The URL can be used to link to this page

Home My WebLink About46930-Z L`Fac,r TOWN OF SOUTHOLD �SUE �coG, BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE 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#: 46930 Date: 10/6/2021 Permission is hereby granted to: Wilcenski JA Irry Trust c/o John A Wilcenski Jr 5 Baycrest Ave Westhampton, NY 11977 To: Remove existing in-ground swimming pool at existing single family dwelling as applied for. At premises located at: 385 Marys Rd, Mattituck SCTM #473889 Sec/Block/Lot# 140.-2-33 Pursuant to application dated 10/5/2021 and approved by the Building Inspector. To expire on 4/7/2023. Fees: DEMOLITION $100.00 Total: $100.00 Building Inspector f� Y `�Q•°�D�«`� TOWN OF SOUTHOLD—BUILDINGDEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959 ® J Telephone(631) 765-1802 Fax(631) 765-9502 https://www.soutlioldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ® k (L' L3 Fr. q PERMIT NO. Building Inspector: OCT Q 5 2O2 1 I � ; Applications and forms must be filled out in their entirety.Incomplete BUILDING DEPT. applications will not be accepted. Where the Applicant is not the owner,an TOWN OF SOUTHOLD Owner's Authorization form(Page 2)shall be completed. Date:9-28-21 OWNER(S)OF PROPERTY: Name:Wilcenski Trust JSCTM#i000-140-2-33 Project Address:385 Marys Road,Mattituck, NY 11952 Phone#:516-903=6041 Email: Mailing Address: CONTACT PERSON: Name:Donald Wilcenski Mailing Address:755 Highwood,JROad, Southold, NY 11971 Phone#:516-903-6041 Email:dwilski78@gmail,com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Briarcliff Landscape Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair @Demolition Estimated Cost of Project: ❑0ther Complete removal of inground swimming pool;fill in hole. $ Will the lot be re-graded? ❑Yes @No Will excess fill be removed from premises? ❑Yes @No 1 PROPERTY-INFORMATION Existing use of property:year roundhouse Intended use of property:same Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R=40 this property? Oyes @No IF YES,PROVIDE A COPY. @ 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 bullding(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(pr' .Donald Wilcen ki OAuthorized Agent @Owner Signature of Applicant: l Date: l Z! STATE OF NEW-YORK) COUNTY OF I ) Donald Wilcenski being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the owner (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 I,, J h day of 04019 Cr ,20 2� Notary Public TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK PROPERTY OWNER AUTHORRATION NO.01DW6306900 QUALIFIED IN SUFFOLK COUNTY (Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,2_02-2— residing 0,2_02-Z I, 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 god Quality Care UC Jv� iia-vim, P � p NOV 0 12021 ID IJ Alt-h-- V v `r BUILDING DEFT ^ _ � TOWN OF SOUTHOI,D 38C Iry p 0 se and Insur&A 6 OCCU ANIGN Oil USE IS UNLAWFUL® WITHOUT EPMROCAT APPROVED AS NOTED OF OCCUPANCY DATE:/O•(,Oa B.P.# 930 FEE:"$-'70b-MBY: NOTIFY BUILDING DEPARTMENT AT 765-1802, -8 AM TO 4 PM FOR THE FOLLOWING'INSPECTIONS; 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH --FRAMING & PLUMBING 3. INSULATION COMPLY Wi H ;',i DES OF 4. FINAL - CONSTRUCTION MUST NEW YORK S-F QTc & NN CODEr BE COMPLETE FOR C.O. AS FIEQUI D AND C 7,1ITIONS O' ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW SOUTHO' LSA YORK STATE. NOT RESPONSIBLE FOR SOUTHOLC'-i OVVI�'',LMAING BOAR, DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOIAIN 7Ri,STEES N.Y.S.DEC RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. s - ' IPA D ; OCT 0 5 2021 ' r BUILDING DEPT TOWN OFSOUTHOLD' 1 , PSI i .,? �a •• -•'��re •�' .�a 4�ter, sti J �-�.t �`_�� ' ',+ s" :`•r~ � ; (,..l� ' j I r V f , rij + ,/' i -4 r S 1�/• , i .r r ' ''%5 j c '7 •,a 'yr••fig✓"'•,. ••.� ,, .r��,r�� •�r„�p, ! L'' . 3� �' �,•!+ ��" PSI,. .••h, .moi �f � '�j,,� i1 ^"?`'•,r'€" i� Aiy1 J A 7'1 A s '-t`Sar ;',.;�'�'•2. t)' ..r•sY•''� <•• ` • �' ":'a' „- •rv`s� iii• �•••> FiNCL SE Pt ✓t..'�t,; ` •t �� • �" ! ? :C�:t t: :,{_Foil{K 1 �.;J +:. �` \\\ ",�� €.�Ci�: 9,,ti .+'i1J" ! .1•. Sr P_. .x "r (a('1„xetf Yq� 2J.off vuy� ;1. 4'. A J :1Y..•.?'•i t.{•tC•''`•i c ' ;y �jt - r, 2 oN� If ��t~ty►,S�tt I; :k•A*'< (elf: t' 1 11 rw)t• W` r}3' �}�_t : 1 r • S Y (' i ,••�: - ,�+.. �A'Ib V.R. ,t 'y,; .r�nri�, `t ,�• r�••�'{ � 1•• „Is Jri k..+Ms'�iaf�r••. j,.. •• fS Oji � i:� ,; '• `J yam.t $ r 1 °S.•••+. p , ,.L1S,FS• � Is', n';'- •{� 'S ff. r .(J�Ly�-�+�, !` • ,�f i F \ •, � `R' � •r1�)r•'•-�"N �Jam•i +6 ' v��3 '1� ^1 � \_' u k ��• . �S��f �1. 1 <+ 4':': - e 'iK - �'S y'•r.fir.M••.w.,i..r. ihx'. _ �. Ii E�"-' 4',f�`=tKi"s' j�tr.�i•�'1 :'{/• 3;1R;�� h_ "5 - ,r ..y„ , • ., y Jy , ffI Yui i'• •;w'w!., �.� •'YR 1'i� Esr, r.�( i '4� �YJi' +�-• ('d �� 1• ..{..Jr ! .N.p��+.j. �'`,'..,.S;�i •' S •• r.i;ar- ;,?�'{�;,d��,' ;'Y: �� s .;�- 7• ��- - cal. 3 , ..( ''2�' l+,' JJ M` =y} �' �'.�Sr .� ` ('• ^'Sj'r• 1h+�.,, +4 ��,�•,�• ` ,:i' _,'i�. '••! � V j p , •-1,hFT+.'[ li 4 ' •Y.J° �.W Y4.r�•r+M�i•..f�P.R�.JW..«-._ * of . - '•w•�} �•ti y•' j.�l `•�' y ^;R,,.j J� i'• .J•• •Q3 kY Y - 3.5�T..•,•.•t t r '(»' ♦ r j,�!.A•;i^°-.ty��+^J••, v � i:j i.`�b � ; S�•a.�T-` `�i_�v �r"r•� ` •ci... I, x,+.,c .r • yR iyA 7•T� '�. .,• C+ •xt lis( ' r'�Y-Q�t�:.�•�eI':�a�.�+::F.tA. ` •tri�� C•� /. ..J!" lk '�L.�,f+,�•.','.i•.�' � '• di-�'• • "air +' •v :�%s•".`�:q' =r +�- :•!�iN�i 1. 1. v.�x�i`it�k•„�`t'^k.+.''SS.,; 4..�Y�^1S';+fyt�. S,t�,.y0� + r - + �'�':• ' ,�..��;�3{ ' '1� .'s '! '�i' t y"t .�� .�`,,�',1�``.r'ar7i t+,��:,t' . S '- - .,.,.r,......,...3Lv{.+.t..Lc�N.• - r.:wruti:w+ii�„-.W,�r.- - --. — ++.e...--•--i'b—.•-- s -- -� --------- -`-' -----'' - --' -- ----- FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT D ] 1 Office of the Building Inspecto Town Hall OCT O Southold, N.Y. 5 2�Z] TOWN OFIFDj Ip�OSgpr eERTIFICATE OF OCCUPANCY No Z19376 Date SEPT. 20, 1990 THIS CERTIFIES that the building ACCESSORY IN-GROUND POOL Location of Property 385 MARYS ROAD MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 140 Block 02 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 20, 1989 pursuant to which Building Permit Ho. 185352. dated SEPT.- 22,- 1989 was issued, and. conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is A DETACHED ACCESSORY INGROUND POOL WITH FENCE ENCLOSURE, The, certificate is issued to JOHN WILCENSKI (owner) -of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R/A UNDERWRITERS CERTIFICATE NO. N108384 DEC. 27, 1989 PLUMBERS CERTIFICATION DATED N/A B lding Inspector Rev. 1/81