HomeMy WebLinkAbout50652-Z Myth
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
s 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 #: 50652 Date: 5/10/2024
Permission is hereby granted to:
Hollander JR Liv Trt
430 7th St
Brooklyn, NY 11215
To: legalize "as built" hot tub as applied for per Trustees approval.
At premises located at:
485 Old Woods Path, Southold
SCTM # 473889
Sec/Block/Lot# 87.-1-4
Pursuant to application dated 3/11/2024 and approved by the Building Inspector.
To expire on 11/9/2025.
Fees:
AS BUILT- SWIMMING POOL $600.00
CO- SWIMMING POOL $100.00
Total: $700.00
Building Inspector
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 llttl2S.//WWW.SOLitlioldtowiiiiy.gov
.,4, "
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
d Why
q �W li P""b B N LL �j,�„�n i `'�'6 we ty
PERMIT NO. S6&"C�o
Building Inspectors ..
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant Is not the owner,an
Owner's Authorization form(Page Z)shallbe completed.
Date: l z6��
OWNER('S)OF PROPERTY:
Name. C SCTM #1000-
Project Address: 9 414 �2 7
Phone#: L?` 7 Email: 4747 d0 ,
Add /-4 5-77 O,0 J/Z/'r
Mailing A "
CONTACT PERSON:
Name: /P
Mailing Address;
Phone#: 4Q6 Emai .
DESI,GN PROFESSIONAL INFORMATION:
Name:
Mailing Address: A� 1+ «
Phone#; 73GJrJ� Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project;
XOther &- G V $
Will the lot be re-graded? 0Yesfi6No Will excess fill be removed from premises? Dyes );�°No
1 ..
PROPERTY INFORMATION
Existing use of property- Intended use of property:
cowle
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
9-A D is property?p /? [_'Yes U(No IF YES, PROVIDE A COPY.
t ro �..__ .._....
ACheck BOX After Reading: The owner/contractor/ciesign professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town _ode. 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 a nd other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein des=ribed.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 Newyork State Penal Law.
Application Submitted By(print name): "". cz C�Authorized Agent ❑Owner
Signature of Applicant: , Date: ��f/q/__4 O ��
STATE OF NEW YORK) CONNIIE D.BUNCH
S�: Notary Public,State of New York
No.01 BU01 66 Eff
COUNTY OFff1',� , G_) Qualified In Suffolk CountyC)a
Commission Expires April 14,2
/yV x• le/H,4 aG � 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, Corpo-ate Officer, etc.) _
of said owner or owrers,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;he application file therewith.
Sworn before me this h \ /
day of �/c L� 2Q � !v0
Notary Public
PROPERTY OWNER ALITHORIZATION
(Where the applicant is not the owner)
;�VVEL/A/� �r/OlL l siding at__s e-,5 rZ4 WIT0.0 P41 ..
Aly do hereby authorize�117>� 1,t�f� ! �'/,�l/�C�� to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
wneT'sH Signature Date
Print Owner's Name
2
I
TOWN OF SOUTHOLD
tat BUILDING DEPARTMENT
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 #: 50652 Date: 5/10/2024ww
Permission is hereby granted to:
Hollander JR Liv Trt
430.. St wwwww_.............m_...�,._.���. .....�wwwww_ww.............. _...w... ... w. ......................m_------
__._. --.__..---------.wwwww.w......._.........._�----w
_.ww.._._._.........__
Brooklyn, NY 11215
To: legalize "as built" hot tub as applied for per Trustees approval.
At premises located at:
485 Old Woods Path, Southold
SCTM # 473889 ._.w.......................__ . _...www._._ __.W _... .._ ..
Sec/Block/Lot# 87.-1-4
Pursuant to application dated 3/11/2024ww and approved by the Building Inspector.
To expire on .. 11/9/2025.
Fees:
AS BUILT- SWIMMING POOL $600.00
CO- SWIMMING POOL $100.00
Total: $700.00
Building Inspector
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 1 t1 rvvw. ogtholdtowntty,,ggy
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. - � Building Inspector:-._.
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant Is not the owner,an `V,:
Owner's Authorization form(Page Z)shallbe completed.
Date: ..�.._..—....—.__.ww__l.—...ZwG.�.-.A
OWNER('S)OF PROPERTY: �f
Name: - I SCTM #1000- " `
Project Address: 7 �
Phone#: 9'1 _ 7 Email: 4 ? d0 ,
Mailing Address: /-4 577 4749 J/Z/'r
CONTACT PERSON:
Name: P
Mailing Address; P. Q f G -&Z
Phone#: _v7 6 G�----
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address: / rjr 7- "
..-.�.... # .. 73�J�.. Emai
Phone
l:_��!.�,�._...���...;..�..
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project;
P<0ther_ 4_f jnL&Z 6 U $
Will the lot be re-graded? ❑Yes,14No Will excess fill be removed from premises? Dyes 5;�°No
1
PROPERTY INFORMATION
Existing use of property- ' Intended use of property:� �.����Y
Zone or use district in ,which premises is situated: Are there any covenants and restrictions with respect to
this property? E'Yes E No IF YES, PROVIDE A COPY
ACheck Box After Reading: The owner/contractor/ciesign professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town _ode. 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 a nd other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein des=ribed.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 Newyork State Penal Law.
Application Submitted By(print name): edt C�Authorized Agent ElOWner
Signature of Applicant: A/q" � Date:
STATE OF NEW YORK) C NNIE O.BUNCH
S�: Notary Publicp State of New York
No.01 85060
COUNTY OFX ,r�Wt ) Qualified In Suffolk COUMYC)a
�� "� Commission Expires April l4,
_ _/1/C1.1,441— od /M4 CIC—N being duly sworn, deposes and says that(s)he is the applicant
(Narne of individual signing contract)above named,
(S)he is the . ... . _
(Contractor,Agent, Co rpo-ate Officer, etc.) _
of said owner or owrers,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;he application file therewith.
Sworn before me this
day of h (✓r� 20 m ` lvo L
Notary Public
PROPERTY OWNER ALITHORIZATION
(Where the applicant is not the owner)
I,__,-'tX0VEL/.VC AM& A�Residing at
do hereby authorize�e"V4;9 ZZ' IAI,4C& to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
wne s Si tur4 Dat s� :�.:�._
e
Print
r i n t Owner's Name ....__...
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R t(OUPER I ALIMENTATION,ELECTRIOUE AVANT D'OUVRIR If COUVERftf�% c �
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•t011NKT ONl`I 10 A GROUNDED(mull. .ON RAC(ORDEMENT INADEOUAT PEUT ENDOMMAGER CE(ONTROLE. ' -
•1NpROPERY11R4NGMAVDAMAGEtNIS(ONTRO(SVSTEM. .NECONREA'TAU(UNEPIECE REPARABLE PAR L'UDLSATEUR �. .
•NO USER SERVI(EABIE PARTS INSIDE .CONVIENT A ONE UTILISATION INTFRIEURE SEULEMENT OU SI INST
i IUPE ETANCHE OU SPA "
•SUIT A8(E f OR INDOOR USE ONLY OR WNEN IV Al(ED .POUR REMPLA(EMENF UTILISER SEULEMEM if MEME TYPE DE 4
DU MEME(OURANT NOMINAL
UNDER A WE AT HERPROOf SPA SRIRI. .UTIIRSER SEULEMENT DES(ONDUCTEORS EN CURVE CALIBRES A AV Ams 105(M41S ClASSE-i + I I
•EORREP(ACEMENI USE ONLY SAME IVPE ANO RAT105 Of FUSS, SELON ON COURANT ADMISSIBLEA60 C 300V
•USE Ml(OPPER(ONDWORSRATEJA��EASl}05°(,BUTSIiEDONTNEBA4IS �(ONNECTERSEULEMENTAONCIRCUIfPRCNEGEPARUNDI510NCTEURDIEFERENiIELDEfU11EAlA �. I ' r
Of 60`C AIAPACIIV,300V. TERRE(ODFT)Of CIASSE AJAN r.!
•CONNECT ONCV TO A(IRCUIl PROTECTED BV A CLASS A GROUND FAULT(IR(UIi ✓` I `
INTERRUPTER4GFC11 _ -- �
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SITE PHOTOS
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