HomeMy WebLinkAbout52806-Z TOWN of SOUTHOLD
V
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#: 52806 Date: 03/30/2026
Permission is hereby granted to:
Frank A Koscheka
1350 Captain Kidd Dr
Mattituck, NY 11952
To:
Construct additions and alterations to existing single family dwelling as applied for,with SCHD
approval.
Premises Located at:
1350 Capt Kidd Dr, Mattituck, NY 11952
SCTM# 106.-2-44
Pursuant to application dated 11/10/2025 and approved by the Building Inspector.
To expire on 03/29/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition&Alteration $960.00
CO Single Family Dwelling-Addition /Alteration $100.00
Total $1009,0 ,
Building Inspector
BUILDING DEPAR TMENT
TOWN OF SOUTHOLD
Town Hatl Annex 543 7 5 Main Ro ad P. 0, Boy 1179 S outho Id, NY t t 9 7 t-0959
-,//w,-w-w.,�ott,!t,lioldtowaln'I
Telephone (631) 765-1802 Fax (631) 765-9502 htt, ,s,
REM
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
tl
PERMIT NO. Building Inspector,-._:
NOV 0 2(1
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an 4@04
I d,
Owner's Authorizatilon form(Page 2)shall be Completed,
ti ................
10
Date. .........
e C.A.
OWNER(S)OF PROmm a
PERTY*
00, SCTM #1000-
Name
r n
P r o ject Add ress: 41
Email-
Phone
> ............M a i ling Address:
�� � �' , � «���.W „��,, , m � �
CONTACT'P E,R,5 0 N*
Name: Alf,
vi;(T� f
Mailing Address:
Email*
Phone#:
.........
'DE,,,,,SIGN-,PR,O,FE',S",SIO,NAL INFORM,AT,,'],ON,*
vo
P
Name. "...............
Ma iling Address: (.57)
E m ail
Phone#:
CONTRACT OR I NFORMAT,10N:
Yll
Ve�
Narne- J
A
lee"
Mailing Address:
Fmaik
Phone 1:)V(
DESCRIPTION OF PROPOSED CONSTRUCTION
EINewStructure &Addition ❑F-]Alteration ❑nRepair [-]Demolition Estimated Co t of Project:
I -other
Will the lot be re-graded? F_7iYes �1\lo
Will excess fill be removed from premises? nYes 2No
PROPERTY INFORMATIO'NI
Intended use of property:
Existing use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? E]Yes RNo IF YES PROVIDE A COPY.
Check Box After,Readi'111 "' Theowner/c
,9.
eTown Code. APPLICAT ION IS HEACSY MADE,to,thesuilding Departmnent for t1w,Issuance of a Bu ilk lag Permit Pursuant,to the,Butl4ing lone
chapter2360f-th
Ordinance of thhe Town,of Southold,Suff'ok County,New Yorik and other applic"abje,Liaws,Ordinances or Regulations,for the Construction of bm1wings"
additiom,alterations or fbf rernoval or demolition as herein desttihed,,The applicant agrees to,cor"Ply,with, all applicable Jaws,,,ordlnances,,building codeo
,hausi,ng code,#,nd regutations and to adm,lt a uthorized,insp,.ttars an premn I'ses an,A in btfl I ),ibt n-ecesslOry inspections.False statements madef herein are,
punishable as aG',,ass,A'MRsidemeanor pursuantto section 210AS of the Now York State Pe.,,nal Law.
Application Submitted By(print name): (`MIC If-osc elc , DAuthorized Agent FlOwner
Date: r �
Signature of Applicant: 00.... a.
STATE OF NEW YORK)
SS:
COUNTY OF
r
being duly sworn, deposes and says that(s)he is the applicant
19L
M.h 10�
(Name of individual signing contract)above named,
(S)he is the
(Contractor, Agent,, Corporate Officer, etc.)
and is duly authorized to perform or have performed the ,,aid work andjpNN*CfqSMe this
of said owner or owners,
application,that all statements contained in this application are true to the best off
that the work will be performed in the manner set forth in the application file therewith. Registration No.OIGE0026925
Qualified in Suffo Co tip',v
my Commission Expires Hal M111111111164M
Sworn before me this
day of N-Wou 120Z15—
Notary Public
PROPERT Y" OWNER AUTHORIZATION
(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.
o
Owner's Signature Date
Print Owner's Name
2
—----- — — ----
I
,ichard,,,,, M . Mato , Architect
11 1......11 1..............
i
i
TOWS of SO JTHOL
Building Department
54375 Main Road
Southold, New York 11971
March 16, 2026
RE-. Frank Kosekeka
1350 Captain Kidd Drive
Mattituckg N.Y. 1195
Bldg. Permit Application
Nancy Beyer (Building, Inspector),
This letter is to provide construction clarification on the above-mentioned
residence. Existing exterior and interior remaining walls to be left as is and not be
"gutted". Existing insulation and g 'PSUni gal l heard to re. ai.n. New exterior walls to
be of "x " construction and to be insulated. with I -21 batt inscxlation. The existing
roof system to be replaced with new roof construction. Ceiling,.joist insulation to be
R-3 . The R values listed meets or exceeds the New York State residential Energy
Cade.
Should you have any questions regarding the enclosed, please feel free to
contact nee.
m
P.O. Box 2284
Aquebogue, NY 11931
Tel. 531 53-5879
E-Mail: rich @rmato
1
SITUATE
A+IATTITUCK
00
T}Y4'N C}FUUTH{lLD
= � PROPOSED LA � �L�FF'QLK ��LTNTY, �� �Q�K �- �
DIST 1000 � 2-LOT3 T ELECTRIC LINE �v _ _ $
s DIST 1ODL�—� �s.. SCTM: 1000 106 Q 44 U
` L� 2-LOT 31 L1 i
I
0
NOTES: _ 73
V _.
T
(, -ALL PRGPDSEO SANITARY LINES TO 4E 4`LT SDR35 PVC PIPE UNLIr55 DCIC-SEC
1�
.
S'ECIFIEHDT}+ERw4TSE. .� '�_ 4 _ TAl
_
L
2" NO NEIGHBORING WELLS _ TIC W _ � ����� FENCE ���
SYSTEM.- ABANDON EXISTING
3. NOEXtSTING DRY WELLS WITHIN PROPERTY LINESSYSTEM
� G'--"I�r
SANITARY 5YST1 A+ C Pr F R
4. ALL LOCATIONS OF UNDERGROUND STRUCTURES ARE APPROXIMAATE AND E 1 T a `� Cn
NEED TO VERIFIED BEFORE CONSTRUCTION BEGINS" TOTAL ik ;
5, EDUIPMEWT tVTLL Af"ESS TO THE REAR YARD tT4 Ili RIGHT SIDE OF THE 0. !t C MG f5 '
PROPERTY,WHICH&LOWS FOR MACHINERY ACCESS
r- ON" R $,,
SUFFOLK CouNTYDEPART&cNT OF HEALTH SERVICES
o
PaiwT- PROPOSED LA _ ��
FOR APPAL OF COT LTIT FORA
PW_j LqA
_ -
Ln
TANK CALCULATIONS,
FLOW=(S BED)X110CtWAY=550 GAL1)AY _ Q T t ?I$!{2 ICE. _ F2-25-11A
CAPACITY FOR NORW`EC0 MOD15"=600 GAUDAY
_ 00POMONc
ER
-"- ^ '
"
APPROVED
LEACk!ING POOL CALCULATIONS: € -Cm ,4 PRON)SE[}(I}la DA13
110 GDA X5 8MGJ t?AY SITE PLAN
. '_2�"
(550 GALIDAY)11.5U "6T 5F SCALE T
OPO.ED N(R4EGc DATE
EH
VAS
36"t SF 131A SPrUNIT=11674F I
_ F
5T
EEN
(DESIGNED FOR MINIMUM 4DUSF SIOEYVALL-12.T4 VF) 3 ELECTRICSERL}CE _ 1 - MODEL 600PA OWTSTANK
(1 100 X 1w'EFF DEPTH LEACHING POOL PRDIIDED TO REM N Q 10 Q rI PI M D existing I6 1TTUS II I
_. ion - the `stin -tare m '
NOTE: cv ." �-
1_ THE DWELLING RkS 3 PROPOSED BEDS,HOVVEvER TrE � � � � � �. � � WO AND WOODconformancewith the Department's requirements
�
SANITARY SYSTEM IS DESIGNED PER THE CAPACITY .=
DO DECK
3 T
REOU►REMENTS FOR A56EDROOMSDWELLING. � �� �� �� - � Submit completed form W �M_ 0 proof
.-.0 _ µ BRICK ELAS_MENT WINDOW
i W s P. ? e WELL TO BE REtvOVEDICL
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G EECERTIFICATION u bE
= a. CONSTRUCTION
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® (PROPOSZO I RM >= - -E IIA t}V1'T5
T T aASnT=1.3895F FOR IN -gSE -
RM
IST FL-1,406 SF _
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EL�Sa Q` EXI
= STING VkATER
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V"A TER�_.
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LOCATION MAP
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-_N TAKEN ON JUNE 16,2025 � it - ��o
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