HomeMy WebLinkAbout50207-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
�,.
TOWN CLERK'S OFFICE
�' SOUTHOLD, NY
'91 a
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 #: 50207 Date: 1/11/2024
Permission is hereby granted to.
Ortiz, Joseph
650 EaIg a Nest Ct
Laurel NY 11948
_..........e.. _ ...... ____
To. Install an accessory inground pool / spa combination to an existing single-family
dwelling as applied for. Pool and pool equipment must maintain minimum setbacks of
15 feet.
At premises located at:
650 Ea le Nest Ct, Laurel
.........., .................--- ----...................................................................................w...........
.._�m..m,,,
5CTM # 473889
.m .......................
--------—
Sec/Block/Lot# 127.-9-6
Pursuant to application dated 12/8/20m a and approved by the Building Inspector,
p p 23 .
To expire on 7/12/2025.
Fees:
SWIMMING POOLS- IN-GROUND WITH FENCE ENCLOSURE $300.00
CO- SWIMMING POOL $100.00
Total: $400.00
...................J. - � ____.m__-__
Building Inspector
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/111 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 tDs://www.southoldtownq
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
I
PERMIT N0. C) � � Building Inspector:
Applications and forms must lae filled out in their entirety.Incomplete "
applications will not be accepted.`Where the Applicant ls'not'the owner,an �
Owner's Authorization form(Page 2)shall be completed,
Date:
OWNERS)OF PROPERTY:
Name: The- l tvre( YiousL S SCTM #1000- )Z-7- - C)9— J(' t�
Project Address: S eVI es { Gf (&.Urel Aly ( I qg'
Sl
l
Phone#: - Email:�l6 - L( 58'— C��ItB' S;Mrnet
Slb1 �•�d�'`1
Mailing Address: (9 S7 e-a-se- rles� C- /VV I t Cl G1
CONTACT PERSON:
Name: S e-q-K m 0 rr%,-3o n I`1( ]POIJ, IrlNr 1 i qo
Mailing Address: be roh nKr11 GorISI✓rve+14n m &- m`111 ,cOwl
Phone#: S�l 6 _ C�d 6 - Q'4 Email.
DESIGN PROFESSIONAL INFORMATION:
Name: The- (bol MCA n
Mailing Address: 116 0h;n Gr�nHlr /11C7r1Cc hrS /J/r 1 `(3 c(
Phone#: ��- Email: �vw
[CONTRACTOR INFORMATION:
Name:
Mailing Address 3 I`ll �G ►7� L n eM S�— y0d-rflotCS Vii q t(o
Phone#: S lL - Yo 6 _ :, Email: bBn�h rr1�,rl S C0,1Ikilo+.it
DESCRIPTION OF PROPOSED CONSTRUCTION
[]NewStructure ❑Addition [--]Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Ll6ther POOP 1 $ (90 10
Will the lot be re-graded? es ❑No Will excess fill be removed from premises? ❑Yes Pf\10
1
PROPERTY INFORMATION
Existing use of property: GS Intended use of property:
Zone or use district in which premises is situated: Are there any covenants as d restrictions with respect to
8'o this property? ❑Yes I(�'No IF YES, PROVIDE A COPY.
@fiheck Box After Reading: The owner/contractor/design 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.
Application Submitted By(print name): Se,,,.,? P,/p/`,k0"n uthorized Agent ❑Owner
Signature of Applicant: Date: �1'2
STATE OF NEW YORK)
SS.
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 reit
0 (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
day of� r .20�
Notary Public
Joshua L. Whalley
Notary Public, State of New York
Reg. No. 01 WH6440404
PROPERTY OWNER AUTHORIZATION Qualified in New York County,
(Where the applicant is not the owner) Commission Expires Ates
1, f- 65"m"l2 residing at h s�0 I� ✓►�s e�f'
r;
a Mor'/'�Yon
do hereby authorize S e, to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
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4 A
Owner's Signature ate
�I ZF PJ-�
Print Owner's Name
2
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
" Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
r Telephone (631) 765-1802 - FAX (631) 765-9502
Mtl w rc err southold'townn . 'o - seand southoldtownn . o
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date
Company Name: 14 I e1jus i-rees L- t)
Electrician's Name: r ,n
License No.: q1 S3 lVig Elec. email:
Elec. Phone No: N ❑I request an email copy of Certificate of Compliance
Elec. Address.: 0 1,3 hLVU ,qte- ba 11 l
JOB SITE INFORMATION (All Information Required)
Name: S,r
6,n1' dY ` wh
Address: 5-t7 Ie �t
Cross Street: IZ_h I
, etjle, �i
Phone No.: S 16 o &r
Bldg.Permit#: Q a(59 email: "be mv,;(I� crm:l A--hin ✓►, `I•Gu.�
Tax Mae District: 1000 Section: 121' Block: c7l Lot: a G
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
LI S1 X. Ipool w�` 1'1 i , X S PC�—
Square Footage. 07q
Circle All That Apply:
Is job ready for inspection?: ❑ YES ENO Rough In Final
Do you need a Temp Certificate?: 11 YES ENO Issued On
Temp Information: (All information required)
Service SizeEl1 Ph[]3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y EIN
Additional Information:
PAYMENT DUE WITH APPLICATION
Scott A. Russell 1�SUFFQIr S' F 01KIM[WA'7C']EIK
SUPERVISOR MA\,NA�G1EM1EN1F
W
SOUTHOLD TOWN HALL-P.O.Box 1179 O� Town of Southold
53095 Main Road-SOUTHOLD,NEW YORK 11971 1
C TER 236 - STORMWATER MANAGEMENT REFERRAL FORM
( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. )
- - - - - - - - — - - - - - - - - - - - - - - - - - - - - - - - - - -
APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other)
d
NAME: I 4 Date:
ign 4.t
Contact Information: JU i O Co—
(E-Mail
o(E-Mail 8 Telephone Number)
Property Address / Location of Construction Site:
O C14-& �" s .. �� S.C.T.M. #: 1000
District
9 '
section Block Lot
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
- - — - - - - - - - - - - - - - — - - - - - - - - - - - - - - - - - -
Area of Disturbance is less than 1 Acre. No S.P.D.E.S. Permit is Required !
Project does Not Discharge to Waters of the State. No'S.P.D,E.S. Pet`mrt is Rei+iiu'�
Area of Disturbance is Greater than 1 Acre & Storm-water Runoff Discharges Directly
to Waters of the State of New York. TI IE APPLICANT MUST OBTAIN a S,P,D.E.S. Permit
DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Bt;oaldrn Permst.
- Area of Disturbance is Greater than I Acre & Storm-water Runoff Flows Through Southold
Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN
a S.P.D.E.S_ Permit through the Southold Town En inee ing Dwartment
Prior to Issuance of a Building Permit..
r
rr
Y
Date
Reviewed By. :
��
F(lR M # CMf P-T(1C(lrtnhPr 7n 14 c e I YP 3
Survey for:
q
THE LAUREL HOUSE 650, LL C
,-, `� Lot 6, "Golden View Estates"
►� '� At
� I v7 Laurel
o M.W Town of
37,
Southold
n N c . 1
o43 ` 3 Suffolk County, New York
,► ,
CL m N ���
1
7 .�s �" 1 11 `� 0 S.C.T.M.: 1000-127.00-09.00-008.000
O11 _z
��,rcr IT/OF OLARIPIO^IRO
A
11\1
1 �
,, ,... �LI�/ 0�'� 2p j 1 1\ ��\ 0- 40 0 40
'F A EL a NI \\ �j
,1 i W✓
'� of „ t
1 aS+ SCALE .1"=40'
0
NOTES:
* � IIto 15` 1 `° ` °
r \I1 ��•`' ' 0 1. AREA = 47,816 S.F.
2. • = MONUMENT FOUND, e = STAKE FOUND.
3. SUBDIVISION MAP "GOLDEN VIEW ESTATES" FILED
IN THE OFFICE OF THE CLERK OF SUFFOLK
COUNTY ON AUG. 30, 1984 AS FILE NO. 7770.
«.` 4. ELEVATIONS REFERENCED TO N.A.V.D. (1988).
9
DEC. 06, 2023 AMENDED PROP. CABANA
DATE: OCT. 21, 2023
JOB N0:2023-463
"� �` ' • : ---''--"" — � ���� ��� �i
CERTIFIED TO:
s FR�a " � � THE LAUREL HOUSE 650, LLC
s��' e 6miry
JEFFREYIMME & CONNIE KIMMEL
11
x
r
TEST HOLE DATA ti° e�$' ~ 00� � 4
MCDONALD GEOSCIENCE
OCT 02 2023
EL=17.7 DARK 0.0 -
BROWN LOAM �L0 STP I)
BROWN ,} Q m
CLAYEY SAND SIC A ih
3.0 � IV- DAVID H. FOX, l.S„ P.C. N.Y.S.L.S. #50234
PALE BROWN SP DRAINAGE CALCULATION: o
'a t0 FOX LAND SURVEYING
FINE SAND REQUIRED: 64 SUNSET AVENUE
G.W. __ w 15.7 CABANA = 340 S.F. �� WESTHAMPTON BEACH, N.Y. 11978
EL=2.0 340 x 1.00 x 0.17 = 57.8 C.F.
X_ lu (631) 288-0022
57.8/42.24 = 1.4 V.F. / �0
WATER IN PROVIDE: UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY
PALE BROWN i E AVD ATI,'A ¢wr COPIES
EOa AN� 7THt OF VE NEW NOT STATE
FINE SAND SP (1) s'� x 2' DEEP POOL = 2 V.F. ' ED CA'TY QPk 1.N W. 'CO S k 4.1E TH1.n L O JK MAP O BEARING
/ THE LAND S'dUR'�!(i:'e"CYG�x INi0.ED .�LFd. CXBT Crwkk3 U:i S,K�J 'WEAL
SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY,..
CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE
PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
ANDLENDING INSTITUTION LISTED HEREON I AND TO THE
17.0 ASSIGNEES OF THE LENDING INSTITUTION CKpd TWIr;'ATIONS TM
j ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONSM
OR SUBSEQUENT OWNERS..
..
DWG: 2023-463
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