HomeMy WebLinkAbout53251-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#: 53251 Date: 09/08/2026
Permission is hereby granted to:
Milov&Napolitano SupCare Tr
9 Lefferts PI#1
Brooklyn, NY 11238
To:
construct an accessory pool house as applied for.
Premises Located at:
905 Wildberry Ln, Southold, NY 11971
SCTM# 51.-3-12.13
Pursuant to application dated 08/19/2026 and approved by the Building Inspector.
To expire on 09/07/2028.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $254.00
Co Accessory Structure $100.00
Total $354.00
Building Inspector
4 TOWN OF SOUTHOLD—BUILDING DEPARTMENT
r Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 R� ttl)s:// t� w.sotit oldtownn .gow
Date Received
APPLICATION FOR BUILDING PERMIT
1 �IJ ..'
i
For Office Use Only
P'7
PERMIT NO. Building Inspettor: AU G 1 2026
-k-
Applications and forms must be filled out in their entirety.Incomplete t
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:JULY 19,2026
OWNER(S)OF PROPERTY:
Name:BIANCA MILOV SCTM #1000-51-03-12.13
Project Address:905 WILDBERRY LANE, SOUTHOLD
Phone#:973.204.1187 Email:BMILOV@GMAIL.COM
Mailing Address:905 WILDBERRY LANE, SOUTHOLD NY 11971
CONTACT PERSON:
Name:VINCENT ALBERT
Mailing Address:106 NEW HAMPSHIRE AVENUE, MASSAPEQUA NY 11758
Phone#:516.241.9146 ]:Ell-.:V:incent@VMAarchitect.com
DESIGN PROFESSIONAL INFORMATION:
Name:VINCENT ALBERT
Mailing Address:106 NEW HAMPSHIRE AVENUE, MASSAPEQUA NY 11758
Phone#:516.241.9146 Email:Vincent@VMAarchitect.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
W New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
DOther POOL HOUSE $30000
Will the lot be re-graded? ❑Yes IiiiiNo Will excess fill be removed from premises? MYes []No
1
PROPERTY INFORMATION
Existing use of property:ONE FAMILY Intended use of property:ONE FAMILY
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
AC this property? *Yes ❑No IF YES, PROVIDE A COPY.
w
udrainagei
» II and storm water issues as provided e „,ht,,� 110 .A�°�ef U��et�iin�m. The owner/contractor/design professional is responsible for a p 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 bullding(s)for necessary inspections.False statements made herein are
punishable as a Gass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By rint naITN ;VINCENT ALBTRT @Authorized Agent ❑owner
Signature of Applicant:„ Date: AUGUST 18, 2026
STATE OF NEW YORK)
SS:
COUNTY OF )
VINCENT ALBERT being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the AGENT
(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 _K 0
Notary P blic
DREW G.SCOPELms`
Notary Public.State of New York
No.OISC6409893
Nas
au
.. �.......�..�......� �.,,..�����..�....�.. ,.,.�.,...�.,..,...,. Ci County� UT14 I TI Commission in
lojj2��
(Where the applicant is not the owner)
I, BIANCA MILOV residing at 905 WILDBTRRY LANE
SOUTHOLD do hereby authorize VINCENT ALBTRT to apply on
/`Peh a t e Trwn of Southold Building Department for approval as described herein,
, %, 1
Owner's Signature Date
BIANCA MILOV
Print Owner's Name
2
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MAP REFERENCE "Tc 1.
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MA ENTITLED'FINAL PEAT-INLOBEIRRY FIELDS",FILED WITH THE Edwi— of":N'E"
1� Stale 1_ Z
this aUrweY is a
SUFFOLK COUNTY CLERK ON JUNE 2 2001 AS MAP NUMBER "'Im,
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NOTE
1,FIEI D WORK WAS CONDUCTED AUGUST Ia.2023 AND NOVEMDER,2025
20 30 BY LEIDEG FIR LAND SURVEYING,PLLC AND ALL MEASUREMENTS WERE
TAKEN ON THE GROUND.
METERS 2.PROPERTY LINES,SWINGS,AND AGOTLi ARROW ARE BASED UPON
FILED MAP NUMBER 10641,
—7 FEET 3.UNDERGROUND UTILITIES.IF ANY,ARE NOT SHOWN,PRIOR TO
o 20 4D ON$TRDVCTION THE CONTRACTOR SHALL CALL'CALL BEFORE YOU DIG"AT
6 o 3C, 811 AN HAVE ALL UTILITY LOCATIONS MARKED ON THE GROUND,
GRAPHIC SCALE 1" = 20' 4.THIS IS AN AS-BUILT SURVEY.
it 5.SUFFOLK COUNTY TAX MAP DESIGNATION:
DISTRICT 1030-SECHON 051.00-BLOCK O-C-TdA TOY D12.013.
6 THIS IS NOT A TITLE SURVEY AND
IS SUBJECT TO ANY STATE OF FACTS
A FULL AND CURRENT TITLE REPDRT MAY REVEAL
30HN GERD HER)ECKER N.Y.STATE LAND SURVEYOR LIC, 50719 DATE: FINAL AS—BUILT SURVEY SHEET NO.
DECEMBER 12,2025 WILDBERRY FIELDS LOT 7 1 OF 1
P.O.SON 135 DRAWN BY:B.M. PROD.NICE,
AOUFBOGUt,NEW YORK 11931 #905 WILDBERRY LANE 23HLS45
(631)-772-9604 CHK BY:J.H TOWN OF sou'ryou) CAD FILE:
jb,Id,,k,,*UiUd,ckU,11-1 $CAtE: 11"=2W SUFFOLK COUNTY, NEW YORK 1AU