HomeMy WebLinkAbout52628-Z r
TOWN of SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST RE KEPT ON THE PREMISES
WITH ONE SET OFAPPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52628 Date: 01/27/2026
Permission is hereby granted to:
Thomas J Despagni
80S Little Peconic Bay Rd
Cutchogue, NY 11935
To:
Construct additions and alterations to an existing single-family dwelling as applied for.
Premises Located at:
805 Little Peconic Bay Rd, Cutchogue, NY 11935
SCTM# 111.-11-23
Pursuant to application dated 11/17/2025 and approved by the Building Inspector,,
To expire on 01/27/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition&Alteration $573.50
Co Single Family Dwelling-Addition /Alteration $100.00
Total $673.50
Buildling Inspector
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° TOWN OF SOUTHOLD--BUILDING D PART MNT
°n Tower.Hall hex 54375 Main:Road P. 0. Box 1179 Southold,NY 11971-0959
Telephone (631) 7 5-1 S02 Fax (631) 765-9502 �� �� 0 10 i t Date Received
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APPLICATION
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For'Office Use Only J
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PERMIT NO. Building Inspector.- �q
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Applications and harms must be filled out in their entirety.Incomplete
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applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page )shall be completed.
Date:
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OWN ER(S)OF PROPERTY:
Name: - SCTM#1000- -�-- �- 2,3
OWN
Project Address: P,ff��.................
Phone#: Email:
Mailin Address: Vitt �►� .
CONTACT PERSON:
mmmw
Name: (�. C �. A--S5>-0C-,
t L, MMMMM ............NO ME
Mailing Address. Z(os ls4e L.-t*41
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Email: �� j
Phone#: (9sk- '�- --' '`` ��
DESIGN PROFESSIONAL INFORMATION:
Name: ,. t C...... L..L L .
K :* 14L-
MailingAddress: -So► ,j tic)U
1 Email: ,. ► ..-��.[ .►�`�► "�"".
Phone#: �
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CONTRACTOR INFORMATION:
ft4O"Name.
otalt
Mailing Ad ress: MM
7 --mmm", 7
Phone#:
Email:
[DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure MAddition C]Alteration C lepair ❑
Derncalition Estimated Cost of Project:
❑Other
__ removed from remises? C�Yes .No
Will the lot be re-graded? ❑Yes D�No Will excess fill be P
-----------
PROPERTY INFORMATION
Vie 1�
Existing use of property: liZE-C-1 Ss I, e. Ftsk Intended use of property: Vj rt,A I
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Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
-LIC) this property.? E]Yes N(No IF YES, PROVIDE A COPY.
Chec k Box,After Read i ng: 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 210AS of the New York State Penal Law.
OWN
Application Submitted By(print, me): SAuthorized Agent 00wner
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Signature of Applicant: ...... CONNIEPWOUNCH
Notary Public,State of New York
No.0 1 BU6186060
STATE OF NEW YORK) Qualified In Suffolk County
SS: Commission Expires April 14,�_CC�Y
COUNTY OF SQF=FtL-kZ-
rr N. K5_H k.- 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 N
0)
20-day of., Notary Public
P R O�'P ER T Y OW.N, ER., A,U.T HG R1 Z.,A,T1�10MR
(Where the applicant is not the owner)
residing at
-do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owners Signature Date
Print Owner's Name
2
at-ion
nHQR iz,ATION'
(Where the Applicant is not the Owner)
residing at 0-iJ � �1 l L-M-�= PC--k-oh)
(Print proper ownees name) (Mailing.Address)
do hereby authorize
(Agent)
to apply on my behalf to the
Southold Building Department.
40
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V( ,ate))
(Owner's ature
07-H 0 RA �F
(Print Owner's Name)
No J. MAZZAFE
RIR,�� O POE*
POD Box 57, Oreenport, N.Y. 11944 �
Phone - 51 -457-559d ,
Consulting Engineer
January 20, 2026 `es Cons 11*uction h It 1011
Page 1 of 1
Town of Southold-Building Department
53095 Main Road
Southold NY 11971
Re: SOS Little Peconic Bay Rd
Cutchogue,N.Y. 11935
District-1000, Section-1 1 l. Block-11, Lot--23
Inspection—Existing Septic System
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On January 19, 2026, 1 inspected the existing septic systern at the Noted location. The
inspection covered the location and size of the septic system components.
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The inspection results are:
—The System includes a precast concrete Septic Tank(1250 gallon) and one precast
concrete Lca.ching Pool. The pool has precast rings; total size is 'diameter x 127deep.
The Tank and Pool have precast concrete covers. System is perfonnin,g as designed.
-The System size conforms to the SCDOH requirements for a (0 to 4)bedroom house as
of the date of installation and approval. The size of the System components is based upon
SCDOH Standards.
- The S ystern construction was approved by SCDOH on October 1, 12025. (copy of
approval attached S►HTP-25-00719).
Result---Based upon inspection of this site and to the best of xny knowledge,belief and
professional judgment,the Septic System,when installed, complied with the SCDOH
Requirements for a four(4) bedroom louse.
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Nicholas J. llMazzaferro P.E.
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COUNTY OAF SUFFOLK
IF
EDWARD 1 r�r�OM INE�/
SUFFOLK COUNTY i EXECUTIVE
NT of HEALTH SERVICES
DEPARTME GREGSON H.PIGOTT,MD,MPHcommissioner
Kate Depa[1gf1I
. October '�, 2025
805 Little Peconic Day Rd
Cutchogue, my 11953
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SANITARY ITARY REPLACEMENT 1 RETROFIT ACKNOWLEDGEMENT
HOMEOWNER: Kate Despangni
ADDRESS: 805 Little Peconic Bay Rd Cutchogue, ray 11953
SD Tax Map Number(s)a of the Property: 1 CLOD 111001100023000
SHIP Reference Number: SHIP-25-00719
Please
l , .: advised d t V,, t.a, l',., . ....- - -....d l q u ild waste has, completed :... sanitary s-, 's
tem
replacement/retrofit,at the subjxect site in accordancet the Suffolk County Department of Pealth
(SCDHS)
t Procedures for the,
Systems fo ces,and Other Thanilk Residences.
If you have any questions or comments regarding this installation please call 531-852--5459.
Sincerely,
Office of Wastewater Management
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DIVISION OF ENVIRONMENTAL QUALITY
PubUcHeafth 360 Yaphank Avenue,Sure 213,Yaphank ICY 11900(631)852-5750 Fax(681)852-5760
pervert-Promote.PratrrL
Suffolk County Department of Health Services
Office of Wastewater Management
360 Yaphank Avenue,Suite 2C
Yaphank,New'York 11980
(631)852-5700 OR.HealthNV @suffolheountyny.gov
CERTI[FICATION OF SEWAGE,
10-ft
'S
Health Department Reference Number: col I
Suffolk Tax Map Dist: §1�,D Sect(s) ffl s �/ �Lmot(,S)—jR
105 A it
Project Name or Address:'.1 ItSubdivision Name&Lot
Applicant Name:
I gER EBY CERTIFY THAT:
1. The first septic twik1leaching pool, from the foundation,was located and uncovered, AND
2. If liquid sewage a was noted therein,was pumped dry by a licensed sewage hauler,AND
3. Tank/pool was inspected for outlet line to an overflow pool, AND
4. Overflow was/were located, uncovered and items #2 and #3 were repeated until all parts of
pool(s)
sanitary system were located,AND
5. Al of sari system were removed or filled with clew.backfill and any corbelled block.domes
p � y
collapsed.
I also certify that the sanitary system.abandoned consisted of:
First tank/pool feet diameter feet deep( )precast ( lock ( ) other
First overflow pool feet diameter feet deep( )precast ( )block ( ) other
Next overflow pool feet diameter feet d ( )precast ( )block ( ) other
Next overflow pool feet diameter feet deep( )precast ( )black ( ) other
Company which pumped out sanitary system if different from certifying company.
Name of Company-
Address:.
Consumer
Affairs LicenseNumber:
0 ate
Contractor Signatuirre: 'vow,
Print Name/Comp an Phone
.
Address: - 44
Number. ,�..
Consume
r airs Lice
nse L Ael
This certification shall not be used in lieu of inspections required by personnel of the Department
and maybe duplicated on company letterhead,provided it contains the above information.
PHOTOCOPIES OF DOCUMENTS WILL NOT BE ACCEPTED
wf WM-080 (Rev.02/12)
Suffolk County Department of Health Services
OMce of Wastewater Management
360 Yaphank Avenue,Suite 2C
Yaphank New York 11980
(631)852-5700 OR HealthWWM@suffolkcoun"y.gov
CERTIFICATION OF E DISPO5 STEM BY INSTALLER
19i with
Leave blank any items that are not applicable to the installation. **A se"weed -sy 4em ske
locanwon measyrementsfrom at,liast two bgggggl corners Must beg�rovided on the bLaek, or on a Egarattesheet
and attached to this form"
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Health Deparfinent Reference Number: S5,H-1.9..................
Suffolk Tax Map#:Dist- 1 Sect .......................... ...... Lot(s)C ) ..................
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Project Name or Address a
Applicant0omeowner Name: W 3 ............
Date of System Installation: W wilp,
11A 0 WTS TREA 73MAIT ITMT SEPTIC TAAW
Make and Model: Volume(gall, IF
Rated Daily Treatment Capacity(gallons): Matelial-, ncrete, Fibe; ass/Past"ic
tan lindri,cal
Material: Concrete Fiberglass/Plastic Shape-
gular,,
Top.: b, [1-T,tallic S,lab, 11'Dome
la
0 O#C�o I I DO
4 1' i ,KCMY I
DISTRIB UTION LEA CHVVG PO OLS(.7„ appficable) Name of Tank,Manufacturer Ir
Number of Pools
Diameter and Effective Depth, GREAsE,,TRAP
Top: [] Slab [] Traffic Slab Dome Volume(gallons):
Name of Precast Manufacturer: Material: Concrete, Fiberglass/Plastic
Top: Slab, [] Traffic Slab, Dome
LEA CREVG PO OLSIGALLE YS Name of Tank Manufacturer:
Total Number of Pools/Galleys
Diam 'e, and Effective Depth X JL 0 TRER LEA CHWG STRUCTURES
r Slat Make and Model if applicable):
Top.- lab, Traffic Slab J'?Iome
N/A
k Total Feet of Leaching Structure(s):
Name of Precast Manufacturer:
CO VERS AAID LIDS'
Installed s comply, i,W th current standards (secondary safety device installed if cover weight less than
60lbs.) corYes []N/A
I hereby certify that the subsurface sewage disposal system components described herein,have been installed by me in accordance with the
approved plans and/or standards ofthe Suffolk County Department offlealth Services as well as any other municipal agency requirements;and
any and all mechanical/electrical components have been tested and are operational in accordance with manufacturer's recommendations.
Installer's Signature, Date
LLOOOOO�
4
Installer's Name4j''ick- 'Av�_ J 9 1 6601owiww CASS, 6 &V.%co"i
11 411
Company Name: hone 7f,
Company Address: te
En led'.
-In g ..........&u
It 0
Consumer Affairs Liquid Waste License Number and enuorsement(s).,.
**LVADDIHON TO ABOVE,COMPLETE BELOW FOR SAATITAR Y REPLA CEItMAWRETROFIT OAE Ed.
In addition to the above information,I hereby certify that this OWTS replacement or retrofit meets the Department Replacement/Retrofit
Standards, and that other alternatives are not environmentally feasible. I also certify that this OWTS replacement or retrofit installation
represents an improvement to aesting sewage disposal system conditions.
Insta1ler's Signature:,
Installer's Name:
TMS DOCUNUM MUST CONTAIN ORIGINAL SIGNATURES]FROM THE INSTALLER
WWM-078 (06119)
Generated bry RES heckPw b Software
Co p ilance Certmif"icate
Project DESPAGNI RESIDENCE
Energy Code: 2018 IIECC
Location: Cutchogue,, New York
Construction Type: Single-family
Project Type: Addition
Project SubType: None
Orientation: Bldg. faces 0 deg. from North
Climate Zone: 4 (5572 HDD)
Permit Date:
Permit Number:
All Electric false
Is Renewable false
Has Charger false
Has Battery: false
Has Heat Pump: true
Construction Site: Owner/Agent: Designer/Contractor:
805 Little Peconic Bay Blvd. Thomas Despagni Brett Kehl
Cutchogue, NY 11953 805 Little Peconic Bay Blvd. Kehl Design Assoc. LLC.
Cutchogue,, NY 11953 265 jasmine Lane
516-652-1668 Southold, NY 11953
631-433-9084
ssbn654@optonline.net
i SEEN .......
Compliance: 10.8%Better Than Code Maximum UA: 83 Your UA: 74 Maximum SHGC: 0.40 Your SHGC: 0.31
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-on-grade tradeoffs are no longer considered in the UA or performance compliance path in RES cis eck, Each slab--on-grade
assernbly in the specified climate zone must rneet the miniMm energy code insulation R-value and depth reqLinents.
i
En ■
velope_,,Aissem
......................
Ceiling: Flat Ceiling or Scissor Truss 128 30.0 0.0 0.035 0.026 4 3
Ceiling 1: Cathedral Ceiling 360 45.0 0.0 0.023 0.026 8 9
Wall:Wood Frame, 16" o.c. 133 21.0 0.0 0.057 0.060 6 6
Orientation: Unspecified
Window:Wood Frame
SHGC: 0.31 30 0.300 0.320 9 10
Orientation: Unspecified
Wall 1: Wood Frame, 16"o.c. 215 21.0 0.0 0.057 0.060 12 13
Orientation: Left side
Wall 2:Wood Frame, 16"o.c. 179 21.0 0.0 0.057 0.060 10 10
Orientation: Back
Project Title: DESPAGNI RESIDENCE Report date: 02/05/25
Data filename: Pagel of 2
10
Window 1:Wood Frame
SHGC: 0.31 8 0.290 0.320 2 3
Orientation: Back
Wall 3: Wood Frame, 16" o.c. 97 21.0 0.0 0.057 0.060 5 5
Orientation: Right side
Window:Wood Frame
SHGC: 0.31 12 0.300 0.320 4 4
Orientation: Right side
Floor:All-Wood joist/Truss 431 30.0 0.0 0.033 0.047 14 20
Compliance Statement.- The proposed building design described here is consistent with 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 Version : REScheck-Web and to comply with the rnandato,r require ts listed in the REScheck Inspection Checklist.
114a 4L P WI iii)IS.
Name-Title
S"gnature
Date
Project Title: DESPAGNI RESIDENCE Report date: 02/05/25
Data filename: Page 2 of 2
5URVEY OF LOT 401
"MAP"OF 5E6TION 0.A PART OF 5E�GT�ION B NA55AU POINT PROPERTIES � "
ING. FILED IN THE
O9 FIGE OF THE 5UF FOLK COUNTY GLERK ON MAY 1, I926,A5 MAP NO,50b N
SITUATE:
TOM: W E
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SMVEYMi A aroT 15,2OC" S
PROP. TIC"SEPT.lo,200T
SUf'F'OLK GVUHrr TAX
1000-III-II-25
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AREA=27MO S.F.OR 0.6215 Acres JOHN C. EHLERS LAND SURVEYt4j"%R
6 EAST MAIN STREET N.Y.S.LiC.NO.50202
f�RAPHIG 56ALE RIVERHEAD,N.Y.11901
369-9288 Fax 369�-,8287