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Home My WebLink About50779-Z " TOWN OF SOUTHOLD BUILDING DEPARTMENT 1 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#: 50779 Date: 6/4/2024 Permission is hereby granted to: Malloy, Peter 1670 King St PO BOX 476 Orient, NY 11957 To: construct accessory in-ground swimming pool as applied for. At premises located at: 1670 King St, Orient SCTM # 473889 Sec/Block/Lot# 26.-2-42.3 Pursuant to application dated 4/24/2024 and approved by the Building Inspector.. To expire on 12/4/2025. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00 CO- SWIMMING POOL $100.00 Total: $400.00 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) 765-9502bttps:/fw ww titbol to ° n Date Received PERMITAPPLICATION FOR BUILDING 21 �, y For Office Use Only 4 PERMIT NO. 7J� Building Inspector: PR 2 4 202 Applications and forms must be filled out in their entirety. Incomplete �i' ai;;! ,°� .� t r applications will not be accepted. Where the Applicant Is not the owner,an NM.°lw Owner's Authorization form(Page 2)shall be completed. Date: Ll I D1 OWNER(S)OF PROPERTY: Name: A SCTM#1000- Project Address: —10 Sf Phone#: Email: a� v Marlin Address: - (( g C CONTACT PERSON: Name: l Mailing Address: s Aks 12bo way,cy V t`le. N\4 I 1 Q y C( Phone#: V� S� O Email: &�b nn DQhLVS QOI:�S C DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:k&6cL U�S-L )L Maili Address: E 0 Phone#: �'� _ _ Email. DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Si' \J\M %119 Estimated Cost of Project: then Kk U('e '-4 $ 1 Will the lot be re-graded? Xyes El No Will excess fill be removed from premises? ❑Yes XNo 1 PROPERTY INFORMATION g property: vvcfL. Existing use of �� Intended use of property " bi l k Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to _12)6 this property? ❑Yes ONO IF YES, PROVIDE A COPY. ❑ Check Box After Reading: 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 210AS of the New York State Penal Law. o Application Submitted By(p int name): � .,P)na �e �C U�(1 C7 uthorized Agent ❑Owner r Signature of Applicant: ) [4/)-6�"& Cate: �� -4 P)-H CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York SS: No.01 BU6186050 Qualified In Suffolk County COUNTY OF ) Commission Expires April 14,2cQ9 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 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 hay of april ,20 Q Y Notary Public PROPERTY OWNER'��_UTHQRIZATION (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 Building De aartment Application AUTHORIZATION (Where the Applicant is not the Owner) f r z MA-Li.ci y IC ,residing at k1�G sl icFYur N �� +'� (Print property owner's name) (Mailing Address) I PO r715)�N'T do hereby authorize k 4'7'F- I✓y, A -CUR /C (Agent) to apply on my behalf to the Southold Building Department. (Ow ature) 'Date) Mft PE IZ <<t� efe r rca toy (Print Owner's N e) I NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY @ Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-03651 F:(631)444-0360 www:dec.ny.gov LITTER OE NO JURISDICTIO April 30, 2018 Peter Malloy Mary Perica PO Box 476 Orient, NY 11957 Re: Application #1-4738-01108/00009 Malloy-Perica Property: 1670 King Street SCTM# 1000-26-2-42.3 Dear Applicants: Based on the information you submitted, the Department of Environmental Conservation (DEC) has determined that the proposed additions to the existing single family dwelling are more than 100 feet from DEC regulated freshwater wetlands. Therefore, no permit is required pursuant to the Freshwater Wetlands Act(Article 24) and its implementing regulations (6NYCRR Part 663). Be advised, all construction, clearing, and/or ground disturbance must remain more than 100 feet from the freshwater wetland boundary. In addition, any changes, modifications or additional work to the project as described, may require DEC authorization. Please contact this office if such activities are contemplated. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely, 10040 Mark Carrara Deputy Regional Permit Administrator cc: Samuels & Steelman Architects BOH File tV�'yR D� rtwaa�t t N a " Ty l !iranrwntti Conwrvation 'rrs 00 z '* 0 Z rb '6y in �n 4 ,. oU... ^ , "" 0000 tn cr- o 'ca � / M , + �k .� .. 3�N33 833 ,8 1 l d,� x Y z l U m m so 0 no uj 1;N a Gy 110 �OZ.Ogl L" «00,ipo0ON IN Ott 0� p0' .�,., To ` � t D oa \G 6- CUIT ,s Wa1e 1,, i ,,6.5 IF VY CA • �. t..>��•'�f�'.�`�1 C.G�-1 �,j`L` �° L i at.� 4 _ ,. _ �'�'�rf'�'`= u ;