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HomeMy WebLinkAbout51404-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#: 51404 Date: 11/21/2024 Permission is hereby granted to: Robert Navarra PO BOX 1195 Cutchogue, NY 11935 To: Install a hot tub accessory to an existing single-family dwelling as applied for per manufactures specifications. Premises Located at: 490 Tall Wood Ln, Mattituck, NY 11952 SCTM# 113.-7-19.28 Pursuant to application dated 09/30/2024 and approved by the Building Inspector„ To expire on 11/21/2026. Contractors: Required Inspections: Fees: SWIMMING POOLS-ABOVE-GROUND WITH REQUIRED FENCING $300.00 CO-RESIDENTIAL $100.00 Total $400.00 Building Inspector TOWN OF SOUT HOLD—BUILDING DEPARTMENT g' :u' Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 r Telephone (631) 765-1802 Fax (631) Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only _ r7' p I PERMIT NO O 4 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 11 fir ,"T?TG DE 7T. X Owner's Authorization form(Page 2)shall be completed. rN1f r Date: OWNER(S)OF PROPERTY: Name: "` r.�� SCTM#1000- C) 1 r 3 ject Address: �./„ y G Pro w . m_ Phone#: Email. li I Mailing Address:. .� Y—t .. _. ..... .... i L CONTACT PERSON: Name: 04 Mailing Address: Phone#• � ..�� .._...._.._..._...._.,�,�..,���,.,� . Email: DESIGN PROFESSIONAL INFORMATION: i Name: Mailing Address:. Phone#• ..�.. .___....__..�__�_.__.�..._.___ _......_._ Emall CONTRACTOR INFORMATION: Name: Mailing Address: Phone#° Email CLD DESCRIPTION OF PROPOSED CONSTRUCTION ' j ���©�t of Project: ❑Nthestroctur Qalr ❑Oemolition Estimated Co� � O e Addition Alteration Re Will the lot be _ mm re-graded? ❑Yes Ro ill excess fill be removed from premises? ❑Yes A PROPERTY INFORMATION Existing use of property: 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 ❑No IF YES, PROVIDE A COPY. ❑ 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):VA az �R-OStiC` ❑Authorized,Agent ❑Owner Signature of Applicant,' _ Date: STATE OF NEW YORK) CONNIE D.BUNCH Notary Public,State of New York SS: No.01 BU6185050 COUNTY OF _ _.) Qualified in Suffolk County Commission Expires April 14,2 Da being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above crammed, l (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 snake 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 LoAxp5kyv— ._� 2i� c) a _ . l Notary Public PROPERTY OWNER AUTHORIZATION r (Where the applicant is not the owners) I .11 residing at .�" ..._��] 1 ... -----do hereby authorize,__6. � m� _ to apply on I my beh f to e Trn of Southold Building Department for approval as described herein,. Owner's Signature Date Print Owner's Name deRrcmP tli4e10GT.enMnanM mINOMhW'ti'.6a^°m^fitiati"Arg94Y�aJ:'"<K".'i"J'Mv:1N SM1rva^W Tw&w.xn',NmiWAm:'Pavwea:s%''ar":.u."p.'. m'.meow.:'i6nol' .dX�mmPXnwrvniP.P^.ntl�dwi u...P.LYu•Wq:" "v1Y.wnN�^54ti.'SG"�R1tW'�F'kkNl^�i � yl f0 BUILDING DEPARTMENT-Electrical Inspector w TOWN OF SOUTHOLD @ Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 ' " Telephone�; 631) 765-1802 - FAX (631) 765-9502 � rC1 err southoldtow n . o1P seand outhol t OV APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Custom Lighting of Suffolk Inc Electrician's Name: Benjamin Doroski License No.: 38893-ME Elec. email: Clos5170@gmail.com Elec. Phone No: 631-298-4588 El request an email copy of Certificate of Compliance Elec. Address.: PO Box 1698 Mattituck NY 11952 JOB SITE INFORMATION (All Information Required) Name: Robert M. Navarra Address: 490 Tallwood Lane Mattituck NY 11952 Cross Street: Cox Neck Road Phone No.: 631-484-6481 BIdg.Permit#: email: Tax Map District: 1000 Section: Block: -7 Lot: qr BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): New Spa Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES ✓ NO �Rough In ❑I Final Do you need a Temp Certificate?: ❑ YES NO Issued On Temp Information: (All information required) Service Size1 Ph3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 0 H Frame Pole Work done on Service? LJY N Additional Information: PAYMENT DUE WITH APPLICATION / al, lanl✓r-ar wart rrm J 1 Aivvm r- r vn —r nv— /no locanons w wells ana cciisivoo,s AND CONSTRUCTION OF SUBSURFACE SEWAGE shown � ` shu hereon cra from !field ods €rarlavns y®� DISPOSAL SYSTEMS FOR SINGLE FAtAIL'!RESIDENCES �. y``` and or from dalo oblafned from others. and wlll aside by the conditions set forth thereto and on llre ,� � N Formli to construct. r�,& vv SUFFOLK COUNTY DEPA TMENT CF HrALT H SBR*v= m s 1h, Ref,NO i0 7C1 } S L_-' ,rat 4h=pi;�a .r< _ •�. _- r '� -. _ �A 10 m � =�r F7 i40 ht I s'_ 39,� . 250.00 ' 1 tag 101F1. _ �s v.3�` j• _ (ors 2 _ - - _ - _ are • v Rio �xx " ft 15T'04. £ r � .w z = aC rLOT 2 F£ SUP VEY OF e< � =c �f .rf - �-.. e r ` a` � - _l era- (;'kW 7"M®®7i�-s 4®®=7 FX O 99&- a�Xr .0—. E6 a IT°�C:f +'4 TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y `t _ cif 1000- 113-07-P1019.14 0 Mar. 31, 1991 r CUB AUG. 23, ISP7 &i lvoj; J �"1 s '• _'' ANY ALTERATroN OR AWTA�v TD THIS SURVEY IS A vlor A T/Dn -= CTI 209 177E hEw YW STATE EIX--^ArXW D(CEPTAS PER SECI-JONN 7259 366% ALL Caivr A�Tax ."S 1 $,fr € - Y :'L 494 wwoN ARE VALm FOR TR1CS uAr AND COPES TP�OF ONL y,F •' '[ •`,•' �t # a SAID MAP OR COPES BEAR 71W A61RE'SSED SEAL OF 77,E SURVEYOR pECONIC R�fkEY AREA 33 r � W#OSF seta TURF ---PEA qS WREON. / z t' -f e` '•.�.. ADD/T1oNALLY TO CCWL�67M SAO LAiy TI-E T&W ALTERED DY' P 0. BOX L9109 L• ' "!T OUP Lb lz ARE RE NCE 6 .#*JST BE USED BY ANY AAE ALL SURVEYORS UMUM A CO.-Y 123C TRA V=L n`x - �POGRA€f's:'C ha'& E r E" r F,,57 OF ANO7 fER"YEYaTS InAP. TExrs SUCH AS'INSP'C TED"A440 OFUT O rD. MY, 11571 �- `ROUSHT-TO-DATE°ARE NOT 1N COWLIANCr WITH•THE LAW✓ _ - - 89®123 2 p4, 51 C)y- �sses�os Twilight Series TS 7.2 Dimensions 84"x 84"x 38"(214 cm x 214 cm x 97 cm) ........... .—.. ......... ......-----.1-1.11,......I.-...... Weight(Dry/Full) 897 lbs(407 kg)/4,555 lbs(2,066 kg) ........... ............................ ........... ...... . .. Gallons 305(1,155 L) Power Requirement 240 V/50 Amp Seating Capacity 6 .......--..................I............ ................................ ................. Stainless Steel Jets 36(2 Master Blaster@) Pumps 2 Water Features 2 .............. ......................... ............. ....... ....... 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