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Home My WebLink About51146-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#: 51146 Date: 09/04/2024 Permission is hereby granted to: Paul Henry PO BOX 2111 Greenport, NY To: Construct a pool house accessory to an existing single-family dwelling as applied for. Pool house must maintain a minimum side and rear yard setback of 25 feet. Premises Located at: 68555 CR 48, Greenport, NY 11944 SCTM# 33.-5-13.1 Pursuant to application dated 09/04/2024 and approved by the Building Inspector. To expire on 03/06/2026. Contractors: Required Inspections: Fees: ACCESSORY $317.00 CO-ACCESSORY BUILDING $100.00 Total $417.00 Building Inspector�� st . 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 ,,//N« ur.sogthw ldloow n - c� Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. 15 LRO Building Inspector: Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Building Department Owner's Authorization form(Page 2)shall be completed. Town of Southold Date: OWNERS)OF ROPE'RT1: Name: w�t r SCTM # 1000- . Project Address: Phone#: r Email: Mailing Address: a CONTACT PERSON: Name: r r Mailing Address: 1 /(/ Phone#: -- Email: ail DESIGN PROFESSIONAL INFORMATION: Name: t.. Mailing Address: Phone#: mail: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email:. DESCRIPTION OF PROPOSED CONSTRUCTION ` New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes [T o 1 PROPERTY INFORMATION Existing use of property: bay-1-; a r Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to ,_,( this property? ❑Yes Cilo IF YES, PROVIDE A COPY. FJ 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 210.45 of the New York State Penal Law. Application Submitted By(print name): Vcu-a—) ❑Authorized Agent 0.6Qiner Signature of Applicant: Date: IT STATE OF NEW YORK) S COUNTY OF-SLAC, I -LA �6))tea being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the t + (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 20,2Y Notary Public tsrrr� Putalfc, �tl�►t of Noww.York PRE FIST III III U�"i,,,MRIZA 'l No. t 11iYE 73 (Where the applicant is not the owner) Qualified in Suffolk Count Commission Expires Oct. 'i 0— 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 Scott A. Russell ° e, S�Fo]KIMMA-T Ek SUPERVISOR AWANAcG IETMUEN T SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM _. ( APPLICANT INFORM ATION TO BE COMPLETED BY THE APPLICANT l ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) 1, APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) NAME: �� ✓ .�._ Date: o'Z _ 1110 7 _w ....... _.... Contact Information aL� , r^1�� w.. �G�IaJR lelephnne�umbeil �I � ��'�^�, : ' Pro ert Address / Location of Construction Site: (0 S_C.T.M. #: 100_ 855 _ �' G ,mm � Dial c Section Block o __ ....�..-.� ...._ ... .......� ......_ ._..... .�� Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT N: Area of Disturbance is less than I Acre. No S P.D.E.S. Permit is Required I - Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Required..,! - Area of Disturbance is Greater than I Acre & Storm-water Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Pes DIRECTLY From N.Y.S., D,E.C. Prior to Issuance of a Building, Permit 0 ,Area of Disturbance is Greater than I Acre & Storm-\A arer Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of Nevv York, THE APPLICANT NIUST OBTAIN a S.P.D.E,S. Permit through the Southold Town Eng,ineeruz De artment Prior to issuance of a Building Permit, Date: Reviewed By1"411�v ............ _ FIIR M m CM('P-T(1C (lrrnhai ?n 1 n ve- celVed 7/aa a V o� moo. s C°. " 3°1 A° Ste" w�� Jo Cult do0° A kY "y !� D An v G0..• o \� P a An. L MAP PRf ems` ,`o ti -- c[o'-r- M 1-\P' Or PROPERTY tRwI,J Tyr-�F1RR ti.1l�QER G�F_Eti., POR —T�w t`1 of Cx 4 1.!pat 1-3:�1. K 1 x � 32 L � � i t' f r�G ci 10 t, - _ � f� w 4P TPL L U['�9'1 Lot, 14 r vt Fi4 i 1 ft , (A r �/v OF 4.1 0 p b> -7 -�il F, i- O ° 05 091113 AROFESSIO It