HomeMy WebLinkAbout51698-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#: 51698 Date: 02/28/2025
Permission is hereby granted to:
Daniel Puhalovic
1685 Lands End Rd
Orient, NY 11957
To:
construct accessory in-ground swimming pool and to construct new steps to existing deck addition to
a single-family dwelling as applied for. Two CO's will be required simultaneously.
Premises Located at:
1685 Lands End Rd, Orient, NY 11957
SCTM# 15.-9-1.21
Pursuant to application dated 01/21/2025 and approved by the Building Inspector..
To expire on 02/28/2027.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
Total $750.00
Building Inspector
�r 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 Litt :�� � .soutltoltloo\ n •'o
n- a
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
s
l �
f ector 2
PERMIT N0. Building g Ins ;p I
77
Applications snd:forms must bfilled,Qut in their entirety Incomplete r~ .
applications will not be accepted Where.the Apphcant,is`not the owner,an,
Owner's Authorization form(Page 2)<'shalfbe competed.
Date:1/20/2025
7 7711/1-
OWNERS)OF PROPERTY., �
Name:Daniel Puhalovic SCTM # 1000-15-9-1 .21
Project Address: 1685 Lands End Road, Orient, NY 11957
Phone#:646-206-1101 Email: uh.61I@gmail.com
Mailing Address:1685 Lands End Road, Orient, NY 11957
CONTACT PERSON:
Name:Darcee Oppipi
Mailing Address:PO Box 152, Mattituck, NY 11952
Phone#:631 603 9092 1 Email:doppici@amparchitect.com
DESIGN PROFESSIONAL INFORMATION:
Name:Anthony Portillo
Mailing Address:PO Box 152, Mattituck, N.Y. 11952
Phone#:631 603 9092 Email:aportiIlo@amparchitect.com
:CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#. Email:.
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Fwl
65,000
Other Pool
Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? ®Yes ONO
1
PROPERTY INFORMATION
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
R-40 this property? ❑Yes ®No IF YES,PROVIDE A COPY.
IRI Check Box After Reading: The owner/contractor/design professional'is responsible for all drainage and storm water issues as provided by
1 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 a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal law.
tP�tE
Application Submitted BY( r°nt narn ):
I�AMP Archi � Authorized Agent -Downer
Signature of Applicant: Date: 11-2-A
STATE OF NEW YORK)
�S
COUNTY OF
°01N �ordo'� being duly sworn,deposes and says that(s)he isthe applicant
(Name of individual signing contract)above named,
(S)he is the (Contrac 3
owner or owners,and is duly authorized top Agent,Corporate Officer,etc.)
I
of said ow 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
2 dayof T��V ,20
of Public _
DARC:EE AUFENANGER
N+ TAVYRY PUBLIC,STATE OF NEW YORE,
� m...gggS Reg iusatraIeioi InNaA '964 4
Clifl ty
_
_.
(Where the pp s t f the owner Expires January 9,20
Commission � �...
,
residing at
M
hereby authorize
AMP ARCHITECTURE to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
� ( t C
Print Owner's Name
2
SYMBOL LEGEND BEARINGS SHOWN HEREON ARE
l� BASED ON FILE MAP NO. 5909
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GRAPHIC SCALE
30 0 15 30 LOT CLEARING AREA
® LOT AREA
40,145.87 S.F. = 0.92 AC. 40,145.87 S.F.
33,920.69 S.F CLEARED 0.92 AC.
IN FEET ) 84% LOT CLEARED
1 inch = 30 ft.
.. _
SURVEY OF PROPERTY
1685 LANDS END ROAD, ORIENT, NEW YORK 11957
`c LOT 21
land surveying
a MAP OF
mjslandsurvey.com P:631 —957-2400 LAND'S END AT ORIENT POINT
FILE DATE: 05/03/1973 MAP NO. 5909
1 1 South Bay Avenue, Islip, NY 11751 SITUATE
LAND ORIENT, TOWN OF SOUTHOLD
DR,:MC CREW.:NB SCALE: 1" = 30' TAX MAP NO.
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1000-015.00-09.00-001.021 SUFFOLK COUNTY, NEW YORK
DATE SURVEYED 10/17/2024 JOB No S24 5573
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