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HomeMy WebLinkAbout53021-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 53021 Date: 05/26/2026 Permission is hereby granted to: Leanne M Barry 1145 Donna Dr Mattituck, NY 11952 To: Construct a hot tub accessory to an existing single-family dwelling as applied for. Premises Located at: 1145 Donna Dr, Mattituck, NY 11952 SCTM# 115.46-11 Pursuant to application dated 05/18/2026 and approved by the Building inspector., To expire on OS/25/2028. Contractors. Required Inspections: FOOTING/REBAR, ELECTRICAL-ROUGH, ELECTRICAL-FINAL, DRAINAGE, FINAL, Fees: Other $300.00 CO Accessory $100.00 Total $400.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex. 54375 Main Road P. 0. Boy. 1179 Southold NY 11971-0959 1 7+65-1 fJ2 "ax (631) 5- 2 ��� � Telephone(63 76 954� '� t � s- w �s u,tl�,�l, o � ��m � Vp 61 Date Received APPLICATION FOR BUILDING PERMIT 4 r v $ For Office Use Only02 u`, PERMIT NO, Building Inspector; i v t w 9r MrrJ Applications and forms must be filled out in their entirety. Incomplete applications Will not be accepted. Where the Appllicarnt is not the fawner,an °a w Owner's Authorization form(Page 2)shall be completed, Date: OWNER(S)OF PROPERTY: Name. MW5 hst CTC1/I # 1oC}0►-� Project Address: A y Phone#: .- �.319V — ?Y? -, EmaiI: 0 "`Shy��' `ol Z we Mailing Address: SOM e 0 pro 'e CONTACT PERSON: � Name: Mailing Address: 45OLM Phone# .. Email: cok DESIGN PROFESSIONAL INFORMATION Name.- VL Mailing Address Phone#: Email, CONTRACTOR INFORMATION Name: Mailing Address,: Phone#: Email DESCRIPTION OF PROPOSED CONSTRUCTION New Structure OAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:. 00ther . Will the lot be re-graded? C]Yes $[No Will excess fill be removed from premises? )QYes F�No 1 ............... ......................... ............ PROPERTY INFORMATION Intended use of property: Existing use of property: Int Z one or use district in which premi ses is situated:� Are there any covenants and restrictions with respect to this property? F-]Yes ❑nNo IF YES, PROVIDE A COPY. Che ck,Box After Rea d'l'ng*: The,ow,,,ner,/'contr,�,,,ctor/design,professional is responsibli'e,for a lldra,inage and storm,water issues a,s,'provided,by, udding Permit porsulant to the,evilding,Zone cha pter,236 of the Town Code. APPLICATI'ON 15 HEREBY MADE to,the Sull4ing Department for the issuance ofe 0 tructtion of building"s, Ord,i naince of the Town of sout hold Suffolk,,Cau'nty,New Yo,rk.an4 other applicable �,Ordinances or Regulations,for the,cons, ition as herein described.The applIcant agrees to,compfy with licable laws,ordinantest building code,,, alla P additions,afteratilons or for rernoval or, ernoi False statements rn,040 hen are housing,tode and regulations and to admit a,uthoriied inspectots, on premiso,and in building'(s)for necessarf inspe drIon purtishable as aGass A rnlisdemeanor pursuant too SectJ00,210.45 of the New'yoirk,Stato Penal Law. 'le X Application Submitted By(print name). a ElAuthorlized Agent Owner Signature of Applicant: Va Date: CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York No.01BU6185050 SS: Qualified In Suffolk County, COUNTY OF Commission Expires April 14,2�0� 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 C 4) -day of 20 CJ 10 Notary Public PROPERTY OWNERAUTHORIZATION (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 .......... ...................... ........... F BUILDING DEPARTMENT- Electrical Inspector ` TOWN C)P S OUTHOLD T o Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 1197`1 095 9 ' M Telephone (631) 765-1302 4 APPLICATION FOR ELECTRICAL INSPECTION -------------- ELECYRICIAN INFORMATION (Au Information Required) Date".1Pow, Company Names C. Electrician's Name: �Sa ... License No.. TfW*76—MEElec. email: bVQJ(55c;,�,t)CC � �. � C�o+� y Elec. Phone No: 16 31� 65'3- I(o?,t 1 request an email copy of Certificate of Compliance Elec. Address.. P.O. $ox (3t0l_ a�0&0�21&tlaJy JOB SITE INFORMATION (All information Required) Name: ftlwskalt &, v4ry es 1W4e Address: Do kpt 'V �. Cross Street: S v e. Phone No.: 311 - Tyll Bldg.Permit#: 31, 0 ,;Z email: 5fdW,ir,eta fax Mae Di strict: 1000 Section: Vf.6D Block: I G s 00 Lot:01 G000 BRIEF I i INc UDE. S UARE FOOTAC� (Please Pr' t clearly): �CI'lla r�l �'"u 44V% Gars P LSquare Footage-.:,,­­,J, i rc I e A!,I Thlat Apply: Is job read for inspection?: YES ' NO Rough In ! Final Y p 0 Cho you need a Temp Certificate?: YES NO issued On Temp Information: (All information required) Service SizeEl 1 Ph 3 Ph Size: A # Meters Old Meter# New S e rviceM Fire Reconnect Flood Reconnect MService Reconnect Ounder round Eloverh ead - # Underground Laterals 1 H Frame MM&ONJPole Work done on Service? YLl Additional Information: PAYMENT DUE WITH APPLICATION NEW SUFFOLK AVENUE SURVEY OF 0 LOT 63 Lri OD MA P OF 0 LOT 0 DEEP HOLE CREEK ESTATES d 0- S87*1 9'20"E 182.00 0 LOT AT MATTITUCK FILE No. 4256, FILED JANUARY 28, 1965 0 0�4 FE 10. S1 TUA TE 3: 4V9AINLINK Ci o; FENCE 0 Cq a MATTITUCK, TOWN OF SOUTH OLD z SUFFOLK COUNTY, NEW YORK It W 41.3' TAX Na. 1000-11500-1600-011000 8 -y 25Z a. SCALE 1 =30' 4 00 0 2-STORY OCTOBER 9, 2020 W C"q SLATE & HOUSE TOOP C CONCSTEPS.STOOP fo Na.1145 Cq PATIO 12-l' AREA 20,020.00 Sq. ft. >- WOOD LOT SLATE 5 z I %-STEPS 0.460 ac. 41 20 Cq z wow C) U z PAn LOT o -N55 ;-1-STORY DECK 0 F N& ig (d 4 ZIC JE 140 �� 101.6' -P H 0 1-STORY GARAGE 0 Cg 0 23-f 11&-6- C.DRIVEWAY 0 0 LEW 4 a. 0 0 FE O.ZN-7. WSTOCKADE FENCE z - -- N �) W D 0. N87-19120 W 0 182.00 pig LOT 0 Y)z La Y)Z METES AND BOUNDS SURVEYING NOTE. LOCATIONS AND EXISTENCE OF ANY W UTITIES ANDOR URE 53 PROBST DRIVE READ ILYSUBSURFACE VISIBLE,LI / ARE NOT CERTISTRUCTMED. THES NOT SHIRLEY, NY 11967 CERTIRCATIONS HEREON ARE NOT TRANSFERABLE. PHONE: (516)-972-5812 E-MAIL:- METESANDBOUNDSSURVEYINGOGMAIL.COM THIS SURVEY IS SUBJECT M MY EASEMENT OF RECORD AND ANY OTHER PERTINENT FACTS WHICH A TITLE SEARCH MIGHT DISCLOSE DISTRICT:1000 LOT:01 1.000 BLOCK:16.00 SECTION:115.00 'UNAUTHORIZED ALTERATION OR AMMON TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF AR71CLE 134. MAP/FILE NO.: 4256 SECTION 7209.SUBDIVISION Z OF THE NEW YORK STATE EDIUCATION LAW` 'Copies from the original of this wxvvy map not marked with an orfglnoi of tho land auveyW*TnW sod or his embooved"al shaft not be considered a volld tue oopy* *Certiffeabon indicated hereon stwft*4t oft A" so In*=rdoncs wM he eArting Code if Procilce, MAP OF: "MAP OF DEEP HOLE CREEK ESTATES AT MATTITUCK" W Land l;u;Z%=W by tho New York S t tate AsoocialJon of Praftsional Lonod Survoyars. Sohl osrUffootions sholl nm only to pervort for wttom the survey to prepared.and on his beholf to the Ift TITLE NO.: 40647FI-S company.governmental aqw4y and landing kwObAlon. Certflootlons we not tromforoMe to additional brollixtUorm or subseqwent ownenx-* MAP FILED DATE: JANUARY 28, 1965 COUNTY TAX MAP ID: 1000-11500-1600-011000 SITUATED AT: MATTITUCK, TOWN OF SOUTHOLD SUBDIVISION MAP Roy LOT#S-. 63 E SEAN AL MAR SHALL AND LEANRE MRIE BARRY' JUDICIAL TITLE INSURANCE COMPANY, TITLE NO. 140647FI-S U-0 COPYRIGHT`2020 RALPH HEII, FIDELITYRZT15NXL TITLE INSURANCE COMPANY METES AND BOUNDS SURVEYING,INC. US AA FEDERAL SAVINGS BANK AND=OR IJOB NO.: 20-1531 ITIE SECRETARY OF THE DEPARTMENT OF VETERANS AFFAIRS, ISAOAIDATE: OCTOBER 9,20201