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HomeMy WebLinkAbout52321-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 52321 Date: 10/06/2025 Permission is hereby granted to: Polenas Farm LLC 57 Westgate Blvd Manhasset, NY 11030 To: Construct an inground swimming pool with spill-over spa accessory to a single-family dwelling as applied for. Premises Located at: 1981 August Ln, Greenport, NY 11944 SCTM# 53.-6-46.10 Pursuant to application dated 07/07/2025 and approved by the Building Inspector. To expire on 10/06/2027. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total $400.00 Building Inspector ` FRANK A. LOMBARDO ARCHITECT P.O. Box 128,Westhampton, N.Y. 11977-0128 tel.: 631-357-1438 email: FrankLombardo@yahoo,com y September 10, 2025 " Ms. Tracey Dwyer Town of Southoldto Building Department 54375 NY-25 Southold, N.Y. 11971 Reference: 1981 August Lane, Greenport,N.Y. Dear Ms Dwyer, This letter shall serve as certification that all construction for the work proposed at 1981 August Lanve, Greenport,N.Y. complies with the 2020 Residential Code of New York State, This certification applies to the primary residence as well as the accessory structures (Pool House, Swimming Pool, and Tennis Court). Plese feel free to contact me with any questions you may have regarding this certification. Very truly yours, , Frank A. Lombardo Architect P b* 4� AN A_ E0M8ARD0 N.Y.S. LICENSE NO- 15424 0 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 btti)s-//wA,w.sotitliol,dto�vniiy.gov Date Received APPLICATION FOR BUILDING PERMIT E C E I V E For Office Use Only PERMIT NO. _J J(� I Building Inspector, JUL — 7 2025 i Applications and forms must be filled out in their entirety.Incomplete Building Department applications will not be accepted. Where the Applicant is not the owner,an Town of Southold' Owners Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: Pd Ienas FQr-rn LL C sCTM#i000- 0153.00-0(e.60- d (o Project Address: I9'91 Hu us4 Lane Greenpor.. Ny . ( (Q 44 Phone#: Email: Mailing Address: Sri Wes-{ SJVU Ma 11,X0, Cf n1�(_ 11030 CONTACT PERSON: Name: Sllcxn non Brc-cl leg__ Mailing Address: l-S Cove , So o4%ar"P+cwN I Iq(p Phone#: (p31 - .S(a(.o - CT(o (.0 ri Email: S 12rfY1+'� C&-n DESIGN PROFESSIONAL INFORMATION: Name: Frank Loonbardo lagy Mailing Address- 3a q1 ,l Phone#: fid - Email; CONTRACTOR FORMATION: 3!S -(43$ Name: Nors,ke 3:(1C . Mailing Address: Phone#: (931 - 23�-' �goZ.9 Email: nomis e.tnC Carr, DESCRIPTION OF PROPOSED CONSTRUCTION Q�ewStructure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other eD UL $ Will the lot be re-graded? Yes ❑No Will excess fill be removed from premises? ❑Yes No 1 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. ❑ Check Bost 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 1S HEREBY MADE to the Bulld'ing Department for the issuance of a Building Permit pursuant to the Building zone ordinance of the Towgwn of Southold,Suffolk,County,Now York and rather applicable Laws,Ordinances or Regulations,for the construction of b-ulkfings,. additions,alterations of for removal or demolition as herein described.The applicant agrees'to comply with all applicable laws,ordinances,buliding code, housing code and regulations and to admit authorized Inspectors on premises and In buliding(s),for necwrssary inspections,False statements made herein are punishable as a Class A misdemeanor pursuant to Sections 210AS of the New York State penal Lavin. Application Submitted By(print name): S oT�W_ '4>O i_c-(`I U,1- ❑Authorized Agent Owner Signature of Applicant: Date: ff / &o l 20 Lr' STATE OF NEW YORK) SS: COUNTY OF ) a� ` '� �� {� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the p'kVVI e 1' (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 30 day of R r i ( 20a Notary Public MICHAEL W MALIK NOTARY PUBLIC-STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION No.01 MA6279262 Qualified in Nassau County (Where the applicant is not the owner) My Commission Expires 04-08-2029 �D i;Cri R' residing at 57 A STG 0 1,e B(,U-6 Rig NMI)CF H Y do hereby authorize S l a L1 to apply on my behalf to the Town of Southold Building Department for approval as described herein. wner's Signature Date Print Owner's Name 2 0c) Albert J. Krupski, Jr. � �, SUPERVISOR ?' � I��l[A\I�A\ G]EI��1[]EI��C' SOUTHOLD TOWN HALL-P.O.Box 1179w �! 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) NAME:. � C� - ' Date: ry c -- .. ss tiwrrr� Contact Information: _ — `—(I (E-Mail 8 Telephone Numbed � —9 '_TTil�'­ Property Address / Location of Construction Site: f G,2 i S-� Lck ac S.C.T.M. #: 1000 � — �_ ... District _.�... 3 . ©� E 3_ Section Block Lot J U L - 7 2025 TO Ba�98z�i�lg q9pr" � t �. — _ — _.. .. __ ENGINEERING DEPARTMENT E COMPLETED BY SOUTHOLD TOWN E Town of Southold ❑ - Area of Disturbance is less than I Acre. No S.P.D.E.S. Permit is Required 1 Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Re uired I ❑ - Area of Disturbance is Greater than 1 Acre & Storm-water Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Building Permit. ❑ - Area of Disturbance is Greater than 1 Acre & Storm-water Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit through the Southold Town En ineering De artment Prior to Issuance of a Building Permit. Reviewed By: 11114di Date: -71 FORM 7z SMCP-TOS December 2024 Cc % V C —71 a?)___