HomeMy WebLinkAbout53081-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
�'ornitr.
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#: 53081 Date: 06/23/2026
Permission is hereby granted to:
Roberto Mancuso
75 82nd St
Brooklyn, NY 11209
To:
construct an accessory in-ground swimming pool with spa as applied for.
Premises Located at:
655 N Sea Dr, Orient, NY 11957
SCTM# 15.-6-4
Pursuant to application dated 05/21/2026 and approved by the Building Inspector..
To expire on 06/22/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total 400.00
Building Inspector
TOWN OFCITJTI3C)I�I --BUILDING DEPARTMENT
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wn Hall Annex 54375 Main Road P. 0. Box 1179 Southold NY 1 1 97 1-0959
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Telephone(631) 765-1 02 Fax(631) 765-9502 httols,,
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Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector: i 1, 0 f 11
JV 2 1 2026
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an � m 4 A. :M
Owner's Authorization farm(Page 2)shall becompleted. �
Date:May 215 2026
OWNER(S)OF PROPERTY:
Name: Robert Mancuso SCTM#1000-0 15-00-00-00-004-000
Project Address:655 N ,Sea [fir, Orient NY
Phone#:g17_ c, -, , 1 Email:robertfmancuso maii.com
Mailing Address:72 82nd Street, Brooklyn, NY 11209
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:,
CONTRACTOR INFORMATION:
i
Name:J Grano Contracting
MaiIing Address:7", Horseblock Rd, Yaphank, NY 11980
-------.................
Phone#:631-241-761 2 Emaii:Jon@jgranocontracting.com
DESCRIPTION OF PROPOSED CONSTRUCTION
®New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑other $
Will the lot be re-graded?
®Yes n No Will excess fill be removed from premises? ❑Yes ®No
1
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PROPERTY INFORMATION
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
R-40 this property? E]Yes ®No IF YES, PROVIDE A COPY.
99 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(p nam, Authori1ed Agent ❑owner
Su
bmitted By 4(pr," ,am [fA'
Signature of Applicant: Date,* J42
CONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK, No.OIBU6185050
SS: Qualified In Suffolk County
d-
COUNTY OF Commission Expires April
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
Co n t racto r
(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
Aday Of' 20 ell,
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
Robert Mancu 655 N Sea Dr, Orient NY
residing at
do hereby authorizejo n G rano to apply on
my behall to the Town of Southold Building Department for approval as described herein.
May 2 1 . 2026
I
Owner s Signature Date
Robert Mancuso
Print Owner's Name
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