HomeMy WebLinkAbout52606-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#: 52606 Date: 01/13/2026
Permission is hereby granted to:
Jennifer E Maye
606 Riverside Rd
North Palm Beach, FL 33408
To:
Construct an inground swimming pool accessory to a single-family dwelling as applied for. Pool and
pool equipment require a minimum side and rear yard setback of 5 feet.
Premises Located at:
875 Fleetwood Rd, Cutchogue, NY 11935
SCTM# 137:5-7
Pursuant to application dated 11/19/2025 and approved by the Building Inspector.
To expire on 01/13/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total $400.00
Building Inspector
,yr 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 littps:/I'wwwsoutlioldtowany.gov
Date Received
APPLICATION FOR BUILDING PERMIT k �� zl
a
For Office Use Only 6
PERMIT NO. Building Inspector:
I
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: j l b f n a S
OWNERS)OF PROPERTY:
Name:Moosecove LLC- Fred Smith &Christine Peddy SCTM#1000- 131, 66 -05 dU d 0
Project Address:875 Fleetwood Road
Phone#:646-706-6113 Email:christinelpeddy@gmail.com
Mailing Address:445 Pequash Ave, Cutchogue NY 11935
CONTACT PERSON:
Name:Christine Peddy
Mailing Address:445 Pequash Ave, Cutchogue NY 11935
Phone#:646-706-6113 Email:christinelpeddy@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:Christine Peddy
Mailing Address:445 Pequash Ave, Cutchogue NY 11935
Phone#:646-706-6113 Email:christinelpeddy@gmail.com
CONTRACTOR INFORMATION:
Name:SWim King Pools
Mailing Address:471 Route 25A, ROCky Point NY 11778
Phone#:631-902-1065 Email:lUke@swimking.com
DESCRIPTION OF PROPOSED CONSTRUCTION
[]New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
l]Other In ground vinyl pool $52,000
Will the lot be re-graded? ❑Yes iONo Will excess fill be removed from premises? RYes ❑No
1
PROPERTY INFORMATION
Existing use of property:Residential 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? Dyes ■No 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 210AS of the New York State Penal Law.
Application Submitted By(print name):Moosecove LLC - Fred Smith ❑Authorized Agent ■Owner
Signature of Applicant: Date: 11/6/2025
STATE OF NEW YORK)
SS:
COUNTY OF A&VV
Fred Smith
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the Owner
(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 m bt k ,20
No ary Public
Kelli Buckingham
PROPERTY OWNER AUTHORIZATION Notary Public, State of New York
Reg. No. 01 BU6400675
(Where the applicant is not the owner) Qualified in Bronx County
Commission Expires 11/18/2027
I, residingat 0c) " Q N�
do hereby authorize to apply on
my behalf to the Town of South id Building Department for approval as described herein.
/i—p— Z e)
Owner's Signature Date
Print Owner's Name
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