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HomeMy WebLinkAbout51493-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#: 51493 Date: 12/18/2024
Permission is hereby granted to:
Liam Martin
PO BOX 165
Orient, NY 11957
To:
construct accessory in-ground swimming pool as applied for. Pool equipment must be located in the
rear yard with a minimum setback of 25'to the lot lines.
Premises Located at:
640 Diedricks Rd, Orient, NY 11957
SCTM# 18.-3-25
Pursuant to application dated 10/28/2024 and approved by the Building Inspector,
To expire on 12/18/2026.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total $400.00
Building Inspector
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 l"itt : /% %u, oatlioldtownn o '
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
mm ,
PERMff NO. j 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
2
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name:Dale Weiner scrM#1000-018-03-25
Physical Address:640 Diedricks Road, Orient NY 11957
Phone#: Email:
Mailing Address:454 W. 46th street, Apt 4AN, NY NY 10036
CONTACT PERSON:
Name:Constantine Rigas
Mailing Address:22260 Main Road, Orient NY 11957
Phone#:917-509-8751 Email:c@rigasco.com
DESIGN PROFESSIONAL INFORMATION:
Name:Joseph Fischetti P.E.
Mailing Address:1725 Hobart Road, Southold NY 11971
Phone#:631-765-2954 Email:joseph@flschefti.com
CONTRACTOR INFORMATION:
Name:Constantine Rigas
Mailing Address:22260 Main Road, Orient NY 11957
Phone#:g17-509-8751 Email:c@rigasco.com
DESCRIPTION OF PROPOSED CONSTRUCTION
I
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
giOther Pool 90,000
Will the lot be re-graded? ❑Yes ANo Will excess fill be removed from premises? I@Yes El No
i
PROPERTY INFORMATION
Existing use of property:Single Family Intended use of property:Single Family W/Pool
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.
19 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 pass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(grin erne): 0�� '"��� ®Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF
c�.P�1� ice, being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)hbove named,
(S)he is the k��"(
�J
(Contractor,Agnt,Corpo ate 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
Notary Public
PROPERTY OWNER i °D°I II ,I .EMI
(See separate owner authorization)
CONNIE D.BUNCH
Notary Public,State of New York
No. 01 BU6185050
Qualified in Suffolk County
Commission Expires April 14,
2
(Where the Applicant is not the Owner)
L LWe Weiner,residing at 640 DiedHcks Road,Orient NY 11957 do hereby authorize Constantine Riga;to
apply on my behalf to the Southold Building Department for any and all needed permits.
(Owner's Signature) (Date)
el ej(--�
(print Owner's Name)
4, SURVEY OF PROPERTY
AT ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-18-03-25
SCALD 1=40'
CIR77RED TO: .LILY 17, IM5
LIAM MAR7IN DECEUMN 14 2009(UPDATE d•BOW)
USA MAR77N .ILIW A 2015(FINAL)
FIDELITY NA71ONAL WILE INSURANCE COMPANY JUNE 15i 2015(CERRFICARIONS)
JAY 29, 2015(BOARD OF HEALTH REWSONS)
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EXCEPT AS PER SECnON r1W-mMN9C1V 2 ALL CERTR7rAWNS
NEREW ARE VALID FOR 7M NAP AND CGI V&PEaF ONLY r P.O. BOX 909
SAO NAP OR CAS RrAR'DE LPRSSW SEAL OF 7W SURl£1UR 1230 TRAWMFJ?
,� , , ,S,,, AREA-24279 ACRES SOUTHOLD, N.Y. 11971 85—,247