HomeMy WebLinkAbout52443-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
40 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#: 52443 Date: 11/07/2025
Permission is hereby granted to:
8 Woods LLC
35 Howard Dr
Coram, NY 11727
To:
Construct an inground swimming pool accessory to an existing single-family dwelling as applied for.
Pool and pool equipment must maintain minimum side and rear yard setbacks of 3 feet.
Premises Located at:
4
405 S Oakwood Dr, Laurel, NY 11948
SCTM# 145.-3-10
Pursuant to application dated 10/01/2025 and approved by the Building Inspector..
To expire on 11/07/2027.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total S400.00
Building Inspector
uxr r 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 hup//w w soutIioIdtownny.&
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only E C E
PERMIT NO. 5a 9 1 ✓ Building Inspector;
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an S uMing I•y i.• n••r F�•1
Owner's Authorization form(Page 2)shall be completed. "1VV•6 of S,sa,.;
Date: October 1, 2025
OWNER(S)OF PROPERTY:
Name: 8 Wood LLC SCTM#1000- 145.00-03.00-010.000
Project Address: 405 S Oakwood Drive Laurel
Phone#: 631-655-2920 Email: matt@palermoflorring.com
Mailing Address: 4128 Sunrise Hwy Oakdale, NY 11768
CONTACT PERSON:
Name: Toni Bakker
Mailing Address: P.O. Box 521 Center Moriches, NY 11934
Phone# 631-804-5551 Email: toni@kevinthepoolman.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: Kevin Cherwinski - Skeez, Inc. DBA The Pool Man
Mailing Address: P.O. Box 521 Center Moriches NY 11934
Phone#: 631-878-7796 Email: info@kevinthepoolman.com
DESCRIPTION OF PROPOSED CONSTRUCTION
CJ(New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $ 46,500.00
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? INYes ONO
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 RiNo IF YES,PROVIDE A COPY.
Check Box After Reading: The owner/contractor/design professional is responsrole for all drainage and to... water Issues as Provided by
Chapter 236 of the Town Code.APPLICATION IS HEREBY MADE to the Building oepartment 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 Regulatlons,for the construction of buildings,
additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordmances,building code,
housing code and regulations and to admit authorized inspectorsbnpremises and In buildmg(s)for necessary Inspections.False statements made herein are
a
punishable as a Class A misdemeanor pursuant to Section 220AS of the New York State Penal Law.
Application Submitted By(print n � e Q(Authorized Agent ❑Owner
Signature of Applicant: Date: Z hj
STATE OF NEW YORK)
COUNTY OFl� )
" being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the,
Intrictor,
u Agent, Corporate Officer,etc.)
of said owner or owners,and is duly asized 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 � � , 2012f-
wacu ter.
Public .....
PATRICIA A WALSH
NOTARY PUBLIC,STATE OF NEW YORK
PROPERTY O W'NER AUTHORIZATIt� RQualfiedinration o.rrllt�lolkCouint
o9067
(Where the applicant is not the owner) MyCommson�ExpirIA
✓"�
I,
residing at
do hereby authorize Toni Bakker to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Jolt 7`J
Owner's Signature Date
►�
Print Owner's Name
2