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52171-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#: 52171 Date: 08/11/2025 Permission is hereby granted to: Andrew Appelbaum 15 Church St Windham, NY 12496 To: construct an accessory in-ground swimming pool as applied for. Must maintain a minimum of 15' from lot lines. Premises Located at: 4400 Old North Rd, Southold, NY 11971 SCTM# 55.-2-5.5 Pursuant to application dated 07/15/2025 and approved by the Building Inspector. To expire on 08/11/2027. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total S400.00 �� _95iiFing Inspector TOWN OF SOUTHOLD —BUILDING DEPARTMENT cr Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ht- ://www, c tq� iolc Date Received APPLICATION FOR BUILDING PERMIT , For Office Use Only E C E PERMIT NO. 3 Building Inspector:__ _ R JUL Is 202 Applications and forms must be filled out in their entirety. Incomplete J applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Building Department Town of Southold Date: OWNER(S) OF PROPERTY: Name: The Apple Group SCTM # 1000- 55-02-5.5 Project Address: 4400 Old North Road, Southold NY 11971 Phone#: 516-698-3393 Email: drew.appelbaum@gmail.com Mailing Address: 4400 Old North Road, Southold NY 11971 CONTACT PERSON: Name: Leonardo Manno Mailing Address: 1090 Cedar Drive s0 V4�N;I-e Phone#: 631-960-8144 Email: Lmanno@me.com DESIGN PROFESSIONAL INFORMATION: Name: Giuseppe Masonry Mailing Address: 4004 Old North Road, Southold NY 11971 Phone#: 631-765-5696 Emai►: Cmssome9 yahoo.com CONTRACTOR INFORMATION: Name: Giuseppe Masonry Mailing Address: 4004 Old North Road, Southold NY 11971 Phone#: 631-765-5696 Email: Cmssomegyahoo.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther Vinyl Pool Installation $ 60,000 Will the lot be re-graded? ❑Yes ©No Will excess fill be removed from premises? ❑Yes *No 1 PROPERTY INFORMATION Existing use of property: R e s i d e n t i a l Intended use of property: Residential Zone or use district in which premises is situated: re there any covenants and restrictions with respect to Residential this property? ❑Yes ❑W IF YES, PROVIDE A COPY. Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter236 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 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(pr`nt name): LeonardoManno wAuthorized A +ent ❑Owner Signature of Applicant: Date: CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York SS: No.01 BU6185050 COUNTY OF S—u—ff_o—lk ) Qualified in Suffolk County Commission Expires April 14,2 0a Leonardo Manno being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the Authorized 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 da of � ,20 Notary Public PROREMDOMRAU-THDIRVABOB (Wheretheapplicant isnot theowner) DrewAppelbaum,TheAppleGroup residing at 4400 OldNorthRoad, 1, , Southold NY 11971 Leonardo Manno do hereby authorize to applyon my behalf to the Town of Southold Building Department for approval as described herein. 7 "82025 Owner's Signature Date Drew Appelbaum Print Owner's Name 2 4fMA� 100 AS NOTED B.P.# CAMTOR M WATE UNO RF PURSUANT TO CHAPTER 23 NOTIFY BUILDING DEPARTMENT AT OF THE TOWN CODE. 631 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATIO!'.-T�?.1c" ,�� FOR POUF-Lb 2. ROUGH- FRA''Avihi Ci u & INSULATION q. FINAL-CONSTRUCTION MUST ELECMICAL BE COMPLETE FOR C.O. INSPEC'nON REQUIRED ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY WITH ALL CODES NEW CORK STATE &TOWN CODES "IMMEDIATELY"' REQUIREDAS AND C ONDUT0N ENCLOSE POOL TOCODE � ��' A F e , 0 ,C .E 'I TOWN KANNING BOARD . LD TOWN TRUSTEES DEC JHP O OCCUPANCY OR USE IS UNLAWFUL New York State Law, WITHOUT CERTIFICATE %.x y You Must Gall alb__ OF OCCUPANCY Before You Dom- C:)! FIN.GRADE y 12"COPING STADIUM STEPS VINYL LINER .� ; � � � � ` ` »�: z \ 0 C.M.U.WALL WITH CD 6R 8':UF ] ; \ » BARS AND CORES PROPOSED POOL \ \ \ \ SOLID 8MIN 401-Ot' RINFORCED 1 I-OVI E ONCRETE SLAB ZERO COMPACTION j ) § SAND OR GRAVEL b 12" COPING PROPOSED POOL LAYOUT PLAN I�2 �16 � , �JOFT 03 PROPOSED WALL SECTION DETAIL C.M.U. WALL WITH REINFORCED STADIUM STEPS FINISH 12"COPING BARS AND CORES CONCRETE SLAB 0 FT GRADE SOLID 401-0 11 LINER ` \ ---------- - C) PROPOSED POOL "N 1-0 PROJECT NAME ----------------- --------- MASONRY INGROUND SWIMMING POOL OWNER NAME AND PROJECT ADDRESS DREW APPELBAUM 4400 OLD NORTH ROAD 02 PROPOSED TYPICAL SECTION LONGITUDINAL SOUTHOLD,NY 11971 8' 1 OFT 0 SURVEY OF PROPERTY AT SO UTHOLD TO WIV OF SOUTHOLD SUFFOLK COUNTY, K Y. 1000-55-02-6.4 & 55 SCALE: 1"-40' OCTOBER 20, 2021 2C�V' L TYPICAL PLOT PLAN W43 NOT TO SCALZ 7- rj- 10 11 T SQW HOtE DATA if N1011F Alis#t BlcoMer wow a-, '0 w .IWO.Fw 10 h al wl%- 1000- SUFFOLK COUNTY DEPARTMENT OF HEALTIA SERVICES w pm 'D'iwo-n*w ll'MOw 9AIACE � AREA= 48,519 SQ. FT. Gt R� Newr.N York - d or 1 114 ACRES LOT I 1000-55-02-64 6T 2 AREA- 42,158 SQ, 112,62 o,0968 ACRES E� 1 KEY 0 SEPTC TES,'af John V,;,y wKRANO FLAG mrs LUG*0.49618 uc NO,0511,52-01 1000-55:32-5�5 SUSAN WARD ZONING INFORMATION: PlF camc PIC '000-55 02_5.4 SPEONK PROPERTY DEVELOPMENT LLC SCHOOL DISTRICT No. 5 (6JI)765-55020 FAX(6JI)765-7797 2 4L 4400 OLD NORTH RD FIRE DISTRICT No. 28 Pa BOX 909 1 TRA 5 T SOU THOLD NY 1 971 PROPERTY ZONE AC 1230 vv-EF I MEE SOUTHOLD IkY 1971 21-044 6�S 5-21 0 FIN. GRADE 12" COPING 02 02 STADIUM STEPS VINYL LINER 0 C.M.U. WALL WITH O U 6 $' = BARS AND CORES N PROPOSED POOL SOLID 40 8" MIN 1-011 40'-0 " 1 '-0" REINFORCED CONCRETE SLAB ZERO COMPACTION SAND OR GRAVEL CD 12" COPING 0 1 PROPOSED POOL LAYOUT PLAN _ PROPOSED WALL SECTION DETAIL C.M.U. WALL WITH REINFORCED STADIUM STEPS 03 FINISH BARS AND CORES CONCRETE SLAB 12" COPING o 0.5 1 2 3 4FT GRADE SOLID 401_011 LINER PROPOSED POOL 000�___;---J PROJECT NAME r y 1 I 1 -�-------- -------- r-------------_---------I—---------,-----------.------------------------------------------------------------,----------v------- MASONRY INGROUND SWIMMING POOL OWNER NAME AND PROJECT ADDRESS DREW APPELBAUM PROPOSED TYPICAL SECTION LONGITUDINAL 4400 OLD NORTH ROAD SOUTHOLD, NY 11971