HomeMy WebLinkAbout52809-Z TOWN OP SOUTHOLD
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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#: 52809 Date: 03/31/2026
Permission is hereby granted to:
Monte Redman
4510 Peconic Bay Blvd
Laurel, IVY 11948
To:
Construct an inground swimming pool accessory to an existing single-family dwelling as applied for.
Pool and pool equipment must maintain the primary front yard setback and a side yard setback of 15
feet.
Premises Located at:
4510 Great Peconic Bay Blvd, Laurel, IVY 11948
SCTM# 128.4-21
Pursuant to application dated 01/07/2026 and approved by the Building Inspector
To expire on 03/30/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total S400.00
Building Inspector
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4 T(J'�''VN OF SOUT:HOLD-- DEPARTMENTBUILDING
7 Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
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Telephone (631) 765-1$02 Fax (631) 765-9502 :h � � ,tii ��i o 11
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Date, e,c6 Z,
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APPLICATION FORBUILDING PERMIT
For Office Use Only
0,
PERMIT NO. Building Inspector; J A 5 2026
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,Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. where the Aprp ilicant is not the owner,an Building DepsftMent
wner's Authorization form(Page )small be completed. Town o of
Date:
WNE ),OF PROPERTY:
Name: Valentin Magro SCTM# T000- 128-4-21
Project Address: 4510 Peconic Bey Blvd , Laurel NY
Phone#: 917-774-9093 Email: V.magro2555@gmail.com
Mailing Address: 42 West 48th Street NY, NY 10036
CONTACT PERSON
Name: Long Island Pool care Corp
Mailing Address: 50,000 Main Rd Southold, NY 11971
Phone#: 631-765-8285 Email: li.poolcare@gmail.c{om
DESIGN PROFESSIONAL INFORMATION*
"I,ATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATIONS
i
Name: Long bland Pool Care Corp
Mailing Address: 50,000 Main Rd, Southold, NY 11971
Phone#: 631-765-8285 Email: li.poolcare@gmail.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration F-]Repair D Demolition Estimated Cost of Project:
51 Other inground pool 200,000.00
Will the lot be re-graded? Yes C-1No Will excess fill be removed from premises? ®Yes ❑No
1/27/26, 11:57 AM LlPool jpeg.jpeg
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PROPERTY INFORMATION
I :
Le
Existing use of property: asntended use of property'.
OM "' ith respect to
Zone or use district in which premises is,situated: Are there any covenants and restrictions 1W
this property? ElYes t$No IF YES,PROVIDE A COPY.,
I
E3 Check Box After Reading- The owner/comractor/design vmkwonal is respcmsible for all dralme and storm wam is ewes as provided by
C;hapter 236 of the Town Cads.APPU=ON IS HNEBY MADE to the Building 0ePW`trfte"t for the issuance of a Building Permit Pursuant to the eumns zone
ordinance of the Town of Southold,"ok Canty,New Yo*and Other NPPNQble to Ord konces or PA010lonst for the construction of bulidlngs,.
comply with all appumMe Isaws,ordinances,bulWing coda,
addhlowe alterations or for removal ew demolition as haWn d"crlbe&The SPPIkunt ggrow to ry inspections.False statemeMs made herein are
housing coft ww regulations and to admit authorized hupecton on promises and In buildling(s)for neems
'
pmtsltableas a Class A m1somesnor pursuant to,Section 21CAS of the Ngw York State PoW Law,
Application Submitted By(print name): XAuthorized Agent 00winer
Date: OA- WT P o
Signature of Applicant:
STATE OF NEW YORK)
SS:
COUNTY OF
-,being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
Nhe is the
(C'oi,t I r t r,,Agen, Corporate officer,etc.)
of said owner or owners,and is duly authorized to, rm 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,mel,this
day of YY W to Public
TF�.ACEY L.DVN'
PROPERTY1.0),LMER ALUTHORIZATION NOTARY PUBLIC,STATE OF YORK
(Where'the applicant Is not tfieowrier) W
NO.01 DW63W9WFIED IN SIJ;.=FOLK C LINTY'
COMMISSION EXPIRE,I SoJUN'� .Z"Wp
residing at
ize to a pply on
--�4 4�/Y` do hereby author
s. �ed herein.
hid Building Department for approval as de crib
my b a 11,!o,, A ,e
rown,of So
4
ow IF
...... .............
...........
ner's Sign
Print Owner's Name
2
https://mail.google.com/mail/u/0/#inbox?projector=1 1/1
1127126, 11:59 AM LIPool jpeg.jpeg
............ ..........
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PROPERTY INFORMATION
Existin use of property: Intended use of property:
g
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? OYes E]No IF YES,PROVIDE A COPY.
0-Check Box After Reading' The owner/contractor/deslgn professional is responsible for all drainage and storm water issues as provided by
B I tt theoulldingzon*
chapter 236 of the Town Coda.APPIACATION IS HEREBY MADE to the Building aepadment for the issuance of a Building Permit pursuant
0
fts Ct W
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,ordinances or Retulationsi for the co tru lon otbul lng
additions,alterations at for removal or4emolition as herein described,The applicant agrees to comply with aU applicable laws,ordinances,building code,
housing rode and regulations and to admit authorized Inspectors an premises and In building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant toSection 210.45 of the New York State Penal Law.
Application Submitted By(print name): DAuthorized Agent [JOwner
Signature of Applicant: Date:
STATE OF NEWYORK)
SS:
COUNTY OF
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
Nhe is the (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
day of .. ......... 20 Notary Public
PROPERTY OWNER AUTHORIZAT,ION
(Where the applicant is not the owner)
4
residing at ...........
do hereby authorize cere, COY apply on
e'T )f So4bold Building Department for approval as described herein.
my be,I !own ic oe
-9
ner"s Sig 'e, 6at,e
�11 L/I
Print Owner's Name
2
https:Hmail.google.com/mail/u/O/#inbox?projector=l 111
a
Albert J. Krupski rS�FOIKI\M[WA\&,�FIEIK.
SUPERVISOR
SOUTHOLD TOWNL_ . . 1179
SOMNOLD, Town of Southold
9
CHAPTER 236 STORMWATER MANAGEMENT REFERRAL FORM
( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA. OR LARGER. )
�. Nmmmm �i. i A�
APPLICANT:. (PropertyOwner, Design Professional, Agent, Contractor, Other)
DAME:
Date:
� � �--,� i
e
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Contact Information: Lon, ,!4
(E-Mad&Telephone Number)
Property Address l Location of Construction. Site:
�
S.C.T.M. 1000
District
4007
Section Black Lot
FIF F F
0 Mt y
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEP1�1�R � ��I � ��� :
A4
R 2 3 2T
Area of Disturbance is less than I .Acre. No S.P.D.E.S. Permit is Re uired mm
[3 Project does Not Discharge to waters of the State. No S.P.D.E.S. Permit is Req ui ed ,,
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 or to Issuance of a Building Permdi'.,
[3 - Area of Drsturba 1zc e is Greater than 1 Acre & Storm--water Runoff Flows Through Southold
T oven's MS4 Systems to Waters of the Mate of New York. THE APPLICANT MUST OBTAIN
a S.P.D.E.S. Permit throe Eb...to h Southold Town Engineering,,, e r me t
Prior to Issuance of a Building Permit.
Reviewed
Y
° Date:
FORM * SMCP-TOS December 2024 -�' cc l V�' � c� 3 6