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Home My WebLink About51810-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#: 51810 Date: 04/07/2025 Permission is hereby granted to: Andrew Samaan 1210 Alberta Dr Winter Park, FL 32789 To: construct accessory in-ground swimming pool as applied for. Premises Located at: 600 Praity Ln, Cutchogue, NY 11935 SCTM# 109.-5-27.2 Pursuant to application dated 02/27/2025 and approved by the Building Inspector. To expire on 04/07/2027. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total S400.00 1A - , - uilding Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �s1 -emu Telephone(631) 765-1802 Fax (631) 765-9502 htt s:byly soulholdtow�r . ow Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector. a FEB .... 2 p Applications and forms must be filled out in their entirety.Incomplete Applicant not the owner ,an applications will not be accepted. 'Where the w Owners Authorization foam(Page 2)shall be completed. Date: OWNERS)OF PROPERTY: Name: ,/ SCTM#1000- � _ S �7 UU Project Address: 6� � c .� � - .5'-6d-- S Phone#: / Mailing Address: &00 w I��.itc., c a,c9 / //.g- CONTACT PERSON: Name: �u Cali T Mailing Address: ` ?,eD' ► X 9 Phone#: 266 S' Email•ckC, re. DESIIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: 0-"XVU 4-1 1 's II,, Mailing Address:, Phone#: Co 3)- � /�7CoC�5 Email: �Gh i � � hyv o /1,J DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: P Other * Will the lot be re-graded? Mes El No Will excess fill be removed from premises? Mes ❑No i 1 PROPERTY INFORMATION Existing use of property:_/ cry r, Intended use of ropert I Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? DYeSAAo IF YES, PROVIDE A COPY. i,`�Io?,,Aing: 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 taws,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,, Application Submitted BY(print name): 7 Authorized Agent ElOwner Signature of Applicant: Date: 71Z STATE OF NEWYORK) CONNIE D.BUNCH Notary Public,State of New York SS: No.0 1 BU6185050 COUNTY OF aualified In Suffolk County Commission Expires April 14,2 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 aIL6day of 20 �7- Notary Public 11'11111�1 F (Where the applicant is not the owner) 6W *_t j Z4 iS;q*wa vi-residing at f,e ol do hereby authorize &04' IdA;f!A� M)to apply on my behalf to the Town of Southold Building Department for approval as described herein. 'Es Owner's Signature Date Print Owner's Name Sc ott A. Russell SUPERVISOR I�WANAA,Gr]EI� 1ENIF SOUTHOLD TOWN HALL-P.O.Box 1179 b \' Town o f So u th o l d 53095 Main Road-SOUTHOLD,NEW YORK 11971 k `- CHAPTER 236 - STORN' WATER MANAGEMENT REFERRAL FORM �r INFORMATION TO� - � ( APPLICANT...... E COMPLETED BY THE APPLICANT 4' ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) APPLICANT: (Property Owner-, Design Professional, Agent, Contractor, Other) NAME: Dater � Contact Inf orrnat ton:. 3 ��r �.��.,�_�-.:.--� -�-.-� lYi-�+6u1`C ICI+:prino!e!Uu.ribkul I Property Address / Location of Construction Site:. ,... _...... ._. .. .m__ S-C.T.M. : 1000 5 1 ss t G I C—t sectloil Block TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT ® Area of Disturbance is less than I Acre. No S.P.D.E.S, Permit is ReQuirr ed!„ SP.D.E S. Permit is Required ! ® - Project does Not Discharge to Waters of the State.. No w��._... ..q........- - Area of Disturbance is Greater than I. Acre & Storm-\,cater Runoff Discharges Directly Prior to of a $uildinQ Permit. D.E.S. Permit DIRECTLY From N.Y.S._ D.E.C. OBTAIN a ,S P to Waters of the State of New Yoi k. TI IE APPLICANT MUST OBT ,vca of Disturbance is Greater than I Acre & Str,i-m-`,`ater Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of Nev\ York. THE APPLICANT MUST OBTAIN a S.P D E.S_ Permit throouRh the Southold Town Engineer irr epaqment Prior to Issuance of a Building Permwit� a Date: R FY1R ..-�.ww (`1C rlrrnhar '7nIQ F�CP� Q ' F N \ cr) UP 2XIE ` 3 � � 3 LSD ' + UJ N Lu w I z LL. ` ` W i z I TEE LANE GKN BLS{CUpaS FENCE cats 1.0`W \ a 0.8'S ASPHALT C3 \ EE.C1.7'e DRIVEWAY 1 J`'� v'. 1 \ C pfLpT�nSC� Z +l IFD 34-4' CO I GAR �— r � s t co I N Y a .` 4.0 GAS I 8 3.W TANK 1 �� 1 its IS` a 1z STY a.m 43 ` go FR RES I . #600 N LL er 1 , o r F fi i p I 7 O' I = 0 ' O.D. BR.WALK ors W IL I &STOOP Q U. I FR � 4.1' Z DECK 24.8 m X 0 79.51' AC W CE C - � Cm V N cm K. I I FD - - FD ; Z Z 0 5S METAL FENCE OA'E z 0 N 75016'50"W N/F BARTLETT 205.00' DESCRIBED PROPERTY SITUATE AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK CERTIFIED TO:ANDREW SAMAAN AND MOLLIE MARCOUX SAMAAN FIRST AMERICAN TITLE INSURANCE COMPANY WELLS FARGO BANK, N.A. OCOPYPJGW 2024 WARD BROOKS.ALL RIGHTS RESERVED,DUPLICATION OF THIS DOCUMENT LSA VIOLATION OF FEDERAL COPYRIGHT LAW. THIS SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE ADOPTED BY THE NEW YORKSTATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. CERTIFICATION SHALL RUN ONLY TO THE PERSON,THEIR INTEREST ANWR ASSIGNS. CERTIFICATIONS ARE NOTTRANSFERABLE THE EXISTENCE OF RIG-ITS OF WAY,ANDIOR EASEMENTS OF RECORD.IF ANY NOT SHOWN ARE NOT GUARANTEED. SCALE 1"=40' ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7208.2 OF THE NEW YOM STATE EDUCATION LAW. SCTM 1 OQO-109.0O-OJ.00 027.002 DO NOT SCALE FENCES.OFFSETS SUPERCEDE. SURVEYED:MAY 2,2024 LAND SURVEY LONG ISLAND.COM WARD BROOKS LAND SURVEYOR u 11 OCEAN AVENUE BLUE POINT, NY. 11715 (631 ) 576-7794 (631 ) 363-3179 zz s WARDBROOKSOOGMAIL.COM FILE#11526