HomeMy WebLinkAbout51353-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#: 51353 Date: 11/04/2024
Permission is hereby granted to:
Richard Fisher
132 S Hamilton St
Poughkeepsie, NY 12601
To:
construct accessory in-ground swimming pool as applied for,
Premises Located at:
295 Youngs Rd, Orient, NY 11957
SCTM# 18.4-12
Pursuant to application dated 09/18/2024 and approved by the Building Inspector.
To expire on 11/04/2026.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total S400.00
A__UiW_in'g Inspector
raze, TOWN OF SOUTHOLD—BUILDING DEPARTMENT
n" Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone 631 765-1802 Fax 631 765-9502 iitt� :,/��vww othoidt(�wzinyXn
Date Received
APPLICATION FOR BUILDING PERMIT
D E,(�->'Erg I IV'N E F,
For Office Use Only
PERMIT NO. "p Building Inspecar:_wwww.......vv. �. 8 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 I1 "I O 1
Owner's Authorization form(Page 2)shall be completed. O "F �ITT t f '
Date:09/18/24
OWNER(S)-OF PROPERTY:
Name: Rich Fisher E�M# 1:000-18-01-12
Project Address:295 Youngs Road, Orient, NY
Phone#:914-456-7016 Email:rfisher@bantamanagement.com
Mailing Address:295 Youngs Road, Orient, NY
CONTACT PERSON:
Name:Brooke Epperson
Mailing Address:PO Box 152, Mattituck, NY 11952
Phone#:631 603 9092 Email:bepperson@amparchitect.com
DESIGN PROFESSIONAL INFORMATION:
Name:Anthony Portillo
Mailing Address:PO Box 152, Mattituck, N.Y. 11952
Phone#:631 603 9092 Email:aportillo@amparchitect.com
------------------
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:.
[i]Other Swimming Pool $40,000
Will the lot be re-graded? []Yes ®No Will excess fill be removed from premises? ®Yes ONO
1
PROPERTY INFORMATION
Existing use of property:Single Family Residence Intended use of property:Single Family Residence
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R40 Non-Conforming this property? EJYes *No IF YES, PROVIDE A COPY.
B 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 bulldingls)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.
Application Submitted By(print :AMP Architecture RRAuthorized Agent ❑Owner
Signature of Applicant: Date: 12 l ky I Z3
STATE OF NEW YORK)
SS:
COUNTY OF
Abeing duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)aboA named,
(S)he is the
(Co actor,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.� -0.
BAR13ARA H.TANI Y
Sworn before me this Notary Public,State Of Now York
No. OITA 086001
4ualified In Suffolk Co
day of ,2f7 .�
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
F- F cS €� _ residing at GS 'l d ut r\16-
do hereby authorize AMP Architecture to apply on
my behalf to wn of Southold Building Department for approval as described herein.
IZ FI zo Z3
O r°s Signature Date
RrCp-p-RD E. f-U Or- K_
Print Owner's Name
2
#018.1 1—13
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LOT 9
S70010'40"E 129.19'
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15.0' 1-1/2 STORY 6 CONC Q
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302' UNIT 53 6' � V
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UNPAVED ROAD !
LOT II i II
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1
NOTES:
1, PROPERTY INFORMATION SHOWN IS OF EXISTING CONDITIONS AS OF 11/27/18. �Q66
2. THIS IS TO CERTIFY THAT THERE ARE NO
STREAMS OR NATURAL WATERCOURSES IN THE
PROPERTY AS SHOWN ON THIS SURVEY.
1 THERE ARE NO UNDERGROUND OR OVERHEAD
UTILITIES SHOWN ON THIS MAP.
4. THE DIMENSIONS SHOWN HEREON ARE FOR A
SPECIFIC PURPOSE AND MAY NOT BE USED TO
GUIDE IN THE ERECTION OF STRUCTURES OR
FENCES.
CERTIFIED TO:
RICHARD EDWARD FISHER and JANE B.FISHER DIST. 1000 SECT. 18 BLOCK 1 LOT 12
SUFFOLK FEDERAL CREDIT UNION,its
successors and/or assigns "` "_'— " ._...". ......._.m—.._.m.._............____
LANDS END ABSTRACT SERVICES LTD dIG "(l$f" TITLE SURVEY
TITLE GUARANTEE CORPORATION OF
BALTIMORE(SECURITY)
'ONLY COPIES FROM THE ORIGINAL OF �,, 295 YOUNGS ROAD
THIS SURVEY MARKED WITH AN ORIGINAL v ORIENT
EMBOSSED SEAL SHALL BE CONSIDERED 40,. TOWN OF SOUTHOLD
p,r OF THE LAND SURVEYOR'S INKED OR
TO BE A TRUE VALID COPY' t
r "UNAUTHORIZED ALTERATIONS OR ADDITIONS COUNTY OF SUFFOLK
d 9 LAKE AVENUE
' 0, �✓J ,a TO A lAJJO LICESURVNSED
PROYING DRAWING SAINT DAMES, NY 1 1 760
, BEARING A LICENSED PROFESSIONAL LAND STATE OF NEW YORK 11957
SURVEYOR'S SEAL 15 A VIOLATION OF TEL: 631.672,2481
ARTICLE 145, SECTION 7209, PARAGRAPH Fx: 631.71 6.7780
ANDRE K. MILL cR � 2 OF THE NEW YORK STATE EDUCATION
NEW YORK LIC. NO. 50921 AW" TRUEPOINTSURVEY@GMAIL.COM
TITLE #: LE-4291 DATE: 11-27-2018 SCALE: 1"=20'