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Home My WebLink About51882-Z �o4aofSOUryo(o 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#: 51882 Date: 04/29/2025 Permission is hereby granted to: Kim W Norkelun 2200 Grand Ave Mattituck, NY 119521240 To: demolish existing accessory swimming pool as applied for. Premises Located at: 2200 Grand Ave, Mattituck, NY 11952 SCTM# 107.-2-10.2 Pursuant to application dated 03/24/2025 and approved by the Building Inspector. To expire on 04/29/2027. Contractors: Required Inspections: Fees: Demo- Pool $125.00 Total SIL25.00 Building Inspector o�Og�FFQ1K�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 1.1971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 h!Ltps://v�ww.southoldtownLiy.gov Date Received APPLICATION FOR BUILDING PERMIT Ep. C E I V E . D 2 For Office Use Only PERMIT NO. �o\ Building Inspector: MAR 2 A 2025 .Applications and forms'must be filled out in their entirety.Incomplete Building Department -applications will not be accepted. Where the Applicant is not the owner,,an Town Of Southold Owner's Authorization form(Page'2)shall be completed." Date: IN (� OWNER(S)OF PROPERTY: SCTM#1000- Project Address G 0--A E, Kk -I---�(_.___ — __ __11._ _51__ Phone#: Email: - MailingAddress: CONTACT PERSON: Name: P Mailing Address >� Q- .W_. _ _ Phone#: Email: _GD_319�'�2� - DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTORdNFORMATION: , Name: a.T 5 _JJV t =1 L,_�X___ Mailing Address: � _—�� Phone#: Email: DESCRIPTION 6F PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Re air demolition Estimated Cost of Project: ❑Other 1/� l V(( $ (0008 t 00 Will the lot be re-graded? %Yes ❑No Will excess fill be removed from premises? ❑Yes )ZNo 1 r ` 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? ❑Yes No IF YES, PROVIDE A COPY. ❑Check Box After Reading: The owner/contractor/design professional is responsible foi 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 laws,ordinances,building code, housing code and.regulations and to admit authorized inspector:on premises and in building(s)4or necessary'inspections.False statements made herein are, punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law. Application Submitted By(pr nt name): `U ❑Authorized Agent Owner Signature of Applicant: — ^� u Date:LOA STATE OF NEW YORK) SS: COUNTY OF SU:F:Eo L ) K-7pym No rte 1112 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the 0 wrye i2 (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 d!j-""day of March ,20� Jmaw kilim-PA otary Public TRACE`{L. DWYER NOTARY PUBLIC,STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION NO.01 DW6306900 QU,S,LIFIED IN SUFFOLKCOUNTY (Where the applicant is not the owner) COMMISSION EXPiRESJUNE 30,2Q2b 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 C COMPLY N Y PLY WITH ALL CODES F ORK STATE&TOWN C DES fs, REQUIRED AND CONDIT NS OF 0'(� '( SOUT MTO A ��O�fr �rJlt� �10 SOUTHOIDT PLANNING BOARD SOUiNO OWNTRUSTEES ti�J"RO1�� , N.Ys. 0 pOR APP 0 ED AS NOTED z OWHPV., N�I f DA ILP•.# p' E' cn FEE/m 0 BY: 2.0 - 60.0 ; NOTIFY BUILDING DEPARTIir1ENTAT _ ' 631765.1802 SAM TO 4PM FOR THE RETAI STORM WATER RUNOFF. FOLLOWING INSPECTIONS: PUBS ANT TO CHAPTER 236 �w+5 " � o �. FOUNDATION-TWO REQUIRED OFT TOWN CODE: o m FOR POURED CONCRETE -z .2. ROUGH-FRAMING&PLUMBING 3. INSULATION • 0 '4 FINAL-CONSTRUCTION.MUST WOODCLIFF ••� � � BE COMPLETE FOR C.O. DRIVE o T ALL CONSTRUCTION SHALL MEET REGIUIREMENTS OF THE CODES OF N MYORK STATE. NOT RESP6NSiBLE R- l r 1 ESIGN OR CONSTRUCTON ERRORS r- D Z c� D o �, a m cmA L �i 1 Q FEK- Z PATS ii Of FOL t•11 1 wood DSo" E1ry05f�o CH FR• BAR' PORN roNGe..- 2 STY.•FR• 1.2 Ill -WALK � ��, k v '£,33.e' _ - 1� IGT OF WAY I j35.001g•g• IlIpE R 0 ppE 00. yy: I pplVA TE ROAO S. r5'MAPLE ."AVE SURVEY OF PROPERT Y A T M. A TTITUCK TO WN OF SOUTHOLD SUFFOLK' COUNTY, N. Y 1000. - 107 - . 02 - 10.2 CERTIFIED TOr SCALE 1" = 40- KIM NORKEL UN .:: JUNE 14, 1999 . BEVERL Y NORKEL UN THE BRIDGEHAMPTON NATIONAL BANK COMMONWEAL TH LAND TITLE INSURANCE CO. AREA - 33,588 sq. ft or 0.7710 ac. NEW yo ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION ' ME.Tr OF SECTION 7209 OF.THE NEW YORK STATE EDUCATION LAW. �'`Q • GF�' EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATIONS o s;. HEREON ARE VALID FOR TI•!S MAP AND COPIES THEREOF ONLY /F SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR Y. LIC. NO. 496/8 WHOSE SIGMA TURF APPEARS HEREON. r :••1� ADDITIONALL Y TO COWL Y WITH SAID LAW THE TERM ALTERED BY' P C _ 1 = YDR .C. MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY 5 0 'J OF ANOTHER SURVEYOR'S MAP, TERMS SUCH AS 'INSPECTED'AND P.. 0 • `BROUGHT-TO-DATE' ARE NOT IN COMPLIANCE WITH THE LAW. I230 V f,L TREET - SOUTH 11971