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HomeMy WebLinkAbout52246-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ow 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#: 52246 Date: 09/09/2025 Permission is hereby granted to: Byron Elmendorf 1570 Bray Ave Laurel, NY 11948 To: install an accessory hot tub as applied for. Premises Located at: 1570 Bray Ave, Laurel, NY 11948 SCTM# 126.-7-26.1 - Pursuant to application dated 07/29/2025 and approved by the Building Inspector. To expire on 09/09/2027. Contractors: Required Inspections: FOOTING/REBAR, ELECTRICAL- ROUGH, ELECTRICAL- FINAL, DRAINAGE, FINAL, Fees: SWIMMING POOLS-ABOVE-GROUND WITH REQUIRED FENCING $300.00 CO Accessory $100.00 Total S400.00 Building Inspector �,�rauaam J 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) 765-9502 h1t is://\Mw.soqtho1dtoA"iny,g.0V Date Received APPLICATION FOR BUILDING PERMIT "r L5 For Office Use Only 4 PERMIT NO. Building Inspector: JUL 2 202 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 Department Owner's Authorization form(Page 2)shall be completed. Town of Southold Date: 7/28/2025 OWNER(S)OF PROPERTY: Name: Byron Elmendorf and Miranda Capriotti SCTM #1000- 126.00, 007.00, 026.001 Project Address: 1570 Bray Ave Laurel NY 11948 Phone#:530 386 7673 Email: byronelmendorf@gmaii.com Mailing Address: Byron Elmendorf 1570 Bray Ave Laurel NY 11948 CONTACT PERSON: Name: Byron Elmendorf Mailing Address: 1570 Bray Ave Laurel NY 11948 Phone#: 530 386 7673 Email: byronelmendorf@gmaii.com DESIGN PROFESSIONAL INFORMATION: Name: NA Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: NA Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure RAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther Hot Tub Install $ $1000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property: Residential, family occupied I Intended use of property: Residential, family occupied Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? ❑Yes ❑No 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 Chapter Z36 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,Suffollt,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): piq CL.Qt&Nj-?VF1r ❑Authorized Agent ❑Owner Signature of Applicant: Date: —+69 p�5 STATE OF NEW YO''RK) COUNTY OF�"`� 1 I L ) C7 fam - 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 oe dY of 20 d 14Notary Public NOTARY PUBLIC ATE OF NEWYORK ROU0fie inSon uf 01Sk� ty PROPERTY OWNER AUTHORIZATION Commission Expires FebrLARry 27, 0X4Wflere the applicant is not the owner) 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 f42i YD Noi 1545 � SUFFOLK COUNTY TAX MAP „ :, � DISTRICT SOLO NOTE: �� SECTION 126.0E 0 , SHOWN, K HP u mIA= 0 ECI r' R0P�R� C' BLOCK 007.00 b— * U _ S_. �__ .�1,LA, 15 O PARCEL 026.001 LOCATIONS OF .� g19 ' STRUCTURES _ a P — t 4_ e- Y1 2 5" lv 34 r- + ,< 23' 34' 9 � � � �>�� r § #; 43s e y= rya £ — - — _C — a _ �tP,�je i s Ao 4 O 1 s AS PER N57AL-�-R _- 03kj s „ss \ a F MAP 0F PROPERTY _a. FOR THOMAS BURKE & KATHLEEN BURKE Al Xv , F a o° , �� SITUATE REVISED: DECEMBER 5, 2019 4 p SYSTEM � MATTITUCK _ �Q'� SURFED: APRIC Q, 2019 , '691� TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK ROBERT A. SMITH, S. H. 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