HomeMy WebLinkAbout52834-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
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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#: 52834 Date: 04/03/2026
Permission is hereby granted to:
Kostas Angelopoulos
145-38 3rd Ave
Whitestone, NY 11357
To:
construct an accessory in-ground swimming pool as applied for.
Premises Located at:
1380 Jacksons Landing, Mattituck, NY 11952
SCTM# 106.-9-17
Pursuant to application dated 02/09/2026 and approved by the Building Inspector.
To expire on 04/02/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total 400.00
Building Inspector
76 TOWN OF SOUTHOLD--BUILDING DEPARTMENT
s Town Fall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
Iti �w Telephone(631) 765-1802 Fax (631) 765-9 02 °� 2ls
Date Received
APPLICATION
FOR BUILDING PERMIT
For office Use Only
4
t
PERMIT NO. r `- Building lbspector, b
y
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*
m m
Date: G
OWNER(S)OF PROPERTY:
Name: 3,,a ple,tp, SCTM#1000-/06
Project Address: 13 () ,. ptCA, ZON) L"jo b • MArTirVW. N1 11gf"d-
Phone#: 631 r.3 -5yS CC) Email: :Sof.. plala , y Atwo.crom
Mailing Address: �" 1.3► rn,v, eowTP-y gC CAOu er * NY a ilk 33
CONTACT PERSON:
Name: Josa ple'tR.
Mailing Address: M10OLL COLu�y R� • CA,,,, Qs S Y il933
Phone#: 631 ''200-5Y50 Email: 0ze.. P112112 Y WOD.com
DESIGN PROFESSIONAL INFORMATION:
Name: Dwij>
Mailing Address: 15 f,010-M QLi pcA,r,+,- 1151y
EPhone#: ;31 Email: dtn a A4k*f E=rng0xoM
CONTRACTOR INFORMATION.
Name: � �
Cis Pc�
Mailing Address: � 13 MOO&-e4xwrey A0 a Y i il9 33
Phone#: 661 - y Email: dote.. pima ( , y pmoo.c.c m
DESCRIPTION OF PROPOSED CONSTRUCTION
nNew Structure C]Addition OAlteration ❑Repair ❑Demolition Estimated Cost of Project:
SOther Pool, $
, 115),00
Will the lot be ❑Yes PNo re- raded? Will excess fill be removed from premises? F]Yes 91 No
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1
......................
PROPERTY INFORMATION
Existing use of property:
Intended use of property:
5M" F
Zone or use district in which premises is situated.- Are there any covenants and restrictions with respect to
this property? FYes,;RNo IF YES,, PROVIDE A COPY.
29
s 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,
uildings,
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): FlAuthorized Agent 90wner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF
SD 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
............
day of 202,
atary Pub!"
TIFFANY J BEREZNY
Notary Public-State of New York
No.0IBE6284112
PROPERTY OWNER AUTHORIZATION Qualified in Suffolk County
My Commission Expires 06/17/2029
(Where the applicant is not the owner)
1,residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.,
Ownerps,Signature Date
Print Owner's Name
2
.............. ...
DRAWN I�t� CHECKED DATE NOV.2D23 DRAWING JOB NO.25-1315 THE EXISTENCE OF RIGHTS OF WAY UNAUTHORIZED ALTERATION OR ADDITION
AND/OR EASEMENTS OF RECORD IF TO THIS SURVEY IS A VIOLATION OF
ANY, NOT SHOWN ARE NOT GUARANTEED. SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
ELEVATIONS REFER TO NAVD 1988 COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
Premises known as: EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO 8E A VALID TRUE COPY.
1380 Jackson's Landing, Mattituck GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
Area=
n�800
�r�r TtTLE COMPANY, GOVERNMENTAL AGENCY AND
L LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTf—
TUTION. GUARANTEES ARE NOT TRANSFERABLE.
S83.26'00"E
218.27'
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platform t-3 0.5'S c.n
CD 0.1'w
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0 2.3' Frame to do steps arbor
-$ Residence wolf w/gate
c LOT 12
I
^ 34.8' I � steps �.
3.2'
CR
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curbs ro 5�0'
ro � ro
a- garage s wall
drain �
driveway
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metal chain link fence
chain link fence wall
fence fence S8803440"W asN
0.3'N 160.00 3.�'w
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2.4'E
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LOT 11 2'
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061 .
� LAND
purvey of Lot 12
Certified to: MAP OF JACKSON'S LANDING
JOSE PIRIR FILED MARCH 28, 1969 AS FILE NO. 5280
OSCAR VIERA situate at
FIDELITY COASTAL TITLE INSURANCE
IAB5 ABSTRACT, L COMPANY Mattituck
Town of Southhold
FMiz.cjhael W. Minto, L.S.P.C. Suffolk County, New York
LICENSED PROFESSIONAL LAND SURVEYOR District 1000 Section 106 Block 9 Lot 17
NEW YORK STATE LICENSE NUMBER 050871
87 wadaview .Lane Scale 1"= 30' Surveyed November 21, 2025
Centereaeh, N.Y. 11720 GRAPHIC SCALE
PHONE/FAX: (631) 580-1202
20
CELLULAR: (631) 766--9714 30 I'll I'll0 �I I so i I
EMAIL: mikemintofspcOgmail.com
( IN FEET )
1 inch = 30 ft.
1