HomeMy WebLinkAbout53098-Z TOWN OF SOUTHOLD
6 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#: 53098 Date: 06/30/2026
Permission is hereby granted to:
Christian Michael Digirolanno
8 Maple Arne
Eastchester, NY 10709
To:
construct an accessory in-ground swimming pool as applied for. Pool equipment must be located in
the rear yard with a minimum of 10'to lot lines.
Premises Located at:
5750 Aldrich Ln, Mattituck, NY 11952
SCTM# 120.-3-8.8
Pursuant to application dated 06/12/2026 and approved by the Building Inspector,
To expire on 06/29/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total S400.00
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u 1Ong Inspector
TOWN C� ' SC�UTHoLI�►--BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Boy. 1179 Southold,NY 11971-0959
wp V Telephone (631) 765-1802 Fax (631) 76 5-9502 s-flWww.southoldtown
............
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Date Received
APPUCATION FOR BUILDING PERMIT
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For Office Use Only
PERMIT NO. 5--- ----—------- Building InwcrJ U N 1 2 2026
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Applications and forms must be filled out in their entirety. Incomplete Building Departrnt.nf
applications will not he accepted. Where the Applicant is not the owner,an TO r1 of So is h-of d
Owner's Authorization form(Page 2)shall be completed.
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OWN ER(S)OF PROPERTY:
Name: SCTM#1000-
Project Address: ,
ry
Phone#: Email,
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Mailing Address:.....................___
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CONTACT PERSON:
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Name:
Mailing Address.-
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Phone#: '"".� � �„ ,�,�� �� OCD Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
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Mailing Address:
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k-DOVI
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Phone#: Email: "Oe 3 )
CONTRACTOR INFORMATION:
Al
Nameselk
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Mailing Address: P7 7
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III
Phone#: �� �� Email
DESCRIPTION OF PROPOSED CONSTRUCTION '
eNewStructure ❑Addition ❑Alteration ❑Repair ❑Demolition Estim o e
❑Other
Will the lot be re-graded? '❑Yes o Will excess fill be removed from premises? Xes F1 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 o IF YES, PROVIDE A COPY.
t
'e If
ieck Box After Readi'n '11" The owner ��trm,water issues'as provided by
19*1 r1contractor/design professional is responisibl, or all drainage,an
cha' ''r of the Town Code. APPLICATION IS,HEREBY MADE to the Building Depart'mfent,for the issvante,of a,Building Permit pursuant t o' the Bulldlbg Zone
OrdlinianI afthe TOwn,of Southold,Suffolk,County,New,'York and other applicable Laws,Ordinances or Regulations#for the comtructlon 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 210AS of the New York State Penal Law.
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Application Submitted BI pri, name),. thoriZect Agent El Owner
Signature of Applicant,. Date.
STATE OF NEW YORK)
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COUNTY OF 0,
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being dul w IV )S� lcoays that (s)he is the applicant
(Name of individual signing contract)above named,
E\N
�1*11P IN
(S)he 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.
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Sworn before me ini,
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da y o f
Not blic
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
AJ
I C) residing at
do hereby authorize to apply on
my behal", e own of Southold Building Department,for approval as described herein.
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