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Home My WebLink About52323-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#: 52323 Date: 10/06/2025 Permission is hereby granted to: Polenas Farm LLC 57 Westgate Blvd Manhasset, NY 11030 To: Construct a tennis court 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: Sports Court-Tennis/ Pickleball $125.00 CO-RESIDENTIAL $100.00 Total $225.00 '4iL Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502-tittps://www.southol,dtownTiygov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMITNO, 5a3a Building Inspector: L ' 2025 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Building Department Owner's Authorization form(Page 2)shall be completed. Town'Of Southold Date: OWNER(S)OF PROPERTY: Name: Pdlenas t rer rn LL C SCTM#1000- 053.00-0(Q.60- 04(0 0(0 Project Address: 1991 Q u vs-} Lane Green or— N-I . J (Q411 Phone#: Email: Mailing Address: 5r7 1 e%4 04-t J�JVU Marlhassef K\1- 11030 CONTACT PERSON: Name: Shan ino r., d l e Mailing Address: )S COVe Rd. So o4lNo r+n p� N y � Iq(9 Phone#: (031 - 5U Co - rT(o 6 rl Email: �,l AX1'I S ler rt4 rirwl COrY1 DESIGN PROFESSIONAL INFORMATION: Name: Frank Lor+n6ar<4o 3 Mailing Address: 11 a �„r �d.. I 30 rA&�o n Phone#: mail:Email: -F 0 r„ • Gw CONTRACTOR I FORMATION: 35'1 —143$ Name: N o rs{;2 rfl C . Mailing Address: Phone#: (93) - 23(o" '19Z9 Email: 6nun norms a ir%r— . Corn DESCRIPTION OF PROPOSED CONSTRUCTION ew Structure ❑Addition DAlteration ❑Repa' ❑[fiery olition Estimated Cost of Project: ❑Other Will the lot be re-graded?44yes ❑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 Box After Reading: The owner/contractor/deslgn 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 Buiding 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, addldons,alteration or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinance;building code, housing code and regulations and to admit authorized ktspectors 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): qL ❑ 9 Authorized Agent C� er Signature of Applicant: Date: 4 STATE OF NEW YORK) SS: COUNTY OF S o-v ` iz- being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the C>,W v� e J' (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 o day of A C , ( 2012 Notary Public MICHAEL W MALIK NOTARY PUBLIC-STATE OF NEW YORK PROPERTY AUTHORIZATION No.01 MA6279262 Qualified in Nassau County (Where the applicant is not the owner) My Commission Expires 04-06-2029 I, ,5(0 i IP �0 �s'f-j A— residing at 57 WJJ TG,0ir Bt,U-6 RA Nh/})1CF N Y (10,30 do hereby authorize Sit,0Wb Rita L try to apply on my behalf to the Town of Southold Building Department for approval as described herein. *4Ef /10 1zo 2 wndr's Signature Date (�L_ Po Print Owner's Name 2 „w FRANK A. LOBO AtCIITECT 05 P.O. Box 128,Westhampton, N.Y. 11977-0128 tel.: 631-357-1438 email:FrankLombardo@yahoo.com :"i ; September 10, 2025 Ms. Tracey Dwyer Town of Southold Building Department 64375 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, , K' RE,D , Frank A. Lombardo Architect ,r ANK A- LOMBARDO N.Y.S. LICENSE NO. 154244 o n I S Ltr Albert J. Kru ski, Jr. STO][ IM[WAT]ER SUPERVISOR 1 S5MTHOLD TOWN UTHOHALL ,NEWBox K Town of Southold 53095 Main Road-SOLITHOLD,NEW YORK 11971 CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) APPLICANT: (Prop erty Owner, Design Professional, Agent, Contractor, Other) NAME. �# jj 1 fl I Date: Contact Information} a aµi On: I — � (E-Mail&Telephone Numbei) Property Address / Location of Construction Site: I G'3 I S4- L U► S.C.T.M. 1000 District h C l5 2 - Section Block Lot !U L - 7 2025 TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT Building DlnparLM90 ❑ - Area of Disturbance is less than 1 Acre. No S.P.D.E.S. Permit is Re wired Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Rerluired - Area of Disturbance is Greater than I 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. 0 - 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 Ei is"teerin De artment Prior to Issuance of a Building Permit, Reviewed B Date: / N� FORM 4 SMCP-TOS December 2024 f 7 � �