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Home My WebLink About52690-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#: 52690 Date: 02/26/2026 Permission is hereby granted to: Bennie Pawluczyk Po BOX 434 Cutchogue, NY 11935 To: Construct additions and alterations to an existing single-family dwelling as applied for, Premises Located at: 3000 Pequash Ave, Cutchogue, NY 11935 SCTM# 103.43-24 Pursuant to application dated 12/30/202S and approved by the Building Inspector. To expire on 02/26/2028. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition&Alteration $1,223.50 CO Single Family Dwelling-Addition/Alteration $100.00 Total S1,323.SO '--Ouc Sw 0�j Building Inspector l� u TOWN OF SOUTHOLD—BUILDING DEPARTMENT hm Town Hall Annex 54375 Main Road P. 0. Box 1 179 Southold,NY 11971-0959 ry rr Telephone (631) 765-1.802 Fax (631) 765-9502 l tt s H ww.sout o to w° (. F. Gate Received APPLICATION FOR BUILDING PERMIT For Office Use Only w PERMIT NO. Building in5pector 2 01--�. 5 and forms must be filled out in their entirety.incomplete Applications tY' applications will not be accepted. Mere the Applicant is not the owner,an ry j owner's Authorization form(Page 2)shall be completed. Gate OWNER(S)of PROPERTY: Name:NOFO REO LLC SCTM #1000-103-1 -24.0 Project Address:3000 Pequash ave Cutchog ue Phone#:515-449-27783 Email:kris.pilles@northforkcommercial.com Mailing Address:3000 Pequash Ave, Cutchgue, NY CONTACT P'ERSONO Name:eile'" n wingate Mailing Address:23 Garland Rd. Phone#:516-818-9754 Email:eileen@quietmanstudio.com DESIGN PROFESSIONAL INFORMATION: Name:Nick Mazzaferro PE Mailing Address- Phone#:515-457-5596 Email:nickmazzaferro@verizon.com CONTRACTOR INFORMATION: Name.TBD Mailing Address: Phone#: Email: .. .. ......... ... .....� DESCRIPTION ION of PROPOSED CONSTRUCTION ❑New Structure iiiAddition Alteration n Repair F-I Demolition Estimated Cost of Project: DOther $Tga Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? DYes F-1No 1 .......... ............ PROPERTY INFORMATION ............ Existing use of property:single family dwelling Intended use of property:same Zone or use district in which premises i s situated: Are there any covenants and restrictions with respect to this property.? F Yes ORNo IF YES, PROVIDE A COPY. R-2 0 Clieck Box After Readil ng:l The owner/contractor/design pmfessional is,responsible for all drainage and storm water issues as pr*Wded by Chapter 236 of the Town Code. APPUCATION IS HERBY MADE to the MAding Department for the ISsuanC0 Of a SuOdIng Permit pursan ut to the ceding Zone Ordinance of the Tom of Southold,Suffolk,County,New York end other applicable Lows,Ordinances or RegulatIOM for the consbvctlon of buildings, additlonss,alteratkm or for removal or demolition as herein described.The applicant agrees to comply wttJh all,applica ble laws,ordinances,building code, ctiorm False statements made herein are I=hous�lng code and regulations and to admit authorized h ectovs on premises and In building(s)fbr necessary irmpe punishable as a class A misdemeanor pursuant to Section 210AS of the New York State Penal Law. RAuthorized Agent Fl owner Application Submitted By(prin, Signature of Applicant:• Date: 7/oq5 C*ONNIE D.BUNCH Notary Publlc,State of New York STATE OF NEW YORK) No.01BU6185050 SS: Qualified In Suffolk Coun "Yorc� COMM[esiom Expiros 4pr1I 14, 9 COUNTY OF .__.____._ Eileen Wingate being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Agent for owner(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 L-he application file therewith. Sworn before me this cam day of. 2 0 C) Notary Public PROPERTY OWNERAUTHORIZATiON When the applicant is not the owner) Kris Pilles residing at 3000 q gue do hereby authorize,.file to win gate I to apply on my behalf to th,,' 'On of Southold Building Department for approval as described herein. 5l2 120 25 ow Si �,natu,re Date kris Pilles Print Owner's Name 2 .......... . ................... S.C.T.M. NO. DISTRICT: 1000 SEC'nON:103 BLOCK: 13 LOT(S):24 l 0 03,& Ilk UR (" s lit o , y 061 a F - 1-0w .0 VA' err ` 001, I A le " Wh, ,t,� gym; ` FC 0.IS 4.2'N '1 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS AREA: 21,452.27 SQ.FT.Qr0.49ACRES ELEVA71ON DATUM. ..- .... UNAU774ORIZED ALTERATION OR ADD17ION TO THIS SURVEY IS A V70LA77ON OF SEC7I0N 7209 OF THE NEW YORK,STATE EDUCATION LANs COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY, GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO 714E ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES"ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR,SUBSURFACE S7RUC-7URES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS"PHYSICALLY EVIDENT ON THE PREMISES AT 774E TIME OF,SURVEY SURVEY CIF. «y NOFO REO LLC DESCRIBED PROPERTY " � CERTIFIED TO. A� ��: FIRSTAMERICAN TITLE INSURANCE COMPANY, SPANO ABSTRACT SERVICE CORP.; SP52932_S FILED, 16 � y SITUATED AT: CUTCHOGUE ��"��"�' � Tt3Y+1 C3F: SOUTHOLC �,liA�r�,r N ,� �� C",�� C SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design tiu u P.O. Box 153 Aquebogue, New York 11931 FILE# 225-136 SCALE:1"=30" DATE: JULY 22,2025 � . PHONE (831)298-1588 FAX(631) 298-1568 N.Y.S. LISC. NO. 050882 'PIE, N's J', M'AZZAFERRO4, PO Box 57,Greenport, N.Y. 11944 Phone -5 16-457-5596 onsuffin 'rrg h7eer Januaiy 26,2026 Ig Cons1ructio,01, 101spectilon Page I of I Town of Southold-Building Department 53095 Main Road Southold NY 11971 Re: 3000 Pequash Ave Cutchogue,N.Y. 11935 D istrict-1000,S e c ti o a 103. Block-13,Lot-24 Inspection —Existing Septic System On January 19, 2026,1 inspected the existing septic system at the noted location.The inspection covered the location and size of the septic system components. The inspection results are: —The System includes a precast concrete Septic Tank (1250 gallon)and two precast concrete Leaching Fools The two pools have precast rings;each is Wdiameter x 'deep. The Tank and Pool have precast concrete covers. System is performing 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 SCDO14 Standards. -The System construction was approved by SCDOH on November 26,2025. (copy of approval attached SHIP-25-00880). Result— Based upon inspection of this site and to the best of my knowledge, belief and professional judgment,the Septic System,when installed,complied with the SCDO14 Requirements for a four(4) bedroom house. V 06 Nicholas J.Mlazzaferro,P.E. 01 llp oti COUNTY OF SUFFOLK e E WARD Pe-RO ME SVFM�K COUNTY EXECUTIVE DEPARTMEN OF HEALTH SF WIM WEGSON H,PIGO Ts MDv W1! Commiseloner Kristopher Plil ►s► November 26, 2025 3000 P quash Ave Hr SANITARY REPLACEMENT i RETROFIT ACKNOWLEDGEMENT HOMEOWNER: 1(jistopher Pines ADDRESS: 3000 Pequash Ave Cutchogue, NY 11935 SC Tax MaP Number(e)of the Propel: 100010 001300024000 SHIP Rofereace Number SHIP4"0880 Please be advised that a licensed 11,quId waste contracior has Completed a sanitary system reptacemerittretrofit, t the aub,ect site In accordance with the Suffbik Count y,Department of, Heafth (SCORS) Sfandaids for Procedures for the Replacement end Retrofit,ofExisting Sewage DIsposa' yW m for SingkooFamNy Residenoes and C r Then Sftle-,F-amfly Residences. tf you have any questions or Comments regarding this InsWile#lon pisase call 1 4* 4 9. , inrelyl Office of Wei ter Management 300 Yaphank Avemm Sub 213,Yq)hank W 11080(6 1)862-675 Fax(631)WoS760