HomeMy WebLinkAbout52283-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
"O ' 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#: 52283 Date: 09/22/2025
Permission is hereby granted to:
Bilal Altintoprak
1375 Ackerly Pond Ln
Southold, NY 11971
To:
construct accessory in-ground swimming pool with spa as applied for,
Premises Located at:
1375 Akerly Pond Ln, Southold, NY 11971
SCTM# 69.-5-7.1
Pursuant to application dated 04/30/2025 and approved by the Building Inspector.
To expire on 09/22/2027.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total S400.00
0dirg 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) 765-95021 illps: LNyww southoldto y ny. ','
Date Received
PPLICATION FOR BUILDING PERMIT
For Office Use Only
lmEIVE
PERMIT NO, 5V Building Inspector: 3 0 2
�Appllcationsand farms must be fl jetl out irI their entirety incomplete
apUcaions will not be accepted Where the Applicant is not,the pwner,,,an,
i3wner%sAutho,,r1zatran form(0age2)sliallbe completed: Ipwnauthcl
Date:
Name: BILAL ALTINTOPRAK SCTM# to)0- (.'Q— y— —1 - 1
Project Address: 1375 ACKERLY POND LANE, SOUTHOLD
Phone#: 631-680-5708 Email: LI.POOLCARE@GMAIL.COM
Mailing Address: 1375 ACKERLY POND LANE
CONTACT��RSON >,
Name: Long Island Pool Care Corp
Mailing Address: 50,000 Main Rd Southold, NY 11971
Phone#: 631-765-8285 Email: li.poolcare@gmail.com
D SIGN`PROFESSIONAL lNFORMATIUN;,
e
uu
Name:
Mailing Address:
Phone#: Email
"CC NTRACfOft;INFORNfATION
Name: Long Island Pool Care Corp
Mailing Address: 50,000 Main Rd, Southold, NY 11971
i
Phone#: 631-765-8285 Email: li.poolcare@gmail.com
¢ SCRIPTIO'N QF PROP,OSED CONSTRUCTIOM
��,
El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated cost of Project:
DOther ingroundpool
Will the lot be re-graded? ®Yes El No Will excess fill be removed from premises? RYes ONO
1
P ROPERTI(INFORMATION ',
N
Existing use of property: RESIDENTAL Intended use of property: RESIDENTIAL
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
RESIDENTIAL this property? ❑Yes ®No IF YES, PROVIDE A COPY.
y a� The owner/contractorJdesign professional is,responsib�efor all�iramage and storm water issues as prie��by "
ha ter 36 of the 7Qwry ode; APPLICATION IS HEREBY MADE to the utldingOepartment ftfr the assuance of a Bpild�ng Perfn�t puuartt tot[y B��ilding Z#ne;
�i it
O�dinanco of the Tawn of outtiolif,5uffalk,Count,/,New York and other applicable] ws,ordJnances or Regulations,for the'construction a#buifdipgs,
,adtlitiorrS,al}eratior�s ar for rertfoval or demolition as h64lh descrlbed.The apph h all applicable laws,ordinances building code;
housan4!c�sde�nd�regulations and to adrirr�,autho�izgd!mspectors cn=premises antl in balding(s�for necessary;inspections;False state►nents made herei�are '
pumshab�e;asas;G'�as5l�misderrte�norpursuantto5ectiort210:45nfth�NewYorkStatePenalCaw. '"
Application Submitted By(print name): L� °� ��� BAuthorized Agent ❑Owner
Signature of Applicant: + --rw Date:
ONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
SS: Qualified In Suffolk County
COUNTY OF V
Commission Expires April 14,2�U
)
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
day of 20�
Notary Public
ORIZATION
(Where the applicant is not the owner)
pp d
I 4 T w✓1 r residing at 3�7 `. � clVl Lcr
Long Island Pool Care Corp.
C% ✓ do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
911Y A&Y" 4-1-36 �Ls
Owner SFeftture Date
i_ C'
Print Owner's Name
2
1,11, )�
y
Albert J. Krupski, Jr. suFrg! . l � ��C'�0�][�l��IWA\'7[�]E][�
SUPERVISOR o �i
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM
( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. )
APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other)
NAME: Date: A --
t 6
Contact Infor�ttation:
(G-Mail&Telephone Number)
Property Address / Location of Construction Site:
S.C.T.M. #: 1000
District
..........
Section Block Lot
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
Area of Disturbance is less than 1 Acre. No S.P.D.E.S. Permit is Re wired 1
❑ - Project does Not Discharge to Waters of the State. No S.P.D.E.S. PerElj i� Re erred r
❑ - Area of Disturbance is Greater than 1 Acre & Storm-water Runoff Discharges Directly
to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit
DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Buil LLag Permit..
❑ - Area of Disturbance is Greater than 1 Acre & Storm-water Runoff Flows Through Southold
Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN
a S.P.D.E.S. Permit through the Southold Town Engineering De artment
Prior to Issuance of a Building Permit.
Reviewed By: Date: 1 _ S
FORM " SMCP-TOS December 2024 ,e c (f I Ve4 C I q w�
01
b rew E 'neeri C'
ENGINEER,PLANNER, SITE DESIGN
September 15,2020
Town of Southold
Building Department
53095 NY Route 25
Southold,NY 11971
RE: Affidavit for Drainage System
Located at: Arklan Residence
1375 Ackerly Pond Road
Southold,NY 11971
Town of Southold
This is to certify that I, Christopher Labate, am a Professional Engineer licensed to
practice in the State of New York, License#088475.
I hereby certify that the amount of disturbed area for the installation of an in-ground
swimming pool, pool equipment and leaching dry well will be approximately 2600
square feet.
Yours Truly, . v
st abate,P.E.
5ncipal
460 Hawkins Avenue
w
t e.
,, ► CKE7RLY Pvw "
(BpWERY LANE) 245•51
9
S 480 51 40"E M Of
_._
-- I
EM
METER
�o
X 4' D RNL FEii
i*s
I k w
• NIt
/
f:
k x..
] ka WOOD Poo t
>ad 84'Now k
1 1)'
i5' 4'POST AND
I UAREA _ • n
1 as ❑ `� �T RNL ..,. V
GRAVEL PARKINGk
I � 22U
w
O ,52a .,, gas: � C
SD
WATER
SPOUT
3c ow
0.4'W
I
I
I olpl-
IAM
I X6'
CONC.
IFRAME BARN
37.6'
6.7'
I DRAIN
x x a x
x b
X
XX
I X
IX-X--- X--- X 411 AND RAIL FENCE
XX-X�X-X
I
2 x
I
I x
HORSE PEN
I x
I
I ' FRAME
SHED
4'POST AND RML FENCE X X X X
DRNN
`` -� � 10' POST AND WIRE FENCE