HomeMy WebLinkAbout50354-Z a � at . TOWN OF SOUTHOLD
BUILDING DEPARTMENT
r'
TOWN CLERK'S OFFICE
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#: 50354 Date: 2/20/2024
Permission is hereby granted to:
Artemis East LLC
11 Sherman Ave
Bronxville NY 10708
To: construct accessory in-ground swimming pool with spa as applied for. Swimming pool
and pool equipment must be located a minimum of 25 feet from lot lines.
At premises located at:
2195 Aldrich Ln, Laurel
SCTM #473889
Sec/Block/Lot# 125.-2-1.15
Pursuant to application dated 1/19/2024 and approved by the Building Inspector..
To expire on 8/21/2025.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00
CO- SWIMMING POOL $100.00
Total: $400.00
Building Inspector
Sqrsat� wrt„ 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) 765-95021ittOs'://WwwA-30L1t � (tltr-ML
Date Received
APPLICATION FOR BUILDING PERMIT
E � �
A
r Office Use Only u
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56 �� I
JAN V J ..,l 2
PERMIT N0.
Building Inspector; di .,
E
tions and forms must be filled out in their entirety.Incompletetions will not be accepted. Where the Applicant is not the owner,an
's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name: U�( SCTM# 1000-
Project Address:Zlgs 11 k I LA� r'�i'a�-.-
Phone#: J49>
Email:
Mailing Address:
CONTACT PERSON: l
L
Nam ,.
�A
Mailing Address: '
Ema" ° ,
Phone#: �
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
Esti
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demol° n $ matte Projec
her f * �U.�-v 1 � � .�.-....._.. .�
Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes o
1
Intended use of property:
Existing use of property:
Zone or use district in which premises situated:is Are there any covenants and restrictions with respect to
this property? ❑Yes No IF YES, PROVIDE A COPY.
P
hep 'Bp Afters; , adi ugi rrw r titre ter a BulM1dl sl ap + r itis aaauludlja S rrnl prurs at to the ieu llding n*
ptpa of tha ��.�ar,, FCid iSw NaNI t Ntlsabla trwrrs,oral r4irMsor aa�utlons,dor ura co tswzon build ,
on of thti Town rata�l, arttd �Irst+,q or find othar pp icoabla laws,ordinance,bulidtng code,
otoadaoltlons,aherstions or fern,' d+ral or d?srrl�alNtlon as therein dos!tribod,The appllcant azroas to csprrwpbw w�ltln all appl
housin;code and regulations and to admtt autho ted lospec oris on prarnlras an
In bulldlnliisi for nat�assrry Inspesttons,Falco statementsrrlade herein are
puntshable as•pass A Mj$datrleanor pursuon#,to sactlo, tha New Vorl(state POW tAww.
�puthorlzed Agent OOwner
Application Submitted By
Date:
Signature of Applicant:
STATE OF NEW YORK)
SS:
COUNTY OF
v 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
e said work nd c make his/her kn w e ge and belief;file this
application;that all statements contained In this application are true to the b
estand
that the work will be performed In the manner set forth in the application file therewith.
Sworn before me this 1
2024 J �ry day of �_ ota P c
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+ VcLr0 m aG. Yk,-
cr n�o�
a3,l it iw l P r
Ir t it l,Crraatf RO � OWNER AUTHORIZATION
Oualfifled In t
�lltn,lssion F'e Oac � PE
(Where the applicant is not the owner)
I, flix>
s` i residing at
orize
do hereby auth
t �apply or
my behalf to the Town of Southold Building Department for approval as described herein.
tie i s Signature Date
Print Owner's Name
Bniti'lrre artrnent A lleatlon
AUTHORIZATION
(Where die Applicant is not tI%C Owner)
residing at ✓
I, Pl (Mailing Address)
(Print property owner's name)
L.j wL, do hereby authorize 0 V .
(Agent)
to apply on my behalf to the
Southold Building Department.
(Dte)
(owner's Signature)
(Print Owner's Name)
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SURVEY FOR
JOHN GUNTHER OCT. 25 , 1966
LOT NO.2 , RICHARD J.CRON JUNE 6 ,19ee
0I
JAN, 6 ,1988
AT LAUREL
DATE SEPT 280987
MWN OF SOUTHOLD SCALE 1"=100'
SUF'F'OLK COUNTY, NEW YORK N0. 87- 1465
KLWAUTMOaiito ALTERAPON 04 ADDITION M THIS GUARANTEED TO; _
$URVEY IS A Y a.ATI H OF SECTION 72on of THE JOHN GUNTH"
NEW YORK STATE EDUCATION LAW
OPIES OF THIS SURV E Y HOT KAMime ►HE LAND COMMON ttrRL E INSURANCE
SURVEYOR'S INXED SEAL OR tl aOsSEO SEAL SMALL COMPA'
NOT 1t CONSIDERED T4 ISE A VALID TRUE Cts
X GGA lAKT ES INDICATEV HEREON SMALL R Q4L To PPp �'
hl DEPARTMENT-DATA FOR APPRQWI to rrweTboloT THE PE)jvw rola wunu fur _, �.�� ,- -------- a