HomeMy WebLinkAbout52762-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
LD
SOUTHo , 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#: 52762 Date: 03/16/2026
Permission is hereby granted to:
Eleftherios Mattes
150 Willow Dr
Greenport, NY 11944
To:
construct an accessary in-ground swimming pool as applied for.
Premises Located at:
150 Willow Dr, Greenport, NY 11944
SCTM# 33.-6-7
Pursuant to application dated 02/03/2026 and approved by the Building Inspector.
To expire on 03/15/2028.
Contractors:
Required iris peions
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $1.00.00
Total S400.00
Building Inspector
^' 1
40
TOWN OF SOUTH OLD
—BUILDING DEPARTMENT
Vol Ze, Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold, Y 11971-0959
P (631) (631) fl '�n.&°� i g�, ;� I � mm�I'Tele hone765 1802 Fax 765-9502 � � �� mm mm� 1 �.� n I�'
------------------
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
i fr tc w W
I �
PERMIT NO, Building Inspector., FEB 3 2026
r
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 Z)shall be completed.
Date: - ,
OWNER(S)OF PROPERTY:
Name: �c �, SCTM # 1000- 33
y
Project Address: j I L,Lo 0 i ��-- �---� HY,. `J01 dl_ -_7
Phone#• 6J I
7 �rllr1 ter • e •
Mailing Address: 6 ,� �.,� ,���� ,� �,.�►�� �' -�-
1-1-
CONTACT PERSON:
Name: ir
Mailing Address:
Phone �— ► mail: ,, - - ~` J ..............
DESIGN PROFESSIONAL INFORMATION:
Name: l ,-( _.
Mailing Address - �►1-}�r� ,�r 'Sim ,.- r W
Phone# �`g' - , C Email L L--C(- 0r c , ,�-two)P
CONTRACTOR INFORMATION.
37—
Name: L)
(V) t eo IL
Mailing Address [�
Phone# ,�''' ._-- E m a i I: , c44A-Cc £,
........... POf- �-5,
DESCRIPTION OF PROPOSED CONSTRUCTION
R�
° New Structure C]Ad i � � . .
d tion FlAlteration C�Repair ❑Demolition Estimated Cost of Project:
?other -al-0X 1
m
Will the loth e re-graded? C]Yes No, Will excess fill be r �
removed from premises. e— es ❑No
1
----------
......................................
PROPERTY INFORMATION
Existing use of property: ..K intended use of property: cp c-
Zone or use district in which premises is situated, Are there any covenants n�d restrictions with res,p,ect to
this property? MYes Noc IF YES, PROVIDE A COPY.,
11 Check Box After Reading: The owner/contractor/clesign 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(print name): (y) L 4p\-r,.—1— /Authorized Agent El Owner
Signature of Applicant: 1111�11 Date.,
STATE OF NEW YORK)
SS:
COUNTY OF
fV) t cm-ps-ez_L__ being duly sworn, de oses and says that s he is the a lican
(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
day o
f /aa
o
20
acy-Plul
ANGELA F1003LETTA
NOTARY PUBLIC,STATE OF NEW YORK
PROPERTY OWNER AUTHORIZATIO I Registration No. 01FOS40700
Qualified in SUFFOLK County
(Where the applicant is not the owner) Commission E`xpirp,,,p,,,3/16/28
A CA C,
57 C4U,.e--j Lfg�-LLi,
residing at
o
do hereby authorize
-to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
11 1 t � �` i1f, 1 1.
101 14 0111
Owner s Signature
Date
C
Print Owner's Name
2
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