HomeMy WebLinkAbout53240-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#: 53240 Date: 09/01/2026
Permission is hereby granted to:
Mark R Handforth
1930 Tigertail Ave
Miami, FL 33133
To:
Construct a detached garage accessory to an existing single-family dwelling as applied for per SCHD
approvals.
Premises Located at:
1000 Rocky Point Rd, East Marion, NY 11939
SCTM# 31.-2-19
Pursuant to application dated 08/05/2026 and approved by the Building Inspector.
To expire on 08/31/2028.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $1,028.50
CO Accessory Structure $100.00
Total $1,128.50
Building Inspector
x4e�FFY3�t
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 l ttp,s:,Hwww.southoldtowtin ,ov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
N
53 5
PERMIT O. � Building Ir�spectcsr � ..,
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an a0dineJpa
Owner's Authorization form(Page 2)shall be completed. Town of south0
Date:august 5 , 2026
OWNER(S)OF PROPERTY:
TC—TM
# 1000-Name: r.
33 doug Ilc
Project Address:1000 rocky point road, east marion, ny
Phone#:845 6645696 1 Email:burtdorfman@gmail.com
Mailing Address:p0 box 162, south jamesport, ny 11970
CONTACT PERSON:
Nameturt dorfman
Mailing Address:p0 box 162 S
Phone#:8456645696 Email:burtdorfman@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:Robert Higgins
Mailing Address:
Phone#:6312083351 Email:rarchibob@aol.com
CONTRACTOR INFORMATION:
Name:33 doug Ilc
Mailing Address:p0 box 162
Phone#:8456645696 Email:burtdorf man 9gmail.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
lil0ther garage with loft $75000
Will the lot be re-graded? ❑Yes R No Will excess fill be removed from premises? ❑Yes ❑No
1
PROPERTY INFORMATION
Existing use of property:land w/foundation Intended use of property:garage W/ loft
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
r40 I
this property? ❑Yes �No IF YES, PROVIDE A COPY.
8 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 210.45 of the New York State Penal Law.
Application Submitted By(p nt me ,Burt dorf ❑Authorized Agent BOwner
Signature of Applicant: Date: august 5 ,2026
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk
Burt dorfman being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is themanager of 33 doug Ilc
(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 rr��
5th
day of August 2026
Notary Public
PROPERTY 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.
Owner's Signature Date
Print Owner's Name
2
-7�13A6 && Vc)1y1 , 3
Albert J. Kru ski Jr. 2�^F I � >]R I��1MA\T]E][,
A � �' �1[A\ NA\�G�]EI\�1[]ENT
d�'pSir �
L T L O.Box 1179 1
53095 Main Road-SOUTHO k YORK 11971
Town of Southold
[I G 2 4 2026
' ie ' ; ' 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, Contractor, Other)
r
NAME
��, Date: —7 ( 3 I
� �,.�•�...m_....
{Su�rraaurei�� .. �
Contact Information: ��
(E-Mail&Telephone Numbed
Pro ert Address / Location of Construction Site:
S.C.T.M. #: 1000-
-.
---- District
Section Block Lot
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
❑ - Area of Disturbance is less than I Acre. No S.P.D.E.S. Permit is Re uired !
Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Re uired l
❑ - 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 Buildirz Permit.
0 - Area of Disturbance is Greater than 1 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 Engineerina Department
Prior to Issuance of a Buildin Permit.
Date:
Reviewed B�. -•••••••-
FORM I SMCP-TOS December 2024 Q
R Approved
7" 0/'2026
e�nsed Phan 'w���mm'�w
12/15/2026
Fxpires
v .J�ENT OF 1-I _.�..
i � .�._� C AUNT; DE ART�_
S FFOLr
E.ALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOP. A I
AND
Garage(0 Bedrooms)--'
R 23 1316
DATE.. H.S�I. No �a.
APPROVED 1T5I20 3... �� ��_.��µ�......�_ ._
6
TOTAL MAXIMUMEDROOMS
EXPIRES THREE YEARS FROM DATE OFW APPROVAL
PPRC`1
— VAL
I'I! ] c
,..�....� Design pi ofessiona!s certification
Required
Submit P or 4 A CertificaLon f-or
Building Department t`coon or the Se System
a ruction or the sewage Disposa
rm
I
Town of Southold
The Installetio� n construction
SANITARA, SIGN BY:
� 11
��Notes NICHOLA+S ERRO
I `aTAI,LETT �w HOLD��ECkSE�IIwNT FRU�I�,S6,IFFwaLml�IsrY DEPARTNAE I�!EALTH. PO BOX 5T
EJE0.9�MATS 1 •M)AINTENANCE CONTRACT�E�Er� ��TENEINAFl��PP a�?dk&)ER�AND THE I�EENPOR YORK 119"
SI JIRI,BE PF OYDED 10 THE SL HIS l-�I 7NE
)ROV�� w�P E FgOM THE UML NG AND LTOWARD ray � r+� a �,� �'RVOKNE.T
IHE VEW PIPE SI•IAI.L PRC
Ag EFFFII�T FILTER Stl I L BE NNSTA�J LED I1d ERTHE ACCESS"OVER OF 7HE CEI r LOT TIII OUTLET P@PE `" ��� " �
TOWED SEPTIC Sy UP To fi BEL430t]id15
0)FUJII"w4.fAN 4 E9N7 7W GP4(WS) LU
,J)LEACHING P $I9xk3DEEP
0)EXPANSION LEACHING POOL
O.
FO �
0.22.45" N.ICHOLAS MA ERRO PE WS LISC' #057095
021. V'
I R&ET,
" 7 OUTLETS
72C): im
P ,xari � +aAmme t� ,s�tiaaaa rt+aw.wA ro ,ra
SO)(ACCEPT& r.T emoe« w �F.er�� to -T "U'., *.*& �«mv.e�nara;a
I LIGHT COVER 0"C tiAmax..M«sd�mda�e��ddd�
A,e,r���.»a�rcwmeacAe�tr.aA, aaas�r, rorc��,m+nru. � �n.m.r..we
TOP HEAVY COVER,I `7-C20 A TAm "7
vamfil mwd nrrl R+hwDr+^�Adue swa'ufAd "Mwr��drr +r wro
GRATE 17-G20 a oar �.m w.e�wn r
Twv+rveArxrer Mewxm anew fiar due usre eaa+m.r.Dna�a'.�rM'arw
Ir TALL.RISER 03000 rmr mreaaw+wc w+u a m mw"wutiMa we
�Ir TALL RISER 12 e w A ecAww dada s w o da rr ddP.am+on yw rwArw awta�+rs +ea
�y J.ar+.r'fi�n 'A is 4�br�d m+wa�*aaace old 9�+",b"� duiLb$7+az6� �d'9stN)w[aa'daT4 F�VMaS'FF�X!aMk.
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o r LEV.ELtNG DICE . wro>�
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,
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�-d e to
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ELEV, 3&Q
CR SP�VJiti E90 P'�G(fYP} Ff fiCtaELFiLE @Ei+D 61P CLEAN OUT MUST BE W5fALLED TD PROVeDEACCF.SS1DTeE
CL 12' ppAP1E0.6 PLl:6(fYP1 ADAPTEfl FflC A ABOVE(P")
ALL efp7Ep!AL9 SGFEDL'L
a�"+'�"N��`(�Sfy) CLEµ'OF,T TO 6[tADE
S .C.T.M.# DISTRICT 1000 SECTION 31 BLOCK 2 LC
#R-23-1316
SUFFOLK COUNTY
WATER AUTHORITY
PUBLIC WELLS OVER 500'
LAND N/F OF
KIKI SIOPIS
DWELLING
W/PUBLIC WATER 150'
163.98'
N 75°05'00" E
_�- - const, silt fence
f sod C
top area
yskoc DRY WELL
OR
00
o sCO
I
In I M i '� u
2
r
Z
a A�,ry
13:
J U � � t0� x13'CYF'EP' �
W I �:
Q m
Q f
IN
f 10'003DEEP o 0
6 BEDROOM SYSTEM
U.P ELECTRIC FAIR SUPPLY HOSE TO wTYdtS
w I CONTROL
PANELANO NR P�YSIP
2°SCH40 PVC VENT PtPE.
ELECTRIC SERVICE TO CONTROL PANEL 4 \
f 0 50.01
\ ;
x C DRY WELL
13
€�a
w— w w—w—w. w wi w
PROPOSED WATER LIN
_DRY WELL
r
f 1 �°
s
I— �' 1000 GAL✓ LP GAS
z '
const. silt fence
�
s CL IL r r'
O "S
38 a y