HomeMy WebLinkAbout52418-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#: 52418 Date: 10/30/2025
Permission is hereby granted to:
Chrome Waves LLC
5 Harrison St FI 5
New York, NY 10013
To:
Construct inground swimming pool at existing single family dwelling as applied for,
Premises Located at:
850 Bay Home Rd, Southold, NY 11971
SCTM# 56.-5-1.4
Pursuant to application dated 09/25/2025 and approved by the Building Inspector.
To expire on 10/30/2027.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
tal 400.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
.y
' Telephone 631 765-1802 Fax 631 765-9502 ht ://ww�v.southotdtowniiy.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Inspector
� Building
Applications and forms must be filled out in their entirety.Incompleted1 Oe tdV
applications will not be accepted. Where the Applicant is not the owner,an town C4
Owner's Autt orization form(Page 2)shall be completed.
Date:
0WNER(S) F PROPER
Name: rSCTM#1000-
Project Address: �
Phone# Email:
u.4kie&L4 gaddicd
Mailing Address:
CONTACT PERSON:
Name: I y}/�
Mailing Address. wit
.a
Phone Email:
DSICa PROFESSIONAL INFORMATION:
NameM
Mailing Address: Aw,'OVI1) � -+
Phone#: "
Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#:
l � Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Esti s o ct:
Per $
Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? es ❑No
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes o YES, PROVIDE A COPY.
❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drama and storm water issues as provided by
Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance 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 210AS of the New York State Penal Law.
Application Submitted By(,prii ame)• thorized Agent El Owner
Signature of Applicant: Dat
STATE OF NEW YORK)
SS:
COUNTY OF
Q�Ma,j I onli frT*ing duly sworn, deposes and says that(s)he is the applicant
(Name of individual signiAg contract)above named,
(S)he is the k
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform,gf,,hovg rforrned the said work and to make and file this
application;that all statements contained in this applicay 3 �6 �i� e best of his/her knowledge and belief; and
that the worm will be performed in the manner set forth fia tli�k ii6t le therewith.
•'�o.aI r�661����ssa•,
OUA0E6ED IN z �
Sworn before me this 1,15c6rroi K Cb(jNTy
COMM,EXP
1 1.z --
ay of
OF N � Notar Public
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s i611
96 11
I a OWNERPROPERTY TE I I
(Where the applicant is not the owner)
I, ,residing at
apt—
do herebyauthorize to apply on,
mZ06an�siggln'Arre
of Southold Building � rw k f� f` proval as described herein..
.�,o.cltl ulla a =
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slal"1=0LKCoUNTy Da e
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Print Owner's Name
2
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7 c
Ma2n, Road (ss')
SURVEY OFPROPERTY
(Route 25) SITUATE
Building Department SOUTHOLD
TOWN OF SOUTHOLD
Town Of ' ' 2 F SUFFOLK COUNTY, N.Y.
VACANT co-
LAND N/F OF c6- SURVEYED: DEC. 4, 2015
DEKKA LLC a UPDATED: JUNE 1, 2021
N52°44'00"E E°y UPDATED/TEST HOLE: DEC. 29, 2021 s
o ° AS-BUILT: MARCH 21, 2024
a of
Willow Point FLOOD MAP DATA:
TOWN OF SOUTHOLD
Road MAP#: 360813
MAP DATE: SEPT. 25, 2009 _
FLOOD ZONE: X
;F h NOTES:
1. PROPERTY 2.LOT AREA KNOWN4012 1 B SOFT. (0.921AC E(S))OS—L4
-
H h R w 3.THIS SURVEY WAS PREPARED USING A TRIMBLE `
A U m LJ q S3 ROBOTIC TOTAL STATION. -
C, 4- PROPERTY CORNER MONUMENTS WERI: NOT SET AS i
PART OF THIS SURVEY.
q 5. ELEVATIONS ARE NAVD88 DATUM.,
3
N a
Q66 W 5T I STANDARD NOTES 1
I,E AND
OCU E TRUE D CORREC COPIES I OF ME EI'R R
I I ` LM
TIN—HE T� OF U sax-.. '9
5 THE AN it O UNDERGROUND P EME IR R E2 DRD H ARE M
IIA ' NOT LAY' 0 0 FEN BE SThUTED A NDE POUND
W—EFINE ' .�!_ � I N OVc EN TS OR OR ENCROACHMENTSARE NOT CWEERED b' E SURVEY.
{{
I 850 ) 11 Sb ) £aT-'r _ 4 O 5
03 ` se A FOR
OPE a
Ri Yr .�_OE THE E— —<,
a 1433' ttPEOF IIII AREAS,AODITONS TO BUILD CE,AND Ntt OTHER .
k IXIST WELL IN \() COPIES OF THIS SURVEY MAP NOT DEA9ING THES LAND SURVEYORS INKED
i A (((_ BASEMENT - A € V OR EMBOSSED SEAL SNALL NOT BECONSIDEP.ED TO BE A VAUD COPY. I
�� ���� � K. WICXS, P.L S. _SE939O
EARTH \ 4
-- DRNEWAY .
fMIA, MICHAEL K, WICKS
4a. E LAND SURVEYING
''3 S52°44'00'�W ' 192.00 D"\ ,
o� 15 FROWEIN RD SUITE E2
LAND N/F OF \D„ CENTER MORICHES, NEW YORK 11934
E'RIC VON AMMON BAIZ \ VOICE., 631.874.0156 — FAX: 631.909.3845
1°050 RESIDENCE
J,t,DLAND1 PUBLIC WATER RECORDS OF RICHARD C. DRAKE_.
SCALE: SURVEYED BY: DRAWN BY: SHEET:
1"=30' M.W./B.W./S.S- S.S. 1 OF 1