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52301-Z
fso1q; TOWN OF SOUTHOLD �, BUILDING DEPARTMENT • 41 TOWN CLERK'S OFFICE 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#: 52301 Date: 09/25/2025 Permission is hereby granted to: X— $ — 2 S Cathy J Bowes 404 E 76th St P pawNew York, NY 10021 �] 0 To: Qi✓t I ` r construct accessory in-groun wire ng pool as applied for. Pool an ool equipme must be located a minimum of 10' from t sid and rear yard lot lines. Premises Located at: 625 Glenn Rd, Southold, NY 11971 SCTM#78.-2-8 Pursuant to application dated 08/19/2025 and approved by the Building Inspector. To expire on 09/25/2027. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total $400.00 t 'sumn g Inspector FIELD INSPECTION REPORT DATE COMMENTS 'o m FOUNDATION (1ST) �y -------------------------------------- I,OUNDATION (2ND) - ------ — -- - - ----- r 7_ O ROUGH FRAMING& PLUMBING ----- --- - ----- —' -------- ----� 00 r INSULATION PER N. Y. ---- --- -- - - STATE ENERGY CODE — =— --....- ------- --- - ------- FINAL -------- ADDITIONAL COMMENTS ----- --------------------- - ------------------------ �v Y O -..—..-'- ----- —-'---------- —-----—----- ---- -- x d b TOWN OF SOUTHOLD—BUILDING DEPARTMENT N Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT E C E E For Office Use Only PERMITNO. Building Inspector: AUG 1 9 2025 Applications and forms must be filled out in their entirety.Incomplete - Building Depaecexrse applications will,not be accepted; Where the-Applicant is not#hetovrner;an Town p$ t?ta#h®ld Owner's Authorization form(Page 2)shall be completed:' Date: 'OWNER(S)OF PROPERTY. Name:( �.� Q�.�� SCTM# 1000- i 2 lc Project Address: W e-ey N IfC,(/! C) l Phone#: 9!0 \!S— / _ Slla Email: Mailing Address: 66T /2c/ Svv atd ..CONTACT PERSON: , Name: Mailing Address:& �� a �� J( Ay r'f Phone#: � _ �js'�9 Email: DESIGN'PROFESSIONAL INFORIVIAlIC►N Name: Mailing Address: Phone#: Email: ONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED,CONSTRUCTION, 3�24ew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 5(0ther .ENy4J L $ Will the lot be re-graded? ❑Yes QNo Will excess fill be removed from premises? 1ZYes ❑No 1 PROPERTY IMORMATION Existing use of property: Pesidwho Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to aosi J. lad this property? ❑Yes ONO 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 buildings)for necessary'inspeetions.False statementstmade herein are punishable as a Class A,misdemeanor pursuant to Section 216.45 of the New Yor"k`State'Penal Law Application Submitted By dint n e): (�;. e� ❑Authorized Agent ❑Owner Signature of Applicant: j` Date: r STATE OF NEW YORK) CONNIE D.BUNCH Notary Public,State of New York SS: No.01BU6185050 COUNTY OF ) Qualified in Suffolk County Commission Expires April 14,2�� being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the (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 1 , . ay of ,,t i� , 20 ��' 404 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing at 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 Certifications Indicated hereon signify,that this plat of the property depicted hereon was made in accordance with the existing Code of Practice for land Surveyors adopted by the New York State Association of Professional Land Surveyors. This ceffificotion is only for the lands depicted hereon and is not certification of title,zoning or freedom of encumbrances. Sold certifications shall nin only to the persons and/or entities listed hereon and ore not transferable to'addifional persons,entities or subsequent owners. AM DRIVE 60 I D 1 1 �1 e a 5 P LOT 26 I I I I/ FE 0o W N 23-28*3.0" E 134.96' W t'W P . ats'E 1. 31 is VIP- Ell O LOT �\\ � 45 QV AWN of 4zr O r PAYED DRIVEWAY . s•g }Z b .�I'3�� I ''v 3 i Oar �T .d law \ 8 s WA6 °'ee s—p2 /2 W METER d 4. OT 4' , ' a^s L46 o ❑ �'7 r m Z r � I a P ON O. UNE Co P FE ,.3?I �o� �� s.ew O S3 W ME WOW FENCE s.o a nrau5 I S 23-2alwo W 150.83' I � 1 I LOT 50 uti suWay 11 VIEW.-%xft'Y DEED REFERENCE. LI9ER 13129 PAGE 884 The offsets or dimensions shown from structures to the properly lines'are for a specific purpose and use,and therefore,are not intended to guide In the erection offences,retaining walls, pods,patios,planting areas,additions to buildings and any other construction. Subsurface and envtronmenial conditions were not examined or considered as a pan of this survey. Easements,RightsaFWay.of record,if any,are not drown.Property corner mgnumeMs were not plooed as a part of this survey. © 2022 BBV PC Barre f Tax Map: DISTRICT 1000 SECTION n BWgC 2 LOTS Bonet r& Map of WEST CREEK ESTATES llnoufwriaed alwation or Wdiffon7 � this Survey is o vfaloti Sq ,{ Van Weele, PC Map[ph s1 Map Block: _ 72DMNewyalcs E I Engineers a Surveyors . Planners 175A Commerce Drive Houppauba,NY11788 Filed: 8/19/1963 No.: 3M Courtly: SUFFOW 7431 A35.t l l l r 631 A35.1022 ' wwwl6pe.corn Sikxde:SOUM D,TOWN OF souniOU) Ceaid to: Till.N...-TSMIM Revision BY Dario Copies of this surrey mop not bear CATHY JANE BOWES Ing the land surveyor's embossed FIDELITY NATIONAL TITLE INSURANCE COMPANY seal and,ignoiue shdl rd be con LAFAYETTE FEDERAL CREDIT UNION,its successors sidered to be a true Rd valid copy I Surftyad by: C.S. and/or assigns,as their iderest may appear e: 1"o W., : �a,/,: ocrola 13 20 2 Project No.: A220555 AP ROVED AS NOTED D E- B ATiF R# 23 FEE BY- NOTIFY BUILDING DEPARTMENTAT RETAIN STORM WATER RUNOFF 631-765-1802 8AM TO 4PM FOR THE PURSUANT TO CHAPTER 236 FOLLOWING INSPECTIONS: OF THE TOWN CODE. 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING 3. INSULATION 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 ELECTRICAL INSPECTION REQUIRED COMPLY WITH ALL CODES OF NEW YORK STATE &TOWN CODES AS REQUIRED AND CONDITIONS OF SOUOTHOLD TON ZBA OLD S OLD T N OUTHOLD T N 10ING BOARD IMMEDIATELY'!- SOUTHO OWN TRUSTEES ENCLOSE POOL TOJ006t�,�.,� R "ON -bh 7--f-C-OMPL&, VS.D SO LD HPO �r= YVAtg-.R SCH OCCUPANCY OR USE IS UNLAWFUL New York State Law WITHOUT CERTIFICATE You must call' 813 OF OCCUPANCY Before You Dig — V700 Main Road Mattituck,NY 11952 Office..631-298-4014 Info@NorthForkPoolCare.Com Pool Walls are 10"thick at 8 . .. - W height of 48"(Four Feet) alls are formed and poured with 3506 PSI CMvel Mix Concrete r - bottom of is placed inside the wall.Horizontally(doubled)at the top and of the wall ubl -�� - •Also;vertically every four feet at maximum, A sand bott°m is installed for pool$oor.A vinyl liner is installed on top of and and concrete. 6) ��► y, "' .. Page]Of I e•