HomeMy WebLinkAbout51019-Z 4rt TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
'a 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#: 51019 Date: 8/1/2024
Permission is hereby granted to:
deKerillis, Alain
3420_Rqq'ky Point Rd
East Marion NY 11939
To: Install in-ground swimming pool at existing single family dwelling as applied for.
Maintain mimimum 5 foot setback from property line to pool and equipment.
At premises located at:
3420 Rocky Point Rd, East Marion
SCTM # 473889
Sec/Block/Lot# 21.4-8
Pursuant to application dated 6/17/2024 and approved by the Building Inspector.
To expire on 1/31/2026.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00
CO- SWIMMING POOL $100.00
Total: $400.00
Building Inspector
s TOWN OF SOUTHOLD—BUILDING DEPARTMENT
° Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�P Telephone(631) 765-1802 Fax(631) 765-9502 litt,) ://www. outholdtow rin o�
Date Received.
APPLICATION FOR BUILDING PERMIT
For Office
ice Use Only
PERMIT NO. Building Inspector: ^"
JN 7 2024
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an Bun;DING DM.
Owner's Authorization form(Page 2)shall be completed.
OWN
Date:June 10, 2023
OWNER(S)OF PROPERTY:
Name:PALERMO FLOORING INC scTM#1600-021.00-04.00-008.000
Project Add ress:3420 ROCKY POINT ROAD EAST MARION
Phone#:631-655-2920 Email:matt@palermoflorringinc.com
MailingAddress:4128 SUNRISE HWY OAKDALE, NY 11768
CONTACT PERSON:
Name:TONI BAKKER e-a,�( -�V Kul
MailingAddress:P.O. BOX 521 CENTER MORICHES, NY 11934
Phone#:631-804-5551 Email:oni@kevinthepoolman.com
DESIGN PROFESSIONAL INFORMATION:
Name:SKEEZ INC DBA THE POOL MAN
MailingAddress:P.O. BOX 521 CENTER MORICHES, NY 11934
Phone#:631-878-7796 Email:toni@kevinthepoolman.com
CONTRACTOR INFORMATION:
Name:SKEEZ INC DBA THE POOL MAN
MailingAddress:P.O. BOX 521 CENTER MORICHES, NY 11934
Phone#:631-878-7796 Email:toni@kevinthepoolman.com
DESCRIPTION OF PROPOSED CONSTRUCTION
rer l ition^�;r structt�re L"y❑Addition ❑�Altera�tlon ❑Repai.f ❑Demo) Estimated Cost of Project:
$49000.00
Will the lot be re graded? ❑Yes El No Will excess fill be removed from premises? igYes ❑No
1
PROPERTY INFORMATION
Existing use of property:RESIDENTIAL Intendaanycovenants
erty:RESIDENTIAL
Zone or use district in which premises is situated: Are th and restrictions with respect to
this pr ❑No IF YES, PROVIDE A COPY.
❑Check BoxAfterReading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by
Chapter 236 of the Town Code. APPUCATION 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 pass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print nam :TO N I BAKKE R BAuthorized Agent ❑Owner
Signature of Applicant: Date: 06/10/2024
STATE OF NEW YORK)
SS:
COUNTY OF U LI- )
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)abpvp named,
(S)he is the I(✓
(C ractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly auth zed 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 ,t 20SZS-4— ,
Not E2.
Notary
t'ubV1c..State at New York
No,o iVA6307026
ty
I� E �' OWNER AUTHORIZATIONQuaimed in Suffolk coon
My CommiWon moils,Itrne 30.' 026
(Where the applicant is not the owner)
MATT H EW B RU N O residing at 35 HOWARD DR CORAM, NY 11727
I, .
do hereby authorize TON I BAKKER to apply on
my behalf t wn Southold Building Department for approval as des ribed herein.
w
21,2
Owner's Signature Date
MATTHEW BRUNO
Print Owner's Name
2
Building:lie vaarttmtent Ali+ atlon
AUTHORIZATION
(Where the Applicant is not the Owner)
Matthew Bruno
_residing at 4128 Sunrise Hwy
(Print property owner's name) (Mailing Address)
Oakdale, ny 11768 do hereby authorize Toni Bakker
(Agent)
to apply on my behalf to the
Southold Building Department.
(Own�;r's Signature) ate...... _ ....._. ... _.._.. ..... _.. ......_...
(�� ,
(Print Owner's ame)
Suffolk County Dept.of
Labor,Licensing&Consumer Affairs
HOME IMPROVEMENT LICENSE
r Name
KEVIN B CHERWINSKI
Business Name
This certifies that the
Tearer is duly licensed Skeez Inc DBA
Dy the County of suffolk
License Number: HI-68018
Rosalie Drago Issued: 01/10/2023
Commissioner Expires: O1/01/2025
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5UPVfY or PPOPEPTY JOSHUA R. WICKS P . L . S .
SD T ]�r]�l j T ]-� 71 SURVEYED BY:J R.W, DRAWN BY:J.R.W. JOB NO JRW24-0076
U 1 i/�1 LH� 1/��N B 0 UL�► VA �D M5rMACONI rOWNI Or'%Ou��O J P.O. BOX 593
;UcFO;K COUNTI. NSW YOpK Center Moriches, N.Y. 11934
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#631-405-6108
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