The URL can be used to link to this page

Home My WebLink About48562-Z ` TOWN OF SOUTHOLD � BUILDING DEPARTMENT i&10 of 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 #: 48562 Date: 12/6/2022 Permission is hereby granted to: Sieger, Jo 41780 Route 25 Peconic, NY 11958 To: legalize "as built" hot tub as applied for. At premises located at: 41780 Route 25, Peconic SCTM # 473889 Sec/Block/Lot# 86.-1-7 Pursuant to application dated 11/16/2022 and approved by the Building Inspector. To expire on 6/6/2024. Fees: AS BUILT- SWIMMING POOL $500.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $550.00 Building Inspector 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 .1,lttps://www.sotit,lioldLc) Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO _......_ ._ Building Inspector%....- ........ _ _.... Applications and forms must be filled out in their entirety.I complete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date OWNER(S) OF PROPERTY: Name:Joy T. Sieger and Timothy 9 R Sieger SCTM#1 9 # 1000-86-1-7 Project Address:41780 Route 25, Peconic Phone#: Email. Mailing Address: CONTACT PERSON: Name:Scott DeSimone, Esq. Mailing Address:P.O. Box 233, Peconic, New York 11935 Phone#:(631) 765-3535 Email*taxcertesq@optonline.net DESIGN PROFESSIONAL INFORMATION: Name:Joseph Fischetti, P.C. Mailing Address:P.O. Box 616, Southold, New York 11971 ....nlin . net Phone# (631) 765-2954 Email� wlngmanan@ o tp onllne. - CONTRACTOR INFORMATION: Name. Mailing Address: Phone#: �Emall. -DESCRIPTION OF PROPOSED CONSTRUCTION n� _...Structure rl Atha.__ c rte. Di __ . Sti UI.IU�C AS BUILT' �p�l .�at o unepolr uvernoiiiion csurriaiea Cost or Project: ❑Other r� 12 .......... Will the lot be re-graded? ❑Yes A No Will excess fill be removed from premises? ❑Yes I No _.......... ........ _. 1 .................... ............ ................... ...........----........ PROPERTY INFORMATION Existing use of property: Residential Intended use of property: Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to AC this property? ❑Yes C 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 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(prin t Scott DeSimone WAuthorized Agent Downer Signature of Applicant: ,�— Date: STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Scott DeSimone, Esq. being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Agent (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 I U day of JIJ ti At0A�9-,( 20 2_i cl Lc'p�— 7, Notary Public HELEN E. BIELING Notary Public,State of New York PROPERTY OWNER AUTHORIZATION No.011315058968,Suffolk County - Term Expires 04/22/Zc)Z'Z ( here the applicant is not the owner) jimothy Sieger residing at 41780 Route 25, Peconic, NY ........ do hereby authorize mmmmIT Scott DeSimone,De imone, Esq. to apply on behalf t tie Towt 0 o of wilding Department for approval as described herein. Owner' s SIgl�ture Date Timoth Si er Print Owner am'' 2 I I DEPARTMENT- Electrical Inspector DEL 0 r 9099 TOWN OF SOUTHOLD eUILDING Ha nnex- 54375 Main Road - PO Box 1179 TC1WNOFSOUTI OLD Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ro err 8outholdtownn . oar sea nd' southoldtown ny.cloy APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: / Z2 Company Name: A y 6befricri Electrician's Name: , rl b car License No.: Has S - "C--- Elec. email: Elec. Phone No:Gr3 I LO -1 1-71 S M request an email copy of Certificate of Compliance Elec. Address.: orn l t- } ( I JOB SITE INFORMATION (All Information Required) Name: Address: 41780 Route 25 Peconic NY Cross Street: Peconic Lane Phone No.: 516-384-0728 BIdg.Permit#: �— email: Tax Map District: 1000 Section: 86 Block: 01 Lot: 7 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):. Installation of Hot Tub square Footage: Circle All That Apply. � Is job ready for inspection?: Imo. YES ONO 0 Rough In Final Do you need a Temp Certificate?: El YES �l NO Issued On Temp Information: (All information required) Service Size1 Ph F-13 Ph Size: A # Meters Old Meter# ONew ServiceO Fire ReconnectOFlood Reconnect OService ReconnectOUnderground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Ely ON Additional Information: P ,YMt!NT DUE WITH APPLICATION c CE,RTtRPEc TO:TIMOTHY R.,SIEG,ER 9 J01+T.SIEGER BRIDGE ABS7RAAC F LLC;TITLE NO.:BAL4963S LOTARFA;26,942 SQ.FT.=0.619 ACRE WFG NATIONAL TITLE INSURANCE-COMPANY METES 8 BOUNDS NEREONAS PER ADJOINING'DEEDS,PREVIOUS SURVEYS& JOB NO.:2020333 FIELD MONUMENTATION. MAPNO.: 4oOF NE"1y i '02 �..a DEED METES&BOUNDS HEREON AS PER L 12670 P.753E c F `� REVISIONS: NOV 16 2021 BUILDING DEPT JEFF µ' TOWN OF SOUTHOL.) NYSO L, D lit nm rasa+. 7nuxrtaSrnvdr,llMAF3 x P�, ■+�araraw4asXrlmf�rcrrard tiJ' rYa�araavrarz Irlssrae;p�rraa �^+� rrawrPnehMmasfavUDtax t✓rro.mDw w".:�v !"0 Cq>A'ESaK'NK1,YgsW�E4"plNr'FJIw�� t��Mpr�A0.�h'4' „� A'""' Al 114 rrdc u msuwr�asaw?6 s¢acmre ss�nsea s waL w raz CNf&DFMFDlUDDp YAUDC4PN'NM�@GI (fOTPEVBDl FORAMYAdJPUMS@. �1 "''�'� a Y ff °Y Vr , ,' 44, LSA C MAYR09EFIR 7Y � ,r*+� TOWN OF SO THOOLD SUFFOLK COUNTY,NEW YORK T:M DIST:L09 SEC,86 QT7 p X15 8 0 f5 80 45 60 75 80 105 9'20 t35 SCALE:i"-30" DATE:NQUEMB 1 20"20