HomeMy WebLinkAbout53012-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MIDST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 53012 Date: 05/22/202f
Permission is hereby granted to:
Demetrios Kalogeras
1200 Central Dr
Mattituck, NY 11952
To
construct an accessory in-ground swimming pool as applied for. Pool equipment must be located in
the rear yard with a minimum 5'setback to lot lines.
Premises Located at:
1200 Central Dr, Mattituck, NY 11952
SCTM# 106.-2-14
Pursuant to application dated 05/04/2026 and approved by the Building Inspector.
To expire on 05/21/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO swimming Pool $100.00
Total S400.00
y„
Building Inspector
SOUTH OLD
--BUILDING DEPARTMENT
TOWN OF SO
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold, NY 11971-0959
Telephone 631 765-1802 Fax 631 765-9502 htt s, " .sutho: tow .J . oV
Date Received
APPLICATION FOR BUILDING PERMIT
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PERMIT NO., Building Inspector:
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Applications and forms must be filled out in their entirety. Incomplete
applications Will not he accepted. Where the Applicant is not the owner,,an ,
Owner's Authorization form(Page 2)shall be completed.
Dates �' 12
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OWNER(S)OF PROPERTY:
Name: Vic I VVI toSCTM # 1000-
Project Address
Phone#: Email:
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Mailing Address: Zr..
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CONTACT TACT PERSON:
Name: U
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Mailing Address:
Email:
Phone#: � 2, 3�
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DESIGN PROFESSIONAL INFORMATION:
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Name: i
Mailing Address;
Phone#: Email:
CONTRACTOR INF RMATIONO
Names
o
Mailing Address:
Phone#: Email:
DESCRIPTION'OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
XOther Q)Do
_ F
Will the lot be regraded? DYes XNo Will excess fill be removed from premises? ❑Yes �No
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PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated Are there any covenants and restrictions with respect to
this property? ❑Yes ❑No IF YES, PROVIDE A COPY.
El Check Box After R+eading: The owner/contractor/design professional is responsible for ail drainage and storm water Issues as provided by
Chapter 236 of the Town Cade. 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 A applicable laws,ordinances,building code,
housing code and regulations and to adrnit authorized Inspectors on premises and In buil'ding:'s)for necessary Inspections.False statements made herein are
punishable as,a►Class A misdemeanor Pursuant to Section 210.45 of the New 6'k State penal"Law.
Application Submitted By(print name): - a �,,� ❑Authorized Agent downer
Signature of Applicant: Date:
OOI�NIE D.BUNCH N�
Notary Public,State of New York
STATE OF NEW YORK) No.OIBU6185050
SS. a lified in Suffolk County
'1 141 2
COUNTY OF it -'� _4 [ssion Expires Apra
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
of , 20
Notary Public
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PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print owner's Name
2
BLOCK 6,LOT 96
MAP OF
W/R'ET=WOOD RETAINING WALL
"CAPTAIN KIDD ESTATES"
AT MATTITUCK INLET
FILED 19 JAN, 1949 AS MAP NO. 1672 LOT 81
AT MA TTI TUCK, TOWN OF SOUTHOLD V
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SUFFOLK CO.,N.Y. ��
92.0'� RED.WALL
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C .� CHAR LINK SCALE: 9"=211'
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GUAR. TO:
CENTRAL DR,V FIDELITY NATIONAL TITLE'INSURANCE COMPANY
E NATIONSTAR MORTGAGE LLC
DEMETRIOS KALOGERAS AND ARGIROULA KALOGERAS
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SURVEYED:22 OCT,2013
THE OFFSETS OR DIMENSIONS SHOWN HERON FROM THE PROPERTY LINES TO
THE STRUCTURES ARE FOR A SPECIFIC PURPOSE&USE.THEREFORE,THEYARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION '
OF FENCES,ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT. VR,
UNAUTHORIZED ALTERATIONS OR ADDITIONS TO THIS SURVEY IS A VIOLATION OF "
SEC770N 7209 SUBDIVISON 20 OF THE NEW YORK STATE EDUCATION LAW.COPIES "1
OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR N T9 .
EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. ,
CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM
THE SURVEY IS PREPARED, AND ON THEIR BEHALF TO THE TREE COMPANY,GOV- LA ,
ERNMENTAGENCY AND LENDING INSTITUTION LISTED HERE ON CERTIFICATIONS P.O.
61
ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
NO RESPONSIBILITY IS ASSUMED BY THE UNDERSIGNED FOR ANY SURFACE,SUB-
SURFACE,AERIAL EASEMENTS,SUB-SURFACE UTILITIES ANDI OR STRUCTURES
IN OR OUT OF EASEMENTS IF SO PROVIDED. SCTM 1000-106-02-14