HomeMy WebLinkAbout53231-Z 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#: 53231 Date: 08/25/2026
Permission is hereby granted to:
Dalton Studios LLC
223 Wall St #221
Huntington, NY 11743
To:
construct an accessory in-ground swimming pool as applied for. The swimming pool and pool
equipment must be located in the rearyard and maintain minimum side &rear setbacks of 10feet.
Premises Located at:
5180 Sound Ave, Mattituck, NY 11952
SCTM# 121.-4-28.1
Pursuant to application dated 08/12/2026 and approved by the Building Inspector.
To expire on 08/24/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total $400.00
Building Inspector����i��
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W, TOWN OF SOUTHOLD—BUILDING DEPARTMENT
tl4 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631) 765-9502 ° m,
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Date Received
APPLICATION FOR BUILDING
3 For Office Use Only
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PERMIT N0. Building inspector;
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�App(iat�ons and forms rr►ust befilled out in their`entirety:Incomplete
appllcafiions wiR not be accept'e,1.�1Nherethe,Applicant is not the owner,an Building Depnrfinent
Qwner'z€ har�zat�onfcrrm(Pa&,2)shall becompleted. Town of Southold
Date:
qw, EzR(S}¢F PROPERYY, 1-7 trt
Name: Serkan Karate pc p SCTM#1000-
Project Address: 5180 Sound Ave , Mattituck NY 11952
Phone#: 631-800-4606 Email:
Mailing Address:
Name: Long Island Pool Care Corp
Mailing Address: 50,000 Main Rd Southold, NY 11971
Phone#: 631-765-8285 Email: li.poolcare@gmail.com
17 SI J t?Rt1F SSICFNAI'IN(FOitNiA►TION:
Name:
Mailing Address:
Phone#: Email:
CCIN�RAG�URtNFOItI1AATION;
Name: Long Island Pool Care Corp
Mailing Address: 50,000 Main Rd, Southold, NY 11971
Phone#: 631-765-$285 Email: Ii.poolcare@gmail.com
CYESCRIPTiON`UF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ORepair ❑Demolition Estimated Cost of Project:
bother inground pool 148,000
Will the lot be re-graded? ®Yes ONo Will excess fill be removed from premises? ®Yes ONO
1
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
suffolk this property? E]Yes *No IF YES, PROVIDE A COPY.
19 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,
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): DAuthorized Agent DOwner
Signature of Applicant: Date:
CO
NNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01 BU6185050
SS: Qualified in Suffolk County
COUNTY OF Commission Expires April 14,2 Oc �5'
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
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Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
residing at
do hereby authorize to apply on
my b a If I the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
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