HomeMy WebLinkAbout50311-Z .r�•°orMore, TOWN OF SOUTHOLD
ti BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
all
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#: 50311 Date: 2/6/2024
Permission is hereby granted to:
Sardi Matteo
25 Fifth Ave A t#10B
New York, NY 10003
To: construct an in-ground swimming pool within an "as built" deck addition to an existing
single-family dwelling as applied for. Additional certification will be required.
At premises located at:
3075 W Creek Ave, Cutcho ue
SCTM # 473889
Sec/Block/Lot# 110.-5-8
Pursuant to application dated 10/17/2023 and approved by the Building Inspector.
To expire on 8/7/2025.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $799.20
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00
CO-ADDITION TO DWELLING $100.00
Total: $1,199.20
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
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4104
Telephone (631) 765-1802 Fax (631) 765-9502 �ta1?�al � �w� southwww �
Date Received
PINI ICA"!,,wION FOR ,° 11 JIDING PERNUirr
5 ..N�
For Office Use Only i
r
PERMIT NO. 6 Building Inspector. 0C T 1 7 2023
i
Applications and forms must be filled out in their entirety. Incomplete 1 t3 ,1 f17f7 1'1%
applications will not be accepted. Where the Applicant is not the owner,anxµ;t a a
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF P OPERTY:
Name: — SCTM 1000-
Pk �� ��� � #/1 I10vo - 0Sco - DD p0a4
Project Address:
Phone#: Email:
Mailing Address:
CONTACT PERSON:l
Name: /�1-r— U11f1
Mailing Address: 'ion
Phone# Emaii. /
Z dV
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: OIC-
Mailing Address: OO N )I'l � .
Phone#: ��,� 0 Email: A3 F-0 C r)c, , r 1C Not-(�&t
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration Repair ❑Demolition Estimated Cost of Project:
ther 05lfl X1J V` p $
Will the lot be re-graded? ❑Yes [Alo Will excess fill be removed from premises? *es ❑No
1
PROPERTY INFORMATION
Existing use of property: Intended use of property f(��
fes$,BEIM,,
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes CONo IF YES, PROVIDE A COPY.
Check I Oit,Aftel, Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
hapter 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(p nt a .-4661� � ,m-5 *uthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF ,r)) _
-50I PC !'Ee 5 being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the1�7/r
(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 , 20,�;R
Not,l';y Public
Nararrr S otarpr Publie,'State of New York
*
*1 No,01 280292
PUB
Qualified in Suffblk Comity
a•...,....
(Where the applicant is not the owner)
I, Rft e !SPreb,l residing at 3C) 15-
do
Q .do hereby authorizeky-r-15140, '- to apply on
be f Town of Southio ing Department for approval as described herein..
Owner's Signature Date
Print Owner's Name
2
SYMBOL LEGEND
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RICNARD A, NORRIS & WIFE STEPHEN D. PINZINO&
CHARLENE PjlvZINO
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(VAR. WIDTH)
GRAPHIC SCALE GUARANTEED TO:
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SURVEY OF PROPERTY
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SITUATE
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mj lo'ndsurvey.com P: 631-957-2400 TOWN OF SOUTHOLD
AV " ' SUFFOLK TAX MAP NO.
SUFFOLK COUNTY, NEW YORK
ILI [)IR'MC CREW:AIL SCALE: 1 30
1000-11000-0500--008000
t.ATISURVEYED:08/13/2020 JOB Na.S20-133h
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JIM DEERKOSKI. PE
phone:(631)298-7116
38'-101/a" 8'-73/4"
EX.GIRDER EX.2-2%8 GIRDER EX.2,2X8 GIRDER
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6'-4- a W V
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EX.2-2X8 GIRDER EX.2-2%8 GIRDER EX.2-2X8 GIRDER - ------- - - -EX.2-2X8 GIRDER
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EXISTING HOUS
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FOUNDATION PLAN
SCALE: 1/4" = 1'-0"
DRAWN BY: ]D
F N 1/22/2024
DEF6, y0 SCALE: SEE PLAN
e� p
a SHEET NO:
C) h L 1
A0725
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