HomeMy WebLinkAbout52094-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#: 52094 Date: 07/10/2025
Permission is hereby granted to:
Peter Spaeth
530 Foch Blvd
Mineola, NY 11501
To:
construct accessory in-ground swimming pool as applied for. Pool and pool equipment must be
located a minimum of 10'from lot lines.
Premises Located at:
605 Cedar Dr, Southold, NY 11971
SCTM# 78.-7-40
Pursuant to application dated 06/20/2025 and approved by the Building Inspector.
To expire on 07/10/2027.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total S400.00
�� 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) 765-9502ttt .r` � �thlclto °atn ,
e
Date Received
APPLICATION FOR BUILDING PERMIT
Nrr office Use Only
PERMIT NO. wBuilding lnsptctor: -.._._. �.. jU N 2 Uwe 2025
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an Building 0epartment
Owner's Authorization form(Page 2)shall be completed. Town Of Southold
Date: (p 2-0 `Z,0 ZET
OWNER(S)OF PROPERTY:
Name:Gail and Catherine Chmela SCTM# 1000-078.00-07.00-040.000
Project Address:605 Cedar Drive, Southold, NY 11971
Phone#:516-510-6245 Email:gailchmela@aol.com
Mailing Address:23 Tern Court, Bay Shore, NY 11706
CONTACT PERSON:
Name:Henry Sombke / Max Lituchy
Mailing Address:505 Grand Street, Westbury, NY 11590
Phone#:631-777-1800 Email:hsombke@dubnerco.com
DESIGN PROFESSIONAL INFORMATION:
Name:Henry Sombke
Mailing Address:505 Grand St, Westbury, NY 11590
Phone#:516-779-0548 i Email:hsombke@dubnerco.com
CONTRACTOR INFORMATION:
Name:Dubner Landscaping and Construction
------------------
Mailing Address:505 Grand Street, Westbury, NY 11590
Phone#:631-777-1800 Email:asarling@dubnerco.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
0Other Swimming Pool and gas pool heater with pool safety fence $40.000.00
Will the lot be re-graded? ❑Yes ONo Will excess fill be removed from premises? Dyes *No
1
PROPERTY INFORMATION
Intended use of ro ert
Existing use of property:Single-family home p p Y single-family home
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? ❑Yes W No IF YES, PROVIDE A COPY.
R C t'`k h Box fl;Pm° REBdIIGngm The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. APPUCA71ON 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 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): Henry Sombke ®Authorized Agent ❑Owner
Signature of Applicant: Date: ® �
STATE OF NEW YORK)
SS:
COUNTY OF )
Henry Sombke being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Contractor and agent
(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 JU n 20
Notary Public
A1DAN J POLKE
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.01PO6445215
Qualified in NASSAU County PROPERTY OWNERAUTHORIZATION.,..�,.
Commission'1 xlSiresDECEMBER 12,2026 (Where the applicant is not the owner)
Gail & Catherine Chmela residing at 605 Cedar Drive
Southold, NY 11971 do hereby authorize Henry Sombke to apply on
Ahalf e To Southold Building Department for approval as described herein.
Ouirner s Signature Date
Gail & Catherine Chmela
Print Owner's Name
TAX LOT 39 265.00'
S66'20'00"E
N
—PROPOSED
POOL
EQUIPMENT
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PROPOSED-,
4'0 X FED '�PROPOS�D FENCE'E"'
r LOOKING GATE
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f- 265.00
CERTIFY ONLY TO N66'20'00"W
GAIL CHM.ELA
TAX LOT41
CAT.EIll.E CIME-
-EQUITY SETTLEMENT SERVICES-181772'
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY MAIN BAYVIEVV ROAD
SCTM DISTRICT 1000 SECTION 78 BLOCK 7 LOT 40 DATE:MAY 10,2025
RESIDENCE ZONE:R-40
OF NE
SURVEY OF PROPERTY
AS DESCRIBED IN
jo
DEED 11897; PAGE 732
SITUATED AT
—D 1 11 -t u SOUTHOLD
2 LESTER AVENUE LS TOWN OF SOUTHOLD, SUFFOLK COUNTY,NEW YORK.
PATCHO
NY'U �5 7 TELV16-3E -99717
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