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HomeMy WebLinkAbout53249-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#: 53249 Date: 09/04/2026 Permission is hereby granted to: Eleanor M Mealy 210 Spring Ln Peconic, NY 11958 To: construct an accessory in-ground swimming pool as applied for. Premises Located at: 210 Spring Ln, Peconic, NY 11958 SCTM# 86:5-3 Pursuant to application dated 08/17/2026 and approved by the Building Inspector. To expire on 09/03/2028. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total $400.00 u ilding Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT � Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 1 1 971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 littl,)S://w-%,w,southoldtowl'illy.go Date Received APPLICATION For Office Use Only PERMIT NO. Building Inspectors _W..,, Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Biding Den?rlfrner►# Owner's Authorization form(Page 2)shall be completed. Town of Southold Date: OWNER(S)OF PROPERTY: Name: 1hVi` SCTM#1000-0m 7^4'3-©0—C&3,0o 0 Project Address: Phone#: y� `� �^ Email: J//I ecL(�d AA Mailing Address: /O CONTACT PERSON: Name: At(' + Mailing Address: i MIf ,w Phone#: ma DESIGN PROFESSIONALINFORMATION: p Name:G»Q `I rile 1 ie. Y Mailing Address: A #h. Phone&31 6 -6_ / Emaik bc0-ev 64,a, c C1� CONTRACTOR INFORMATION: Name. Mailing Addre s: 10 Phone#: )_ q C) E a i I ; ,. DESCRIPTION OF PROPOSED CONSTRUCTION ONew Structure ❑Additi n ❑Alteration ❑Repair ❑Demolition Estimated Cast„ f Project: VOther v . oo/ $ Will the lot be re-graded? Dyes Ao Will excess fill be removed from premises? Yes ❑No 1 PROPERTY INFORMATION Existing use of prope Pr arty I tend use f Zone or use district in whic remises is sltua ed: Are t ere any covenants a restrictions with respect to P this property? 1Yes o IF YES,PROVIDE A COPY. # > owner/ean#ractarJdesi�rf p a#esstonal is responsible far all drainage and storrrt water issues as ided b / / ,/ ii,,., /,;; �% ,a%EUttdf ,P�B1`1111� IIR"U8f1COp'tCAlntlt2a,112 /, / r// ////r / P UCA1iQ HEREBY 11AAUE W#h@ wt�lding Depaitmer foi s e tssuancg of //%iirG r/,���,�,// / � p r / w rk „e►1hQr aIf(lca6le taws,Ord►nances;ar Regulat�an far the cJonstruccion aftAwMdings, , ,,, Abl MIS ar�ll1a11te5 }iGll�!l�lrl G�Be; //i, / m ,�1 coo he In drtsa Ibcl�The applicant agrees to comp#y with all ap#►lica a la , Ri �,/ /� / a(tr(i atron5r�ndlfa;aiit a(��ha �d J/i,�sParson.:prsfmisesantl�tnkruticling(s)fcr n�fces, ry pect� ?,� �a� as`�rl��inn�`�i�tn(earfa/rpursua�rtt+�Sectlan 21A.45 cf the New Yark State Penal t.aw: Application Submitted By(print name): -� -i 1h� uthorized Agent Owner �r y Date: 714 f`fie Z, ,, STATE OF NEW YORK) SS: COUNTY OF } 4— being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing c ntract) above named, (S)he is the -0 (Contrac44nt,C orate 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 day of r�I .20 2--t�� , -" 1, 4439LP"a,6�p otary Public _ CHRISTINA DIANNE PARISE NOTARY PUBLIC.STATE,OF NEW YOR K Registration No 01 PA641557R PROPERTYI I "I Qualified in SuIT Lr4un (Where the applicant is not the owner) My-Con mission Expires " +,,T I J residing at lC� L � do hereby authorize i �" C o S t� ' o 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 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD � Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Y , . � Electrician's Name: ° License No.: j Elec. email: c a Elec. Phone No: request an email copy of C rtificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Address: I Cross Street:_ Phone No.: — r-S- Bldg.Permit#: email: rinvid - Q - Tax Map District: 1000 Section: Block: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Poo ....Square Footage: Circle All That Apply: Is job ready for inspection?: YESIZ NO ❑Rough In E Final Do you need a Temp Certificate?: YES[] NO Issued On Temp Information: (All information required) Service SizeF]1 Ph[]3 Ph Size: A # Meters Old Meter# ❑New Service0 Fire Reconnect❑Flood Reconnect❑Service ReconnectOUnderground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION SURVEY OF PROPERTY RIM DESCRIBED PROPERTY SPRING LANE Pau SITUATE N69-24'00"E PECONIC 100.00 OF TOWN OF SOUTHOLD FIA SUFFOLK COUNTY,N.Y. z TAX MAP NO.:10004086.0005.00003.000 LOT AREA:24,756.34 S.F.(0.568 ACRES) 2 DATE SURVEYED:APRIL 28,2026 > z IDD U) 0 NP z 0 2E CERTIFIEDTO: 0 DAVID HAZARD AND BARBARA HAZARD 0 180— p FFIRSTAMERICAN TITLE INSURANCE COMPANY M NORTH STAR TILE AGENCY,INC. I-AND N/F AM MCCAFFREY&JAMES 1 Star Frame Res'iyd'ence #210 z wona 0 LAND N/F EDWARD CAPOBIANCO U �7 6- Of A" 0 30 60 Z Feet LAND N/F Cou SCALE: I INCH= 3 0 FEET' H�=A14 D NBURC z ="T 0 PD 0 0 AJC LAND SURVEYING PLLC -9 LAND SURVEYING&PLANNING 100,00 153 WAVINO RfVER MANOR ROAD,MANORVILLE 1 1949 S69'24!00-1 W '"E Fw PHoNm 631.846.9973 LAND N/F CHRISTOPHER&TONI ANN PAIJUCELLI EMAIU INFO@AJCLANDSURVEYff4G.COM