HomeMy WebLinkAbout52401-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 52401 Date: 10/27/2025
Permission is hereby granted to:
Konstantinos D Katsiris
300 Rector PI Apt 5Q
New York, NY 10280
To:
install an accessory hot tub as applied for per Trustees approval.
Premises Located at:
400 Lakeside Dr, Southold, NY 11971
SCTM#90.-3-3
Pursuant to application dated 08/01/2025 and approved by the Building Inspector.
To expire on 10/27/2027.
Contractors:
Required Inspections:
FOOTING/REBAR, ELECTRICAL- ROUGH, ELECTRICAL- FINAL, DRAINAGE, FINAL,
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total $400.00
ding Inspector
r� w 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 https,://www.southoldtownny..go
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only E C E U L` E
PERMIT NO
S f
Building Inspector:
. � s e r.
g P
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:
OWNER(S)OF PROPERTY:
Name: �LA L a Me l�n D` 2 ' rS SCTM#1000- 'TO - 3 -3
Project Address: If o o La. --e s►de S7r T J d 9.
Phone#: (o 3 H 2 _ F L Email:
Mailing Address: 3 Dp QG+Vy- � 5Q-( N y ( c-)�
CONTACT PERSON:
Name: 5tyne Ct S 0� 0 V�
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name: Y� 10,
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: ✓� Y) ctD I G�, Z IZ3mt) CN',S-+'t,4, t
Mailing Address:pd ��X ( ( CaWev-.f-on N\1 ( 1 q 33
Phone#: �(0 3 ( 2L 21 3 - Email: r c c7✓l5ly.cc-h on 1(,23 mat cc)
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Other h _ a ono awn ( $ 5-10oo �+ 5-Do
Will the lot be re-graded? ❑YesJ9NVo Will excess fill be removed from premises? ❑Yes ;�No
1
PROPERTY INFORMATION
Existing use of property: re5 � QI Intended use of property: reSl doin�4 i a,�
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes �61\lo 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 236 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(print name): JUlid Me(Cn ❑Authorized Agent PgOwner
Signature of Applicant• Date: -=f-/ 31
STATE OF NEW YORK)
SS:
COUNTY OF SL,:ffR I I� )
M elInd�� �rl�e being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the `"`�VI-0'r-
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to ma a and file this
application;that all statements contained in this application are true to the best of his/h oled and belief; and
that the work will be performed in the manner set forth in the application file the wi
Sworn before me this
3� day off , 20 2S
(Alotary Public
Richard D.Noncarrow
Notary Public State of Now
No•01I N08 2'4106
PROPERTY OWNER AUTHORIZATION OU8My commission Suffolk
(Where the applicant is not the owner)
V
I, residing t,
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
Glenn•Goldsmith,President '* soy Town Hall Annex
54375 Route 25
A.Nicholas Krupski,Vice President <""
P.O.Box 1179
Eric Sepenoski Southold,New York 11971
Liz Gillooly Telephone(631) 765-1892
Elizabeth Peeples Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 10851A
Date of Receipt of Application: September 15, 2025
Applicant: KONSTANTINOS D. KATSIRIS &,JULIA MELINDA ORLIE-
KATSIRIS
SCTM#: 1000-90-3-3
Project Location: 400 Lakeside Drive North, Southold
Date of Resolution/Issuance: October'15, 2025
Date of Expiration: October 15, 2028
Reviewed by: Board of Trustees
,o
Project Description: Install a 108"x108" above ground hot tub.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
site plan prepared by Konstantinos Katsiris, received on September 15, 2025,
and stamped approved on October 15, 2025.
Special Conditions: None.
Inspections: Final Inspection.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
Glenn Goldsmith, President
Board of Trustees
-
SURVEY'OF:
ry
�f BOARD OF i RUSTEES LOT 55
- � � '.MAP OF - -
' t t TOWN V� OF.SOUTHOLD CEDAR BEACH PARK
SITUATE
DATE BAYVIEW-
�. t O �o�e� �� ao�S 1 t3Wh[OF SOUTHOLb:.-
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LK COUNTY NEW YOR K
SCALE 1=40'
NOTES:
1.ELEVATIONS SHOWN-ARE IN N4VD88'DATUM AND ARE
THUS SHOWN X 7.85
I2.FLOOD ZONE R4PO1ih1ATION TAKEN FW
STD T: �USE FLO.ORINSIURANCE RATE MAP No.36iO1CO167H
1? ax ZONE AE:BASE FLOOD ELEVATIONS DETERMINED
• ARE:AAOF _ - EIEV:=6 ,
IWH #IL HAZARD �- - - 3.ZONE X:0.2%ANNUAL CHANCE FLOOD HAZARD
PROPOSED
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