HomeMy WebLinkAbout53282-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLDNY
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#: 53282 Date: 09/17/2026
Permission is hereby granted to:
Thomas J Byrnes
1105 August Ln
Greenport, NY 11944
To:
Construct an inground swimming pool accessory to an existing single-family dwelling as applied for.
Pool and pool equipment must maintain a setback of 15 feet.
Premises Located at:
1105 August Ln, Green port, NY 11944
SCTIVI# 53.-4-44.20
Pursuant to application dated 08/31/2026 and approved by the Building Inspector,
To expire on 09/16/2028.
Contractors:
Required inspections:
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO Swimming Pool $100.00
Total $400.00
AA k)
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
• Telephone(631) 765-1802 Fax (631) 765-9502 htti)s.,//wwwsoutholdtownny.goy
Date Received
APPLICATION FOR BUILDING PERMIT
z
For Office Use Only
( } A U G
PERMIT N0. (.�'c),. Building Inspector�j ✓
Applications and forms must be filled out in their entirety.'lncomplete Buil :,
applications will not be accepted.Where the Applicant Is not the owner,an Toy;
Owner's Authorization form(Page 2)shall be completed.
Date: C)�
OWNER(S)OF PROPERTY:
Name: ( SCTM# 1000-053 �—,OLI--64
Project Address: 61— d-
Phone#: .. Email:
Mailing Address: �„,•'
CONTACT PERSON:
Name:
J
Mailing Address:
Phone#: ", �" � �• Email' )
DESIGN PROFESSIONAL INFORMAT1 ►
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: =Email-
DESCRIPTION OF PROPOSED CONSTRUCTION
P Oj
❑Al ration ❑Re air emolitlon Estr ed Cost o o e t.
❑Ntl�ertr c ure ❑Addition �
Will the lot be re-gradec!7, l es El No Will excess fill be removed from premises es ONO
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 ONo IF YES,PROVIDE A COPY.
D Check Box After Reading: The owner/contractor/design prolosoonal is responsible for all dts1mSe and storm wwstar bsu*s as provkw iy
Chapter 33S or the town Code.APPUCATION IS RMSY MADE la the guSdkV Department for the if nuance of a sunding permit Pursuant to the wndlog Zane
Ordinance of tha'rown of SwftW,Suffolk,County,Now York end other applkabio taws,Ord%nances of Accutstlans,for the construction of(w OAP,
odditions,alterations or for removal or demohdon as Wain desuibed.The appticant egrets to comply with an appikable tows,ordinances,budA-4 code,
housing code and regutattons and to admit euthwhed inspectors on premises and In buadlests)for necessary inspections.fats*statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State penal taw,
Application Submitted By(print name): uthorfied Agent Downer
Signature of Applicant: Date:
STATE OF NEW YORK)
COUNTY OF X7 «
rt> being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(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.
Sworn before me this
—day of 20 l(J
Notary Public
RICHARD J FREEBt
PROPERTY OWNER R AUTHORIZATiON fltotarp P'nbtit�,aMState In Su o
Na dtFR Sys,f?asltl6ed iv S-:r1D
(Where the applicant is not the owner) Cotntn3aston F.Vim 1lsiereit 16,
4 residing at � ZXe U\,/
.. + d'o hereby authorize B "
to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Ownees Name
luilding Depnrtment-Applicallon
AUTHORIZATION
(Where the Applicant is not the Owner)
residing at., "
(Print property owner's name) (Mailin Acldresx)
' / do hereby authorize
(Agent)
rA VON t.S "� � to apply on my behalf to the
Southold Building Department.
August 4, 202
(Owner's Signature) (Date)
Brett Fiden
(Print Owner's Name)
HM ENGINEERING P.C.
P.O.BOX 914
EAST NORTHPORT,NY 11731
TEL:516-476-5392
EMAIL:HMARNIKA@HMENGINEERINGPC.COM
July 31, 2026
Town of Southold
Building Department
Town Hall
Southold,N.Y. 11971
Dear Sir/Madam:
This is to certify that the drainage facilities to be used exclusively for the construction of a swimming pool
on the premises of:
Fiden Residence
1105 August Lane
Greenport,N.Y. 11944
S.C.T.M.: 1000-05 3-04-44.2
will not require draining because the pool is constructed with a vinyl liner. The pool water will be
continuously recirculated through the filter and will be reused from year to year.The drainage from the filter
backwash will be piped to a drywell located on the subject lot and will not interfere with the public water
supply system, existing sanitary facilities, adjoining property owners,public highways or private roads.
Sincerely,
HM igineering P.C.
H oje Marnika,P.E.
(~04 BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN I RMATION (All Information Iequ'' d) Date: Aye
Company Name:NF 160L &-TrQ44-bJ
Electrician's Name: qh4 \AM4Q�
License No.: Elec. email:
Elec. Phone No: qq�-7 ., 11&: lre9jyest an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name:
Address:
Cross Street:
Phone No.:
Bldg.Permit#: j '? kk i email:
Tax Map District: 1000 Section: .1 Block: 06=& Lot: -
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
swJMwvv) �
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES'�NO Rough In F� Final
Do you need a Temp Certificate?: EI YES E] NO Issued On
Temp Information: (All information required)
Service Size1:11 PhF-13 Ph Size: A # Meters Old Meter#
❑New Service Fire Reconnect❑Flood Reconnect nservice ReconnectOUnderground noverhead
# Underground Laterals M 1 H Frame Pole Work done on Service? DY MN
Additional Information:
PAYMENT DUE WITH APPLICATION
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