HomeMy WebLinkAbout47494-Z 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#: 47494 Date: 2/25/2022
Permission is hereby granted to:
Wertheimer, Eric
4465 Wicham Ave
Mattituck, NY 11952
To: construct accessory in-ground swimming pool as applied for with flood permit.
At premises located at:
4465 Wickham Ave., Mattituck
SCTM # 473889
Sec/Block/Lot# 107.4-9.2
Pursuant to application dated 1/11/2022 and approved by the Building Inspector.
To expire on 812712023.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Flood Permit $100.00
Total: $400.00
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wilding Inspector
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 rs-- w ww-s a t tt)w �
Date Received
A PP e BUILDING I
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PERMIT NO. Building Inspector:
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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:
OWNIR(S)OF PROPERTY:
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Name: - , _ 3
CTM#1000
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Project Address: ``� _
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Phone#: Email: 6 _
Mailing Address:
CONTACT PERSON:
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Mailing Address: E
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Phone#: Email
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DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
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Name:
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Mailing Address
Email
Phone#: 3 - �C) , },
DESCRIPTION OF PROPOSED CONSTRUCTION '
QNew Structure ❑Addition ❑Alteration EIRepair ❑Demolition Estimated Cost of Project: ,
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Will the lot be re-graded? [:]Yes pno Will excess fill be removed from premises?34y"
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From: Emily Tobey <emilytobey@me.com>
Sent: Saturday, January 8, 2022 9:56 AM
To: C1
Subject: Re: East End Pool King -resign
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Sent from my iPhone
On Jan 7, 2022, at 3:45 PM,CJ<cj@eastendpoolking.com>wrote:
Hi Emily,
1
Shared by others > Our recent survey from December 2020-t-kj8xgK9ll - PL)r
i;i open in Acrobat
No Comments
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