Vincent@VMAarchitect.com
Project Notes:
Report Title: 795 Wildberry Lane Report Date: 9/15/25, 11:32 AM 1 of 11
Envelope Assemblies
'_�!Wmwww
Prop. Req.
Assembly Gross Area or Cavity Cont. U_ U_ Prop, Req,
Perimeter R-Value R-Value Factor/ Factor/ UA UA
F-Factor F-Factor
Ceiling:Cathedral Ceiling 2560 30.0 0.0 0.034 0.026 87 67
Wall:Wood Frame,16"o.c. 3667 21.0 0.0 0.057 0.060 172 181
Window:Vinyl Frame 496 0.300 0.320 149 159
SHGC:0.3
Door 1:Solid Door(under 42 0.140 0.320 6 13
50%glazing)
Door:Glass Door(over 114 0.300 0.320 34 36
50%glazing)
SHGC:0.3
Basement Wall:Solid 1717 13.0 0.0 0.055 0.059 88 94
Concrete or Masonry
Wall height:8.50
Insulation depth:8.50'
Insulation position:
Integral Insulation
Window:Vinyl Frame 102 0.300 0.320 31 33
SHGC.-0.3
Door:Glass Door(over 21 0.300 0.320 6 7
50%glazing)
SHGC:0.3
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.It DOES
NOT provide an estimate of energy use or cost relative to a minimum-code home.
Slab-ori-grade,tradeoffs are no loriger considered in the UA or,pefforrnai,-)ce COYTIPliance pati i iv-i I�IEScl ieck.Each slab-ol 1-91-.ae
assembly in the specified climate one MU-st rnieet the minir'nurn enerq y code inRdation Rvalue and dear tl'i requirenlents.
Compliance Statement
The proposed building des,ig n described here is consistent wlth the building plans,specifications,and other calculations
submitted with the permit application.The proposed building has been designed to meet the 2018 IECC requirements in
REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Mat,thew Lamy-HERS,Rater' 9/15/25
Name -Title Signature Date
Report Title: 795 Wildberry Lane Report Date: 9/15/25, 11:32 AM 2 of 11
0 Inspection,
Checklist
011111INI /',
Energy Code:2018 IECC
Requirements:100%were addressed directly in the REScheck software
Text in the"Comments/Assumptions"column is provided by the user in the REScheck Requirements screen.For each
requirement,the user certifies that a code requirement will be met and how that is documented,or that an exception is being
claimed.Where compliance is itemized in a separate table,a reference to that table is provided.
Pre-Inspection/Plan
Sect-ion Plans
iei df
Vertff6d Verified
comm�rts'Aunptionsfteq.I Pre4n! pe�on/Plen Review Value dal Complies?
m
103.1, Construction drawings,and �Complies
103.2 i'dcretawtio derr� nt
,s�rat r
[PR1]1 ener y code,compliance for the
0mply
Does Not
blld n e
envelo .Thermal
J envelope represented on @Not
const�ru° ti�on�documeant;s. servable
Not
P►pplicable
103.1, Constrution drawings,0nd Complies
103.2, documentation dernonstr t° Does Not
403.7 endr y coda co pliance f r
omply
[PR3], light o and mechanical
systems Sy"
q
terns serving Not
multiple d elfin` units rues: Rservable
derno�trate c°online with
(the ICC Con�ercial Provisions. Not
plicable 1
302. ea tin a. ql g eati�ngw 0 Complies
a and ooli'Inualp,
a uim�ent �II°eatin
403.E is super ACCAbtu/h,r Btu/hr
Does Not
n�loads c�alculated�peir
` 2 based o � ( Pomply
ACCA Manual or other,methods
approved by t e code official. Cooling Cooling: Not
8'tu/hr 8tu/nr Rservable
Not
pplicable
Additional Comments/Assumptions:
f
1 Hi h Impact[Tier 1) 2 pact(Tier 2) L 'J�Low Irn act(Ter 3)
Medium Impact p
Report Title: 795 Wildberry Lane Report Date: 9/15/25, 11:32 AM 3 of 11
Foundation Inspection
Section Plans Field I
Ver'ified VeHfie4", I Co
mplies'? Comments/Assumptions
Pouridaktion loodiction Value Value
................
10 Complies
301,21-1 A protectivervrmWJ covering is
fF011)" jnl�tlallad to,protect&i osed
exterilorinsulation anTextends Dues Not
a minimum of 6 In.below grade, Pomply
RNot
ervable
Not
p
plicable
J
4,03.9 Snow-and ice-melting system Jil Complies
2,III rbi, ',2, controls installed. Does Not
Poomply
@Not
servable
PNot
pplicable
402.1.1 Conditioned basement wall Complies See the Envelope
[F0411 insulation R-value.Where Rol= Does Not Assembfies table for
interior insulation is used, R= R,= Pmply values
verifica tion rn�ay need occur
dur I ing Insolation lbspection,Not Not
required In warm-humid @servable
locations in Climate,zone,3., P Not
pplicable
303.2 Conditioned basement wall Complies
[F0511 insulation Installed per Does Not
I manufatturer's instructions.
mply
PNot
servable
Not
p
plicable
..............................................
'402.2.9 Conditioned basement wall Complies See the Envetope
[F0611 insulation depth of'burial or Does Not Assemblies table,for
distance frown tbp of wall
values
Pomply
@Not
servable
PNot
pplicable
Additional Comments/Assumptions:
HI=hlm act(Tier 1) 2, Medium Impact(Tier 2) 3" Low Impact(Tier 3)
Report Title: 795 Wildberry Lane Report Date: 9/15/25, 11:32 AM 4 of 11
Framing / Rough-In Inspection
sleCOOO Plans, 'Field, I
# Framing/Rou,gh4n Veltified Verified
Ins,pectiOrli 'Value valoe I Corn"Plie's? Cori me,nts/Assurnpfl,ons
Re43D
402.1-1, Door U-factor, U,= f— 0 Complies See the
U pe
402.3.4 Does Not Assembles table,for
[FR1]1 pomply values
❑Not
mervable
PNot
pplicable
402.1.1 Glazing U-factor(area-weighted Complies See the Envelope,,
U11 Assembliestable for
402.3.1,' average). Does Not values
402.3.3p
402.5 Pomply
[FR2]1 Not
observable
PNot
pplicable
402.4.1.1 Air barrier and thermal barrier 0 Complies
[FR23]1 installed per manufacturer's Does Not
P
instructions,. 0
omply
6Not
servable
Not
P
plicable
402.4.3 Fenestration that is not site built Complies
0
[FR20]1 is listed and labeled as meeting Does Not
AAMA JWDMA/CSA Comply
101,11.S.2/A440,or has,infiltration
rates per"NFRC 400 that do not
J Not
exceed codejlmits. servable
❑Not
Applicable
0 Complies
'4Q.43, AC-rated recessed lighting
fixtures sealed at Doesl Not
housiny/interior finish and
PO m
labele to indicate:!!r.2.0 cfm p y
leakage at 75 Pa. 9 Not
servable
Not
P
plicable
403.3.1 Sup, and return ducts in attics Complies ego
Ducts,located
Col, :etely insWe the
insNlall�Ld>=R-8 where duct is r'e,i
[FR1211 Does Not
d bull ing envelope.
>=3 inches In diameter and Pomply
>,=R4 where<3 inches.
Supply and return ducts in other Not
ll
rtions of the build'in
ervable
1 rnsulalted>=R-6 for dy''ameter
�n
3 inches and R-4.2 for<3 Not
Xpplicable
inches in diameter.
403.3.2 ucts,air handlers and filter Complies
[FR13]1 boxes are sealed with Does Not
Iofnts)'seams eon
nternatio anI Pcal Code mply
ia Not
Code,as applicable
servable
PD
or International Resident, I
.
PNot
pplicable
�� Complies
403.15 Building cavities are not used as
ducts or plenums.
(FRISI), Does Not
PO Mply
'gNot
servable
❑Not
p
plicable
Report Title: 795 Wildberry Lane Report Date: 9/15/25, 11:32 AM 5 of 11
MKHJ9JJWWWVXYmemu twwwn�NFaY+•�emm,,. -m�ivmmmrranvW}!YfANYPNSYWMMh NmMWV^ mmmmmriGrmnnmemmsrm4vrs'WNw�w mnmo�irAM?�""+w "�d'N�'�wrmaumwuwwwuo ....... _
iw�m�mmMXlrvmm ,.
Section, Plans
Fed
.p �i �� IR ''Verified Verified
' 1� lnspectiow value va(uue Complies? �Coniumuuent's/Assunip�tions
4,03.4 HIAC pipink conveying fluits Complies
above 105-F or chilled fluids
FR7u�
below 55$F are insulated to>R-
Does Not
3. Pomply
Q Not
aservable
Not
ipplicable
403.4.1 Protection of insulation on H'VAC �E)Complies
[FR24]1 piping. Does Not
omply l
Not
+C�bservable
Not
plicable
.53 Hot water pipes are insulated to 10 Complies
R= R=11
1 >R- .
Does Not
P
m ply
Not
Observable
oNot
pplicable
, yn mmm .wwww�srv,
16 Automatic or gravity dampers Complies
are installed on all outdoor air f goes Not
intakes and exhausts.
omply
Not
servable
PNot
pplicable
0Complies
303.1.3 -factors of fenestration
� �
[FR4]1 products are defrmined in
P
Does Not
accordance with the NF C hest
procedure or taken from the mply
default table. Not
I
2servable
( Not
Np-plicable
Additional Comments/Assumptions:
i
1 Hi h Impact(Tier 1) �: Medium Im act Tier 2} Low Im act(Tier 3}
Report Title: 795 Wildberry Lane Report Date: 9/15/25, 11:32 AM 6 of 11
Insulation Inspection
.............
`Verified Veriffe;d,
Req
value C"omplies"? Comments/Asssumption.10 su nj I nsp,ecltlon' Value 'S
.............................. ..........
3,03. All installed insulation is labeled 0 Complies
(IN11,112 or the Installed R-values, Does Not
provided.
mply
Not
oservable
Not
p
plicable,
402.1.1. 1 Wall insulation R-value. his is Complies See the Envelope
402.2.5, a mass wall with at least of Does Not Assembliestable,for
402.2.6 the wall insulation on the wall Wood 0 Wood Pomply values
[IN311 exterior,the exterior insulationrequirement applies(FRIO). C3Mass 0 MassNot
0 Steel 0 Steel
Observable
PNvt
plicable
............
303.2 Wall insulation is jnstalled per [)Complies
[IN4]1 manufacturer's instructions. Does Not
0
mply
Not
I servable
Not
Pplicable
...........................
Additional Comments/Assumptions:
1 HiMedium pact(Tier 2) Low I'm, 3)
ah Impact Mier 1 3 pact(T,ier
Impact
Report Title: 795 Wildberry Lane Report Date: 9/15/25, 11:32 AM 7 of 11
Final Inspection Provisions
Section Plans, Field
Verifted Verified
les?
I &ReqVID Final Inspection Provisions Value Value compli Comments/Assumptions
................
............ .............................................
402.1.1, Ceiling insulation R-value. Complies See the Envelope
40221: R= Rij Does Not Assemblies,table for
M values
402.2.2p 0 Wood 0 Wood mply
402.2.6 0 Steel 0 Steel
[Fill' Not
servable
Not
Applicable
303.1-1.1, ceiling Insulation installed per T 0 complies
303.2 manufacturer's instructions.
P Does Not
[F12]1 Blown insulation marked every
300 omply
ft2.
Not
servable
Not
pplicable
Exception:Requirement
l
......... 0 Complies
,40.1'.2, �f Heat pump thermostat installed I
Is,not applicable..
Flloj,2��
on heat pumps.
Does Not
Pomply
PNot
)servable
Not
pp
licable
plicable
..............
E)Complies
403-5.1 Circulating service hot-water
6JO11114 systems'have automatic or
Does Not
accessible,manu M contrals.
Pomply
Not
servable
Not
p
plicable
............................
...........
403,.6.1 All mechanical ventilation j 0 Complies
systemfa�ns,n�ot part of'tested
and listed HVAC equippie Does Notnt,
Mmply
meet efflicai and air flow,limits
Per fable R4 3.&L Not
servable
PO
Not
p
plIcable
'7
0 Complies
4 012, Hot water,boilers supplyin g heat
one or,twa-pipe
P Does Not
het'a'I"n, sysIterns have outdoor 0
mply
se control to lower boiler
'water temperature based on Not
outdoor temp servable
t. P erature. PO
Not
pplicable
Heated water circulation 0 Complies
40-15.1.1,
[FI28, Yste ms have a circulation J Does Not
purnp.T'he systern,return pipe is
Pomply
a,dedicated"return pipe or a,
r supply pipe.,Gravity cold wate, Y J,, Not
and thermos-,syph,,on:circulation,
servable
spestems are not present. Not
,c 5,ontrof �fbr circulati ng hot
Water systernpumps start the pplicable
purnp,With sighal,for'hot water J
demand within the occupancy.,, I
Controts automatically,turn 0'ff!
the Purnp,when watei is in
circulation loop is atset-point
to per to and no demand for,
hot water exists.
10 Complies
Electric heat traces tems
COMP81 with WE V1 or UL Does Not
P
tornatically,
0
ontrols au amply
adjust the energy 1hputto the'
heat tracing tomaintain the Not
desired water temperature In servable
the piping.
Not
pplicable
...............
Report Title: 795 Wildberry Lane Report Date: 9/15/25, 11:32 AM 8 of 11
Sactlon' Pfans
'Verifte,4 Verified
#
Raq.)D Finaill Inspottion Pr*v1sJonS value V41tie Complies? I Comments/Assumptions
Wow"
2 recirculation water 1 0 Complies
Demand
103,01z, systenis have controls that Does Not
manage,operation of,the pumpi and limit the temperature of,the PO mply
Wator entering the cold water, R Not
piping to<=1040F. servable
PNot
P
plicable
IF
004r)water heat recovery units Complies
testedin,accordance with CSA P Does Not
855.1.Potable water-ride
R
ressure, loss of drain water mply
leat recovery units<3 psi for !Y Not
Individual units,connected to servable
one or two showers.Potable
water-side pressure loss of drain Not
p
water heat recovery units<2 plicable
psi for individual units
connected to three or more
showers.
404.1 90%or more of permanent 171 Complies
[F16]1 fixtures have high efficacy
lamps. P Does Not
0
mply
Not
servable
PNot
plicable
p
404.1.1 Fuel gas lighting systems have Complies
IF12313 no continuous pilot light.
PDoes Not
mply
Not
servable
PPNot
plicable
401 3: Compliance certificate posted. complies
F Il
Po Does Not
mply
Not
servable
Not p
plicable
3033 Manufacturer manuals for Complies
F tll 8'13 mechanical and water heating
systems have been provided. Does Not
1,Comply
A',
@Not
servable
--I Not
pplicable
0 Complies Excep Requirement
402.2.3, 1,,Vented attics with gair tion
wermeable Is,not applicable.
insulation include e Does Not
ad
jacent to soffit and eave
vents that extends over bees
insulation. QNot
servable
Not p
plicable
............. ..........
-4-02.i Attic access hatch and door R= R 1 -1 0 Complies
2:
[F13]1 insulation R-value of the Does Not
adjacent assembly. Pomply
QNot
servable
F1 Not
XPp
licable
Blower door test@ 50 Pa.<=5 ACH 50= CH 50 0 Complies
[F11711 ach in Climate Zones 1-2,and P Does Not
<=3 ach in Climate Zones 3-8.
mply
9Not
servable
PpNot
plicable
Report Title: 795 Wildberry Lane Report Date: 9/15/25, 11:32 AM 9 Of 11
.......... ........ ......
Section Plans Field
Verified Verified
&k6.11) Final inspection Provisions Value 'Wluft complies? Comments/Assumptions
Ducts are pressure,tested to Complies Exception:All ducts and
[F12711 determine air leakage with Does Not air handlers are located
either:Rough-in tes,LT'otall CfM/100 ft2 CfM/100 ft2 within conditioned space.
leakage measured with a Pomply
pressure differential of 01 inch
W.g.across the system inclu,�dlng, Not
Observable
the manufarturer's air handler
Not
enclosure If Installed at time of
test.Postconstructiori test,-,Total Opplicable
leakage measured,with a
pressure diffirential of 0.1 inch
W.g' .across the entire system I
including,the manlafactu,rer's air
handler erkich),swre,
403.3.4 Duct ytihtness test result of 0 Complies Exception:All ducts and
<= r across the, Does Not air handlers are located
[F14]1 4 n,1100 ft2 act 2 ❑P within conditioned space.
system or<=3 cfnV'100 ft'2' cfm/100 ft2 cfM/100 ft Ornply
M,thout air haandler@ 25 Pa,For,
rough-in'test' #
s verificat m ion ay, Not
need to occu'rd�uring Framing Rservable
Inspection. Not
Ppplicable
403.3.2.1 Aire handler leakage desiqnated CD Complies
[F12411 by manufacturer at<=2'11%of
design air flow. P Does Not
amply
Not
servable
Not
p
plicable
WOM
403.1A.; ProgramMabte thermostats Complies
tF19,12" Instalted for control of primary
Does Not
heating and cooling systems i
Pomply
and initially,�set,JJy,manufacturer
to cod'e specificalflons. Not
Poservable
PNot
p
plicable
Additional Comments/Assumptions:
...........
I HI Medium Imp,ct(Tier 2) Low Impact(Tier�3))
_LN Lh Ym pact(Tier 1) .............13
=2
Report Title: 795 WildberTy Lane Report Date: 9/15/25, 11:32 AM 10 of 11
2018 IECC Energy
E fficiency
0 lflcate Certl
MIMENIMMEEMMEMM,
Above-Grade Wall 21.00
Below-Grade Wall 13.00
Floor 0.00
Ceiling/Roof 30.00
Ductwork(unconditioned spaces):
Window 0.30 0.30
Door 0.30 0.30
Skylight 0.00
1:0111
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments:
Report Title: 795 Wildberry Lane Report Date: 9/15/25, 11:32 AM 11 of 11
TYPICAL LEACHING POOL
26' GRACE SINGLE LINE DIAGRAM
2OA
TREATMENT
"ARN,Z MAX MAIN CONTROL UNIT
q0
CONCRETE
COVER 4'MAX
-NE
WILDOFRRY LA
CONCRETE
its". -UMNEY
BELL. Of
Z rj
i2�� - 0
U- N —
Q
R-
PROPOSED 8'DIA X 6'- QL AV4
INLETMIN 4DIA.
DEEP EXPANSION POOL
APPROVED PIPE-
(CITY 2)
HOUSE
PROPOSED 8'DIA X 6 Lp
DEEP LEACHING POOL
EP I ❑0 ------- Kr
(QTY 3)
EJ
HOLE ourLFTEL-24.7-9 USTAIREU-IONBOX
INLET EL-24 96
BOX
TEST LPINLET�
PROPCS-Zv-v- Ep I MAX 25' EL-24,63 -4;
IAO CHIMNEY -30.00
GMIN ELAT HOUSE-260D
Our-cTEL-:60
PROF-GOSEG
PiRVIOUS UP TOP 0-
A/I COVER EL-25,13 fl-A
PARK-ING AREA ftv fflC"GF2iS`PERFO0T
(2W PER FOOT MINIMUM REQUIRED)
27_ v I-P. ELE N-2555
ELEV 25.0
PROPOSED I A VATS BOTTOM EL-19,93 EL-19-OWD'u,OSEDF, W,-,L I"'- \ =4 " LP BOTTOM FOOT{IIT PERK MINMAN,W-OLARIA
WAGE IS- 4 nNOF'IT PER
BREEZEWAY
EL-'PROPOSED HYDRO-ACTION .0,63, cl,
52&00 SF7 80,00 SF
to
AN600 I/A TANK 0- SLAI 2&0 PROPOSED F4,
PROPOSED CONTROL PAN 0
P PANEL EXCAVA !ON INSPEC-10N MEQUIRED -
COV,PORCH ------------
A OQ 7.50 1,�% u
AND VENT LOCATION 106.53 SF HIGHEST EXPECTED GROUNDWATER EL,14,00
uj ILI
THE FOUNDATION TOA POINT AMIN
k- THERE SHALL BEA LENGTH Of CAST-IRON SEWER LINE EXTENDING THROUGH
ELECTRICAL3 MIN OF TWO FEET BEYOND THE FOUNDATION WALL
PROPOSED TRENCH FOR FOR SAN!TIARY SYSTEM
CONDUIT p,
3S t 11aOULAR
w
'58 LOT 5 LEACHING
Cp
PROPOSED CLEANOUT ft 13,88 '692 1 ELEVATIONS ARE BASED ON MVD88
VACANT I
DY HEALTHDIEPARTMEN.
A T EXTERIOR SECTIONS PROPOSED INVERTS
SCALE:NT.S
8*DIA
AND ELEVATIONS
2 STORY DWELLING
PROPOSED [71
A-%NN
6 BEDROOM
PROPOSED
LOT 7 2,309,41 SF PROPOSED
VACANT FF EL-30,0 3 MIN.DRY WELL 8'DIA
BF EL-19.0
DRY WELL DeSign Professiona-s Certfication Required,
0 fly
RIDGE-59.47 9 MEN.PENETRATION THAI I-C-IM
TROUGH !v!Uk-sl--IV!
15.67 tIA Wst
16.04 --2Fcl --4%' Submit P.E.or R,A
'14�el - .Certilfic-a-tion For INTO A VIRGIN STRATA
OF SAND AND GRAVEL III MOTS Or T�ls O.-L,
30-49 pose stem
HIGH SE450W GROLAKMA-mq
RAVEL/
tal The lns£a on an Construct"on o-Ille Sewage Dis \7BACK FILL MATERIAL TO BE CLEAN SAND AND G
POSED
Use--orm WWWO-173
CO PROPO ED
i VERED PORCH LEACHING POOL
487-36 SF
SCALE V-a'
r
VA`NWT
HYru-%Ru'-`ACTlnN 0 S
TEST HOLE DATA '7VI C E Sq
f PROPOSED MCDONALD GEOSERVICES SUFFOLK COUNTI Y D EPART MENT OF HEALTH SER
I HI
24 KW STANDBY z
Sr r
NAME:795 WILDBERRY
GENERATOR BY
YGENERAC' LOCATION:SOUTHOLD
PERMIT FORAPPROVAL OF CONSTRUCUON FOR A
TAX MAR NO:100Ml-3-1212
Z Ow ow PROJECT DESCRIPTION:LOT gi SINGLE FAMm f RESIDENCE ONLY
DATE.7118125
-EL270 R-25-1664
10/19/2025 N fl
ALE BROWN SILTY SAND SM
7 P DATE
L-167.55 BROWN FINE TO COARSE
' 9
APPROVED
0#acwfr-n-rutcE 0.1's BAND SW
B* F0R Vlkx l -llN0lj 6 BEDROOMS
/AGRICULTURAL RESERVE INll -
LIGHT BROWN FINE SAND SP
'
YEARS P", DATE OF APPID IJAL
LAND N/F OF 13 FAPIRES CIM
TRIBERRY FIELDS LLC BROWN CLAYEY SAND SO
(RES W/PUBLIC WATER) 14'-EL 13.0
SITE PLAN WATER IN BROWN
CLAYEY SAND SO 11c-)I
SCALE I-2aX T C:
***BENDS NOT PERMIT I U ON—1 REATMENT 17'
SCTM:1000-051.00-03-00-012-012
LOT AREA:26,529.27 SQ.FT,
SUBDIVISION NAME:WILDBERRY FIELDS,LOTS UNIT INLET LINE(S)ON NEW CONSTRUCT ION WATER IN LIGHT BROWN FINE NO- DATE REVISIONASSUE
NOTES; TO MEDIUM SAND SP
1. I/A SYSTEM SHALL UTILIZE THE MAIN HOUSE WASTE PLUMBING FOR PROPER VENTILATION
2- NO SURFACE WATER LOCATED WITHIN 3OD'OF STRUCTURE
3 HYDRO-ACTION AN800 DESIGNED TO SUPPORT A 7 BEDROOM STRUCTURE 23'
4 *j6GHvORMG PROPER1116 An VACANL PUBM VMATEP ILS AVARA-0-4 FOR ALL PROPERMS COMMENTS:WATER ENCOUNTERED 14,9 BELOW SURFACE
5, COVER 8YALIr BE 2T OMME-1 ERINATERTWIW-r AND INUCT I-PROOFL OCKING T4,IEFMON.ASTIC lOQVF-RS AT qUAL ORADE C-CaRS A--N0 AT ELEVATION 13.0 CLAYEY SAND
CrOMINE-Y RISER111 IIHALL BE IN ACCOROWM WITH SCV`�STANDARDS FORAPPROVAL OF PLANG AND COW-PUCT"'OF SeVYAGE A
ENCOUNTERED AT 23' 2 01.0826
SySTEms F-1%spta�.f FAAVa-y GEES=NCES-DATIED APRIL 19 -i--1 10,08,25 1 REVISE PER DEB 6 17MU.UPDA-E T-1-1-1 0 a
6 V=GA MCTNCO-A-VPW-fEO By THE MANVF-AC=Rf-R-
7- THE OWTS INSTALLER SHALL HOLD AN I/AOWrS,ENDORSEMENT FROM SUFFOLK COUNTY DEPARTMENT OF HEALTH AND SHALL BEAN T 09.23,26 IETIAL CLAW
AUTHORIZED INSTALLER. 20-DISTFABU71ON BOX BY POLYLOK a --SHEET TITLE:
8, THE OWTS INSTALLER SHALL REGISTER THE ONSITE TREATMENT SYSTEM WITH SUFFOLK COUNTY DEPARTMENT OF HEALTH. (OR APPROVED EQUAL) GRACE
9 A GARBAGE GRINDER SHALL NOT BE INSTALLED UPSTREAM OF THE OWTS.
10"THE RA OWTS SHALL VENT THROUGH THE SEWER PIPE.A HOUSE TRAP SHALL NOT BE INSTALLED UPSTREAM OF THE YA OWTS-NO PROPOSED SITE PLAN&SANITARY DETAILS
ADDITIONAL VENTING IS REQUIRED.
It ALL ELECTRICAL AND CONTROL WIRES SHALL BE ROUTED IN SCH 40 PVC PIPE,DIRECT BURY IS NOT ALLOWED,THE CONDUITS SHALL
BE SEALED WHERE THEY ENTER THE OWES. OVNNER: PROJECT:
12,CONTRACTOR SHALL CONFIRM INVERT ELEVATION PRIOR TO CONSTRUCTION-CONTRACTOR SHALL NOTIFY ENGINEER OF RECORD OF BILL OF MATERIALS MICHAEL MICHAEL] PROPOSED I/A OWTS FOR:
ANY DISCREPANCIES- FROM VA OATS 795 WILD BERRY LANE, MICHAELI RESIDENCE
13 PROVIDE DEDICATED BREAKERS IN THE MAIN DWELLING ELECTRICAL PANEL FOR THE OWTS. TO ABSORPTION 795 WILOBERRY LANE,
'I MAINTAIN A MINIMUM COVER OF 54 INCHES OVER THE PROPOSED WATER SERVICE TRENCH SOUTHOLD,NEWYORK 11971
4 SOUTHOLD,NEWYORK 11971
RE,SEAL
^f-New.,
rcowACTED
SAND BED -9
p
r-I I
Or%E D FP%LPN IN 0 U 700 LAKELAND AVE,, 2.8
NOTICE A K I C% r-1 r-%f—% Gc
r K ED
REV AP V 107/2026
NOTES:
BOHEMIA,NY 11716
WA,0000,"a-Asxv"THE S-am MX-" 1
0�tS AN PW 1, PROVIDE SPEED LEVELERON ALL OUTLET PIPES M)F-TITE (631)9W-0000
PR=TM %Agk-OF NMV'-X AND WE
T PAW=0101NOMNG M W"002043 OR RES3 10/19' 028
ANY ux V-rw.-DRAW4 rGIP ANY OrIMR-'R"Cl 4 PERMIT E`P" /2 OR APPROVED EQUAL}TO ENSURE EQUAL DISTRIBUTON HYDRO-ACTION AN600
PA049ru-1--x-Ak--M-*-lW 1W Or� I/A TANK DETAIL
Auw ppotarm 2C vftTTM DISTRIBUTION BOX DETAIL
CONSENT OF THE ENGINEER. SCAtEv-7-7 SCALE: DFLAVW SY I OWFE--T ANEI a-- W-ALF- I OF I
CA 0-1-OIL-16 I As WITED
ji