HomeMy WebLinkAbout49026-Z e
d 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#: 49026 Date: 3/14/2023
Permission is hereby granted to:
Kouvaras, George
29 Sunnyvale Rd
Port Washington, NY 11050
To: construct accessory in-ground swimming pool with hot tub as applied for. Pool
equipment must be located a minimum of 10' from all lot lines.
At premises located at:
80 Soundview Ave, Matttituck
SCTM # 473889
Sec/Block/Lot# 100.-1-1
Pursuant to application dated 1/30/2023 and approved by the Building Inspector.:
To expire on 9/12/2024.
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
Telephone (631) 765-1802 Fax (631) 765-9502 liths://www.soutlioldtownn .�-,ov
,
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Onl �JCII
1
PERMIT NO. Building Inspector,
J
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an IN I
Owner's Authorization form(Page 2)shall be completed.
Date:01/30/23
OWNER(S)OF PROPERTY:
Name:George Kouvaras SCTM # 1000-100-1-1
Project Address:80 Sou ndview Ave, Mattituck NY 11952
Phone#:917-592-8767 1 Email:george.kouvaras@kamconsultants.com
Mailing Address:80 Sou ndview Ave, Mattituck NY 11952
CONTACT PERSON:
Name:Michelle Sarabia, AMP Architecture
Mailing Address:P.O Box 152 Mattituck NY 11952
Phone#:631-603-9092 Email:msarabia@amparchitect.com
DESIGN PROFESSIONAL INFORMATION:
Name:Anthony Portillo AMP Architecture
Mailing Address:P.O Box 152 Mattituck NY 11952
Phone#:631-603-9092 Email:aportillo@amparchitect.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Other Pool $__
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No
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PROPERTY INFORMATION
Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 NC this property? OYes ®No IF YES, PROVIDE A COPY.
❑ Check Box After Reading: The owner/contractor/deslgn professional is responsible for all drainage and storm water Issues as provided by
Chapter 236 of the Town Code. APPLICATION 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 210.45 of the New York State Penal Law.
►�aa
AMP
Application Submitted By rint name);Hlarli � 'I� ��IMLMI 'Authorized Agent ❑Owner
Signature of Appllc,an: Date: 0 1 0)I23
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk
AMP Architecture, Jess Magee 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� µ
v
( g 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
,3( 1ay of � � 20c7-,3
Notary Public
L1Er�d *",
�.. Deborah Orlowsl7
Notary Public,State of New Ybtk
PROPERTY OWNER AUTHORIZAT�1 r 11c I* No.01OR6280392
.. °"r+� . Qualified in Suffolk county
(Where the applicant is not the owner � "" ColunissionExpires05/t3s2d3�'
sway MPW- Vo—l"Va%. residing at
1. �� D AMP ARCHITECTURE, Jess Magee
do hereby authorize to apply on
my behalf to the 11,of Southo uilding Department for approval as described herein.
a,
Owl Igrlatllr Date
nt Owner's Name
2