HomeMy WebLinkAbout48905-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#: 48905 Date: 2/14/2023
Permission is hereby granted to:
McTaggart, David
35-49 76th St Apt 41
Jackson Heights, NY 11372
To: Construct in ground swimming pool at existing single family dwelling as applied for.
Above ground pool to be removed.
Minimum 10 foot setback required to pool and equipment from property lines.
At premises located at:
1150 S Harbor Rd Southold
SCTM # 473889
Sec/Block/Lot# 75.-3-15
Pursuant to application dated 1/30/2023 and approved by the Building Inspector,
To expire on 8/15/2024.
Fees:
SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Building Inspector
b �
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 hitps://www.soutoltow ov
Date Received
APPLICATION FOR BUILDING
For Office Use Only al
PERMIT NO. Building Inspector. �g
e9w � dp AMS i
Applications and forms must be filled out in their entirety.Incompletea � P I
applications will not be accepted. Where the Applicant Is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: December 14, 2022
OWNER(S)OF PROPERTY:
Name: David McTaggart, Jocelyn Bell-McTaggart SCTM#1000- 75.-3-15
Protect Address:1150 S. Harbor Rd. Southold NY 11971
Phone#: Email:
Mailing Address:
CONTACT PERSON:
Name: Ural Talgat
Mailing Address: 436 7th Street, Greenport, NY 11944
Phone#: 631 477 8963 Email: ural59@hotmail.com
DESIGN PROFESSIONAL INFORMATION:
Name: Ural Talgat
Mailing Address: 436 7th Street, Greenport, NY 11944
Phone#: 631 477 8963 Email: ura159@hotmail.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑,New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Protect:
DOther New Swimming Pool $ 50,000
Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? WYes ❑No
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PROPERTY INFORMATION
Existing use of property: Single Family Residence Intended use of property: Single Family Residence
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R_40 this property? ❑Yes WNo IF YES, PROVIDE A COPY.
0 Ch ck Box of the Town e. APPl Reading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by
ChapteLICATION 15 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 210AS of the New York State Penal law.
Application Submitted By(print name): Ural Talgat @Authorized Agent El Owner
r _.
Date:
, Z
Signature of Z
STATE .�
OF NEW YORK)
SS:
COUNTY OF )
Ural Talgat being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)heisthe Architect
(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 � .LL � 20
Notary Public
LAtjREN M.MCKI SICK
. ,W. POP% WO of f"Y
ok
f� tn Suffolk
County
(Where the applicant is not the owner) f rni)aston Expires May 23.100
a M 0 t € 107 residing at �U
"N do her Ural Talgat to apply on
eby authorize
my behalf to the Town of Southold Building Department for approval as described herein.
�•, Z
w.......„ � Date
Owner's Signature
Prin Owner's Name
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