HomeMy WebLinkAbout48977-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#: 48977 Date: 3/3/2023wmmmm m �wwww
Permission is hereby granted to:
C.u.__......_www.rran John
.w w _... ...__.._.._........... ...................... __.__._.............. ..u....... .. ww_............................. _.........................
�..............
11 Eton Rd
__.........................__._... _.
Rockville Centre, NY 11570
To: demolish and reconstruct an accessory in-ground swimming pool (surrounding wood
deck to be removed and replaced with an on-grade patio) as applied for.
At premises located at:
2005 Platt Rd, Orient
SCTM # 473889
Sec/Block/Lot..#..1..8.-6-27 .�.�.�... ......._._...................._..._ .._._.�w..............�.... ...w...w ................._.............w....wv_.
Pursuant to application dated 2/23/2023 and approved by the Building Inspector.
To expire on w 9/1w/2024.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: _.....
...
_..............
...-ww-..$300.00
Building Inspector
sura 4 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 lite S �Www,southol�
Date Received
APPLICATION FOR BUILDIN a PERMIT
fl
For Office Use Only
MAR 0 ?
PERMIT N0. Building Inspect ar; ,
Applications and forms must be filled out in their entirety. Indiii � k _
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: . �.. .� � SCTM # 1000-
Project Address: J
1 61DGS /t/ ff
Phone#: (t Email: �V
Mailing Address:.
CONTACT PERSON:
Name:
mm
Mailing Address: i
Phone#:
J
DESIGN PROFESSIONAL i� ������ ��� FEmai y, y;^
INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: 10 A
Mailing Address: � 1, �77-
-'
Phone#: '6Ov Email: 0 `FCL
DESCRIPTION OF PROPOSED CONSTRUCTION
Mew Structure ❑Addition ❑Alteration []Repair ;XDemolition Estimated Cost of Project:
❑Other t $� zdZ
Will the lot be re-graded? ❑YesANo Will excess fill be removed from premises? ❑Yes ❑No
PROPERTY INFORMATION
Existing use of property: r Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
K 5b this property? ❑Yes ONO IF YES, PROVIDE A COPY.
❑ Check Boer 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(print name): .� ��1Atahori2ed Agent ❑Owner
Signature of Applicant: Date: �� � t
STATE OF NEW YORK)
SS:
COUNTY OF �)
.being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing cont Act) above named,
(S)he is the "� P..Q :F � :. moP
(Contractor,Agent, Corpor 'e 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
a� day of Fe.brua 202�_) 411 at—W AA If-W A
Lary Public
TRACEY .. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
PROPERlY(Where he app C °°1TINO. Uoo
IN S
QUALIFIED IN SUFFOLK AUNTY
applicant is not the owner) COMkv:SSION EXPMESJUNE;30, d24i
residing at
do hereby authorize d"��~ "� to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
y
t
Owner's Signature Date
Print Owner's Name
2
4��c)
Scott A. Russell
SUPERVISOR N[A,N ASG IEAW1EN F
SOUTHOLD TOWN HALL-P.O.Baa 1179 I Town ®f Southold
53095 Main Road-SOUTHOLD,NEW YORK 11971
. ..
CHAPTER 236 -q_STpRMWATE
R MANAGEMENT REFERRAL FORM
M
APPLIC ANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. )
� p _ � . Deng...
APPLICANT- �
PrOert % Owner,
Design Professional, Agent, Contractor, Otherk
I Date:NAME Al
C O1 i1aC1 Ini Ci1-lllall0l i ��,.,.� �. ./
��•.a�-�, ,,� . ,r,1i�
rol.ertv Address
/ Location of Con truc..... ._..
_.
ton
�. ��.. ...� � .. .� �... S.C.T.NI. m 1000
71
... .._...... . _.m .ry ..,,,.._ Section P,locr;
TO BE COMPLETED BY SOUTI--IOLD TOWN ENGINEERING DEPARTMENT
,A,rea of Disturbance is less than 1 Acre No 1"I.� •f ` ELL
x
Project does Not Discharge to Waters of the State _No S,P,D.E,..,;�'r g. lo°�.�.a..�r `.m°•��g,
E] - Area of Disturbance is Greater than I Ac:e RLMOH Discharges Directly
APPLICANT MUS1 AIN D,E S. Permit
r OBTAIN a S P....... .. ,._._ .
rc '`�aters of the tate o DEC.` Prior to issuance !mit.
DIRECTLY„From NAY Sf D York jo issuance of a B�uiidim, Pe
aiFa of nisli�i i'hanre is �'i ale th2tl -�,f i't_' i�. \lill-f?l \;i F`I T�1 Flmv,� hhmuEh ,Southo ld
L.�JF ,c _ , 2 , c - _TIE AP.� ANT N/1UST OBTAIN
m �..... ,w stet to V4 t of tl e �ta�e �....Yc �m� TIE ��PPLIC
Tr,��.�,., til a��� � �
P;S� D l lssul Pei
hi.,__
Permit.rut Id Town E°vt neerin
c . _.....
Dal-: W3
r'flRtvi - G�,1f'P - T(1. (lr�nl-,n. Ji"llq {;� � � ✓L
e C e ve
S 32°4540"E
! P'F'�°r'tiMMlmym... ,.I'Y'XM1Cf:
MCI— WOOD P05T PENCE 277.01'
X.
r N P,AhdP M9�
M I
4 --
o 1 ol
0
n ( n
I M
r ti
a � f
"
."
Y
,
LIJ p
L 80,4'
_ _.............. � WOElO Cl(:E..5HF.0 ;q
th
W000`05T T."CC OWE
I
q1
1
)
r N �
W000 PCI"T
TPN E N 37°42"30'W 275.00' XtNI ✓
a.as o.zN
y I Tw i
1
4
O
1
` cI18J7,20-
y
w ;
PLATT ROAD
TAX LOT 27 u
AREA= 92,957 SO FT 40 0 24 40 80
2.13 ACRES
(80)-DEN07ES FILED MAP LOT NUMBERS. 1 inch =40 ft. GRAPHIC SCALE ( IN FEET )
1.UNAMHMCM ALTERATION OR ADDITION TOTHIB SURVEY IS A
VIOLATION OF SEOTION720 OF THE NEWYORK STATE EDUCATION LAW. T �SO�r LAND SURVEYOR °I I`ISiet71'"K GOIIIV'['1'DIST' 1000
COPIES OF THIS SURVEY MAP NOT BEARING THE SURVEYOR'S INKED OR 1, 1 V .1—JC 1
CBI
SM SMALL Not BE CONSIDERED TOM AVALID TRUE COP, NESCONSLT HIGHWAY,.SCUTE 23G,MTSINAI NEI7 YORK 117GG 'W 18 ELK. 06 LOT 27
RATIFICATIONS INC.ATEO HEREON SHALL RUN ONLY TO THE .4MMIC
PUTS PERSONS FOR WHOM THE SURNEYIS PREPARED,AND ON PI)me(631)474-2200 IFaz(431)899-9085 emai/TEAS(.)NI..V@OPTONLINE.NE!T („7,FiT};:10/20/15 1 SCALE: 1"=40'
HISSIERRHEIR BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY,
ANDLENVIXO INTIMPONLISTEDHEREON.CERTIFICATIOHB ARE NOT ��TT �1�)'FL\V liJT^
THANBFEMBLETOAWDMMLINSTRUTWNSORSUWEDUENTOWNERS.
,.THIS URVOYISSUBJECTMOMMMEWOPRECORDANOOTNER
BOUNDARY SIJ Y ITI�.0I.;G°I NCIMYERS—Z/
' TEA1L
e
PERTINENT FACTS WHICH AN ANSTMCT OF TITLE MIGHT DISCLOSE.
�m EVUS S SHOWN ASONAREFORASPMS FOR ECN OF ICPURPOSOROTHERULB SURVEYED FOR JOHN CURRAN & WENDY CURRAN
STRUCTURES. ,1 /'�
4.SUBSURFACE STRUCTURES ARWOR UTILITIES,IF ANY,NOT SHOWN. MAP OF: DESCRIBED PROPERTY
5.HEDGE AND FENCE OFFSETS SHOWN ARE TO CENTERLINE UNLESS
ICESOTNEFIBENDTED' LOCATION, ORIENT, TOWN OF SOUTHOLD, NY
OF
ETHATTHF MAPD IN THE FELNTS UNDER RATEANDTRUE ON NT
OF A SURVEY,PERFORMED IN THE FMLD UNDER MY 9UPERV1810N ON
1OHSXE015,OP THE LAND THEREIN PARTICULARLY DESCRIBED.THE RECORD CERTIFIED TO: JOHN CURRAN & WENDY CURRAN
DESCRIPTION OF THE SUBJECT PROPERTY FORMS A MATHEMATICALLY
CLBS¢B FIOURE.THIS SURVEY WAS PREPARED IN ACCORDANCE MH THE
CUMENT COVE OF PRACTICE FOR LAND SURVEYORS ADOPTED BYTHE
NEW YORK STATE AS WCYATION OF PROFESSIONAL"NO SURVEYORS.
LIC#050452