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HomeMy WebLinkAbout52817-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#: 52817 Date: 03/31/2026 Permission is hereby granted to: Tomer Blechman 320 Carlton Ave Brooklyn, IVY 11205 To install an accessory cold plunge structure as applied for. Must provide a pool fence to code around structure. Maintain a minimum 10'side yard setback. Premises Located at: 1740 Inlet Pond Rd, Greenport, NY 11944 SCTM# 33.-3-19.7 Pursuant to application dated 03/05/2026 and approved by the Building Inspector. To expire on 03/30/2028. Contractors: Required Inspections: Fees, SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total S400.00 ° ° Building Inspector Authentisign ID:24B40572-310C-F111-A69A-00OD3A4FF82A TOWN OF SO►TJ':i"`HOLD--BUILDING DEPARTMENT �w " Town..Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone (631) 76 5-1802 Fax (631) 765-9502 .So, ,t , o Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only Nt PERMIT NO. ------------ Building Inspector: ,� uI "�° M ,. q Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. ''Where the Applicant is not the owner,an Ownees Authorization farm(Page 2)shall be completed. Date:2 1 /2V26 OWNER(S)OF PROPERTY: Name:Tom+er Blechman SCTM# soon- .-3-19.7 Project Address:1740 inlet Pond Fed, Greenport IVY Phone#: 917 880-0789 Email:tomar"missadanyc.corn Mailingol Address. 320 Carlton Ave, Brooklyn IVY 11205 CONTACT PERSON: Name:.Sara Matthews MailingAddress:230 ,South L.n, East Marian IVY 11939 Phone#:(201) 602-8845 Emil:sera mead prope rtygrou p.corn DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Jeffroy Mead Mailing Address:230 South Ln, East Marion IVY 11939 Phone#: 978 201-9282 Email:jeff@meadpropertygroup.com DESCRIPTION OF PROPOSED CONSTRUCTION New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cast of Project: Other Prefab Cold Plunge $4,000 Will the lot be re-graded? ❑Yes R No Will excess fill be removed from premises? ❑Yes No 1 Authentisig n I D:24B40572-31 0 C-F 111-A69A-000 D3A4 F F82A ................. PROPERTY INFORMATION Existing use of property:Single Fa m ily Intended use of property:Single Fa m ily Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R4o - non conforming this property? nYes No IF YES, PROVIDE A COPY. El C h e c k B o x After R e a d i n g: The owne r/contractor/design professional is res pons ible 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. App lication Submitted By(print name):Sara M att hews @Authorized Agent DOwner Digitally signed by S�am Matthews I S'lignatureof Applicant: Sara Matthews Date,,,,2026.02.17 13:23:23-05'00' Date: 2/17/26 STATE OF NEW YORK) SS: COUNTY OF Sara M atthews being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent ............ (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 knowled&e,11"i " bgli, that the work will be performed in the manner set forth in the application file therewith. CAROLINE M KACARTHUR 'ew Ydrk Of K Notary Public-State NO.OiMA638 4635 Sworn before me this Qualified in Suffolk County My Commission Expires Dec 17,2026 day of &-�g J 2 0 V Notary Public V A�v, f OWNER AkJTH0R1ZAA.*TJ0N PR,C)'PERTI, (Where the applicant is not the owner) Tomer Blechman residing at 320 Carlton Ave, Brooklyn NY 11205 tiara Matthews do hereby authori ze to apply on I Lholf to the Town of Southold Building Department for approval as described herein. T 2/17/26 o�*ee owner's Signature Date Tomer Blechman Print Owner's Name 2 H. 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