HomeMy WebLinkAbout50947-Z � TOWN OF SOUTHOLD
BUILDING DEPARTMENT
" TOWN CLERK'S OFFICE
"u 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#: 50947 Date: 7/15/2024
Permission is hereby granted to:
Twohig Zucker 2020 Rev Trt
453 De raw St
Brooklyn, NY 11217
To: construct an accessory in-ground swimming pool and an accessory hot tub as applied
for. Two CO's shall be issued simultaneously.
At premises located at:
340 Po uatuck Ln, Orient
SCTM # 473889
Sec/Block/Lot# 27.-3-4.3
Pursuant to application dated 5/23/2024 and approved by the Building Inspector.
To expire on 1/14/2026.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00
CO- SWIMMING POOL $100.00
SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $300.00
CO- SWIMMING POOL $100.00
Total: $800.00
uii ire Inspector
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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:Hwww, outlioldtowr ,,o
Date Received
APPLICATION FOR BUILDING PERMIT
r
For Office Use Only f
x r.
PERMIT NO. Building Inspector-, MAY
Applications and forms must be filled out in their entirety.Incomplete 1 1 �.� "e' 's,x
applicationswill not be accepted. Where the Applicant is not the owner,an ' .�
Own j(F Authorization form(Page 2)shall be completed.
.Date:03115/2024
OWNER(S)OF PROPERTY:
Name:Bradley Twohig + Jessica Zucker SCTM# 1000-027.00-03.00-004-003
Proje�,tAddr:5s:34'0-Poquatuck'Lane, Orient
43 q 4 Email:1zucker@gmail.cot _...
Mailing Address: L+S,3 oeyaw c C��' I 1%Y000 vti �Jy
CONTACT PERSON:
Name- tecy Paetzel;RLA--Mars1iatl Paetzel Landscape-Artb-itecture
4%jh,ng Address: P.O. Box 478, Route 48, Mattituck, NY 11952
Phone#:631-209-2410 Email:stacy@ mplastudio.com
DESIGN PROFESSIONAL INFORMATION:
Name:Stacy Paetzel, RLA - Marshall Paetzel Landscape Architecture
Mailing Address: P.O. Box 478, Route 48, Mattituck, NY 11952
Phone#:631-209-2410 Email:stacy@ mplastudio.com
CONTRACTOR INFORMATION:
Name: North Fork Wood Works, Inc.
Mailing Address:-P.O. Box 1407, Southold, NY 11971
Phone#:631-298-7900 Email:build Ca)nfwoodworks.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
D Other In-ground Pool+Spa $140,000
Will the lot be re-graded? ❑Yes §0No Will excess fill be removed from premises? Yes BNo
1
PROPF�TY INFORMATION
Existing use of property:Single Family Intended use of property:Single Family
Zone or use district in which premises is-situated Are there any covenants and restrictions with respect to
R80 this property? ❑Yes ®No IF YES, PROVIDE A COPY.
8 Check Box After Reading: The ownericontractor/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:ef the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additio*,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.
Applj;atiion Submitted By(print name): �t S( 6 A, �/� []Authorized Agent BOwner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF B (i
Js C � being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract)above named,
(S)he is theOwner
(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
n
day of ' `Q 20Z(
Notary Public
Shahchia N Payne
Notary Public-State of New York
PROFIERTY MAI "i , IZ ieNo.01PA0003051
'q Qualified in Kings County
(Where the applicant is not the owner) MY Commission Expires March 20,2027
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 Qwraer's Name
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