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Home My WebLink About50686-Z TOWN OF SOUTHOLD 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#: 50686 Date: 5/15/2024 Permission is hereby granted to: Karrass G Trust 1615 Stanford St Santa Monica, CA 90404 To: construct accessory in-ground swimming pool as applied for. At premises located at: 500 Youngs Rd, Orient SCTM # 473889 Sec/Block/Lot# 18.-2-18 Pursuant to application dated 4/4/2024 and approved by the Building Inspector, To expire on 11/14/2025. Fees: SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE $300.00 CO- SWIMMING POOL $100.00 Total: $400.00 Building Inspector arc 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.�s://www.souLholdtowiitt ►Ov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only V PERMIT NO. Building Inspector: Applications and forms must be filled out in their entirety. Incomplete i 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: .� ,R��0.55 SCTM#1000- OI 02 oW Project Address: 500 yo v n L1 5 V,-1D ®r l � Phone#: Email: Mailing Address- CONTACT PERSON: Name: Long Island Pool Care Corp Mailing Address: 50,000 Main Rd Southold, NY 11971 Phone#: 631-765-8285 Email: Ii.poolcare@gmail.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Long Island Pool Care Corp Mailing Address: 50,000 Main Rd, Southold, NY 11971 Phone#: 631-765-8285 Email: li.poolcare@gmail.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: lil0ther inground pool $ 2=Q r) Will the lot be re-graded? ' Yes ❑No Will excess fill be removed from premises? RYes ❑No 1 PROPERTY INFORMATION Intended use of property: RESIDENTIAL use of propert DENTAL �� F�'Existing RE Zone or use district in which premises is situated Are there any covenants and restrictions with respect to this property? Yes iONo IF YES,PROVIDE A COPY. RESID ENTIAL E N TIA L t 6, r Aber Rear^i'il w° The owner/contractor/design profession responsible for all drainage and storm water issues as provided by 8 i i' g Department for the Issuance of a Building Permit pursuant to the Building Zone Chapter 236 of the Town code, APPUCATION IS HEREBY MADE to the Building Depa ordinances or Regulations,for the construction of buildings, Ordinance of the Town of Southold,Suffolk,County,New York and other applicable taw to comply with all applicable laws,ordinances,building code, additions,alterations or for removal or demolition as herein described.The apand In agrees herein are punishable as a Class A misdemeanor pursuant to Sectionp p 23Uo s of the New fork State Penalwv inspections,False statements made h � housing code and regulations and to admit authorised inspectors on premises and in buildingis)for necessary Inspe Application Submitted By(print name): �--�Sa�� BAuthorizedAgent OOwner Signature of Applicant: Date: - L4 _2`J STATE OF NEW YORK) S COUNTY OF �� 0 I V y being duly sworn, deposes and says that (s)he is the applicant Name of individual signing contract)above named ( g g v , (S)he is the �..m. ..��. .. .__..._ � _ontr�� or,Agent,f� ps�rate .n .�-_.» .._...� ... ...�.. it, g Officer, etc.) of said owner or owners, and is duly authorized t )r 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.applicdtion file therewith Sworn before me this �day of 20 2- _....._._ ... .t tary Public TRACEY L. DWYER PRCI) ERT"t OWNERLJTH � 1 j0P,l NOTARY PUBLIC,STATE OF NEW YiC7FlK _ ... ®, _ ....,.. NO.01 DW6306900 (,Where the applicant is not the owner) QUALIFIED IN 3UFFOLK COUNTY COMMISSION EXPIRES JUU NE�30,2 P9� �S / � V►— residing at 1"SC V +�1 G - y"J Long Island Pool Care ....do hereby authorize Corp. to apply on my ehalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name �b JOSHUA R. WICKS P.L.S SURVEYED BY J,R.W DRAWN BY D-10, JOB NO.JRWx3-oz38 s P.O. BOX 593 B Center Moriches, N.Y. 11934 JoshuaRWicks®gmail.com _ #831-405-8108 - --'£ GIRAPHIC SCALE S 77°36'00" E 200.00' 5U)�JVfy J PpUPf,�TY 4'1 E q CO ' O ' asa1nuT DME tar -. a�' .sTRUCrrjRE 03 o � s p"'� v = �O O I ~ F p M FAR, RES Q I #500 1 O F, PAL FE, s a' N 77°36'00" WCO 200.00' - LOT AREA - 0, ACRE( CE 00 0. ( 46 ACR A E MAIN ROAD CUA TO: sl ABSTRACTS. INCORPORATE® -r CARP KARRASS TRUST, ISAOA FIRST AMERICAN TITLE INSURANCE COMPANY ! - -