HomeMy WebLinkAbout53257-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#: 53257 Date: 09/10/2026
Permission is hereby granted to:
Nicholas Granato
2109 41st St Apt 3
Astoria, NY 11105
To:
Demolish existing pool and construct a new inground swimming pool accessory to an existing single-
family dwelling as applied for. Pool and pool equipment must maintain minimum setbacks of 15 feet.
Premises Located at:
770 Chablis Path,Southold, NY 11971
SCTM#51:3-3.10
Pursuant to application dated 08/20/2026 and approved by the Building Inspector.
To expire on 09/09/2028.
Contractors:
Required Inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total $400.00
Building Inspector
m
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 lz�rs://%N,,A�,,, .sotitlioltitio na ttY, rw
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use only E C EW E
�'y
PERMIT NO, 57 Building Inspector;.
Applications and forms must be filled out in their entirety. Incomplete AUG 20 MPG U)
applications will not be accepted. Where the Applicant is not the owner,an Building Department
Owner's Authorization form(Page 2)shall be completed. Town of Southold
Dater Ica- 2C�ZcA
OWNER(S)OF PROPERTY:
Name: ICY)a a's C-1 fanato SCTM # 1000-OS I • CJC)-03 . O 0
Project Address: TIC CV)ab\I S
Phone#: q1-1 - % " ` 933 Email: N (CK _ 4- I I+ a V1_+ mal I •Com
Mailing Address: TI O el �Is ?a+y)
CONTACT PERSON: �V
Name:
Mailing Address: ? . j��X ' ( S
pp 1`J
Phone#: (.D��- 32y' �D qq Email:oJPF�Ce e'jd' OO 'fjvcos . CQYl1
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
N ._
ame: 15
Mailing Address: ^`? (3 t �P
Phone#: t0 I _ ' '�,�� Email: C7j�f 1 C e OSG0S }; .C Oro
DESCRIPTION OF PROPOSED CONSTRUCTION
E]New Structure ElAddition DAlteration E.jRepair IDDemolition Estimated Cost of Project:
5/0ther fe(M1 V .k OP 04d r i } I tr�C1ell
Will the lot be re-graded? ❑Yes [�P<o Will excess fill be removed from premises? Ves EINo
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? E]Yes ONO IF YES, PROVIDE A COPY.
0 Check Box After Reading: The owner/contractor/design,professionaI 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 210AS of the New York State Penal Law.
Application Submitted By(print name): jasm S,Irr MOAS Z)Authorized Agent nOwner
Signature of Applicant: Date: 1-U
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,
(S)he is the -cA /cjzk)4-�-cse--b c
(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
Notary Public ."N!"
t!!X .......*
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
6-rm,- c i� residing at 97C /I r
k
SO-L-Ain-o I do hereby authorize J-a to apply on
my behalf to the Town of Southold Building Department for approval as 7
desc7ribe herein.
i
Owner's Signature Date
yP
j
5
Print Owner's Name
2
SURVEY OF PROPERTY
LOT 10-MAP OF CHARDONNAY WOODS AT SOUTHOLD
FILED:SEPTEMBER 28,1989-MAP NO.8822
SITUATE rat
SOUTHOLD,TOWN OF SOUTHOLD LEGEND
SUFFOLK COUNTY,N.Y.
■ MONUMENT FOUND
TAX MAP NO.:1 000-051.0003.00003.010 STAKE FOUND L
LOT AREA:40,001.1 O S.F.(0.91 S ACRES) !
DATE SURVEYED:AUG.10,2021
UPDATED:AUG.29,2025 � a29 1'}� `Cr T 2 `Q
b 30 BQ
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SCALE:1 INCH=30 FEET
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