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Home My WebLink About51742-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE URI , 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#: 51742 Date: 03/14/2025 Permission is hereby granted to: Halsey MJ Revoc Trt 482 Waverly Ave Brooklyn, NY 11238 To: Construct an inground swimming pool accessory to an existing single-family dwelling as applied for. Pool and pool equipment must maintain minimum side and rear yard setbacks of 10feet. Premises Located at: 325 Bay Ave, East Marion, NY 11939 SCTM#31.40-11 Pursuant to application dated 02/07/2025 and approved by the Building Inspector. To expire on 03/14/2027. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total $400.00 2Xb- Building Inspector 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 lit /�VWW.. itlioioL)IO OWII1�� -. Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only °� PERMIT NO. / I Building Inspectors 4 ' 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: mi (-a-" a\s QcIJ SCTM#1000- Project Address: 3aS Ave �, , d)V1 Phone#: Email: 1 Mailing Address: CONTACT PERSON: Name: Mailing Address: 5 rV Ki `�q4q Phone#: Email: FCxCrrti DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: �- Mailing Address: `� Phone#: � _ _ - email: �Ls tit 1 DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Other L Will the lot be re-graded? ❑YesPo Will excess fill be removed from premises? NYes ❑No 1 PROPERTY INFORMATION s �y t� er t Existing use of property: moo` Intended use of property: �W Zone or use district in which premise is situated: Are there any covenants and restrictions with respect to this property? ❑Yes �o IF YES, PROVIDE A COPY. Ve k Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water Issues as provided by aptor 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 rdinanre of the Town of Southold,Suffolk,County,New York and other applicable taws,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 220AS of the New York State Penal taw. Application Submitted By(print name): �i.COI VIU Authorized Agent ❑Owner Signature of Applicant: mate: STATE OF NEW YORK) J COUNTY OF 5 U Ile:y l 1 (\ qt o^n q Ae ll"L J f` 0 being duly sworn,deposes and says that(s)he Is the applicant (Name of Individual signing contract)above named, (S)he is the Leen-j- (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 7 day of �e b/MCA/ r , 20 Z Notary Public s ANDREW BAAL Notary Public.State of New York PROP OWNER C� w�l;;,%t��95aitl6 (Where the applicant Is not the owner) y c° "x 0D E�poes�J0°29, 4r 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 1uildinp-Department Anplication AUTHORIZATION (Where the Applicant is not the owner) 1, (Y11 C R}k f� residing at (Print property owner's name) (Mailing Address) E(SST M H;,10 N - N`f do hereby authorize (Agent) to apply on my behalf to the Southold Building Department. 2y 2 (Owner's Signature) te) fAi �4 kAAU -j (Print Owner's Name) OAF/ cc--, APPROVED AS NOTED 5l14 a DAB ` �'� B.P.B COMPLY WITH ALL CODES OF FED D BY. _ NEW YOP STATE TOWN CODES NOTIFY BUILDING DEPARTMENT AT AS ICE IRED AND CONDITIONS O 631-765-1802 8AM TO 4PM FOR THE M I SIX T FOLLOWING INSPECTIONS: VJMTOWN RAING BOAM FOUNDATION-TWO REQUIRED SOUMTONTRUSTES FOR POURED CONCRETE - ROUGH-FRAMING&PLUMBING - INSULATION - FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEff THE REQUIREMENTS OF THE CODES OF NEW RETAIN STORM WATER RUNOFF YORK STATI- NOT RESPONSIBLE FOR PURSUANT TO CHAPTER 236 DESIGN OR C NSTRUCUM ERRORS OF THE TOWN CODE ELECTRICAL INSPECTION E UI E "IMMEDIATELY" ENCLOSE POOL TO CODE ION COMPLETtON BEFORE ATER" New York State Law You Must Call 811 Before You Dig la'N d . r a- \ueS i TL- dtsY 4�aOIL, ana, ``O (-, r' t r iCAI l4ms" 02-r V* S.C.LM. NO. DISTRICT: 1000 SECTION:31 BLOCK: 10 LOT(S):f1 SANIIARY N POW I A' 1 E'10 �4 I/A SEPIX tas' 24V !!AA' at` `-�s 5W S.S' LP•a �• +as OF { LAND NfF OF ARGERIE TSIKLIDIS Lp LAND N/F OF Q ;r KOSIAS ROUSTAS sp V0 ORM PAN! Q SF to h^� / 13 Y- s # + LAND N/F OF NICHOLAS JONNSON 11 w t C rs fi `Z \ FINAL SURVEY 07-01-24 REVISED 05-15-23 FLOOD ZONE X THE WATER SUPPLY, WELLS. DRYY&US AND CESSPOOL LOCA77ONS OWV ARE FROMOB FEMA MAP#36103CO064H EFFECTIVE 09/25/09 AND OR DATA OBTAINED FROM�ELD SOTHERSERVARONS AREA:20,264.30 SQ.FT. or 0.47 ACRES ETEVA770M DATUM: UNAUTHORIZED ALTERARIXV OR AM7701V TO THIS SURVEY IS A VIOLARON OF SEC77ON 7209 OF THE NEW PORK STATE DUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR BHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 177LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TV77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS7ITUT70N, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SFiOlW HEREON FROM THE PROPERTY LINES TD THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO M01VUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES; ADD17701VAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS ANDIOR SUBSURFACE S7RU=R£S RECORDED OR UNRECGRDD ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY oF:DESCRIBED PROPERTY �F N«`' CERTIFIED TO:MICAH JOHN HALSEY; ✓`' J�MAP OF: SIMONE BETH LEVIEN; "', .. MICAH JOHN HALSEY, TRUSTEE, FILED: SIMONE BETH LEVIEN, TRUSTEE; SITUATED AT-EAST MARION F FIDELITY NATIONAL TITLE INSURANCE COMPANY; rowla oF:SOUTHOLD KENNETH M jOYCHLTK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design N `, P.O. Box 153 Aquebogue, New York 11931 PHONE(631)2M-15BB FAX(631) M-15M FILE/221-162 SCALE:1 a=30- DATE: SEPT. 09, 2021 N.Y.S LTSC• NO. 050882 m J t mIbM the,soma.of R b t.i.B-.-V&K---tn Y.Ooy-nuk