HomeMy WebLinkAbout47593-Z TOWN OF SOUTHOLD
` �' o 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#: 47593 Date: 3/23/2022
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Permission is hereby granted to:.
Fine, Gerald
438 Sackett.St#2 ...................................................._.____.........................._._____._._....._..._._____._............ ...................._............_._._..._.____.._._......._............................._..._..____........
Brookl.WWn,WWNY 11231............_...._......._.._.._.._.._.._.._.._....._.._.._.._.._.._......._........._.._.._.._.._......_......._........___...................
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To: Construct in-ground gunite swimming pool at existing single family dwelling as applied
for.
At premises located at:
75 Blossom Bend, Mattituck
SCTM # 473889
Sec/Block/Lot# 115.-5-17
Pursuant to application dated _ w2/24/2022 and approved by the Building Inspector.
To expire on 9/22/2023.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
_....... .....
.._._._.__._.
Total: $300.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
a Telephone (631) 765-1802 Fax(631) 765-95021itt :f/w", .sou l old'to wvnri . ,ov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. � Building Inzpec'tar;_
Applications and forms must be filled out in their entirety. Incomplete �W
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed. �
Date:2/21/22
OWNER(S)OF PROPERTY:
Name:Michael Fine scrM# 1000-115-05-17
Physical Address:75 Blossom Bend, Mattituck NY 11952
Phone#: Email:
Mailing Address:
CONTACT PERSON:
Name:Constantine Rigas
Mailing Address:22260 Main Road, Orient NY 11957
Phone#:917-509-8751 Email:c@rigasco.com
DESIGN PROFESSIONAL INFORMATION:
Name:Joseph Fischetti P.E.
Mailing Address: 1725 Hobart Road, Southold NY 11971
Phone#:631-765-2954 Email:joseph@fischetti.com
CONTRACTOR INFORMATION:
Name:Constantine Rigas
Mailing Address:22260 Main Road, Orient NY 11957
Phone#:917-509-8751 Email:c@rigasco.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
WOther POOL $50,000
Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? *Yes ❑No
1
PROPERTY INFORMATION
Existing use of property:Single Family Intended use of property:Single Family W/` ool
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes WNo IF YES, PROVIDE A COPY.
R 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( n t n e): l.'���� �� RAuthorized Agent Downer
Signature of Applicant: 1 Date:
STATE OF NEW YORK)
S•
COUNTY OF SQ 01K )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the � rate
(Contract r,Agent, Officer, etc.)
of said owner or owners, and is duly authorized t 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 r-Cb f -Cf U Of 20 L—Z
laIary Public
T A EY I... I 1 YER
NOTARY PUSI.IC,STATE CSE NEW,CORK
PROPERTY OWNER AUTHORIZATION NOI 01DW630 900
— IJAURE i IN��I.IFFO K COUNTY
(See attached authorization)
COMMISSION EXPIRES JUNE 30, �
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