HomeMy WebLinkAbout53194-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#: 53194 Date: 08/11/2026
Permission is hereby granted to:
Robert A Leyden
119 West Ln FI 1st
Stamford, CT 06905
To:
construct an accessory in-ground swimming pool as applied for with flood permit.
Premises Located at:
3088 Camp Mineola Rd, Mattituck, NY 11952
SCTM# 123.-5-6
Pursuant to application dated 07/24/2026 and approved by the Building Inspector.
To expire on 08/10/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Flood Permit $150.00
Total $550.00
Building Inspector ����
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 httw./twww,southgIdtownny og
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
U - J
PERMIT NO. 53fqt+ Building Inspector:_
t"ilat t
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:7/23/26
OWNER(S)OF PROPERTY:
Name:GCG Mattituck LLC SCTM#1000- 3 - (p
Project Address:3088 Camp Mineola Road, Mattituck
Phone#:631 258 3799 Email:geopavjr@gmail.com
Mailing Address:PO Box 377, South Jamesport, NY 11970
CONTACT PERSON:
Name:Megan Nugent
Mailing Address: PO Box 877, Jamesport NY 11947
Phone#:631 804 3796 Email:megan.cmtarchitecture@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:James Deerkoski
Mailing Address:
Phone#: =mail-jamesdeeroski@yahoo.com
CONTRACTOR INFORMATION:
Name: nc
Mailing Address: P0 BoX 3 ~] NV 1 19"7 (D
Phone#: JOS1 - 25'e) -379C1 Email: geogmypo1iwx- corn
DESCRIPTION OF PROPOSED CONSTRUCTION
RNew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
R Other pool $TBD
Will the lot be re-graded? Dyes RNo Will excess fill be removed from premises? ❑Yes �No
1
PROPERTY INFORMATION
Existing use of property:VaCant(underCOnStruCtiOn) Intended use of property:SinglefamilyhOUSewpOOl
Zone or use district in which premises is situated. Are there any covenants and restrictions with respect to
this property? ❑Yes 54No IF YES, PROVIDE A COPY.
11 Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable 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,building code,
housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Application Submitted By(print name):MeganNugent BAuthorized Agent ❑Owner
Signature of Applicant: Date: 7/24/26
CONNIE C. BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU6185050
Qualified In Suffolk County
COUNTY OF ) Commission Expiros April 14, 2��5
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 true 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
aq day of ))
-I�
Notary Public
PROPERTY OWNER AUTHORIZATION'
(Where the applicant is not the owner)
1 residing at
�clo hereby authorize to apply on
my behalf to the of Southold Building Department for approval as described herein.
Owner Signature Date
Print Owner's Nam
2
LAND NOW OR
+2.s , J.J.
LAND NOW OR FORMERLY OF IMPF
PETER F. KREH JR. PUBLIC
"UATE +2.8 VACANT ,
FITUCK ` S 89*07
i
SOUTHOLD 5.2 1
NTY, NEW YORK _� S 89'30'10" E _� _ 124+52' k — PROP. WATER LINE_
fI t w
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PERVIOUS > » ELECTRIC LINE N f
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HAS BEEN PREPARED , +2.5 RUN—OFF 4 11 N 15.52 \
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SURVEYORS LLP DATED c9 P�°N'
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s'RVIOUS LOT COVERAGE C�V- +2.s fitAAiEDROIDMS GARAGET , +s.s
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AREA % LOT COVERAGE ��i \ 4 1 20.5' t' 8 t —
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NECTED TO HOUSE VENT
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1,748 sq. ft. + ZUS +O� \
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391sq. ft.
\ d �iFm'.aN tD PROP.REAR 1 .0':... V r'- , tO i{� -{-4.6
336 sq. ft. \ , PORCH `�—� ' T
16.2% \ — a c—�-\1 Ct) --LINES TTO OTRICAL W�t�l1TROl PANEL
2,475 sq. ft. \ - _ 'Q1 AND AIR BLOWER
\ �'< F• + 1 r PLAN CLEAN AND
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j 14'X24' sr+u°s°+s�v O j �-1! NpN EW OF OMITS Q BE INSTALLED
\ X s \ 1j �\1� +
30LE DATA p1P t1a , f`
34gRON M.S ON NOVEMBER 10, 2025) ` + \ f PROPOSED WDE
o' COPING \— PROPOSED SWAW 6 NOT TO
SANDY LOAM(SM) \\ �`i ( _ T I \ TEST HOLE EXC®151
EL 3.9' OSR DNG W"
2.1'
MIXED SAND(SP) + \ � 88°19'40" W 124.02' 4.2
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PROPOSED 12'x1Y POLYLOK .+............._ -
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DISTRIBUTION BOX
n
_ Wf PDB-12 RISER AND +3.7 + f
e ROTO—FLOW 3050-4 LEVELERS
TO GRADE WITH LOCKING COVER I�
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SAND(SP)
LAND NOW OR FORMERLY OF LAND N
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9O. IMPROVED
NCOUNTERED PER TEST HOLE
PIONS: SP SITE PLAN