HomeMy WebLinkAbout51501-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 #: 51501 Date: 22/20/2024
Permission is hereby granted to:
Jonathan Fischer
75 Henry St
Brooklyn, NY 11201
To:
construct accessory in-ground swimming pool as applied for.
Premises Located at:
10945 Sound Ave, Mattituck, NY 11952
SCTM# 141.-3-1.1
Pursuant to application dated 10/28/2024 and approved by the Building Inspector.
To expire on 12/20/2026.
Contractors:
Required Inspections:
Fees-
SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total S400.00
uilding Inspector
��� �`�_ TOWN OF SOUTHOLD — BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 1 1 97 1-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https-.//-�,v-vv-av-s<>utholdtownny.gov
Date Received
BUILDINGAPPLICATION FOR .:
For Office Use Only
PERMIT NO. fi 5 ,0 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
Owner's Authorization form (Page 2) shall be completed.
Date:1 0.28.2024
OWNER(S),OF PROPERTY:
Name:lrene Kopitov / Jonathan Fischer SCTM # 1000-
Project Address:1 0945 Old Sound Avenue Mattituck, NY 11952
Phone #:646 740 1887 Email:i.kopitovagmail.com
Mailing Address:1 0945 Old Sound Avenue Mattituck, NY 1 1952
CONTACT PERSON:
Name:lrene Kopitov
Mailing Address:1 0945 Old Sound Avenue Mattituck, NY 1 1952
Phone #:646 740 1887 Email:i.kopitov(g?gmai_com
DESIGN PROFESSIONAL INFORMATION:
Name:Katherine Wilcenski / Solstice Garden
Mailing Address:1 1930 Main Road East Marion, NY
Phone #:631 -375-8021 E—aiLsolsticegardencoG gmai1.corn
CONTRACTOR INFORMATION:
Name:Jason Peters/North Fork Pool Care
Mailing Address:9700 Main Road Mattituck, NY
Phone #:631 -298-401 4 Email:john @ northforkpoolcare.com
DESCRIPTION OF PROPOSED CONSTRUCTION
I]New Structure =Addition =Alteration =Repair =Demolition Estimated Cost of Project:
=Other New Pool $TBD
Will the lot be re-graded? =Yes =No Will excess fill be removed from premises? ®Yes No
1
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e _
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
Residential this property? []Yes =No IF YES, PROVIDE A COPY_
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putr►sh�61e ,�,l�ass}�mrsdemeano�r pursuant tEat Sedlon 210.45 ta�th8�etiJ�tarflc Sfa�c F�na�I,aw: --
Application Submitted By (print narne-)1 IFev MAuthorized Agent
Signature of Applicant: 4 Date: l C> kZe>% Zo2CA
CONNfE D. BUNCH
STATE OF NEW YORK)
Notary Public, State of New York
SS: No. 01 BU61 85050
COUNTY OF Qualified In Suffolk County C""A y
Commission Expires April 1 4, 2
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(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 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 thisof
20
Notary Public
PROPERTY Il AUTHORIZATION
(Where the applicant is not the owner)
Irene Kopitov residing at 10945 Old Sound Avenue Mattituck NY
I, .
11952 Katherine Wilcenski
do hereby authorize to apply on
my be :4the Tow of;K:::7=
ment for approval as described herein.
10/28/2024
\wner's Si agars Date
Irene Kopitov
Print Owner's Name
2
SURVEY OF PROPERTY
SITUATE
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
0 40 '
NOW OR FORMERLY
MARY KENNEDY
N 86°53'10" E 100.00 19.7'n SCTM# 1000 - 141 -3 - 1.1
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_ _ 0.83 Acres.
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SOUND AVENUE
TO
�o.RAISEHEEIETOAO Ra��Es�no SO'SlP=EOUENE
OWNERS uNOERCRouxo ununes ANO Po�E�ouTONS ARE Nor
E1`AEEOEORU NEID DEDARENo,IOaNAO;EDUNEbS1—MAIN
JOHN GALLA
„TNEPREMISESA.,NEMEOF THE SURNEY,REOFFSE. LAND SURVEYOR
OiMENSTON SHOWN HEREON FROM T1E STUCTURES,O THE PROPERTY
NTs`A.OS PLI„TNGANEAs�AN°m°"s:aU"°'"GSA DONER UPDATE: SEPTEMBER 30, 2024 59 FLORENCE DRIVE
RM.TI.N MOEFRTFEATONISMAREASTOTREEXISMACENR
MANORVILLE N.Y. 11949
RECORD"11 °`NE EIN1-11011.1THEL°`w"°T= SURVEYED: OCTOBER 24, 2011
REPROYNFNTO_SNR Ea°OAYE oPREOF NEwSRNMEN, (631)-874-0400