HomeMy WebLinkAbout52840-Z TOWN OF SOUTHOLD
BUILDING DEP'A►RTMENT
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 COMPLETIONOF THE WORK AUTHORIZED)
Permit#: 52840 Date: 04/07/2026
4
Permission is hereby granted to:
Davecollco LLC
5785 V a n sto n Rd
Cutchogue, NY 11935
To:
construct an accessory in-ground swimming pool as applied for. Swimming pool and pool equipment
must have a minimum setback of 5'from lot lines in the rear yard and not impede the right of way.
Premises Located at:
7185 Great pecon is Bay Blvd, Laurel, NY 11948
SCTM# 126.40-12.1
Pursuant to application dated 03/18/2026 and approved by the Building inspector.
To expire on 04/06/2028.
Contractors:
Required Inspections:
Fens:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO-RESIDENTIAL $100.00
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Total 400.00
Building Inspector
f 40 T WNI OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Flax 1179 Southold,NY 1.1971-0959
Telepha►ne(631)7+ 5-1 S Fax (631) 765-95 11tt � :°` �W�� . .l t wti ov
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Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only � � ���. "�:' ���.� 5�. �
PERMIT NC}. °
Building Inspector.
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Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. VAere the Applicant is not the owner,an m
Owner's Authorization form(Page 2)shall be,completed.
Date:3118f2026
OWNER(S)OF PROPERTY:
Name:David and Colleen Bo fill SCTM# 10 00-12 -10-12.1
Project Address:7185 Peconic Bay Boulevard, Laurel, NY 11948
i
Phone#:5 1 6-449-8741 1 Email:da,ve@davebofill.com
Mailing Address:5785 van ton Road, Cutchogue, NY 11935
CONTACT PERSON:
Name:Della Ryan Clark
MailingAddress:Po Box 1960, Shelter Island, NY 11964
Phone#:631-749-2119 Email=delia@binderpools.com
DESIGN PROFESSIONAL INFORMATION:
Name:Katy Binder
Mailing Address:PO Box 1960, Shelter Island, NY 1194
Phone#:631-749-21 19 E katy@binderpools.com
binderpool .coml
CONTRACTOR INFORMATION*
Name:Darrin Binder
Mailing Address:Po Box 1960, .Shelter Island, NY 11964
Phone#:6 31-74 9-2110 Email:delia@binderpools.com
DESCRIPTION CSC PROPOSED CONSTRUCTION
' New Structure ❑Addition ❑Alteration ]Repair ❑Demolition Estimated cost of Project:
❑Other Installation of an inground 14 x32 gunite pool with an automatic cover. 112,500.00
Wild the lot be re-graded? Yes Cl No Will excess fill be removed from premises? WYes ❑No
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PROPERTY INFORMATION
Existing use of Property:Residential Intended use of property:Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R 40 this property? FYes *No, IF YES,, PROVIDE A COPY.
W Check Box After Read-Ing: The ovmer/contracW/deshm professlonal Is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code.APPUCATION IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Budding one
Ordinance of the Town of Couthol d,Suffolk,County,New York and other applicable Laws,ordinances or Regulations,for the co nshuction of building,
additions,alterations or fcw removal or demolition as herein described.The applicant agrees to comply with all applicable Liva,ordinances,building code,
housing code and regulations wid to admit authorized kispectors on premises and In bullcling1s)for necessary inspections.False statements made herein are
punishable as a Clgms A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Application Submitted By(print naime):Delia Ryan Clark Authorized Agent Downer
• Date: 3/18/2026
Signature of Applicant.
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A
CONNIE D.BUM..,V
STATE OF NEW YORK) Notary Public,State of Nevv `fork
No.0IBU6185050
SS: Qualified In Suffolk County
COUNTY OF Commission Expires April 1412.A� b
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 per-form 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
d of ay '
i ch 020
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
David Bo f ill, residing at�5785 Vanston Road, Cutchogue
NY 11935 do hereby authorize I Delia Ryan Clark to apply on
my behalf to the Town of'Southold Building Department for approval as described herein.
3/18/2026
Own 'r s Signature Date
David Bofil
Print owner's Name
2
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