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HomeMy WebLinkAbout50533-Z r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE , SOUTHOLD, NY i"91 No. 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 #: 50533 Date: 4/10/2024 Permission is hereby granted to: Gill, Michael PO BOX 507 Cutcho ue, NY 11935 To: construct accessory in-ground swimming pool as applied for. At premises located at: 1875 Jackson St, New Suffolk SCTM #473889 Sec/Block/Lot# 117.-9-14 Pursuant to application dated 2/14/2024 and approved by the Building Inspector. To expire on 10/10/2025. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00 CO- SWIMMING POOL $100.00 Total: $400.00 Building Inspector „tood 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 htt -,/ i„ P ( ) ( ) www, outicalltn_y'� L Date Received APPLICATION FOR BUILDING PERMIT S�3 For Office Use Only J0 PERMIT NO. Building Inspector: ry / r ��/////r%/Jr//dl//////�j //� ��G/�/il�//� //�r�r/✓iii r r/i /G r�'��%r°�/ ri / /r Date., j -�4- --�LLI r Project Address: f-%') S+ J P 11 hone#: _ Email: Mailing Address: y , Npo Q-%�"� ,,, ..., r ,.. l ..r.. rrr, r ,,.,.r. .///�r ./. ✓/./ rl r/ ,.,v,n 11 rm�„rrir' r ,,..,, r ✓r,t���r G, //�,iri.,�///�,r ,�wi//�:.c �,/.,,ri r%/r, rii,//lac/,�/rr���i„ � /./i r:v�%/G/// a/,rG/r „//�/;ir:,,0///�i;i��rlh/c%//�%�r�i�ir rr`//JJ�%�IttrN%,��. Name: Mailing Address: Phone# Email N 1 � 1 r.r/ � o/ � r : /C,~yfl:✓/,,,.,�r,;,rl r,r r/ r r//,r r„9,���; 'A� ����,J�!!f///;r„�1a,r//CLr/,�////�///�%//r„�/G,c,/ram,,,,,/�"ro,/;F/,,,, ,, ,i,�r%.,,/%r;,'�,°O�/I/,/ii !%/ir,%rlir//!�1!%r%�%/%,%�%�i%/ w m _ Mailing Address: �j , b Sail Phone#: tit ?1,S S 4 Email: o r r J �/ r�� /j��%%��%ir ri'rr/r,rar/Ir, ,,r/ rl riroir d9/rr irs. /!L/Name: Mailing Address: �3 a cfmAO.C'�. l C 1St_, 1 Phon 11 e#: , 1 Email” 'd�,�y��r��.w,� � AzkA � r � �/ �rf li i, r/1 / El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other 1 $ ' 7 60 : 6 Will the lot be re-graded? aes ❑No Will excess fill be removed from premises? eyes ❑No 1 G ;; ';pP� Ty IN�Q� ��©� Existing use of property: Intended use of property: ' Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ❑No IF YES, PROVIDE A COPY. tE r Readirtg Th+ owr'ar�sorgractor/desEgn'prctfessianal�S respa aEbfe for ali drainage and%dam f wa#fir rs uE s as prgvided by „ ' r i er,��vhfe� q�pfJCA'n�}1V i�Nki;E�Y MAFJE"m the gu7ldfr��Depprtment for the issuance;©f a"Bniltllrtg Permifpurst�nt tea the Buiftifngjf�rne%== the / rs uff©tk, klrrty, , and atker "icable 44WA"6rtlinartic¢s or Regu�at�g s,fo} a ,1., drd ii he lrt�ifrea 1i ' iP4. ,/// ,: r'�i�,""ft �S ",W,-,, po ce)/ Ytl4lS Y�a�4„004 with���'skllliiCd�lB it#Wby,`4rSi�rM+$rlSSFI�, housfn e r}tl rar�z/antl tigrad tt krhurFied inspec#or cry premises arrd=iri Wfitli syfar necessary Insp�Cion$.A akse statement rrrarle he►ein�r�' prtkaa 'a4,9i�i�11 ¢$r7?r,p41f7(YlifltOGti4rfxy4.4t46he�i6iN !{1rk$t8$lJf3llllf "' r Application Submitted By(print name): � � ,� z� Authorized Agent ❑Owner„ Signature of Applicant: Cares. a ` ... late., a , - STATE OF NEW YORK) SS: COUNTY OF z" being duly sworn, deposes and says that(s)he is the applicant (Name of individual signin contra¢ above named, (S)he is the Art e-mi- 1.3 (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 2� Notary IPu i l blit ate of New Yofk No.0J 353ib,Suffolk County PROPERTY OWNER AUTHORIZATION Cftmisdo""ExpiresIV=21,2026" (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 e Building DeDartMent ApRlication ALUTHORIZATION (Where the Applicant is not the Owner) S UQ- residing at, (Print property owner's name) (Mailing Address) o hereby authorize < (Agent) to apply on my behalf to the Southold Building Department. �ry Signature) (Date) (Print Owner's N40, w Suffolk County Dept.of p9�� �rla1 ! Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE y Name MYKHAYLO ABRAMCHUK Business Name AQUA COASTAL INC This certfies that the ,earer is duly licensed License Number H-43470 y the County of Suffolk Issued: 09/19/2007 �map, Expires: 09/01/2025 Commissioner SURVEY OF V 'r PROPERTY SI TUA TE TOWN OF SOU TH OLD a APR 1 2024 SUFFOLK COUNTY, NEW YORK S85 43 1 Q E TAX No. 1000-11700-0900-014000 I �` SCALE 1'-20' , 3LI.NE 18, zo2� Y Lz Tax Map Lot 13 NIO/F of s"ko o bo WHITECAP NORTH FORK '"Wla w•° AREA — 15;722 s . ft w LLC 0.384 ac. FF o rr Rs'S W e'K> F� ca F� Liz o p 0 t -I.,.r Ll��;.3 20.2' Ln ca�a l L k O'd, r FE 0/1 Tax Map Lot 12 N/O/F of THOMAS 1wCKENZIE + Tax Map Lot 1. :. C avz.rI ::� � D 20 � iB75 a Ln d N 0 16.41 r - � 'rya t�3 STEP EQpEOF tad�."""""".-�..�.„-»e.�.—,,.,..._..." .....^^,«»....w.�.. .�,.. ..,„...,...�.».. ,......, N85'14 219"W J,�.GEND: J�C � - H UTILITY WIRES KS 0 S TR E P T qL V"UTY POLE WATER METER AERIAL LAND SURVEYING, D.P.C. etc. k=lmd Alis comnww w Aw "1st F�WX 1 @Wl N6N 1 24 AW W.' 'ANC,' *" Come. Mojq wN low„w 11041 WIMAINVINMCN QM WIRMWUMALL EM M ELEC. METtR f-WAIL SNlli LbWA1p SIP C tfiii. M .. WVM,x WV*"*AkI,PCA4,I,iMkftVR 4V*,, : rrwn w r.wwr�wr Door r +d www r Goa.® OAS METER O'bSTNRCT61000 LOT:Oi 4.000 V1„,Ox,I75.010 SECTIOW:1 17„OO WAP/l NO,: N A arm* T.01 w nxM ww IILE ur ,w�dr w rr a+wN anWw .ra wvMu awe4 M. P OF; 1401 ON A F1LED �"'u"RJISEdPMI58OR MAP" . - +xrAwYwr wwm w�mw +ww rewM�Me�clmraw wr�,.«» ar.ww TITLE P!N04 N,+�Ik N, MAP FILED GATE: N/A COUNTY TAX MAP V 1000•-1 17 0900-014000 SITUATED AT,, TOWN) OF' SOvIIMOLI? slus lvisION MAP LOT&KOCFi 'S: NA �,,, N wtlgf�Au11G�ld liEk AO CN 0A1E ANE Ilk 2023 Ww Tax Map WHITECAP NORTH FORK. ...... F{C.}L)S 4. . � i LLC . . p .�- — 5IhtC OD CSC) f f NC E I �M PAVE R WALKWAY � C•f(AIIJL.IFJK f�NCI�� CI. S ' 0 GRAVEL. DRIVEWAY a... LJ LjiU.- w 7IONE CURB 46'-8' ACCESSORY E";`ORY AN Ab k _wwww 1i 7XI ill tR � Nil �` r p � s 7"3. 14'-0' "/ ,�'✓" r"', �, o UJ �,;�..�._.s.,....m... . m 4 a n IIO J � 1a �•� p ._ � gyp; rm ¢'ti, I� Tax Map Lot, 14. r, 8 " & 'STEP 8's l WAI KWAY I)C c:.: OF PAV!FIv I N i °42'�4539W 111 . 91__...... _ __ ..... ____ .... PROJECT: II TITLE:POOL DIMS//POSI7IIXJ �"`clu AR AM ISS L,s���r10 1870 JACKSON STREET �A� SK �jr'jBO HO OO,LANE SOU Tp{00..0 NY 9707R NEW SUFFOLK,NY DATE: oa/ay2ou PROJECT NUMBER: 23-09