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Home My WebLink About52724-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#: 52724 Date: 03/06/2026 Permission is hereby granted to: 400 Hill Rd LLC 302 E 79th St Apt 31B New York, NY 10075 To: install hot tub as applied for. Premises Located at: 400 Hill Rd, Southold, NY 11971 SCTM# 70.-4-36 Pursuant to application dated 01/28/2026 and approved by the Building Inspector. To expire on 03/05/2028. Contractors: Required Inspections: FOOTING/REBAR, ELECTRICAL- ROUGH, ELECTRICAL- FINAL, DRAINAGE, FINAL, Fees: SWIMMING POOLS-ABOVE-GROUND WITH REQUIRED FENCING $300.00 CO Swimming Pool $100.00 Total $400.00 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 h 12 ::.�LvN ��y s thctic tt,)r n1i W� Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only r 4 F mm PERMIT NO. Building Inspector�._.., Ib 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: oV m 1 ' I I �Zj C SCTM # 1000-Project Address: 00 sc)�4101d Phone#: q Z Email: Mailing Address: 3 U � ?9tk S A .. 31 o�i,� �`� Q U" � CONTRA 7 PERSON!: Name: 'cAA-&S' "\QeA-) Mailing Address: 3c) S Api- 31 t;> New 00-'r, NY ( oc )ls Phone#: 1'2 ci - 2q - 4- Email: , i D I r de, C DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: IE ail: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structur ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other 4 $ O 0 D 0 Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑YesX-No 1 M� r� Ro as 0 Proposed Hot Tub Existing Paved on 8' x 8' Gravel Base'. Areas - / Existing 1 Story il Ranch House & Garage ` y 296 O S0.00, fYa 0 30' 60' x PROPERTY INFORMATION Existing use of property: 15( 17,1 Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑YesXNo 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 rint name): OA(\e 5 cro 2-1 ❑Authorized Agent Mwner Signature of Applicant: Date: i /2 -7 / 2 ,6 STATE OF NEW YORK) /� SS: COUNTY OF 5u-Mb IK- ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the DlwrwK (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 24 2�u A day of 20 ry Public TRACEY L. DWYER PROPERTY OWNER AUTHORIZATION NOTARY PUBLIC,01DSTATE306900 W YORK NO.of owsscssoo (Where the applicant is not the owner) IN SIIFFOLKCOUNTY COM10 SSiON E):PiA S.JUNE 30, I, E1-enk residing at 301 Eas :I. r L � 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 APP VEID AS NOTED CAS• B.P.#� FEE BY NOTIFY BUILDING DEPARTMENT AT 631-765-1802 8AM TO 4PM FOR THE OCCUPANCY OR FOLLOWING INSPECTIONS: 1. FOUNDATION—TWO REQUIRED USE IS UNLAWFUL FOR POURED CONCRETE 2. ROUGH—FRAMING&PLUMBING 3. INSULATION ,o 4. FINAL—CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLYWITH ALI CODES OF AS REQUIRED AND CONPITIONS OJ lliE TOWN CODE. 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