HomeMy WebLinkAbout52711-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#: 52711 Date: 03/03/2026
Permission is hereby granted to:
Judith A Evans
1120 Willow Dr
Greenport, NY 11944
To:
Constructa pool house/cabana with outdoor shower accessory to an existing single-family dwelling as
applied for per SCHD approvals.
Premises Located at:
1120 Willow Dr, Greenport, NY 11944
SCTM#40.-2-6.8
Pursuant to application dated 01/15/2026 and approved by the Building Inspector.
To expire on 03/02/2028.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $298.50
CO Accessory Structure $100.00
Total S398.50
Building Inspector
SUFFo�� TOWN OF SOUTHOLD— BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 tt�s // r w at nr1
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Date Received
APPLICATION FOR BUILDING PERMIT
For office Use Only ui
i
PERMIT NO.�� Building Inspector: __� .. � �.. JAN 1 5 2026 �
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:
OWNER(S) OF PROPERTY:
Name: Joc( ` n 6� 1pS 7 SCTM #1000- 1'/0 —��
Project Address: 261
Phone#: 4I ( L(" Email: p�,�I h Z��Y)S inn A'G • �>7'►
Mailing Address: 1 l Z0 �D 111 a r-J , d� 6-��l ✓f '0 1
CONTACT PERSON:
Name:
Mailing Address: � , e7v )L/L t1 7/
Phone#: S 3 Email; t �e
DESIGN PROFESSIONAL INFORMATION:
Name: , ,.-
Mailing Address: r,
,
Phone#: s ` � E a 1.
CONTRACTOR INFORMATION:
Name:
Mailing Address: „
Phone#: L mail: , Pi
DESCRIPTION OF PROPOSED CONSTRUCTION
New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $140
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? [ Yes ❑No
1
SINGLE FAMILY RESIDENCE
CONNECTED TO PUBLIC WATER
WILLOW DRIVE
S87'42'50"E
fix-
�
'P.
176C.-OT
VACANT LAND
FRESHWATER WETLAND
BOUNDARY ASSOCIATED X,GAS LINE TO p
REMAIN ;I WITH NYS REGULAI ED
r Sato I FRESHWATER WETLAND NO
EXISTING SHED TO BE SO-8,AS DEPICT D ON NE E
PIS TANKS
EX.L
A
DEMOLISHED YORK STATE FRESHW TER
WE'LANDS MAP NO 6 OF 39,
1� iS LOCAT D MORE THAN 100'
C_ W EEST OF SUBjECT PROJECT
PROPOSED POOL EQUIP.
PRIVACY FENCE '�,L6 PAVERS VVI.ROOF(94 BE) -ROPERTY,AS DETERMAED
RdPOSED POOL HOUSE(223 BE) 3B CURS BY EN-CONSULTANTS ON LOCATION
PROPOSED PAVERS(233 SF) 0 1 9-7-2018
PROPOSED POOL HOUSE
—HALT
FE 16AI 11 S'O X TUEFF 50%
uRe
EXPANSION LEACHING POOL
BET ELEC.EL 13 0
Y LOCATION MAP
STOR (TYP.OF 2)
TOP WATER EL 11 5 1 FRAME DWELLING COVERED OUTDOOR. OSED SEEK EX.VO X TDEEP
SHOWER 30 SF(DRAIN PROP �F.1�.
TO GRADE) S
TE g i I I LEACHING FUUL
(TYP.OF 5)
EX POOL DRY WE'L
0Na
EX.WATER SERVICE VACANT LAND
PROPOSED 8OXS_ 1 jo/—TO BE ABANDONED q
DEEP ROOF DRYWELL &-.FFOLK Coui,-y DEPAPTVIENT 0I,H SEPi�czs
g P- IT Fo,AaPROVAL OF CONSTRUC75,-N FoP A
FRESHWATER WETLAND Wlyy If
55NGL�F`Ami�y RFs,rE,,4CP AND
200,0
BOUNDARY ASSOCIATED WITH Iq If i I c 6�d,_P-:H-
EX.SEWAGE DISPOSAL SYSTEM
\N87'42'50 I (SCD.S REF.No.RM11-011)
NYS REGULATED FRESHWATER R-25-1217
WETLAND NO.SO-8,AS DEPICTED EX.ELECTRIC 'I DXFE z,a,'2o2s H S REF.No Y
ON NEW ORK STATE SERVICE PROP,SEASONAL EX 1,111 GAL. II
i APPRoc q
-LANDS MAP NO. WATER SERVICE I .....
FRESHWATER WE SEPT TAN"
6 OF 39,IS-COATED MORE THAN I EXISTING SHED"DRY BUILDING" EX.WATER To-.A�M,,u,,,Unc-o.s
1W WEST NO WATER OR SEWER SERVICE SERVICE EXPIRES THR ED YEARS FRO.'J DATE OF APPROVAI
OF SUBJECT
PROPERTY,AS E�IRITIINED 51 SINGLE FAMILY RESIDENCE
EN-CONSU-TANTS ON 9-7-2018 tEX.ELEC. SANITARY NOTES:
CONNECTED TO PUBLIC WATER SERVICE I -OPOGRAPHIC SURVEY BY HEMMER SURVEYING
Water lines must
SITE PLAN DATED 61'712024.
Suffolk county Dept.of Health Services,
SCALE 1'=30' 2, 3 BEDROOMS ARE EXISTING FOR THE RESIDENCE.
TEST HOLE Call(631)952-5754,48 hours in
0 BEDROOMS PROPOSED FOR POOL HOUSE.
2dV2nce,to schedule inspection(s).
TOPSOIL OL CONNECT NEW WASTE LINE TO NEW EJECTOR 4, TOTAL LOT AREA AREA=24,866 S.F.
SYSTEM 114 ACCORDANCE WITH THE CURREN-
BUYILDING CODE STANDARDS ,H 5 EXISTING TOPOGRAPHY REFERENCES THE NAVD
POOL HOUSE F F 16 11 _X HOLZ< '88 DATUM.
SANDY LOAM EL.145 EL 111 F F 16o EL 130 —
SV, GLEAIIOUT C.G. 6, THERE ARE NO WELLS WITHIN 150'OF THE
30, EXP-; VV�S_TE11E
PROPOSED SEWAGE DISPOSAL SYSTEM.
_1,
INV EL 13 01 4'PVC WASTE LINE PITCH 1,11,��CH PER FOOT
PITCH 114 INCH PER FOOT TO EX SEPTIC TANK 7 LOT 6-HOMESTEAD ACRES FILED 71170 996 FILE
INV E_11 \-N';EL 116 NO 8150`
4'
CELLAR
CAST IRON PIPE SLEEVE AT N- Si.Ed—tnrie
-
W ILI P}
SCTM:1000-40-2-6.8 Health Department Approval Stamp
SANDAND `_0_NNECT 1-114'FORCE I P-A-NS
-V'2`7" y.
GRAVEL LIBERTY P682MLE4'COMPACT DUR MAIN TO EX WASTELINE wad'`7 d�,4,�
SP WATER EL 5.4 PER &ECTION SYSTEM.OR All APPROVED EQUAL Condon Engineering,P.C.
USGS WELL S57366 1 ,_q E�q�_A SCALE:AS SHOWN 1755 Sigsbee Road RESIDENCE
f
GR0JN(TMATER__ w ty Drawn by:jiC Madituck,New York 11952 1120 WILLOW DRIVE P-
13,0' 1
(HIGHEST EXPECTED) POOL HOUSE WASTE LINE PROFILE (631)298-1986(631)298-2651 Fax GREENPORT NY
TEST HOLE#1 FROM.FILED VAP Date:7115/2025
NOT TO SCALE 1213,25 SCDHS CO91,1, www-ondonengineering.com SANITARY PLAN
12-118125 I-,DHS COMM,