HomeMy WebLinkAbout49343-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
w r" 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#: 49343 Date: 6/6/2023
Permission is hereby granted to:
Needham, Catherine
26 Elm Ln
Bronxville, NY 10708
To: install hot tub as applied for.
At premises located at:
870 Sound View Rd, Orient
SCTM # 473889
Sec/Block/Lot# 15.-3-27
Pursuant to application dated 5/8/2023 and approved by the Building Inspector.
To expire on 12/5/2024.
Fees:
SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $250.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $300.00
Building Inspector
YS'
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
k� Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 I tps://www.soutlioldtoAviiny.gov
Date Received
X111111 ICKnON FOR BUILDING PERMIT
For Office Use Only �� N
PERMIT NO. 3 Buildinginspector:
i
MAY 0 8 2023
ID
Applications and forms must be filled out in their entirety.Incomplete 8UKDM UEPT.
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:5/8/2023
OWNER(S)OF PROPERTY:
Name:Timothy J. Donahue& Catherine Needham SCTM#1000-15-3-27 r
Project Address:870 Soundview Road, Orient, NY 11957
Phone#:914-263-3173 Email:timothydonahue@hotmail.com
Mailing Address: 870 Soundview Road, Orient, NY 11957
CONTACT PERSON:
Name:Tim Donahue
Mailing Address:870 Soundview Road, Orient, NY 11957
Phone#:914-263-3173 Email:timothydonahue@hotmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:Not Applicable
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:Not Applicable
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Str
acture ❑Addition ❑Alteration ❑Repair ❑Demolition Es
ij 5,000 Cost of Project:
❑Other Hot Tub
Will the lot be re-graded? ❑Yes i@No Will excess fill be removed from premises? []Yes @No
1
PROPERTY INFORMATION
Existing use of property: Residential Intended use of property: Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
Orient by the Sea this property? ❑Yes ®No IF YES, PROVIDE A COPY.
N Cheek Box After Read ir: : 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 210AS of the New York State Penal Law.
Application Submitted By(print name):Timothy J. Donahue.. []Authorized Agent NOwner
Signature of Applicant: �.. Date: 5/8/23
CONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK No.01BU6
) Qualified in Suffolk No. Co County
SS: Commission Expires April 14,2 PD�
COUNTY OF )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(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 mannerset forth in the application file therewith.
Sworn before me this
day of '-Y ,20)
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein,.
Owner's Signature Date
Print Owner's Name
2
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"Map of Orient-by-the-Sea, section 2" ORIENT, TOWN OF SOUTHOLD
Map No. 3444 SUFFOLK COUNTY, NEW YORK
Fled October 26, 1961 TAX No_ 1000-01500-0300-027000
SCALE 1'-20'
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AREA - 13,396.62 sq. ft.
0.308 ac.
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TITLE NO.: SP45532-5
MAP FILED DATE: NOVEMBER 21, 1957
coijNTY TAX IWAP ID: 1000-01 tO^'41300-027"000
SITUATED AT: ORIENT, TOWN OF SOUTNOLD
SUBDIVISION MAP LOT S: 26
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