HomeMy WebLinkAbout52779-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#: 52779 Date: 03/24/2026
Permission is hereby granted to:
Berry C English
260 6th Arne
Greenport, NY 11944
To:
Construct an inground swimming pool accessory to an existing single-family dwelling as applied for.
Pool and pool equipment must maintain rear and side yard setbacks of 5 feet.
Premises Located at:
350 Skunk Ln, Cutchogue, NY 11935
SCTM#97.-3-7
Pursuant to application dated 01/29/2026 and approved by the Building Inspector.
To expire on 03/23/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total $400,00
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Building Inspector
* �� TOWN OF SOUTHOLD--B
UILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold NY 11971-4959
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k Telephone (631) 76 5-18(2 fax (631) 76 5-9512 �, , W .�,Sout + .t ���, 2ygov
Date Received
APPLICATION FOR BUILDING PERMIT
For office Use Only
a,p
r ry
PERMIT NO. g
B�ildin Ins � r:
ell
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I entirety.Incomplete
filled i their ent
Applications and forms must be lied out n t h
I Appl�c p
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed. °
Date:1212612025
OWNER(S)OF PROPERTY:
Name:John Troutman & Julie Miller scam#1000-97-3-7
Project Address:350 Skunk lane Y
cutcho ue n 11935
�
Phone#:347-276-6093 Email:c lay@isaac-rae.com
................
Mailing Address: p ,skunk Lane Cutchtogue NY 11935
CONTACT PERSON:
Name.Clay Coffey/ Isaac-Rae
MailingAddress:43p Main street Greenport NY 11944
Phone#:347-276-6093 Email:cla isaac-rae.com
DESIGN PROFESSIONAL INFORMATION:
Name:ClayCoffey Isaac-Rae
ON NOW
Mailing Address:430 Main street Greenport NY 11944
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Phone#:347-276-6093 Email:Clay@isaac-rae.com
................
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
EI New Structure ❑Addition DAlteration ❑Pepair ❑Demolition Estimated Cost of Project:
F!]Other pool $,250k
Will the lot be re-graded? ElYes W No Will excess fill be removed from premises? DYes RNo
1
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PROPERTY INFORMATION
................
I 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
thisproperty? FlYesENo IF YES, PROVIDE A COPY.
R-80
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0 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.
OWN 50
e% da REV PAuthorized Agent [30wner
Application Submitted By(ptin , ame)�: ON
%
Signature of Applicant: Date: 12/26/2025
STATE OF NEW YORK)
SSA
COUNTY OF
it wc being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the,. )r —
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
dayof 20 ...................... ...........
�00 ...........
Mary Public
TF34AGEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
PROPERTY OWNER AUTHORIZATION �10.01 DW6306-900
0,'J�!XIFIFD v4 CIO V-FOLK COIJINTY
CO,MMII�i&OrA JUNEZ-4,4,20&(p
(Where the applicant is not the owner) 4elt 6-
1,,Joh n Troutman residing at 350 Skunk lane Cutchogue NY 11935
do hereby authorized ay Coffey to apply o n
"Now
my be 'to th, n of Southold Building Department for approval as described herein.
12/26/2025
—^. ......... Owner's Signature Date
John Troutman
Print Owner's Name
2
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