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HomeMy WebLinkAbout51748-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#: 51748 Date: 03/17/2025 Permission is hereby granted to: Mark D Zablotny 1385 Jasmine Ln Southold, NY 11971 To: construct accessory in-ground swimming pool as applied for. Premises Located at: 1385 Jasmine Ln, Southold, NY 11971 SCTM# 69.-3-24.7 Pursuant to application dated 02/10/2025 and approved by the Building Inspector. To expire on 03/17/2027. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total S400.00 BuildingInspector�._�.....�_. ctor TOWN OF S®UTII®LD—DITILDING DEPARTMENT Town Hall Annex 54375 Main Load F. G. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 lit .f www. outlaoldtownrt 0V Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only G Building Inspector: , PERMIT N0. ts� , + O AppIications qn d forms mqust be filled out jn their entirety.Inca n.- applications will rnot be accepted: Wheri�#the Appgcant is no#the owner,an Owner's Authorization form(Page,2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: SCTM#1000- W-3- 2�,r7 Project Address: t3�J �Q5mirir� L-0 �QU ,o)'0 Ivr l j q7l Phone#: �31- ao - - Vf09 Email: Mailing Address: CONTACT PERSON: Name: Mailing Address: Phone M Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Narne: w�coS Mailing Address: (1 Z�ij R� ��A i i 1� p��ce 117 V Phone#: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑ ❑ Estimated Cost of Project: Addition ❑Alteration Repair ❑Demolition Estimated C5iOther (i it L... 1rV t Will the lot be re-graded? RlYes ❑No Pao L*eA On Will excess fill be removed from premises? Ayes ❑No 1 PROPERTY INFORMATION i Existing use of property: nn � Intended use of property: � P ww &>( cry fj i 1 G �.sC� Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes �410 IF YES, PROVIDE A COPY. ec k Oi e d(ng� got o r/contrador/%hes n protessionii,I's+ ,SP! rfW0,faar A0*41"Ass irufoorihwater IsioesAs or6Witl by chd ptjr of the Torn Code,, APPLICAT1,6N jSrj*4f6Y MADE to the Building,Otpartment for the,Issuance of a Bullding permit puttuaht to the sultdIft zone 044atCO of the ro+atn of oaatfunaVd, aaffofg„Cdpr�t Ne~aar York enai lather apolicAte ice,Ordinances or Regulations,for the construction off Tidings, a�gti lkw tiorm or rn for r orra�l or dea�ftinn4s herein describe ,The pig at ogre"to comply with ph ppp� a bwwaae,owdi a�d , wide is e, houslagcode and togulatimcs and to admit earthorixed Inspectors on prarritsis and IntrulIdfnp,O for"° rp Inspections.Fg1st statements,made herein are punishable as as ass A mitdemeanot pursuant to sectbon110:45 of the IhPeW YOria stafd penawt U w. Application Submitted By(print name): :1A7b� ❑Authorized Agent g3owner Signature of Applicant: !'p Date: b ^Z� STATE OF NEW YORK) SS: COUNTY OF APE r 1 lak being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) a, ove named, (S)he is the 0Hvee (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 day of /t 1 �,2026' 4No ary Public MARGARE F A. KIDNEY Notary Public—State of New York Qualified in Suffolk County PROPERTY OWNER AIJ.� ...,. �• � •••• My Commission Expires March 8,2027 (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 -7 % & A" i-N 0- gawk, --NION-§Ppt 4'i MX"AN T IN -VEEN, UNA ........ ..... 5, S uffo vir Ik County Department of Lavor, Licensin & fl U -1- lei onsumer Affairs kk VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NEW YORK 11788 'A A-11 'R A Z�! �F .............. DATE ISSUED: 07/01/1978 No. H-4436 a X COT,-.-NTY '0 St,FF0T Home Improve ment ntractorLicense 'I This is to certify that ARTHUR J EDWARDS I At T doing business as ARTHUR J EDWARDS MASON CONTRACTING CO INC DBA (I SUPP) XY J" gc having furnished the requirements set forth in accordance with and subject to the provisions of applicable 1 laws, rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct I V business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk. NOT VALID WITHOUT Restrictions Additional Businesses DEPARTMENTAL SEAL AND A CURRENT H1-GC; ARTHUR J EDWARDS POOL&SPA CENTRE 5 H26-Pools and Spas/Certified; `01 CONSUMER AFFAIRS 4i H3 Pools/Spas fl Suffolk County Dept.of ID CARD Labor,Licensing&Consumer Affairs 31 HOME IMPROVEMENT LICENSE Name A ARTHUR J EDWARDS Business Name ARTHUR J EDWARDS MASON This certifies that the CONTRACTING CO INC DBA(1 SUPP) Rosalie Drago bearer is duly licensed by the County of suffolk License Number H-4436 Commissioner Issbed;, 07/01/1978 ig'z Expires: 07/01/2026 Commissioner ,a WMM M =4- "-' �" - ik"'�g', - - 11'MR, F-MIK-1010W R MIN, W t APP O EO AS NOTEO 1A B.P.# fit n� FEE BY: NOTIFY BUILDING DEPARTMENT AT RETAIN STORM WATER RUNOFF 631-7fir1802 8AM TO 4PM FOR THE �: PURSUANT TO CHAPTER 236 FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED OF THE TOWN CODE. FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY WITH ALL CODES OF INSPEC71ON REQUIRED NEW K STATE&TOWN OODES AS REQUIREDNSOF AND N �� ic . NC" SI POOL C E - S SCr CHD omPLEVON OCCUPANCY OR USE IS UNLAWFUL WITHOUT r I T New York State Law YOU Must Call 811 OF OCCUPANCY Before You Dig A a �.. F1Er Flom !PunP To T.rbbn ONY M OPUNO Reid Nh� Plan - Piping . Arrangement 42" 3 Section B—B r P=C. z y Section A—A Typical Wall Section SIZE I A B C I D E F G H AREA CAP can FEET FT FT FT I FT FT FT FT FT SQ.FT GAL. f Ylapk ZAb l 14 X 30 14 30 10110 7 3 3 8 420 12,OW 13K JC S m i e- L n Pool$SPA CWM 16 X 34 16 34 10114 6 1 4 1 4 18 544 21,000 PERMACRETE WALL SYSTEM 0 �l 18 X 38 18 38 14114 6 41 51 8 6134 24,0001929 Route 25A Miller Place NY 11764 /�, 20 X 40 20 40 16114 6 4 5 10 800 33,000 (631) 744-7185 FAX (631) 744-0174 �') ��- � Q% 24 X 44 24 44 18 14 8 4 8 10 798 35,000 Suffolk License #4436—M Nassau License #HI74450000 24 X 49 24 48 20 16 8 4 6 10 900 38,500 The locations of wells and cesspools SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES \ shown hereon are from field observations FOR APPROVAL OF CONSTRUCTION ONLY 27. and or from data obtained from others. DATE S.REF.NO. 93 SO 25 W R-50-00 £ jL=01.98 S 't�yS ��- APPROVED f 'g�sT sT f �10 Sao 1m ,t r SURVEY OF 1 LOT 7 u - 5a xrAP oFsourttocn vain sEcrroN rwo« r FXED AW% 4,W3 FaENQ A-434 A T SOUTHOLD TOWN OF SOUTHOLD lie R' SUF FOOLKCOUNTY N. Y. nor ,a s Scab. 1"= 40` Q 1 A, v Mar. 15, 1993 T Oct.21, 1993(foundation) I l07- E Q MayJULY 11, 1994(Final)IONS ADDED) o � CERTIFY TO: 2g. O �eni� *pt MARK D.ZABLOTN,')�o ' s Hose �� AREA =23,475 sq !t t. FIDELITY NATIO�rj;�-F §I fi'NCE COMPANY C�,, FLAGSTAR BA 4gJ�'IV sos t !�{ The water supply and sewage disposal©we PFY 9 F t1 Y.S. LIC, NO. 49618 Nl1 t systems for this residence will conform g Prepared in accordance with the minimum tJlljlj standards for title surveys as established to the standards of The Suffolk County PEcQNt . b& P.C. (��+ y Deportment of Health Services. ELEVATIONS ARE REFERENCED Qn1}t� by the L.I.A.L.S.by he appro or and adopted P.O.B76a.0?� 1}765-1747 To AN ASStA4Eo DATUM. for such use by The New York State Land P.O.BOX 904 Title Association. 1230 TRAVELER STREET SOUTHOLD.NY 11971 n.4 1=C The locations of wells and cesspools SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES �\ shown hereon are from field observations FOR APPROVAL OF CONSTRUCTION ONLY and or from data obtained from others. 37o DATE NS.REF.N0. s3 so 25 h- R-5C CC. ? APPROVED tt .40 f ago iJ Nff�( tly jj As, ,I39 o a SURVEY OF ,3 LOT 7 'MAP OF SOLtMt1OLD VX"A SECTION TWO" ryf f FEED AW% 4j=FXE NO.A-434 j A T. SOUTHOLD od TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000- 69-03-24.7 O T a Q Scale: 1"= 40` Mar. 15, 1993 T Oct 21,1993(foundation) Q May 11, 1994(F'ino + 1Or U5 JULY 22,2014(CERTIFICATIONS ADDED) -x\ CERTIFY TO: MARK D.ZABLOTN AREA =23,475 sq. ft. FIDELITYNATIO`rFfl .T€ 5 \TECOMPANY N T5= d er,f �, FLAG STAR BANK Alllowc- 60.00, I Fl 0( The water supply and sewage disposal J N Y.S. LIC. N0. 49618 HI1 systems for this residence will conform id L Prepared in accordance with the minimum to 'the standards of The Suffolk County PEb£N' -SL-V—E ,P.C. �11t� standards for title surveys as established Department of Health Services. ELEVATIONS ARE REFERENCED COy?p by the L.LA.L.S. and approved and adapted P(631} (t--3' F�{(,1)765-1797 TO AN ASSUMED AR DATUM. for such use by The New York State Land P.O.BOX 909 Title Association. 1230 TRAVELER STREET SOUTHOLD,NY 11971 nw •cc The locations of wells and cesspools SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES shown hereon are from field observations FOR APPROVAL OF CONSTRUCTION ONLY and or from data obtained from others. 37 a DATE HS.REF,N0. 93 SO 25 h- R-50.00' L=21.9� $ 3js APPROVED ! t N .40 3Ra P' �A `?Q SURVEY OF ° Q LOT 7 = s3. 'MAP OF SOUTHOLD ViiLAS,SECTION TWO" FXED AM 4,M3 FXENO.A-434 A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000- 69-03-24.7 Lor ray Q Scale: 1"= 40` 1 Mar. 15, 1993 l Oct 21, 1993(foundation) l j lOr May� JULY 2,12014(CERTIFICATIONS ADDED) C6 CERTIFY TO: MARK D.ZABLOT-N- EQse y\ AREA =23,475 sq ft FIDELITY NATI%Ijkj -_fiT RS I � ECOMPANY A S^ rne7t FLAGSTARBA `^g Tf�g 3¢5 6000, F1Q{�i�c . The water supply and sewage disposal N:Y.S. LtC. NO. 49618 systems for this residence will conform ! Z Prepared in accordance with the minimum ' lIl(� standards for title surveys as established to the standards of The Suffolk County PECQhIt P.C. �COR,o by the L.GA.L.S. and approved and adapted Department at Health Services. P(6311-'7i;i t ��te,l)765-1797 ELEVA WNS ARE REFERENCED for such use by The New York State Land P.O.BOX 909 TO AN ASSUMED DATUM. Title Association. 1230 TRAVELER STREET SOUTHOLD,NY 11971 n.w -Wr