HomeMy WebLinkAbout53101-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
Ova
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#: 53101 Date: 06/30/2026
Permission is hereby granted to:
Gerard Sohn
3212 S Bentley Ave
Los Angeles, CA 90034
To:
construct asingle-family dwelling as applied for per SCHD approval.
Premises Located at:
702 Cedar Dr, East Marion, NY 11939
SCTM# 22.4-7
Pursuant to application dated 05/27/2026 and approved by the Building Inspector.
7o expire on 06/29/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- NEW $2,943.00
CIO-RESIDENTIAL $100.00
Total 3 043.00
Building Inspector
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TOWN OF SOUTHOLD BUILDING DEPARTMENT
n M Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
( ) (631) s:,"www.souho to ��n � oTee one d31 7+65-1 2 Fay7d5-95�J�
..........------- - -------
Date Received
APPLICATION FORBUILDING PERMIT _ a.re.
. u s
For Office Use Only
L MAY 2 7 2026
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PERMIT No. Building Inspector.; A�;......
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Applications and forms must be filled out in their entirety.Incomplete ' %�rtrno nt
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: SCTM#1000- �. "'' .
-7
Project Address:
Phone#: ", Email: 4 rrl
624(9 If,Mailing Address:
CONTACT PERSON:
Name:
i
Mailing Address:
i Phone#: �- Email �
DESIGN PAW- IONAL INFORMATION-
Name: 1 C;>/\4)
1/9
IL
AoV ,117CY
Ir P h ne#. ... Email. CT(V /7006
CONTRACT-OR INFORMATION:
Name,
dr AJ
JK'Wo"'V
�
Mailing Add res^ I', r' Awo�k hf�
4 Phone#: � `�' "..�` Email. �CC
111111 W- -
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S I W PRoPOS D CONSTRUCTION
New Structure MAddition ❑Alteration ❑Repair nDernolition Estimated Cost of Project:
th r
Will the lot be re-graded? C]Yes o Will excess fill be removed from premises? ❑Yes [:]No
1
Albe rt J. Krupsk1, Jr.
SUPERVISOR 1\\1[A\,NA\,G1EA\111EN]F
SOUTHOLD TOWN HALL-P.0.Box 1179
Vol
53095 Main Road-SOLJTHOLD,NEW YORK 11971 Town of Southold
CHAPTER 236 STORMWATER MANAGEMENT REFERRAL FORM
.... ........
( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. )
APPLICANT. (Property Owner, Design Professional, Agent, 'ontractor, Other)
NAME: a,i A,t-j Date:
-Or
Contact hif ormat ion: 1 14J,
(E-Mail&Telephone Numbei)
Property Address l Locat ion of Const ruct ion Site:
:.... - S.CC.T.M. 1000.
District
pp 0 VLk O—Ar I
Section Block Lot
. ...........
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
f
0 - Area of Disturbance is less than I Are. No S.P.D.E.S. Permit is Reguirerd I
d
Project does Not Discharge to Waters of the State. No S.P.D.E.S. Pei-mit is Re quired I
AI
0 - Area of Disturbance is Greater than I. Acre & Storm-water Runoff Discharges Directly
to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit
DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Buildinq Permit.
Area of Disturbance is Greater than I Acre & Storm-water Runoff Flows Through Southold
Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN
a S.P.D.E.S. Permit through the Southold Town Enstineering peloartment
Prior to Issuance of a Building Permit.
eviewed By.- Date:
FORM SMCP-TOS December 2024 OWN
CJ4\ t e (V e C1
AS-BUILT SIT JUMMATIDN,
-SUFFOLK COUNTY TAX MAP ID 1000-022-01-07
-PRCPO=2 STORY HOUSE ON PREVIOUSLY VACANT LOT TOTAL OF 4 KONIOR
9EDqOOMS RESIDENCE
-AREA.,1 106 AC�4&144SO FT.
-PROPMTY LOCATED AT 702 CEDAR DRIVE,EAST UAMOK,
A TOVA OF SOUTHOW,SUFFOLK COUNTY.NEW YW
-SURVEY PROVIDED Or PINNACLE LS UP 0-1T-2020
VERYICAL DATUM-NAVD 1088 DATUM
-NO SURFACE WATER OR WELTANDS WIN IN 3GOLF OF PROPERTY. 702 CEDAR DRIVE
RESICCNCE -PRIVATE WATER.WELLS IMTH IN IN'SHOWN EAST MARION,NY
uA*En mmucnow T QEhEB&NOTM 11939
1,DESIGN FOR UP TO O-BEDROOM HOME
2 I/A OWTS SANITARY DESCH
3 SITE"AND REFERENCE ELEVATIONS TO BE USED FOR I/A OWTS SANITARY
SYSTEM CONSTRUCTION ONLY�EXACT PROPERTY BOUNDARIES,UTILITY LocATToRs
_f AND CLEvAnoNs An Nor cuARANTEEO.
k 4 El FYATICNS BASED ON SURVEY BY Pf"*CLC LS LLP 03-17-2026
5 oNsTE unuTY mARx-oLrs To BE puTORMEO By CONTRACTOR PWOR TO SOUTHOLD
SEMN 21 a OnIRCT 1000 we"- kbm&q Lor 5 PEF"MING SITE WOW,
DmTqcr two BL.00K 3 Lcr 0
LMO NOW aR MRUERLY OF HIH GROLP UC LAND -6 SUFFOLK COUNTY
VACANT Now OR wv-� Akkps 6 SOIL TEST HOLE DATA P*OMDED BY RANDS ON SURVEYING 01-31-2007
7-E-AS71NC SANITARY CESSPOOLS(S)TO BE PUMPED AND REMOVED AS NECESSARY
PER SCDHS STANDARDS.
N 09'57'40'E 250 00'
----------
T"
J J.ONE(1)10 DIAMETER BY IS DEEP PRECAST LEACHING POOL W/I&AB
A.ONE(1)10`DIAMETER FUTURE EXPANSI(W AREA
K GENERAL,SANITARY SYSTEM DESIGNED NQTES� I/A OWTS
I. I/A OWTS SEPTIC SYSTEM DESIGNED FOR UP TO 6 BEDROOM HOME PER SUFTOLK
COUNTY DEPALRTUE14T OF HEALTH STANDARDS(SCDHIS).
SANITARY
j F� I
2.SAN TARY CA AM TY GRAIN PIPE TO BE 4-1 NON CAST IRM AT FOUND A-ncw
S
PENE'�TRATION AND 4--INCH PVC SDR-U DOWNSTREAM OF FOUNDATION
"tf,9 1 I/A OWTS SHALL BE TESTED FOR WATER TIGHTNESS MDR TO AWING CD49TE YSTEM DESIGN
A
USNIG THE METHOD APPROVED BY MANUFACTURER
4.THE DESIGN ENGLNEER:HALL OVER'Sm THE owrs DURING SYSTEM STARTUP
R 5.THE OW`rS INSTALLER SMALL BE LICENSED,HCILD AN ENDORSEMENT FROM SCONS
AND BE A FUJ AUTHORIZED INSTALL04
WC1 6 THE OATS INSTALLER SHALL REGISTER THE ONSITE TREATMENT SYSTEM NTH
SCONS THE DESCH EMCNEER SHALL PROVDE CER71FICATION DOCUMENTS AS
1,mt 111 %AwfArs mwm
REOU3AED BY SM145.
7.AN OPERATION AND NAMENANCE CONTRACT BETWEEN THE MAINTENANCE
4
PROVOER AND THE PROPERTY OWNER SHALL 13E PROVIDED TO SCDHS FOR I/A 0
-0,400m IWAIL
w x
V OWTS RE EVON9M FOR THE CONSTRUCTION
6\ A Gme&CE cmNoER SHALL BE INSTALLEE) PSTREAM OF THE O
9 WATER SOFTEN-OR BACKWASIRNor U
SHALL NOT GE FLU WTS.SHED TO PROPOSED SEPTIC MEANS&METHODS UTILIZED BY THE
SYSTEM CONTRACTOIR,NOR FOR THE SAFETY
10,CONTRACTOR IS RESPONSOLE TO OBTAIN TOWN BUILDING PERMITS AS NECESSARY
PRIOR TO INSTALLATION OF THE PROPOSED SEPTIC SYSTEM,
CIF THE PUBLIC OR CONTRA='S
%M IL I/A OWTS TO BE PASSIVELY VENTED THROUGH PLUMBING ROOF VENTS EMPLOYEES.THE ENGINEER SHALL NOT
"A 11 tI 12-NO EXISTING DRYMELLS BE RESPONSIBLE FOR THE FA;LU`RE OF
J VE CONTRACTOR TO& Y OUT THE
WOW IN ACCORDANCE WTH THE
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SUFFOLK COUNTY DEPARTMENT OF
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— - LIMP LEACHI
-LmNG Affis HEALTH'S STANDARDS AND
-;V,- tP- PM
CM f'm 0"ift U"-mkimm REGULATIONS CONTRACTOR SHALL
kit modkIlau
owt m4nit wAvmArtm NOTIFY THE ENGINEER PFdOR Tel
PAM-PRCFCM BACKFILUNG OF ALL STRUCTURES AND
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ASSOCIATED PIPING
SO"-SUMOLK CWM UWARTUE4T IV rerun}MACES
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O.STRLT IDW SECTION 22 BLOCK I LOT 4 D6-00CT 1000 SEqOh)22 BLOCK I LOT 9 owft:i un Z-a-,INI_,, LV"f a DIS7RIOT 1000 SECTID-4 22 EILOCA LOT I I
LMD No*oR FmAmy or 4ALD LAND NOW OR FOAULIWY OF JOSEPH a,RtfO4A LAND Now OR rORMENLY Ov WCHAEL I
PEGGY OZENKOWSKIDO/ VA.4DERmo-.14 LIZ4C T1;JST I SARACAS
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01 Suffolk Caun,
Call(631)852-5754,48 hours in
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� Telephone 531 785-�1802
Town dell Annex " P
54375 Main Road Fax(631)785-9502
P. 0. Box 1179
Southold, NY 1 1 971-0959 �����
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:,46 a
BUILD11,NG DEPARTMENT
NOTICE ofUTILIZATION OF Ru` , `TYPE` col 'T UCTIO PRIEwENGINEERED
WOODCONSTRUCTION AND/OR,TIMBER C0 IRu,c to...............
r�
Z/O
i✓ate.
Iti
Owner:
419f6a�l
Location of Property. 702- , V
6LQ L94W
Please take notice that the (check applicable line):
New commercial or residential structure
Addition to existing commercial or residential structure
Rehabilitation to an existing commercial or residential structure
to be constructed or performed at the subject property reference above will utilize
(check applicable line):
Truss type construction (TT)
Pre-engineered wood construction (PW)
Timber construction (TC)
in the following location(s) (check applicable line):
Floor framing, including girders and beams (F)
Roof framing (R)
Floor and roof framing (FR)
Signature:
Name submittin this form):(persong
Capacity(c ck applicable line):
Owner
Owner representative
TrussReg15.docx Effective 1/11201 5