HomeMy WebLinkAbout51713-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#: 51713 Date: 03/06/2025
Permission is hereby granted to:
George T Brunn
69 Accabonac Rd
East Hampton, NY 11937
To:
Construct an inground swimming pool accessory to an existing single-family dwelling. Pool and pool
equipment must maintain a minimum rear and side yard setbacks of 25 feet. Floodplain permit is
required.
Premises Located at:
1710 Gull Pond Ln, Greenport, NY 11944
SCTM#35.-3-12.1
Pursuant to application dated 01/29/2025 and approved by the Building Inspector.
To expire on 03/06/2027.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Flood Permit $150.00
Total $550.00
Building Inspector ��
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main load P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 ht s:// ' w. o tholdto'w na '• o
Date Received
PERMITAPPLICATION FOR BUILDING ,
For Office Use Only " y CC95
5 I P
PERMIT N rl Building Inspector 91 vo
Applications and forms must be filled out in their entirety.Incomplete i0
applica4ions will not be:'accepted Where the Applicant'ls riot the owner,an,
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name: # 1000-a Neen 99-1nnTSCTM
p
Project Address:
Phone#: m, Email: 6T6RU rill� ma , eo m
Mailing Address �D� O � I J"� 1137
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name- jh -Ew/t eQS
Mailing Address: L4 A— . i�� P g 176 Y
.
Phone#: �1 / i"���Jr X SA
Email: QFFIe e CC'✓ ���L5 . e�7 03
DESCRIPTION ION OF PROPOSED CONSTRUCTION
❑Ne w Structure ❑❑Addition ❑❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
260ther C Lil !
Will the lot be re-graded? CYes ❑No Q��� �� Will excess fill be removed from premises? ' Yes ❑No
1
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? j4Yes ❑No IF YES, PROVIDE A COPY.
k
hec9 Aef eja01ri 'rimeaawner/co r r/d igrn Professional respon�le4orail drainage and storm r�wa r ues, provided by
Chapter 236 of the Town� P�u T N.�g HEREBY MADE to the Building Depa�ent for the issuance of a Building permit pu uant to the ftilading Tone
Ordinance of the Town of ut-16ld folk,6 unty,New fork and other applicable taws,Ordinances or Regulations,for the consouttionol bu din ,
additions,alterations or for removal or tdemollbon as herein descrlbed4 The applicant agrees to comply with all Applicable laws,ordiawances,building code,
housing-code and regulations and to admit Authrorked inspectors on premises and innbuilding(;s(for wear rye inspections.False.statements made herein are
punishable as a Class A misdemeanor plarsdant to Section 210.45 of the New York State Penal taw..
Application Submitted By(print name): � �1 ' ❑Authorized Agent XOwner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF
63 /1 being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract)above named,
(S)he is theL
(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
Y da of la 1 2
Notary Public
MARGARE F A. KIDNEY
Notary Public—State of New York
No. 01 1<_1603 1 1 1 1
Qualified in Suffolk County PROPERTY OWNERAUTHORIZATION
My Commission,Expires march s,20ZZZ ' (Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
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-�F . " S�C'�0�][�1�� WATIEIK
Scott A. Russell
° a f
SUPERVISOR I��S[A\,NAG�]El��l[]EI�T
SOUTHOLD TOWN HALL-P.O.Box 1179 Town �fSouthold
(1JtiO u ],�O]�
53095 Main Road-SOUTHOLD,NEW YORK 11971 rt� p � a j 1 b b
(7
C _..._ FORM
���ER 236 - STORMWATEIt MANAGEMENT REFERRAL�.... . .
( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. )
APPLICANT: (Property Owner, Design. P i ..
��� P �y � .... rofessional, Agent, Contractor, Other)
«,x "" &inn Date:
NAME:
� _ P mail.eGm i1
COILt�C&i�ep1�(7Nnl�tl011: t"l.i't'll�(c �.. ....._ �._ ,...rv�...-.......
ii
inne
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i
Prop Address / Location of Construction Site:
aly
Construction.
S.C.T.M. #: 1000
District
.......... .-.n __... _-... Section Block --
e
r
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
- Area of Disturbance is less than I Acre. No .P.D.0 �$ �iuired!
Project does Not Discharge to Waters of the State, No S.P.D.E.S. Permit is ReqLukred !
c" - Area of Disturbance is Greater than I Acre&Storm-water Runoff Discharges Directly
....P.D.E.S. Permit
to Waters of the State of New York. THE APPLICANT MUST OBTAIN_a S.
DIRECTLY From N.Y.SD.E.C.Prior-to Issunce of a Bu�ildir�P �� p
_ 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 E q ne rurirn De� rtment
Prior to Issuance of a Buildine Permit„ _
t
Reviewed By rye Date
Fr1RM P-TC1C(1rFntwr 7nl�r
j �io OFFICE.I3t Ufci &"I
�"� ��'� �TROLD �� MOlV' 5:10 rL�H?YJ 4 00
x w. Cb.BOX 14f19CON �Wy� 631-765 1$03 F1�X:'63Y176
a,,,' "�'`,1.•049'J ' 1. " *� rr` "� " °".'! " ��' +4r �,4�M f � r'd"„ ' '- � BILL NUMBEF
�%��/ • . IF TIiEWORD"ARREARS"IS PRINTED HERE SEEACCOUNT
/, �' °� NOTICE OF ARREARS ON REVERSE SIDE,
` a835; 17 4148
9
/ / 1714 Gull Pond Ln 3,$8
'/ "966,953 2,551,977 19222
I.
1 Family Res
WARRANT DATE LAND ASSESSMENT TO NSSESSFIENT
.
40� 504'
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Bruhn T
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69 Amabonac Rd fUn#1 G Or B
East Hampton,NY 11937-2609 N� a
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/
Shawn M. Barron M.S.
124 Pleasure Drive,Riverhead,NY 11901
631.786.6672
shawn@baffonenvironmental.com
October 7, 2024
Mr. George T. Brunn
1710 Gull Pond Road
Greenport,NY 11971
Re: Wetland Delineation
Situate: 1710 Gull Pond Road, Greenport
SCTM#: 1000-35-3-12.1
Dear Mr. Brunn
On October 4, 2024, I personally inspected the above referenced property, and delinated the
wetland boundaries by marking with orange surveyors tape. Three separate areas were
delineated,numbered 1-8, 1-9, and 1-15 (see sketch). If you wish, you may now contact your
surveyor so that the lines may be located and depicted on a revised survey.
If you have any questions,please do not hesitate to contact me. Thank you for your attention in
this matter.
Sincerely,
Shawn M.Barron,M.S.
Wetlands flagged in orange,#1-7
Wetlands flagged in orange,#1-9
i
Wetlands flagged in orange,#1-15 ,l
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Suffolknty Department of Labor,
Licensing
\ \
Consumer Affairs
VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788
'M
DATE ISSUED: 07/01/1978 No. H-4436
; ITPFC"I,R �"0T�.�NTY
o e I Provement (L"O atractor license
IA
This is to certify that ARTHUR J EDWARDS
3 doing business as ARTHUR J EDWARDS MASON CONTRACTING CO INC DBA (I SUPP)
having furnished the requirements set forth in accordance with and subject to the provisions of applicableJi
laws, rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct
business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk.
1 NOT VALID WITHOUT Restra t Additional Businesses
DEPARTMENTAL SEAL f
H1-GC;
AND A CURRENT ARTHUR J EDWARDS POOL&SPA CENTRE
H26-Pools and Spas/Certified;
CONSUMER AFFAIRS H3-Pools/Spas
ID CARTS
Suffolk County Dept.of � � � ;
Labor,Licensing&Consumer Affairs
HOME IMPROVEMENT LICENSE i
E
Name
ARTHUR J EDWARDS
Business Name -
ARTHUR J EDWARDS MASON
This certifies that the CONTRACTING CO INC DBA 1 SUPP 1
=�, fl
! Rosalie Drago bearer is duly licensed
- by the county of suffoik License Number H-4436
Commissioner
R W"nt,T " lss a 07101/1978Rai, 1
� � Expires: 07/01/2026
- Commissioner `
W.
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