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Home My WebLink About51462-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#: 51462 Date: 12/10/2024 Permission is hereby granted to: Brian Pushic 29535 Main Rd Orient, NY 11957 To: Construct an inground swimming pool accessory to an existing single-family dwelling as applied for. Pool and pool equipment must maintain rear and side yard setbacks of 15 feet. Premises Located at: 29535 Route 25, Orient, NY 11957 SCTM# 14.4-1.1 Pursuant to application dated 10/01/2024 and approved by the Building Inspector. To expire on 12/10/2026. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Flood Permit $150.00 Total $550.00 It ---_ . � Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Southold,Town 54375 NY 11971-0959 Telephone l(63 765 1802MFax(63 )7650 9502 h�9 wwwoutholdt¢�Wnn . g Date Received APPLICATION FOR BUILDING PERMIT For Office use only j� PERMIT NO. I Building l�vspecti:aa,� Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant Is not the owner,an ry Owners Authorization form(Page 2)shall be completed. b r 1 a Date:09/20/2024 OWNER(S)OF PROPERTY: Name:Brian Pushlc SCTM#1000-14.-1-1.1 Project Address:29535 Main Road, Orient Phone#:330-518-0575 Email:BrianPushic@gmail.com Mailing Address:29535 Main Road, Orient NY 11957 CONTACT PERSON: Name:Jennifer Del Vaglio and/or East End Pool King Mailing Address: PO box 369 peconic, ny 11958 P hone#:631-734-7600 Email:jennifer@eastendpoolking.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address. Phone#: Emait_.. ..�.m—_. w .e. .-..e,�._.0 M._ ..... _. CONTRACTOR INFORMATION: Name:Jennifer DelVaglio/East End Pool King w Mailing Address:PO Boc 369 Peconic NY 11958 .............._..... Phone#:631-734-7600 Email:cj@eastendpoolking.com DESCRIPTION OF PROPOSED CONSTRUCTION New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other 18x38 rectangular%iny pool with spa $99,666 Will the lot be re-graded? RYes El No Will excess fill be removed from premises? ❑Yes RNo __..._ .. ....._...._ _...._........ 1 PROPERTY INFORMATION Existing use of property:Residential Intended use of property:Residential _.... ...__. ...� . Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R80 this property? Dyes❑No IF YES,PROVIDE A COPY. 91 Chapter 2 the Town Code.A Check Sox After I The ewner/contractor;/des4M prole el is responsible for all drain and storm water issues as proAded b ye PRICATION IS HEREBY MADE to the Burg Department for the Issuance of a Building Parmit pursuant to the Building Zone ordinanw 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 bullding(s)for necessary inspection False statements made hereln are punishable as a Class A misdemeanor pursuant to Section 210.4E of the New Yak State Penal law. Application Submitted P rya anon McHugh Autflorized ent ❑Owner Signature of Applicant: - CONNIE"61\16 I � -3 Notary Public,State of New York No.01BU6185050 STATE OF NEW YORK) Qualified in Suffolk County SS: Commission Expires April 14,2� COUNTY OF ) Jennifer Del Vaglio being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor and Agent (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 L , � M day of O 20 0l \ __ Notary Public PROPERTY OWNER, 'f 11 (Where the applicant is not the owner) Brian PUshlc residing at 29535 Main Road, Orient Jennifer Del Vaglio/East End Pool King do hereby authorize � to apply on my kohalf to the Town of Southold Building Department for approval as described herein. w . m. 9/20/2024 nafue Date Brian Pushic Print Owner's Name 2 °n� ��` �, .1 t�$i��'•%y,,s"��Y «.��,;.::«�.«nnwr,w+v.LL �kwGw C4,c+wr-�4�,,l,..n�fi i�;R�p "°„° x 8 p,'" �r 9�,•w.r'r"1r,V`w,"Yr:w"�c � m��,M�l� fi q ","""�t � �+ •1�� \ " r piik ts, "�..;`• i " ""� 1 6c:.'ti,' ,"°,� ":.r F r «"" nPo�b" {'�-�ia ."��'� ••� r f"y, war r '" . �: , , ". w +".,c".: etxw Y �tlyy '•fi ' F $ k it 4 r r i s,� ,%tt� To wI°� i s 4 ,;,p f J!• �'•C �,w?}'n�""; Cay� t'� ,�tl� "SkV r4''C bin 'k!"e#,r'• 1(rgi, r x ' Y .., " w ^�� , +'tw C;'n^Y�,a " ,^Cr �,. 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Russell � � � � �. ` ry IEMIENT SUPERVISOR ��1CA�1�A��Gr SOiTfHOLD TOWN HALL-r.O.Boa 1179 w 530951VTain Road-SOLiTHOLD,NEW YORK 11971 �"'� �' "� �"` '�" � Town of Southold CHAPTER 236 STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION �ATfTI .� TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) APPLICANT: (Property ert Ow ner n rsfe ; ional, Agent, Contractor, Oth r) ..` ..,, NAME: Y �� Date: ..�a ° Contact Inf'ornlation: 1:t'Idl CS I21t�111111F:JtIhlhCi� Property rty Address / Location of Cons roction Site: D1511'1Ct Section Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT - Area of Disturbance is less than I Acre. li'o S.P.D.E.S. f'' q r�� t ss 13et 1lx`ed i - Project does Not Discharge to Waters of the State. No S.P.D E.5. Permit is Re uired ! - Area of Disturbance is Greater than I acre&Storm-water Runoff Discharcres Directly to Waters of the State of New York. THE'APPLICANT MUST OBTAIN a S-P.D.E, . Perma DIRECTLY Froze N.Y.S. DEC. Prior to 1 sl anc oI a Bt�llctitt P r�r� t. Area of Disturbance is Greater than 1 Acre & Storm-watPr Runoff Flows Through Southold Towns MS4 Systems to Waters of the State of Ne,N York, 1"14E APPLICANT l I ST OBTAIN a SRD.E.S Permit through the Southold Trtrwn Erg meering Department Prior to Issuance of a Building Perrttit. Re .e-wed Bv: Date: y rnR rn .., om. ( P-'rr•,�