HomeMy WebLinkAbout50500-Z TOWN OF SOUTHOLD
a BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
°4 .+e SOUTHOLD, NY
p
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#: 50500 Date: 4/2/2024�
Permission is hereby granted to:
Fagan, William_
1515 Plu - �..��............ .......... ------ ..
Orient, NY 11957
To: Construct an inground swimming pool to an existing single-family dwelling as applied
for. Pool and pool equipment must maintain a minimum side and rear yard setback of
10 feet.
At premises located at:
1515 Plum Island Ln,_Orient......�....__— .. .........__ -
SCTM # 473889
Sec/Block/Lot# 15.-5-5
Pursuant to application dated 2/26/2024� and approved by the Building Inspector.
To expire on „-10/2/2025
Fees:
SWIMMING POOLS -1N-GROUND WITH FENCE ENCLOSURE $300.00
CO - SWIMMING POOL $100.00
Total: $400.00
__—.................................................... 4 ........................m„_- ...__._.........., ........
Building Inspector
F TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
y � ,. Telephone (631) 765-1802 Fax (631) 765-9502 11(t "ANAV. OU11101
a
Date Received
AlIPF)LICA I@11 III°° 1 BUI LIII)I F)ERMIT E V E � 1�J M
E Wt
For Office Use Only x""
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PERMIT NO. 050 D Building Inspectors � �� ��r��
Applications and forms must be filled out in their entirety. IncompleteRir�ep �
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date,
OWNER(S)OF PROPERTY:
Name: S SCTM# 1000- _ 69* ,QS
Project Address: ► 49
Phone# ZA401 AJ Lmail: w 17 ri AN «
Mailing Address:
CONTACT PERSON:
Name° + i(
Mailing Address: , D t1, D V -Z
Phone#: 1 .4, Email: A Z� bf
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: 6 r-,2
Mailing Address: P16 �
Phone#: � $ a I Email:JAR) ?df 604r— Pdu— ���
DESCRIPTION OF PROPOSED CONSTRUCTION
Project:
❑New Structure ❑Addition ❑Alteration ❑Repair ❑D j0► 111 Estimated Cost of
emolition ��
Cher S) 04-rE A Jll idow $
Will the lot be re-graded? Dyes No Will excess fill be removed from premises? Yes ❑No
1
PROPERTY INFORMATION
Existing use of property: Intended use of property: , ���+ 1
491:�l 66AJI—�a TQ(2eX>"A
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes 56o IF YES, PROVIDE A COPY.
VCheck Box After ea I : 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.
Application Submitted By(p nt n me): ft5on �C-rie-g-,a
Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS
COUNTY OF {or )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the co n-f 2 /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
oCl� day of � 20 ' ' r
Notary Public
h,�ypppAl+yNnniyype,,,�
r. �II��o
Nix 01OR628M
PROPERTY OWNER AIUTHQRIZAT110"`� Z.-
Where the applicant is not the owner) *`"�N �� �
I PnUL- k residing at PLtA-
do hereby authorize Dr t 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
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LOT 117
MAP OF"ORIENT BY THE SEA" SEC.2
AT ORIENT POINT,
FILED 26 OCT, 1961 FILE NO.3444 PLUM ISLAND LANE
TOWN OF SOUTHOLD
SUFFOLK CO.,N.Y.
SCTM 1000-15-05 -05
- S 87°15 30 E
145.06
LOT AREA: 20,722.13 SF zrar .
0.48 ACRES
' 98.82
s...
GUARANTEES:
PAUL MULLINS
MARGUERITE MULLINS
HAMLET TITLE AGENCY,INC. ;� n
W
Z
SCTM LOT 04 SCTM LOT 5 J
pk od R.O.P. SCTM LOT 06 0
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�= 2 STORY FRAME �
8 VINYL RESIDENCE
NO.1515
6B A IAND$Wl1dByJN6F JNG! Tz 13.s a
PT
PETER A.GROBEN W I
LAND SURVEYOR NY LIC.50869
P.O.BOX 704 RIDGE,NY 11961 iw
631.849.4750 c
2 S.T. M N
Y O
FOUND CONIC.MONUMENT . w 1 h
/
�•PoUND RP.W17N PLASTIC CAP � � _, _ O w� � 1 �(
DATE OF SURVEY: 12 MAR 2023 VV
I Z x
THE OFFSETS OROIMENSIONS SHOWN HERON FROM THE PROPERTY U�f//ES TO
THE STENDED ESAREFOR A SPECIFIC PURPOSES USE.THEREFORE,ERECTION
CARE
TIO I�
NOT INTENDEDTOMOEFDR A THEIFIC PURPOSES S iOGUIDETHE HEREFRE,ERECTION
OFFENCES,ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT. -
UNAUTHORIZED ALTERA PONS OR ADDITIONS TO THIS SURVEY IS A VIOLATION OF R
SECTION 7208 SUBDIVISON 20 OF THE NEW YORK STATE EOUCARON LAW COPIES +�q
OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE VALID TRUE COPY -
CLPo.TS a y"NA6ti LINK FENCE - -�..
CERTIFICATIONS INDICATED HEREON SHALL RUN BEHALF
EME TITLESOMPAN WHOM. CLPo BS THE SURVEY IS PREPARED,E INDONTHEIRONLISTOTNETON.COMPANY, N8B°57'40'W 145.00
ERNMENT AGENCY AND LENDING INSTITUTION LISTED HERE ON.CERTIFICATIONS
ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS,
NO RESPONSIBILITY IS ASSUMED BY THE UNDERSIGNED FOR ANY SURFACE,SUB- SCTM LOT 24.6
SURFACE,AERIAL EASEMENTS,SUB-SURFACE UTILITIES AND/OR STRUCTURES
IN OR OUT OF EASEMENTS IF SO PROVIDED
_ SCTM 1000-15-05-05