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Home My WebLink About51476-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#: 51476 Date: 12/13/2024 Permission is hereby granted to: Bryan Gerson 77 Sherwood Dr Ridgewood, NJ 07450 To: construct accessory in-ground swimming pool as applied for. Premises Located at: 6825 Great Peconic Bay Blvd, Laurel, NY 11948 SCTM# 126.-10-17 Pursuant to application dated 10/21/2024 and approved by the Building Inspector. To expire on 12/13/2026. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO-RESIDENTIAL $100.00 Total S400.00 Building Inspector r.r, � FP TOWN OF SOUTHOLD—BUILDING DEPARTMENT ik v Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ,', Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspect r. Applications and forms must be filled out in their entirety. Incomplete ,. applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: N I Name: N1 J� l L�l '�W G'�[2S 1 SCTM# 1000- (y C)"� Project Address: Phone#: 5' -7'2_° L Email: Mailing Address: 11 I he � J CONTACT PERSON: Name: (Z lq rJ f ,r Mailing Address: Phone#: S� �/ tom ' , Email:3 y✓IGi L r`ca/L DESIGN PROFESSIONAL INFORMATION: Name: r x" J Mailing Address: A60 GI7t Z 0-4L Phone#: J �� —d L2 Email: CONTRACTOR INFORMATION: D Name: /Aerft'-V OLL.709a P-5 Mailing Address: 2 q Ko _" 2.f� !-) Phone#: 6� lqyy d g j Email: DESCRIPTION OF PROPOSED CONSTRUCTION �❑ w Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: LfOther eCVi, $ Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes f�INo 1 PROPERTY INFORMATION Existing use of property: 1 1 Intended use of property: Zone or use district in which premises is sit ted: Are there any covenants a restrictions with respect to g �o this property? ❑Yes Eldo IF YES, PROVIDE A COPY. ❑ Check Box After Read:Ill'h1g: 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):'1312-Y; 10 9/L-5 o 4'-) ❑Authorized Agent n3bwner Signature of Applicant: Date: STATE OF NEW YORK) SS: "y COUNTY OF / G+n0 yob -B R m") & ,j being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the e2u o (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. x NICHO AS J.SANCHEZ Sworn before me this N6tary Public, State of N r Jersey 0203984 .- my. Om!ett i l xp4as.1012412027 Cab��/ day of c� ,20C:)'`1 Notary Public PROPERTY OWNER AUT 110RIZ/VT ION (Where the applicant is not the owner) I,� .residing at All-�� do hereby authorize, to apply on my behalf t e Tow of.S uthold Building Department for approval as described herein. Owr&s Sign ur Date Pr nt Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector 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 y APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 10/22/24 Company Name: msn electric Electrician's Name: turan akturk License No.: me51493 Elec. email:msnelectricCCgmail.com Elec. Phone No: 631882 5152 ❑1 request an email copy of Certificate of Compliance Elec. Address.: 74 blossom lane, hicksville, ny 11742 JOB SITE INFORMATION (All Information Required) Name: t3� G��- JfhO i U h Address: ` I L-vD L I't" 01 Cross Street: Phone No.: '' '7-Z 7 Bldg.Permit#: email: Tax Map District: 1000 Section: I Z Block: /0 Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Fog a e: Circle All That Apply: Is job ready for inspection?: El YES ✓ NO ❑Rough In Final Do you need a Temp Certificate?: El YES NO Issued On Temp Information: (All information required) Service SizeR11 Ph 3 Ph Size: A # Meters Old Meter# �✓ New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect[-]underground❑Overhead # Underground Laterals ✓ 1 2 H Frame FJ Pole Work done on Service? LJ Y N Additional Information: PAYMENT DUE WITH APPLICATION r Thomas D. Reilly P.E. Consulting Engineer "Forgive house'.'°... _ ��.. .� ry is uit by sartteone,but the bulkier of all things is God Hebrews 3 4 166 Chinaberry Way Kunkletown,PA 18058-1298 Tel (631)724-5740 i ENGINEERING DEPARTMENT TOWN OF SOUTOLD 53095 MAIN ROAD P.Q. BOX 1179 SOUTOLD, NY 11971 OCTOBER 15, 2024 TO WHOM IT MAY CONCERN, RE, BRYAN GERSON 6825 PECONIC BAY BLVD LAUREL, NY 11948 THIS IS TO CERTIFY THAT THE DESIGNED CONSTRUCTION OF A SWIMMING POOL ON THE SUBJECT PREMISES WILL NOT REQUIRE SPECIAL DRAINAGE FACILITIES. THE POOL IS CONSTRUCTED WITH A VINYL LINER AND THE POOL WATER IS DESIGNED TO BE CONTINUOUSLY RECIRCULATED THROUGH THE FILTER AND REUSED FROM YEAR TO YEAR, THE DRAINAGE FROM THE FILTER BACKWASH IS NOMINAL AND WILL NOT INTERFERE WITH THE PUBLIC WATER SUPPLY, THE EXISTING SANITARY FACILITIES, NEIGHBORING PROPERTY, OR PUBLIC HIGHWAYS. VERY TRULY YOURS, r TAM LOT I.Z N 4219'44' E 49.92' YUAw.rr+r lb I / ti 1. THE EXISTENCE OF ANY COVENANTS RESTRIc IONS wy/ / EAa^EME+dTS JNI^d'd).^"RAPW RILNTS OF WAY OF RECORD. IF ANY. ARE N'Cbf$'�dOVnJ Oft ADEIRCSSEC., PROPERTY CORNER MONUMENTS WERE NOT PLACED As PMr CORNER T JS suRYEv. J. SUBSURFACE AND E—PUNMENTaL CO u T— E WER NOT EMAMINED OR CONSIDERED AS PAst'L> THIS SURVEY. ., 4. tme CF4'SCr'S OR B1MENu'IwI Ns Wa Oww FROM L da 1 e` 5'i'HLMG'FM.aREs TA , pR OPClm ry X,wI a^IK I' I F Af to "Slwuc'NC PEs To T''A D OPC AND 'R,',S A"DT^.r• wRF I N R,w m 0 IO aadlyyE<uN Emc 1.440P 1 01 rent, J'^aMol 91 ArrcaS. +'y R P4AA'fJIND AREAS.A.AA PGNS 10 9V3t OaN'UIS ON �. .„M'y. kE. r/ p ANY OTHER CONSTRUCTION. 4 * 2 xr *� 1 ....._.,,.,..._._�. Jr ELLEN WAGNER ,^'/ FIDELITY NATIONAL TITLE INSURANCE COMPAlY �.. VALLEY NATIONAL BANK / x / x y x 0. ,g AAP d 'A�Barrett �' Van Weele,ac . "r ... 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