HomeMy WebLinkAbout51693-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#: 51693 Date: 02/27/2025
Permission is hereby granted to:
Elizabeth P Weiss
1330 Skunk Ln
Cutchogue, NY 11935
To:
construct accessory in-ground swimming pool as applied for. Pool and pool equipment must be
located a minimum of 25 feet from the side yard lot lines.
Premises Located at:
1330 Skunk Ln, Cutchogue, NY 11935
SCTM# 97.-3-11.4
Pursuant to application dated 11/07/2024 and approved by the Building Inspector.
To expire on 02/27/2027.
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
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Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 httt)s://�www.sotit.lioldtowilny.gov
Date Received
APPLICA1'ION
For Office Use Only
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PERMIT NO. Building Insp cctor
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Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,ana� � �i
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNERS)OF PROPERTY:
Name: Elizabeth Weiss SCTM#1000-97-03-11.4
Project Address: 1330 Skunk Lane Cutchogue, NY 11935
Phone#: 631-744-5533 Email:epweiss@optonlin.net
Mailing Address:
CONTACT PERSON:
Name: Long Island Pool Care Corp
Mailing Address: 50,000 Main Rd Southold, NY 11971
Phone#: 631-765-8285 Email: li.poolcare@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: Long Island Pool Care Corp
Mailing Address: 50,000 Main Rd, Southold, NY 11971
Phone#: 631-765-8285 Email: li.poolcare@gmail.com
DESCRIPTION OF PROPOSED CONSTRUCTION
[]New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
DOther inground pool 57,500.00
Will the lot be re-graded? ®Yes El No 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 si Mated:: Are there an covenants and restrictions with respect to
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this property? ❑Yes NUD IF YES, PROVIDE A COPY.
"heck 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 authorised 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): Q Authorized Agent ❑Owner
Signature of Applicant: "
Date:
ONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01 BU6185050
Civallfled In Suffotk County M
SS:
Commission Expires April k,Z �- s
COUNTY OF )
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
1. day of .. .-tw, 20 � 'i
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
,Iol 1 _ residing at
, (,.,on TS\o.t.d QUc� l Care �U
do hereby authorize 5 r1p
to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature
Date
- Ss
Print Owners Name
2
�10�1
Scott A. Russell ' 5�F 0>>[�I\\l[WAT1E]K
SUPERVISOR 0
�w AWANAG]EMLENT
SOUTHOLD TOWN HALL-P.O.Box 1179 16
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d
CHAPTER 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, A Contractor,Agent, ontractor, Other
NAME: ...: ..... 5 Date:
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Contact Information. �L.l mQvc?�_Ccs-�'e ..___ C.rz�k .�---....-�.-
IIL',..,Mad F.t VelePhnne INmllbcl)
Property Address / Location of Construction Site
.� �. �._�. .. S.C.T.M. 1T)0,00
..... .._
.aw_ ...... _..�
Section Block Lot
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
- Area of Disturbance is less than I Acre. No S.P.D.E.S. Permit is Required
Project does Not Discharge to Waters of the State, No S.P.D.E S. Permit is I...-
Area of Disturbance is Greater than I. Acre & Storrn-vvater 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 Building Permit
0 'area of Disturbance is Greater than t Acre & Storm-,t arer Runoff Flows Through Southold
_ .� �.� ........�.....-.,P.�
Towns MS4 Systems to Waters of the State of Nevv York THE APPLICANT MUST OBTAIN
a S.P.D.E S. Permit through the Southold Town Enaneenn De artment
Prior to issuance of a Building Perat
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Rey ie v ed By Date: _.
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