HomeMy WebLinkAbout53118-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Y SOUTHOLD, NY
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�6��COUNf`f��y
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#: 53118 Date: 07/14/2026
Permission is hereby granted to:
Claire Durecko
21 Fernwood Ter N
Stewart Manor, NY 11530
To:
construct additions and alterations to an existing single-family dwelling as applied for per SCHD
approval.
Premises Located at:
190 Gull Pond Ln, Greenport, NY 11944
5CTM# 35.-3-5
Pursuant to application dated 03/23/2026 and approved by the Building Inspector.
To expire on 07/13/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition &Alteration $1,316.50
CO-RESIDENTIAL $100.00
Total S1.416.50
ding Inspector
TOWN OF SOUTHOLD_BUILDING DEPARTMENT
Town Hail Annex 54375 Main Road P.0. Box 1179 Southold,DIY 11971-0959
Telephone(631)765-1802 Fax(631) 765-9502 bft,�.,/,,www,.�o �l to �Ing,�mv ww ..•••••.mmmmu mmmmmxx Mrmm ,wwwwuwneuvwwuww�m'�re wwuww.wmmv,
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Date Received
APPL111CATION FOR BUILDING I
PERIVIrr
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For Office Use Only
PERMIT NO. Buildrng'Ins a 'f r� �w AR
......................
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Applications and forms 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 2)shall be completed.
Cate:3/16126
OWN ER( �OF PROPERTY:S i
Name:Claire Durecko SCTM#1000-350�0�0300005000
Project Address:1 90 gull Pond Lane Greenport NY 11944
• Email:
t�h,�i�e� mall.com
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Mailing Address:190 Gull Pond Lane Greenport NY 11944
CONTACT PERSON:
Name:Claire Durecko
Mailing Address:190 Gull Pond Lane Greenport NY 11944
Phone : 35►1--2791 Email:, durecko@9mail.com
(516)
DESIGN PROFESSIONAL INFORMATION:
Name:Mark Schwartz
Mailing Address:28495 Main Road Cutchogue NY11935
Phone#: 31 3?'4-424 Email:mksarchitect@opto�nlin�e.net
CONTRACTOR INFORMATION:
Name:James Cosmadelis
Mailing Address:p.0. Box 481 Southold NY 11971
Phone#: 31 433- 2145 Ema11:'asmar03 aol.cos~n
DESCRIPTION OF PROPOSED CONSTRUCTION
nNew Structure @Addition Alteration 'Repair I Memolition Estimated Cost of project:
0t er
Yes . No
Will the lot be re-graded? ❑YesANIO Will excess fill be removed from premises?
I
1
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PROPERTY INFORMATION
Existing use of PropeM:Private Home Intended use of property:Private Hone
..............................
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
4-o this property? iYes WNo IF YES, PROVIDE A COPY.
AfterCheck Box Reading: The owner/contractor/des4n professional Is responsible for all dra inago and storm water Issues as provided by
Chapter 236 of the Town Code.APPvCAT'ION IS HEREBY MADE to the Building Department for the Issuance of a Building Pern»1t pursuant to than Building zone
Ordinance of the Town of Southold,Suffolk,County,New York:and otherapplicable 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,bulf ding code,
housing code and regulations and to admit authorized Inspectors on pfemists and In building(s)for necessary Insp+ectlons.Fare statements made herein are
punishable as a class A misdemeanor°pursuant to Section 210AS,of the New'York.State Penal Law.
Claire Durecko
Applications Submitted By p name): OAuthorized Agent WOwner
Signature of Applicant'. Date
STATE OF NEW YORK)
eO u NTY OF
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 trine 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
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(Where the applicant is not the owners w �
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do hereby authorize to apply on
my behalf to the Town of SouthqW Building Department for approval as described herein.
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Owner's Signature Bate
Print Owner's Name
2
A5-QUILT 51TE INFORMATION.
-5UFFOLK COUNTY TAX MAP ID:1000-035.00-03.00-005.000 of NE&V
TWO(2)FUTURE EXPANSION LEACHING GALLEYS(NOT INSTALLED) -EX15TING I STORY 2 BEDROOM DWELLING.FROPO5FD 2ncl FLOOR ADDITION.
TOTAL OF 4 BEDROOM5.
-LOT AREA:0.45 ac..t 9�(;02 5c.1 ft.
FOUR(4)4.75 x 8.5 x 3 FOOT DEEP LEACHING GALLEYS
-PROPERTY LOCATED AT 150 GULL POND LANE,GREENPORT,TOWN OF 50LJTH OLD,
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5UFfOLr\COUNTY,NEW YORK.
EXISTING OVERHEAD ELECTRIC SERVICE TO REMAIN -5UKVEY PROVIDED BY:JOHN T.METZGER,DATED.APRIL 25,2005,
/ j-� LOT NUMBER5 REFER TO'MAF OF fORDHAM ACRE5,5ECTION ONE,FILED IN THE 5UfFOLr\COUNTY
, CLERK5 OFFICE ON MARCH 7,1 5G2 A5 FILE NO.3515.
APPROXIMATE LOCATION OF EXISTING SANITARY SYSTEM TO BE -VERTICAL DATUM-NAVD'1988 DATUM
PUMPED AND REMOVED PER SCHDS STANDARDS -PUBLIC WATER SERVICE
-ALL HOMES WITHIN 15OLf OF PROPERTY CONNECTED TO PUBLIC WATER 5ERVICE.
-NO SURFACE WATER LOCATED WITHIN 200'ffROM PROPERTY LINE.
EXISTING PUBLIC WATER SERVICE TO REMAIN GENERAL NOTES:
1.DESIGN FOR UP TO 4-15EDROOM HOME.
FUJI CEN-5 I/A OWTS WITH 90 DEGREE INLET ADAPTER 2.VA OWr5 SANITARY REPLACEMENT DESIGN,51P GRANT PROJECT.
- 3-51TE PLAN AND REFERENCE ELEVATIONS TO BE U5ED FOP,I/A OWT5 5ANITARY 5Y5TEM CON5TRUCTION ONLY.EXACT
EXISTING PORCH TO BE REMOVED,NEW PORCH WITH PERGOLA, PROPERTY BOUNDARIE5.UTILITY LOCATION5 AND ELEVATION5 ARE NOT GUARANTEED.
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k w 4.ELEVATIONS 15A5ED ON PROPERTY 5URVEY,5UFFOLr\G15 AND ENGINEERS 51TE MEA5URMENT5.
5.ON51TE UTILITY MARK-OUT5 TO BE PERFORMED BY CONTRACTOR PRIOR TO PERFORMING 51TE WORK.
G.:501L TEST HOLE DATA PROVIDED 15Y-------------------
4 7.EY15TING 5ANITARY CE55POOL(5)TO BE PUMPED AND REMOVED A5 NECE55ARY PER 5CDH5 5TANDARD5.
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PROP05ED I/A OWT5 5EPTIC 5Y5TEM FOR UP TO 4 BEDROOM
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RE51DENCE;
1.ONE(1)FUJI CEN-5 I/A OWT5 WITH 90 DEGREE INLET ADAPTER.
2.ONE(1)FUJI MACi5OR BLOWER,VENT AND FUJI CONTROL A55EM5LY_
3.ONE(1)20DIA.POLY-LOK DISTRIBUTION BOX <
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4.FOUR(4)4.75'x 5.5'x 3'DEEP PRECAST LEACHING GALLEY5. 0
5.TWO(2)FUTURE EXPAN510N LEACHING GALLEYS.(NOT INSTALLED) W
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if --------- i".1- ______200.001 GENERAL 5ANITAKY 5Y5TEM AND IN5TALLATION NOTE5:
No 1- 'M 7 BEDROOM c I VA Ol-N -7 71-37T- DE51GNED FOR UP TO 4 BEDP U'
f 9 HOME PER 5UffOLr,COUNTY DEPARTMENT Of HEALTH
5TANDARD5(5CDH5).
w WL 2. 5ANITARY GRAVITY DRAIN PIPE TO BE 4-INCH CA5T IRON AT 0 0
wm E FOUNDATION PENETRATION AND 4-INCH PVC 5DR35
DOWN5TREAM OF FOUNDATION. z
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C) 3. I/A OWT-9 SHALL 13E TE5TED FOR WATER TIGHTNE55 PRIOR TO
EXISTING/1 STY ARRIVING ON51TE U51NG THE METHOD APPROVED BY
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Q 2nd 4, THE DESIGN ENGINEER SHALL OVERSEE THE OWT5 DURI
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1"fit IN5TALIATION AND 5Y5TEM 5TAKTUP.
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5. THE OWT3 INSTALLER SHALL BE LICENSED,HOLD AN
FFEU :E C5
T_ ENDORSEMENT FROM 5CDH5 AND BE A FUJI AUTHORIZED
INSTALLER.
EAS IW EL 9.2'± G. THE OWT5 INSTALLER 5HALL REG15TER THE ON51TE TREATMENT
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5Y5TEM WITH 5CDH5.THE DE51GN ENGINEER SHALL PROVIDE
CERTIFICATION DOCUMENTS A5 REQUIRED BY 5CDH5.
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7. AN OPERATION AND MAINTENANCE CONTRACT BETWEEN THE
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'14 Vmirt_ MAINTENANCE PROVIDER AND THE PROPERTY OWNER SHALL BE
PROVIDED TO 5CDH5 FOR I/A OWT5.
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z 5. A GARBAGE GRINDER 5HALL NOT BE IN5TAI I ED UF5TKffAM Of THE
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9. WATER 50FTENER BACKWA5H 5HALL NOT BE FLU5HED TO
p LE X aA x, ION R-Q U I R E:D ts
PROPOSED SEPTIC 5Y.5TEM. to
bo 10.CONTRACTOR 15 RE5PON51BLf TO OBTAIN TOWN BUILDING
-OR ANI SYS-11 EM 00
co 0 PERMIT..A5 NECE55ARY PRIOR TO IN5TALiATION Of THE
vent r4)
jj PROPOSED SEPTIC SYSTEM. z (7)n GAS GAS G�S
II.NOTE:VA OWT5 TO 13E VENTED THROUGH 2 INCH CARBON VENT. 0 r-,
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GAS GAS-GAS GAS----ffl-GAS By HE-A LTHDE RAI,R THE
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FUJI CONTROC PANEL,
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Design Pl-ofessionars C-ert-lificalion Requred. Z
SERVICE TO
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20 INCH DIAMETE K DISTRIBUTION BOX oj
-mance i conto -ements, w 3:
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C444%r DATE:02/27/2026
STRCTON FORA PERMIT FORAPPROVAL 0"'CO DUI
-11 SAINIG-LE EkMllX'Rr_lDENCE ONLA; SCALE:1:20
DESIGNER:TAO
2/28/2026 &P4
D A--
R-26-0173 SHEET:
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A P P IR 0 V D
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SANITARY SITE PLAN 0 20' 40' IF
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SCALE:1:20 EXMIRES IHREE YEARS FROM DATE Of-, vf