HomeMy WebLinkAbout51584-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#: 51584 Date: 01/24/2025
Permission is hereby granted to:
William Jude Burns
PO BOX 521
Cutchogue, NY 11935
To:
Construct an inground swimming pool accessory to an existing single-family dwelling as applied for,.
Pool and pool equipment must maintain minimum rear and side yard setbacks of 15 feet.
Premises Located at:
690 Old Saddle Ln, Cutchogue, NY 11935
SCTM#95.-4-18.8
Pursuant to application dated 11/25/2024 and approved by the Building Inspector.
To expire on 01/24/2027.
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
t Telephone (631) 765-1802 Fax (631) 765-9502 11//"?°ww.s tholdto armL90
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use
Only
i
.a
Q L(
PERMIT NO. Building Mns ectrr: 2 5 902
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:10/31/2024
OWNER(S)OF PROPERTY:
Name:William and Patricia Burns ESCTM#1000-95-4-18.8
Project Address:690 Old Saddle Lane - Cutchogue, NY 11935
Phone#:631-897-7221 Email: milstuff25@gmail.com
Mailing Address:690 Old Saddle Lane - Cutcogue, NY 11935
i
CONTACT PERSON:
Name:Garrett Lake
Mailing Address:PO BOX 475 - Cutchogue, NY 11935
Phone#:631-774-3610 Email: jonlakeproperty@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:Jonathan Paetzel - Marshall Paetzel Landscape Architecture
Mailing Address:PO Box 478 - Mattituck, NY 11952
Phone#:631-209-2410 Extension 2# Email:jonathan@mplastudio.com
CONTRACTOR INFORMATION:
Name:Jon Lake and Sons Property Maintenance, Inc.
Mailing Address:PO Box 475 Cutchogue, NY
Phone#:631-774-3610 1Email:jonlakeproperty@gmail.com
DESCRIPTION OF PROPOSED CONSTRUCTION
*New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
[--]other Swimming Pool $55,000
Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? JYes ❑No
1
PROPERTY INFORMATION ,1
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
AC this property? ❑Yes RNo IF YES, PROVIDE A COPY.
8 Check Boil;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 8 Class A misdemeanor pursuant to Section 230.45 of the New York State Penal Law.
Application Submitted By(print name):Garrett Lake BAuthorized Agent ❑Owner
Signature of Applicant: Date: 10/31/2024
STATE OF NEW YORK)
COUNTY OF 5C r�O
01 K ai C T-It— « 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 this
day of f" 20
ot; Public
w6sw, O to m4 fotaol4
AR-oe/ to/CG ae liu �-1
0 Ylogn ul i Ilrt q w
�JOA MON,io ata'1c31ollgnrj 0N,�1e1, IIP F)E I, OWNER I..ri IRIZATIQN
IV111 olinnD ""� i18,.' Where the applicant is not t )
...
'' ( pp he owner
William Burns residing at690 Old Saddle Lane
Cutchogue, NY do hereby authorize Garrett Lake to apply on
Ayel to hie Taw of Southold Building Department for approval as described herein.
mm. 10/31/2024
ner's Signature Date
William Burns
Print Owner's Name
2