HomeMy WebLinkAbout49831-Z �r TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
49-ft
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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#: 49831 Date: 10/4/2023
Permission is hereby granted to:
Gibbons, John
220 Water St A t 334
Brook/ n, NY 11201
To: Construct in ground swimming pool with spa at existing single family dwelling as
applied for.
At premises located at:
1380 Orchard St, Orient
SCTM # 473889
Sec/Block/Lot# 25.4-11.1
Pursuant to application dated 6/27/2023 and approved by the Building Inspector,
To expire on 4/4/2025.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
1111y�
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 httos://www.sotitlioldtownny.gQAPPLICATION FOR BUILDING PERMITv
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For Office Use Only
PERMIT NO. Building Inspector. _
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: ZU23
OWNER(S)OF PROPERTY:
Name:John Casey Gibbons& Marissa Gibbons scTM# )o-025-04-11.1
Project Address: 1380 Orchard Street, Orient NY
Phone#:(60) 435-8225 Email:casey@f riendsfamily.co
Mailing Address: 220 Water Street, Apt. 334, Brooklyn NY 11201
CONTACT PERSON:
Name: Melissa Butler
Mailing Address: 206 Lincoln Street, Riverhead NY 11901
Phone#: (631) 338-8449 Email: mbut1er75@mac.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION: e
Name:
Mailing Address: '?S
Phone#:C4130 `592--jI y10 Email
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
[n]Other Proposed in-ground pool POOL,
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes 9i 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
R-80 this property? ❑Yes iiNo IF YES, PROVIDE A COPY.
Check( tax Aft.elir Read fing: 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.
Melissa Butler
Application Submitted By(print nam @Authorized Agent ❑Owner
Signature of Applicant: � ^ Date: 6-1242-0z-:5
STATE OF NEW YORK)
SS:
COUNTY OF 5LINOUC, )
Melissa Butler
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
Agent
(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 manner set forth in the application file therewith.
Sworn before me this
!
da of l/ ,20
Y
Notary Public
MA RIA" 'lMARD
p UBUIC.,STATE OF NF-WYOR
PROPERTY R -i'- (Zistrabon No.01'� I4 1 20
a�. ..-
Where the applicant isnot the owner ualBFedfitr B�LkC�RY"
g mis ion Expire$CdObOr 1%2V
220 Water Street, Apt. 334,
I� John Casey Gibbons residing at
Brooklyn NY 11201 Melissa Butler
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
5/25/23
0 ner's Signature Date
John Casey Gibbons
Print Owner's Name
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
DATE: August 22, 2023
TO: Melissa Butler(Gibbons)
206 Lincoln Street
Riverhead,NY 11901
Please take notice that your application dated June 27, 2023:
For permit: to construct an, access����.pool (inclusive of fence cool
equipment and heater), and to construct a deck addition to an existing sin 7Ie-fa�nil
dwelling at:
Location of property: 1380 Orchard. Street Orient NY
County Tax Map No. 1000—Section 25 Block 4 Lot 11.1
Is returned herewith and disapproved on the following grounds:
The construction is not )ermitted pursuant to Chapter 170 of the Southold Town Code
and is subject to Historic Preservation Corprnission approval.
Authorized Signature
Note to Applicant: Any change or deviation to the above referenced application may
require further review by the Southold Town Building Department.
CC: file,Landmarks
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f _ Leisure Paoks and Spas Manufacturing North America Irc. �
Area: 616.7 Sq ff 2901 leisure[stand WaY•KnowMe.Tennessee 37914
Ultimate 40
Volume: 17,690 gal
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LEISURE POOLS a.w;XE POW M,
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Perimeter: 110' 10" lin ft ' a 40'LONG X 15'S' WIDE a/06
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