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Home My WebLink About51521-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#: S1521 Date: 01/07/2025 Permission is hereby granted to: Eric Rosenblum 899 Lincoln PI Brooklyn, NY 11213 To: construct accessory in-ground swimming pool as applied for. Premises Located at: 1870 Stars Rd, East Marion, NY 119390128 SCTM#22.4-18 Pursuant to application dated 11/08/2024 and approved by the Building Inspector. To expire on 01/07/2027. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total S400.00 _�.._ � �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 hit /wyNy v. outholdtownn Date Received APPLICATION FOR BUILDING PERMIT o w For Office Use Only i . L5�L PERMIT NO. Building Inspector._www_-,-k I'll, I NOV 8 20'24 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: / O 3 o d4 OWNER(S)OF PROPERTY: Name: 6�1xm SCTM#1000- Project Address: O s} ,"� c )9 �C Phone#: �y�Tj ��' Email: r AC�YaC�� - yak A w w G.Ortn Mailing Address: e CONTACT PERSON: Name: Mailing Address: w wW. Phone#: ��( ®" — 1 OLlEmail: .. AAA m)m DESIGN PROFESSIONAL INFORMATION: Name: Y o t` Mailing Address: P,o ) (P l o w Phone#: O-a 1 � �b s"® �-l15 q Email: We N,, t*A�9 (� 004k OWL , N CONTRACTOR INFORMATION: Name: A uI' �.o�5iw1 �� .��NS�t- t-14 `{3`f?a Mailing Address: ,P® 9 �� at(o ( ; I ;Z-,_eA Phone#: Email DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other S "' a $ `9 9 10 ): 6" Will the lot be re-graded? ❑Yes LKo Will excess fill be removed from premises? * Yes ONO 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covena t and restrictions with respect to this property? DYes .:i'No IF YES, PROVIDE A COPY. r tCheck Box After Rey::!'u n'lg: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by alpter 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 taws,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): OAuthorized Agent Owner Signature of Applicant: Date: STATE OF NEW YORK) I r`— SS: COUNTY OF �M being duly sworn, deposes and says that(s)he is the applicant (Name of i '. ividual signing cont_ M1ct) 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 f° 7 �rewith. Sworn before me this QN,d ay of IJ o u�be 20 „ Notary Public t�r r & Shahchia N Payne t Notary Public-State of New York Na wR . ..R GINNER i� I( IZ ..I�ION . N a No.01PA0003051 � .. ..M,. .... .,,,_....a,. . ......... Qualified in Kings County My CommissionExoiresMarch20,2027 (Where the applicant is not the owner) I, residing at ...._ d o __._ hereby authorize ::i o _t to apply on my behalf to th ow of Southold Building Department for approval as described herein. �....... Oven is i nature..�,.�ww.�.................._. . . Date ...�_� "J � JA/N Print Owner's Name 2 Note ALL SUBSUPIACE STRUCTURES UNAUTHORIZED ALTERATION OR ADDITION WATER, SUPPLY. SANBTAR'f SYSTEMS, TO THIS SURVEY IS A VIOLATION OF to JMu rtm JI.1 _ SECTION 7209 OF THE NEW YORK STATE I R dl3/A SHOWN DRYWEV_t.S AND BSER UTILITIES EDUCATION LAW. RNW In nm1e A10O ARE FROM MED OBSERVATIONS O OR DATA U`BPAIfJED FROM OTHERS. COPIES OF THIS SURVEY k*PINKED NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR SI THE EMSTEN-E DF RIGHTS OF WAY EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY kR ANY, NOTE S HOWNJ AYF FN RECORD rGUARANTEED GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Premises krr7wn os TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND 7870 Story Rcor' East Morton TO THE ASSIGNEES OF THE LENDING INSTI— TUTION GUARANTEES ARE NOT TRANSFERABLE Area = 20,224 sq.ft. 0.46 acres 7 LOT 14 .13' N 9, a' 4 4 z y Story Rams a m K ..,...... .. 4 L 'FI S �� . . 1 70r + ea x �f yt qn{ � " 0 oaereav gar �,��.. H "^� N ...� ,,.�+^'"'., ¢M✓u AA'a a.. erou'ud a" S d e` % .M'" J 193.09' w... LOT V Q v t_r mac . i S \j Certified to: Eric Rosenblum Rachael Rosenblum '"�'�'� S u rvey of Lot 13 Advocole's Abslrocl unp o!sounduest WDods, se(6011 I" Weslcor Title FILED June 9, 1969 FILE NO,5315 s�!uate of East Marion LANIJ SUHVE3'JNG Town of Southold r �� ..,�dknrc�wwlfdl.ak4aaau^rA ao a.o-den ,� Y Suffolk County, New York TITLE MOR'OA(;E SURVEYS TDPOCRAPHIC SURVEY'S Tax Map #1000-22-4-18 z j� LAND PLANNER$ Scale 1�1- 30' March 16, 2018 SITE PLANS GRAPHIC SCALE JOHN MINTO. L.S. PHONE: t63i) 724-4932 LICENSED PROF-ESSl-ONAL LAND SURVEYOR C 13 30 bm'4 NEW YOAK STATE LIC.NO 19 6 FA:,: (531) 724--54E5-r 93 SA11THTOW1V BOULEVARD SMf1'HTOWN, N.7'. Ili&% ...... ,,,, .,,. ......._..,...., ........... ........„..._, .......,,,.,.. ........._... ( IN FEET I mn h 30 ft.. Suffolk County Dept.of Labor,Licensing&Consumer Affairs /y HOME IMPROVEMENT LICENSE Name !� � t MYKHAYLO ABRAMCHUK Business Name AQUA COASTAL INC f his certifies that the earer is duly licensed License Number HA3470 y the County of Suffolk Issued: 09/19/2007 .,,.qe,r Cabrera. Expires: 09/01/2025 Commissioner