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HomeMy WebLinkAbout49068-Z � TOWN OF SOUTHOLD " BUILDING DEPARTMENT r 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#: 49068 Date: 3/30/2023 Permission is hereby granted to: Sinni Matthew _.......... w.... ................ .. ... _. . ...._ _. 11 E 29th St Apt 22A .........m_ _._ �. .._ __. ................._._. New York, NY 10016 To: Construct an inground swimming pool to an existing single family dwelling as applied for. Pool and pool equipment must maintain a minimun 15 foot setback. At premises located at: 670 Hillcrest Dr, Orient SCTM # 473889 Sec/Block/Lot# 13.-2-8.29 Pursuant to application dated 1/27/2023w and approved by the Building Inspector. To expire on 9/28/2024. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 ._ . .............................. Total: $3 00.00 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 Jut s://www.sout'lioldtow,iiiiy, wa�w pa' Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. I 1 o�U Building Inspector:, 'Qf2 7Irl Applications and forms must be filled out in their entirety. Incomplete O FSO applications will not be accepted. Where the Applicant is not the owner,an TOWNMni r3 Owner's Authorization form(Page 2)shall be completed. Date: / l712C, 2-_2 OWNER(S)OF PROPERTY: Name: p i - , ` SCTM# 1000 �� 2 — . Z_-/ i h\ Project Address: c�-7C �" , S� �V G em /)V V. Phone#: 9 6 Email: Mailing Address: (���` S'nv�' 7�jia��w 1" ✓I CONTACT PERSON: Name: AS6�► � c Mailing Address: ���� . ez � `Vc 7 Phone#: •> 2- 9E>_ L//-Z Email: L DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: MailingAddress: t �� Phone#: �-8_ /0 Imo( Email N�at yr DESCRIPTION OF PROPOSED CONSTRUCTION Other p 1v" �tio ❑Re air ❑Demolition Estimated Cost of Project: ❑�NewStrc urea ❑Additions ❑Alte�'an ui�� �� $ Will the lot be re-graded? Dyes L(NO Will excess fill be removed from premises? �Iles []No 1 E Existing use of property: S 1 �,�j�� Intended use of PnY' )CE ��/ � r this pro �� „Y premises Is situated Are there any�renan nd restrictions with respea�t to ` Zone or use district In which prem property? Oyes o IF YES,PROVIDE A COPY. � e ALL OMAN am AWIcatfon Submitted ey nt y CA4%1j eel hent Oowner SIgnatm of Ap;,ucaft trate: �I7 0 Z3 «' STATE Of NEWYORK) COUNTY OFaGk&�� tbein,g duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he Is the rrn 1 of said corner or owners,and Is du (Contractor,Agent,Corporate Officer,etc.) duly authorized to perform or have perforated the said war*and to make and file this application,that all statements contained In this application are true to the best of h r n ge arrod lief, d that the work will fae performed In the manner set forth In the appilcation file th BARBARA H. TAND`r Swam before me this Notary Public, State Of New York No. 01 01 J21day of 20oZ Suffolk Counts, n A60360 �.� 3 Qualified I u nc f(IfJ PROPERTY OWN a AMINgRIZAIJON (Where the applicant is not the owner) ri ►, n residing atv V tir do he►eby authorize �. � �•� `po a y„ PPNon :1beNfto the Tetwrwf o� tholdBuilding Department for approval as described herein. Owners Si at Date y � Print Owners Name 2 Scanned with CamScanner BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD « Town Hall Annex- 54375 Main Road- PO Box 1179 p Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 . ..=_% ro err solltholdtownn . ov - .qtqgnHia)southoIdtoVnnygov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (An Information Required) Date: Company Name. Electriclan's Name: a License No.: Elec. email: Pleb Phone No: 3) ,-33 l request an em a7w,t ail copy of Certificate of Compliance Elec. Address.: 3 JOB SITE INFORMATION (All Information Required) Name: -� Address: D Cross Street: I Phone No. Bldg.Permit#:_" g o email: Ta ap District: 1000 Section: 3 Block: Z Lot: BRIEF I ESCF IPTION OF ORK, IN'CLUD'E SQuAR�_ FOOTAGE (Please Print Cleadl : y� Ircle Alll That110 ply: ware Foots e: Is job ready for inspection?: El YES Do you need a Temp Certificate?: YESMN�Q) Rough In Final Issued On Te_` p Informaflon: (AII information required) Size1 Ph F3 Ph Size: A #Meters _...._......`...,.,�.., Old Meter# ❑ e New ServicFire ReconnectE]Flood ReconnectOService R11111 IeconnectOUnderground Overhead #Under round Laterals 1 H Frame Pole Work done on Service? Y Additional information: N PAYME i'T DUE Wl'TR F'L,ICAT101 co A. T ell m a1n � H. SOS MA NA\.G]EM[]ENIF SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 �, � Town n of So u th o l GL CRAffER 236 - STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) p Er.,. .. ..... ..... — -.... ..,,.. ...�, .-�-. ....» ...i.. — ,.-.. �..- -.., ....i� ,...., - - - - - - - - - - - - - - ...... r �.,. ..... �- ...... �..... n... ..... � ...... I'AP —ICANT: (Property Owner, Design Professional, Agent, Contractor, Other) y NAME; Date: t Mint: Contact Information: ° 9^ :G-Mad 8 Telephone Numhe,l Property Address / Location of Construction Site: g. J� IS.C.T.M. 1000 p. District I . �rc a �i Section Block Lot y1 �TQ BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT - Area of Disturbance is less than 1 Acre. No S.P.D.E.S. Permit i.5Re wired i Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Re uired ! s w � - Area of Disturbance is Greater than l Acre& Storm-water Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S•P,D•E:S, Permit in DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Building Permit. IN, Area of Disturbance is Greater than 1. Acre& Storm-water Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN .a' a S.P.D.E.S. Permit through the Southold Town Engineerin Department np Prior to Issuance of a Building Permit. l` i' Reviewed By: Date: u FORM CMr'P-Tr1C(lntnhPr 9f11 q � Rece I qed q 3 E *JJMP9700 01 Main Road Mattituck,NY 11952 Office:631-298-4014 Info@NorthForkPoolCare.com - Pool Walls are 10"thick at a height of 48" (Four Feet) Walls are formed and poured with 3500 PSI Gravel Mix Concrete - #3 Rebar is placed inside the wall. Horizontally (doubled) at the top and fbottom of the wall. Also, vertically every four feet at maximum. • • - A sand bottom is installed for pool floor. A vinyl liner is installed on top hof sand and concrete. I Alp io JL i i PgcIof1 R B THE EXISTENCE OF RIGHTS OF WAY UNAUTHORIZED ALTERATION OR ADDITION WN 11x1 CliEW UH WE I n12019 1Avtv��'!u B 12& I19. 19-0100 AND/OR EASEMENTS OF RECORD IF TO THIS SURVEY IS A VIOLATION OF ANY, NOT SHOWN ARE NOT SECTION 7209 OF THE NEW YORK STATE GUARANTEED. EDUCATION LAW. Arent- 40,011 S �� COPIES OF THIS SURVEY MAPKED NOTSEA BEARING p'� THE LAND SURVEYOR'S INKED SEAL OR q• Premises known 0S: EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. # 670 IIiII Crest Drive, Orient GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. GUARANTEES ARE NOT TRANSFERABLE. Land 140"1 of formerly Reese Jr. Cdstine Reese,Norotd and Ron°td Reese 86 x360„E r.o'r+ w deer Tense Qba r y � LP , NO ® Lot 26 Lot �p '- �. ,kms i Lot 28 sr asp, 'U 1 1/2 Stwy / D. •s• Fromere , ResiAemA ' °3y with garage A/C steps G05sj� y 12.9'. o <b� 'a' J3.0' basement entrance Off' p J' N tank 0 '/ d 314.4' chimney concrete--t" I N �� I j C�bx I &Wilin9 tool line ,,,Opole ste v' A� t found r On , �t Watumrr s9n \� \ X06.52' os01`0�r p�l"P.ni �� cold al. t'k!aj ;%r;�^•. R=75.00' dlv L--76.96' �rINe C res,}l t� r ��.(y. . Survey of Lot 27 .0 . J�' MAP OF HILL CREST ESTATES — SECTION ONE FILED AUGUST 15, 1983 AS FILE NO. 7218 Certified to: situate at MATHBY S[NNI AND APRIL SINN[ Orient FIDELITY NATIONAL TITLE INSURANCE COMPANY WELLS FARGO, N.A. Town of Southold Suffolk County, New York Michael W. Minto, ,L.S.P.C. District 1000 Section 13 Block 2 Lot 8.29 LICNEW STANSED TE LICENSE NUMBERFESSIONAL LAND O SURVEYOR71 Scale 1."= '40' Surveyed April 11 , 2019 87 Woodview Lane GRAPHIC SCALE Centereach, N.Y. 11720 40 0 20 40 00 1e0 TAT PHONE: (631) 580-1202 y� X EMAIL: mikemintolspc®gmail.com ( IN PEET ) I inch = 40 ft.