The URL can be used to link to this page

Home My WebLink About51633-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#: 51633 Date: 02/12/2025 Permission is hereby granted to: ARAD Irry Trust 46 Stauderman Ave Lynbrook, NY 11563 To: Construct in ground gunite pool at existing single family dwelling as applied for. Premises Located at: 1425 Orchard St, Orient, NY 11957 SCTM# 25.-2-22.1 Pursuant to application dated 12/16/2024 and approved by the Building Inspector. To expire on 02/12/2027. 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 1 . Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 4.* ." Telephone (631) 765-1802 Fax (631) 765-9502 htas: ww. ou ) oldtrw�an . o Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building lnspecton 0 EC 2024, " 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: Name: + l P SCTM# 1000- r Project Address: ( y S 5 Phone#: Email: Mailing Address: CONTACT PERSON: Name: '�bAN r' 1 J4 Mailing Address: -kl t 6 ra 14) A„ A& ("i `lie,' 'i -k& � S Phone#: (c3 I aCb14 --1 ®q QL Email: rIni QEIZ3 0, e DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: r k Phone#: Email: CONTRACTOR INFORMATION: Name:: A.i 14 '°�n l Mailing Address: Phone#: &9-(_ Email: Alu Yi C.O Fl JA , cj ►oo : Go M DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: R30ther dr�AwZjq, ��i Cr« � ,=t No CA)ftm smi- $ J��l lot be re-graded? ❑Yes lj�No Will excess fill be removed from premises? ❑Yes [KNo ®0 P m y cirr 1 r PROPERTY INFORMATION Existing use of property: Intended use of property Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? i_]Yes []No IF YES, PROVIDE A COPY. ❑ Check Box After Re trod profmianal is responsWe for ag drainap and storm water inues as provided inr fopsar L"of the Toren Code. A®PlJEf UM 14 HEREBY MMI to On&Mdht{t eWUner►t for"Wusme,of M Sufti ft Pwmk pwswnt to rm& MMg Zme ordtaenw of On Town of SseRho ,,Covatki,NNW York.ad other applilimfile taws,orb or RW _ br for Ow conanH21om of b . titrtt The appNaant adreas Eo c=pfir%ft bill Wilding am* end reVABW=and to IIt saethastnd lns�ors premisaa and in huftn&j for r r .Pates !eta l gq in of tm ow,Ymi stow rww is. Application Submitted By( hint name,): ❑Authorized Agent �nef S�igna re of Applicant. Date. STATE OF NEW YORK) SS: COUNTY OF UaW %/oak ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the s (Contractor, Agent,Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the skid 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 Aim—day of ,Notary Public EVAN,STEYN-MEL NOTARY PUBLIC,STATE OF NEW YOR PROPERTY 0WNk LZ q2)' Registration No.01 ST0023148 (Where the applicant is not the owner) Qualified in KINGS County Commission Expires April 3rd 202 r _ residing at _— _do hereby authorize , to apply on my alf to the Town of Southold Building Department for approval as described herein. _ Y r s Signature Z Gate bA �cAb In 1Lf- Print Owner's Na e 2 FQ Albert J. Kru ski, Jr. 5 �'7C'�0�][�l��l[�wA��C'lE][� SUPERVISOR 1VA4A,NA,G IEIMIIEN F SOUTHOLD TOWN HALL-P.O.Box 1179 u 6 h o G r,] 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of s C TER 236 - STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) - - — — - - — — — -- - - — — - — - - - — - - - - - — - — — — — - — - - APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) Date: NAME: I d A-ina� Contact Information: L31 L) -� (G-Mail&Telephone Number) u s '4 Property Address / Location of Construction Site: S.C.T.M. #: 1000 District Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT - — — - - — - — --- - - - - - - — - - - - — - - ❑ - Area of Disturbance is less than 1 Acre. No S.RD.E.S. Permit is Re wired I ❑ - Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Re uired 1 ❑ - Area of Disturbance is Greater than 1 Acre & Storm-water Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Buildi22 Permit. ❑ - Area of Disturbance is Greater than 1 Acre & Storm-water Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit through the Southold Town En ineerin De artment Prior to Issuance of a Building Permit. Reviewed By: Date: FORM # SMCP-TOS December 2024 Suffolk County Dept of IG" Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE Name MYKHAYLO ABRAMCHUK Business Name This certirjes that the AQUA COASTAL INC bearer is duty ticensed License Number H-43470 by the County of seffol Issued: 09/19/2007 Expires: 09/01/2025 OMMissioner N/O/F N ORIENT CENTRAL CEMETERY ASSOC. NO WELLS OR CESSPOOLS 121.21' fTpi,VlP O.aw 1a'E s CNE w� PIPE FNa F? ,e a' SURVEY OF PROPERTY iI Naz4s 2-3'W � EL xad . AT ORIENT N170240 TOWN OF SOUTHOLD 47.00'� DEED / F ,za aa`.. SUFFOLK COUNTY, N.Y. N 1 T20'50'W � 1000-25-02-22.1 AMAL "'. �- ae•s4r `�,, SCALE.• 1'=30 NnVEw4BER sR 201e XA . 0 EL�a a. � o o 2'STONE a 6°� FR.HOUSE +ear.W a4SNErrc o m M M POOL PAVIA $ N N Pvl O N/O/F THEODORE ROCK N/O/F uy . DWELLING "^"'- - -aa,2'. ORIENT CENTRAL CEMETERY ASSOC. NO WELLS OR CESSPOOLS .11%ONE, FL 20.3' C m Prs^q:P4Nh„ a �. CATE pq , FL 9a.6° PIPE FNO. NQ FNOTN C2 5M'#75 0.6w , POOL iMPT,�^ 7 r$ POOL FL. FR.W1 M.�C7." � n p TEST HOLE DATA ~---�3..�°�^•-°-w-,. cE0 IETI McDOWALD SC CE 1012512018 EL. 20.9- DARK BROWN LOAM OL ,�__ 1• aE w/srer BROWN SILT ML BROWN SILTY SAND 107H GRAVEL SM x _ c r 'rtixa'ENa WnF49.Iw tllil�a7.YF' PEN.'wa BROWN FINE TO COARSE SAND WITH GRAVEL SW as M s w..a° zmp tw t rA 0 s aw�ak/Jsraw6"sroor - M d� �� P PALE BROWN ANE TO MMUM SAND SP m It aD a004C,COVER 17' Wrl NOTE. NO WATER ENCOUNTERED ELEVA7/0NS REFERENCED TO NAVD 88 00 $� y IN, SIDEMAUI 5 EL 2a2 aa'N KEY QQ =REBAR . ® = WELL a a 20.4' . A =STAKE e . 9 = 7EST HOLE 00 +! = PIPE =MONUMENT as r 13 7 14 E FN = W£7LAND FLAG of, 0.�� 2jo ) = U77LITY POLE 'Cr=HYDRANT CL F.I.20.8' ,._ ANY ALM?A71ON OR AM7701V 70 7HIS SURVEY IS A WOL47TON OF VACANT N.Y.5. LIC. Na 49616 SEC77ON 7209OF 7HE NEW YORK STATE EDUCA77ON LAW. EXCEPT AS PFCONIC"SURVEYORS, P.C. PER SEC7ION 7209,SUI71MWSION 2 ALL CER71F7C471ONS HEREON ARE VALID FOR THIS MAP AND COPES THEREOF ONLY IF SAID MAP C AREA= 44,103 SQ FT. A3'I X 90920 FAX 631 7ss—ns7 P,O: BOX 909 OR COXWE BEAR 777E SEAL of THE SURVEYOR WHOSE OR 1.0125 ACRES 1230 7RAVELER STREET s��rA7TI�E APPEAJtS HEREON. sou77dotD, N.Y 11971 18-174