HomeMy WebLinkAbout50168-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
7 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#: 50168Date: 1/2/2024
Permission is hereby granted to:
Dow Barbara B Revoc Trust
109 Heywood Dr
Glastonbury, CT 06033
To: Legalize "as built" deck repairs to an existing single-family dwelling to include new "as
built" hot tub as applied for per Trustees and manufacturers specifications. Flood
permit is required.
At premises located at:
725 Munn Ln, Orient
SCTM # 473889
Sec/Block/Lot# 17.-2-6.3
Pursuant to application dated 6/26/2023 and approved by the Building Inspector.
To expire on .... 7/3/2025.
Fees:
AS BUILT-ACCESSORY $600.00
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $768.00
CO- RESIDENTIAL $100.00
CO-ADDITION TO DWELLING $100.00
Flood Permit $150.00
Total: _ $1,718.00
Building Inspector
�* TOWN OF SOUTHOLD—BUILDING DEPARTMENT
ji Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-95021. tkp ;/lwww.soultholdtowniiy.g +
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. - 501b8 _ Building inspector 'JOTJUN 2 6 2023
Applications and forms must be filled out in their entirety.Incomplete W,
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNEROF PROPERTY:
(S�
Name:Barbara B Dow Revocable Trust SCTM#1000- 1-7, a -(p .3
Project Address:725 Munn Lane, Orient, NY 11957
Phone#:860-614-8967 1Email:dorothy.dow.anderson@gmail.com
Mailing Address:109 Heywood Drive, Glastonbury, CT 06033
,CONTACT PERSON:
Name:Dorothy Anderson
Mailing Address:109 Heywood Drive, Glastonbury, CT 06033
Phone#:860-614-8967 Email:dorothy.dow.anderson@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:Condon Engineering
Mailing Address:1755 Sigsbee Road, Mattituck, NY 11952
Phone#:631-298-1986 Email:condoneng@optonline.net
CONTRACTOR INFORMATION:
Name:Kyle Norko (son-in-law)
MailingAddress:85 Jackson Road, Higganum, CT 06441
Phone#:203-906-6592 Email:kylenorko@yahoo.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration RRepair ❑Demolition Estimated Cost of Project:
❑Other $33,000
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes R No
1
PROPERTY INFORMATION
Existing use of property:Single-family residential Intended use of property:single-family residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
Orient, NY this property? ❑Yes INNo IF YES, PROVIDE A COPY.
❑ Check ox After iteadillf,'. 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 pass A misdemeanorpursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): �o _ N��Cis a ❑Authorized Agent DOwner
Signature of Applicant: L � QDate: & .z(_z3
CL)-vl c c:.d1 r- (-
STATE OF
SS:1
COUNTY OF -6 -4 1
ULLot-c"L, being duly sworn, deposes and says that(s)he is the applicant
(Name of indi idual signing contract)above named,
(S)he is the "lc(
(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
dayof CiOne- 20-6-
a Sic
PIbNs,Stile of
6W-6 8MM00
My M.20V
ON
(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
Glenn Goldsmith,President Town Hall Annex
A.Nicholas Krupski,Vice President 54375 Route 25
P.O.Box 1179
Eric Sepenoski Southold,New York 11971
Liz Gillooly Telephone(631)765-1892
Elizabeth Peeples Fax(631) 765.6641
' V
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
2110C Date: December 13,2023.
THIS CERTIFIES that the exist"t OOs .ft,d ck W&1 'x 'stairs and milia
At 725 Munn Lane,Orient
Suffolk County Tax Map#1000-17-2-6.3
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated November 28,2023 pursuant to which Trustees Administrative Permit#10503A
Dated 17eceMbe 1.3.2023 was issued and conforms to all
the requirements and conditions of the applicable provisions of law. The project for which
this certificate is being issued is for c,...w.._'t 1'x5' s irs and railings,
The certificate is issued to Able'Trust owner of the
aforesaid property.
Authorized Signature
!U;
BOARD OF I PUS FEES �
./ •` f TCM OF SOUTHOL D
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EXISTING HOUSE —� 39 New London Tpke, Suite 320
Glastonbury, CT 06033
(860)633-2477
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Revised Attachment A 1/21/20
Spa Shell Specifications Westland WB-8800
Spa Shell Specifications: Spa Shell Configuration
Acrylic Surface Only - Plumbed and formed
Dimensions: 88"Octagon -(1) 1 2 speed Pentair Wisperflow Pump
Depth: 36" - Deluxe Spa Control
Seating Capacity: 6-8 - 11 KW Heater
Approx.Water Capacity: 370 gallons -6 Jets
Spa Color: Serria -Skimmer Filter
-Spa Multi Color Light
-Spa Cover
. r j
This is the Spa Color Serria. Minus the black striping and the large skimmer.
www.westiandbath.com