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HomeMy WebLinkAbout52519-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#: 52519 Date: 12/05/2025 Permission is hereby granted to: Christopher J Stocker 3375 Depot Ln Cutchogue, NY 11935 To: construct an accessory in-ground swimming pool as applied for. Must maintain minimum 15'side yard setbacks. Premises Located at: 3375 Depot Ln, Cutchogue, NY 11935 SCTM# 102.4-6.1 Pursuant to application dated 10/30/2025 and approved by the Building Inspector. To expire on 12/05/2027. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO-RESIDENTIAL $100.00 Total S400.00 U ding Inspector � 4 1 ` TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 fl' Telephone (631) 765-1802 Fax (631) 765-9502 htt s://`www.soutlioldtownn '.9 N' Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only pgNMp 194 r PERMIT NO. 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 Owner's Authorization form(Page'2)shall be completed. Date: -�- OWNER(S)OF PROPERTY: Name: e��r r c / L' ��c--�� SCTM # 1000- 10 2-- CJ Project Address: — ,'v Phone#: ��� �C'�- �:"��� Email: ,tly�,.`i,�� c��-z:z� � � �`t�•��.��� r Mailing Address: z CONTACT PERSON: II I Name: JoEU i L o—r Mailing Address: �5-7 u Ave Mill{-er Pa,Gf- to Phone#: °�i� `lCCi� I �� E> Email: Lj�.� ���� ^��a IpaCum DESIGN PROFESSIONAL INFORMATION: Name Mailing Address: 10 I i"" Phone#: 62) (._ 15 "-°" I CAI Email: ��' e rl . COWR kCT R INFORMATION: jj Name: I Mailing Address: . l l`'r to Le, !�j Phone#: R Email: DESCRIPTION OF PROPOSED CONSTRUCTION New Structure®Other ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project- I i X $ �! c� ; I . Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? Wes ❑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 LT//No IF YES, PROVIDE A COPY. Checl(BOX Aftler Reading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by Chapter 236 of the Fowh 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,Suffiolk,County,New Mork and other applicable Laws,Ordinances or Regulatlor►s,for the construction of buildings, additions,akeretions 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 admlt authorized Inspectors on premises and In bullding(sj for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section n0AS of the New York State Penal Law. Application Submitted By(print name): f'Authorized Agent downer Date: 7-As Signature of Applicant: � Vt � � lQ STATE OF NEW YORK) SS: COUNTY OF&W-rgQ15 ) LA CC being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the (1 C- (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 nS'Wb<r— , 207 Notafy Public ID. MG PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) �� p, residing at 3 i)� do hereby authorize L t �15 o apply on �: my behalf to the Town of Southold Building Department for approval as described herein, 9/22/2025 �OwneLr"sture Date John cocuzzo Print Owner's Name 2 r7 1 � -1 Albert J. Krupski, Jr. SUFFQ STORIMMMAT]E]EL SUPERVISOR N[A\,NAk G 1EI\�I[]EN`]F SOMPHOLD TOWN UTHOHALL ,NEWBox 1179 Town of Southold 53095 Main Road-SOLTTHOLD,NEW YORK 11971 CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM (ITAPPLICANT 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: OS. fE � (Print) Date: L"ilgrwltnrcP Contact Information: (C-Mall&Telephone Number) Propertv 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 uired 1 Project does Not Discharge to Waters of the State. No S.P.D.E. .Permit is Required! - 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 Buildig Permit. - Area of Disturbance is Greater than I 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 Engine Irin De rtment. Prior to Issuance gLLBuilding Permit. a. P �I, Reviewed By: Date: ....._.��' FORM C SMCP-TOS December 2024 l� 1 L C C,\JC� �1 l � � SURVEY OF PROPERTY SITUATED AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK .I°L... S.C. TAX No. 1000-102-01 -6.1 SCALE 1"=30' 5,. r1,, �. a • APRIL 3, 2000 rals APRIL 20.2021 ADD PROPOSED CAR PORT NOVEMBER 15,2021 UPDATE SURVEY AREA = 56,710.00 sq. ft. �'^'"� 1.302 cc. kWl 'w«./ �w a �+ IL TO AL THS SURVEY IS AAVIOTONiA�0°F"'°" SECTION LAW. THE NEW YOIOf STATE TIMOF T19S SURVEY MAP NOT BEARIM NDD SURVEYORS MCED SEAL OR DMSqD SEAL 94ALL NOT BE CONSIDERED { TO BE A VAIM TRUE COPY. CERTIFICATIDNIS a+ ONLY TO THE ZMM a+S NREP'k4tE0y AJNY ON XIS BF3WA"S0 THx Q. TO THE ASSIGNEE'S or TK wn r"04 1 r. 64nTq-" q� TUB COMF"MRS ARE HDE ?� go TAr/roXa E�OOS ONE aiajW r Grp ANT,11 %10VY ARE HOT 0U . 00. �1 THE A AM BY THE unmum E AS Nathan Taft Corwin ill S4AA�3 PBYIk'MIL SflRh't;YS ESfAIeRa�EDD BY THE 4.EA65.,m APAN+7A1G7Y Akb ADOPIIL7O �(y I"I'H!aUCN V'E D1t Stl4£kC1lf 1jq aN'A:STATE LMD— Land Surveyor Suc=or To:Stan)ry J.15aksoM Jr.LS Jomph A.In9egno L.S. 41 »y" Title Surveys—Subdivisions — SIe Plmis — C0-6'+ oa .9�I y PHONE(631)727-2090 Fm(631 ')7 —4727