HomeMy WebLinkAbout47496-Z rr TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 47496 Date: 2/25/2022
Permission is hereby granted to:
Farinha, Victor
_.... ......
16_5 Bennet Rd
Greenport, m.. 11944
To construct accessory in-ground swimming pool as applied for.
At premises located at:
165 Bennett Rd, Greenport
SCTM # 473889..... ITIT
Sec/Block/Lot# 40.-5-1.44
Pursuant to application dated 2/1/2022 and approved by the Building Inspector.
To expire on 8/27/2023.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Buw ding Inspector
�F01j 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 ht //www.southoldtownn goy
Date Received
APPLICATION I
For Office Use OnlyI FEB 0 120
E C E U U Ly
PERMIT NO. Building Inspector: OF gowhl"'D,
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Name: V A-iZ n hA- SCTM# 1000-
Project Address: 11qyq
Phone#: - + - Email:
Mailing Address:
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Address: � -f— ZSi4 I � Maes ,1 ^i
Phone#: _ 0_�@A2 1X61 L40M
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Name:
Mailing Address:
Phone#: Email:
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Name: f 'g- EJV4-t'c� IS
Mailing Address: qZQI pf ZSR Il.�►I(,it- IQ'(� Y r o 7�v
Phone#: y�—� g� Email:
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❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demol tion Estimated Cost of Project:
{Other I bIMt ?/�
Will the lot be re-graded? 62'Yes El No J%ou AsyA- croly Will excess fill be removed from premises? %Yes 0 N
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Existing use of property Intended use of property. � '
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Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes NNo IF YES, PROVIDE A COPY.
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Application Submitted By(prname);t nae): y 1R ;2In fl�Q !!� ❑Authorized Agent 'gown er; IT_ ,. . ,
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF ?I1 )
k-GtZ Ii° � being duly sworn,deposes and says that(s)he'is the applicant
(Name of individual signing contract)above named,
(S)he is the a-e' -
(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
day of 20 _2
MARGARET A. KIDNEY Notary Public
Notary Public—State of New York
No. 01 K160211 11
Qualified in Suffolk County PROPERTY OWNERT ) TIO,
My Commission Expires March 8,2
(Where the applicant is not the owner)
1, 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
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929 Route',25A'-Miller Place NY 11764 II
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