HomeMy WebLinkAbout48588-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 #: 48588 Date: 12/13/2022
Permission is hereby granted to:
Meehan:'I.....Wi.�..�.!.am..................................mm.......... .. ....... �.
625 Franklinville Rd
Laurel, NY 1164-8-
To: Construct an in-ground swimming pool to an existing single family dwelling as appllied
for. Pool and pool equipment must maintain a minumum setback of 15 feet.
At premises located at:
el
625 Franklinville Rd,, aur _. �. ...
SCTM #473889
Sec/Block/Lot# 125.-2-1.25
Pursuant to application dated 8/30/2022 and approved by the Building Inspector.
To expire on .... 6/13/2024.mmm
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
.� ..........................................
Building Inspector
` rt TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
'r ="
Telephone 631 765-1802 Fax 631 765-9502 htt -//www.soo;ftt)1dt
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only Jy
PERMIT N0.__55, Building Inspector: 4 AW 3 µµ
22
Applications and forms must be filled out in their entirety. Incomplete BU DING DFP I
applications will not be accepted. Where the Applicant is not the owner,an TiNJ OF
Owner's Authorization form(Page 2)shall be completed.
Date: l ��--
OWNER(S) OF PROPERTY:
Name: &W
SCTM# 1000- 2,He�
Project Address: IVAA�Jffl I xUal
Phone#: Email:
Mailing:Ad�dress:
CONTACT PERSON:
Name:
join S1
Mailing Address. -7b lkukv Aoe-� V�1, 1(-e,v P dek, KH H
Phone#: �l. 5- � Email:
l
DESIGN PROFESSIONAL INFORMATION: &(1y"
Name: 1+ft
"
Mailing Address:
:.
Phone#: _ _�3�� Email:
CONTRACTOR INFORMATION:
Name:.
Mailing Address:.
Phone#: Email:.
DESCRIPTION OF PROPOSED CONSTRUCTION
Other ❑Alt�rati
ori Repair D molitioh stimate Cos- Project:
New Structure ❑Addition $-
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes INo
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
PS I I� _SF ns
l
Zone or use district in which premises Is situated: Are there any covenants and restrict with rasps' to
this property? ❑Yes I No IF YES, PROVIDE A COPY,
1hCheck BOX After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
pter 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(print name): L,jr4A I s I Authorized Agent ❑Owner
Signature of Applicant: r
(date:
STATE OF NEW YORK)
COUNTY OF
L9 dL r-L being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the, 4/1
(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 — day of , 20 goZ
Ofary Public
TRACEY L. WYEI
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
PROPERTY OWNER AUTHORIZATION QUALIFIED IN SUFFOLK COUNTY
(Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,262(p
residing at
do hereby authorize `a w to apply on
my beh to e 1#10f Southold Building Department for approval as described herein.
Ow u'"s Signature LINDA MARIE RUISI-ROSAS"Date
NOTARY PUBLIC-STATE OF NEW YORK
W\LT0ffi na�,, W, No.01RU6143972
Qualified in Suffolk County
Print Owner's Name My Commission Expires 04-24-2024
2
HM ENGINEERING P.C.
P.O.BOX 914
EAST NORTHPORT,NY 11731
TEL:516-476-5392
EMAIL:HMARNIKA®OPTONLINE.NET
October 1,2020
Town of Southold
Building Department
Town Hall
Southold,N.Y. 11971
Dear Sir/Madam:
This is to certify that the drainage facilities to be used exclusively for the construction of a swimming pool
on the premises of:
Meehan Residence
625 Franklinville Road
Laurel, N.Y. 11948
will not require draining because the pool is constructed with a vinyl liner. The pool water will be
continuously recirculated through the filter and will be reused from year to year, 1'he drainage from the
filter backwash will be piped to a drywell located on the subject lot and will not interfere with,the public
water supply system, existing sanitary facilities, adjoining property owters, public highways or private
roads.
Sincerely,
HM� gineerxng.P.
rvo' rnika,P.E.
4k