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Home My WebLink About53230-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#: 53230 pate: 08/25/2026 Permission is hereby granted to: Mark R Handforth 1930 Tigertail Ave Miami, FL 33133 To: Construct an inground swimming pool accessory to a single-family dwelling as applied for. Pool and pool equipment must maintain a minimum setback of 15 feet. Premises Located at: 1000 Rocky Point Rd, East Marion, NY 11939 SCTM#31:2-19 Pursuant to application dated 09/10/2026 and approved by the Building Inspector, To expire on 08/24/2028. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total 400.00 Building Inspector i TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 IttpsWwww. attloldtownn _ mt�t Re d've �" APPLICATION FOR BUILDING PERMIT For Office use only A U G 1 0 2026 PERMIT NO. 15 �A 3 0 Building Inspector. Building Department Town of Southold 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. Date:August , 2026 OWNER(S)OF PROPERTY: Name:33 doug Ilc =Crm# 1000-31-2-19 Project Address:1000 Rocky Point Road, East Marion, NY Phone#:845 6645696 1Email:bUrtdorfman@gmai1.com MailingAddress:p.o. box 162, South Jamesport, NY CONTACT PERSON: Nameturt dorfman Mailing Address:p0 box 162 Phone#:8456645696 Email:burtdorfman@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:RObert Higgins Mailing Address:50 Hidden Acres Path, Wading River,NY Phone#:6312083351 Email:rarchibob@aol.com CONTRACTOR INFORMATION: Name:33 doug Ilc Mailing Address:Po bpx 162 Phone#:8456645696 Email:burtdorfman@gmail.com DESCRIPTION OF PROPOSED CONSTRUCTION *New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $53000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION Existing use of property:land w/foundation Intended use of propertypool Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to r40 this property? E]Yes A No IF YES, PROVIDE A COPY. 19 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. (p rint me),: rt rt Application Submitted By(pri dorfman nAuthorized Agent ROwner Signature of Applicant: Date: augusV(7,2026 JED 'Y N 0.0 1 BUNCH lc� Publ State of New York a N:N STATE OF NEW YORK) U6185050 Oualffied In Suffolk County COUNTY OF Suffolk SS: Commission Expires April 14, 201aa burt dorfman being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is themanager of 33 doug 11c (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 t --Lday of ---------0 20n T , n Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name -r��31�t� 6ZA1*'_ Vc)6) - C-W—bov)� PF IRLMWAINEIRL Albert J. Krupski, Jr. w o r .�l x M[A\, A�tGr1EI��[1E1�'7C' ST Li T N L , 0.Box 1179 � � � i. Town of Southold 53095 Main Road-SOUTHO Ew YORK 11971 A U G 2 4 2026 STORM "`.ATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) NAME: 3 63 r GG Date: isagrwp7Crt1 � .,. ... Contact Information: fE-11a+1 8 Telephone Numbed Property Address / Location of Construction Site: S.C.T.M. #: 1000 District to Fy t'w'r ,—, / Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT CJ - 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. No S,P.D.E.S. Permit is Re uired ! - Area of Disturbance is Greater than 1 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 to Issuance of a Building 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 a S.P.D.E.S. Permit through the Southold Town Enjineeriqg Department. Prior to Issuance of a Buildin Permit. A�oReviewed By: Date: FORM I SMCP-TOS December 2024 r � ece ; v.e