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Home My WebLink About52507-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#: 52507 Date: 12/03/2025 Permission is hereby granted to: Brooklyn Timber Invstrs LLC c/o Patricia C Moore Southold, NY 11971 To: construct accessory in-ground swimming pool as applied for. Premises Located at: 4935 Bergen Ave, Mattituck, NY 11952 SCTM# 113.-2-1.3 Pursuant to application dated 10/24/2025 and approved by the Building Inspector. To expire on 12/03/2027. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE 5300.00 CO Swimming Pool $100.00 L) Total $400.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT W Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 qr Telephone (631) 765-1802 Fax (631) 765-95021it : vv , outllcltow .o ' Gov n � M Date Received APPLICATION FOR BUILDING PERMIT For office Use Only PERMIT NO, Building Inspector: � I rn n ID* 'r Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. vn?n r,,f Date: OWNER(S)OF PROPERTY: Name:Brooklyn Timber Investors LLC SCTM# 1000-113.00-02.00-001 .003 Project Address:4935 Bergen Ave. Mattituck, NY, 11952 Phone#:631-512-4522 1 Email: Mailing Address:3080 route 112 suite B Medford NY 11763 CONTACT PERSON: Name:Christopher F. Dwyer, L.K. McLean Associates Engineering & Surveying D.P.C. Mailing Address:437 South Country Road, Brookhaven, NY 11719 Phone#:631-286-8668 Email:cdwyer@lkma.com DESIGN PROFE SSIONAL INFORMATION: Name:Robert A. Steele, P.E., L.K. McLean Associates Engineering & Surveying,D.P.C. Mailing Address:437 South Country Road, Brookhaven, NY 11719 Phone#:631-286-8668 Email:rsteele@lkma.com CONTRACTOR INFORMATION: Name:Oasis at Mattituck Corp. Mailing Address:3080 Route 112 Suite C, Medford, NY 11763 Phone#:631-767-4807 Email:peter@modernagehomebuilding.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated cost of Project: DOther In Ground Pool $30,000 Will the lot be re-graded? R@Yes El No Will excess fill be removed from premises? ®Yes ONO 1 PROPERTY INFORMATION Existing use of property:Vacant Intended use of property:Single Family Residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to AC this property? ElYesJONo IF YES, PROVIDE A COPY. W 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):Christopher F. Dwyer RAuthorized Agent ❑Owner Signature of Applicant: � , Date: d� STATE OF NEW YORK) SS: COUNTY OF Suffolk ), Christoper F. Dwyer being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is theAgent w.. (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 b fore rnKthis "g day of , 20Z� ,, Notary Pu li. CHRISTINE WIEGAND PROPERTY OWNER AUTHORIZATION NOTARY PUBLIC, State of New York No.01 WI62109,Suffolk Count (Where the applicant is not the owner) Commission Expires August 17�� Christopher F. Dwyer residing at 437 South Country Road, Brookhaven, NY 11719 I, do hereby authorize Christopher F. Dwyer to apply on my behalf to the Town of Southold Building Department for approval as described herein. /a - 7— — L� Owner's Signature Date Christopher F. Dwyer Print Owner's Name 2 Albert J. Krupski, Jr. 5 � STORNIMA' IER. SUPERVISOR MANAG]EMLENT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold C TER 236 STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION. —� FORMATIONTO BE _ _�..r... __ ibl ... i COMPLETED BY THE APPLICANT J u, ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER.) b! jAPPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) �� Psi NAME: �` Ii" ry Date: , , w IPnnd r i v G�r�dwpaarr] Contact Information: ► !. (C-Mad 8 Telephone Number) µ ,„ f Property Address / Location of Construction Site: S.C.T.M. #: 1000 District ✓ nC `— 113 ® -3i Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT - - _ — ._ ❑ - Area of Disturbance is less than I Acre, No S.P.D.E.S. Permit is Required! Project does Not Discharge to Waters of the State. Nn .P.D.E.S. Pcl°mit is Re tslm l ❑ - Area of Disturbance is Greater than I Acre&Storm-water Runoff Discharges Directly 'i to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S.Permit - i DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Buildin Permit. '"� ❑ Area of Disturbance is Greater than I Acre&Storm-water Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN (I; a S.P.D.E.S. Permit throw h the Snutl"wld Town En ineerin De�nl 0 Prior to Issuance of a Buildin Permit. Reviewed By: Date: �1 FORM # SMCP T.:__ _ _ OS December 2024 LLJ ACRES LAND N/F OF ! \ BROOKLYN TIMBER INVESTORS o UNDEVELOPED ^j uj I 1 NO PUBLIC WATER AVAILABLE --_ -• , > 1 N 22 033150 W 30 00' DWI PROPOSED U.G. WATER n SERVICE I 1/ ]------41 1------41 1O f 36 w W--�w O I a to to I z q � PROPOSED O.H. I I ELECTRIC SERVICE O o 2 STY. 4 BEDROOM I FE RESiDENGE W,/ ` ! ' POSED / UNFINISHED' -3.4 1 % � � ' x o0 a 2' 0' BASEMENT LP ! ING ( 1 F.F.=39.0 10, D �` t--u AREA AS GARAGE L°�"'°J ; F.F. _37.0 PROPOSED A CONSTRUCTION ENTR ANCE PROPO ED I S ST 5" IP ID 0 c rim CONCRETE WASH01 ASP++ALT N.T.S. f1 `DW2 s \ f DW3 I 0 PROPOSED SILT B�ENCE Al ` ENTRANCE j � 3150 " W 304, 00` H LAND N/F OF BROOKLYN TIMBER INVESTORS E o IINDFVFLOPED