HomeMy WebLinkAbout51057-Z p: 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#: 51057 Date: 8/12/2024
Permission is hereby granted to:
Calderale, Frank
2190 Henrvs Ln
Peconic, NY 11958
To; Construct an inground swimming pool accessory to a single-family dwelling as applied
for. Pool and pool equipment must maintain a minimum side and rear yard setback of
15 feet. Pool must be a minimum of 20 feet from septic.
At premises located at:
2190 Henrys Ln, Peconic
SCTM #473889
Sec/Block/Lot# 74.-1-44.10
Pursuant to application dated 6124/2
......._ mm024 and approved by the Building Inspector.
To expire p _.....on 2111/....
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) 765-9502 h :llwww. outholdtownn . Dv
Date Received
APPLICATION FOR BUILDING PERMIT % a S
For Office Use Only V C�
510 5 '1 Building Inspector,
PERMIT NO t
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Estimated Cost of Project:
❑ ❑ ❑ atin ❑Re
New Structure Addition
Alte p Ir ❑Demolition
�pther I � 1 ti 1 Jt''►o $
Will the lot be re-graded? ❑Yes�No � �'Q Only Will excess fill be removed from premises? Zes ONO
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PROPERTY INFORMATION '
Existing use of property: Intended use of property: n ,
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? OYes No IF YES, PROVIDE A COPY„
Check Box Afte'e Reading: The owner/contractor/design professional is responsiblefor all drainage and stoFin water issues,as-provided by
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Chapter 236 of the Town Code. APPLICATIQN;iS HEREBY MADE to the Building Department for the issuance ofa Building Permit pursuant to the Building Zone
Ordinance of ihe,Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,alteratibns or,1'o►removal or demolition as herein described.The applicant agrees to-comply with aUappliwble laws,ordinances,building'code,
housing code antl`r'egulations and to admit authorized mspedors on premises and in buildings)"for necessary'inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to section f10.45 of,the New York"State�Perial Law.
Application Submitted By(print name): �cf1\� C �el�r6-e. ❑Authorized Agent Owner
Signature of Applicant: Date: 6-(Z-2-V
STATE OF NEW YORK)
SS:
COUNTY OF J/tfRiXA,- )
I< ekhk 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
day of —Vu 20z!�L—
MARGARE ✓- A. KIDNEY Notary Public
Notary Public- State of New York
No. 01 K16021 1 1 1
Qualified in Suffolk County PROPERTY OWNER AUTHORIZATION
My Commission Expires March 8,202Z'
(Where the applicant is not the owner)
1, 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