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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 ui PROPOSED-, 4'0 X FED '�PROPOS�D FENCE'E"' r LOOKING GATE 0 0 C) 6oS'1 4 r) Lr) Lo CN c"I 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 lr)p NO SHEET: 1 OF 1