HomeMy WebLinkAbout52878-Z ��p��aUrya 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#: 52878 Date: 04/17/2026
Permission is hereby granted to:
PMCE Capital LLC
213-35 40th Ave
Bayside, NY 11361
To:
construct an accessory in-ground swimming pool with spa as applied for. Pool equipment shall be
located in the rear yard with 25' minimum setbacks to lot lines.
Premises Located at:
600 Dogwood Ln, Mattituck, NY 11952
5CTM# 106:8-50.5
Pursuant to application dated 04/06/2026 and approved by the Building Inspector.
To expire on 04/16/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
ATotal $400.00
gilding Inspector
" TOWN C C LJTH( LI --BUILDING DEPARTMENT
Al
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
� Telephone (631) 765-1802 Fax (631) 765-9502 t� ��. ���� ������� �o��d �� ����........ w �
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Date Received
APPLICATION FOR BUILDING PERMIT
a,
For Office Use Only
Po
IT o u' �..................111/1, 10�....................
PERM N Building
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.
Dates .
OWNER(S)OF PROPERTY:
Name: M'.00a-el 0 SCTM#1000- "" t
l
............
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Project Address: [ ' ---
Phone#: .... �. � Email: .
1. �. _ a�- �,tip- cy
Mailing Address:
CONTACT PERSON,
Name: "Tp �A or�,a r�
� Mailing Address,�� 0B I.
Phone#: Email,: MM C 00M
DESIGN PROFESSIONAL INFORMATION.
Name:
Mailing Address,
Phone#: Email:
CONTRACTOR INFORMATION:
Name: - 000
cr
Mailing Address: PLX)Y 0I
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Phone#: � �- '=-�-�--- � Email:
DESCRIPTION OF PROPOSED CONSTRICTION
❑New Structure ❑Addition CJAlteration ❑Repair ❑Demolition Estimated Cost of Project:
&other Mtn J $ 10
Will the lot be re-graded? XYesF_1No Will excess fill be removed from premises? ❑Yes fl No
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Existing use of property: Intended use of property:
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Zone or use district in which premises is sd uated: Are there any covenants and restrictions with respect to
this property" []Yes []No IF YES, PROVIDE A COPY.
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r,Application Submitted lay(pri ut dle4 ft:ent ❑owner
i
Signature of Applicants at
STATE OF NEW YORK)
COUNTY CAE L�
i bung duly sworn,deposes and says that(s)he is the applicant
hr-)
(Name of Individual signing contract)above named,
Whe is the
(Contra r,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
lot
ay of Jq 020 1LQ1
Now
Notaqy Public K�
ELIZABETH KOEMNE
PROPERTY OWNER l T°H O i T l o N Notary Pubffc,ate of New York
No.01 K 5
(Where the applicant is not the owner) ch+m# ed In sum County
Corn mMlon Expires January 19,2028
l� i P f ll ,.- Sole Monitor ofPMC C pAal LLC resig
din at 749 Hunt Lane, Manhasset, NY
o hereby authorize MM Pools LLC to apply on
M behalf t To, old Building Department for approval as described herein.
OMCE,By; 61111
................ . .....
ownsf t e Date
Michael Psyllos, as .dole Member
wjo�,
Print Owner's Name
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