HomeMy WebLinkAbout53295-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#: 53295 Date: 09/21/2026
Permission is hereby granted to:
Robins Island Hldngs LLC
c/o Belvedere Property Mgmt
New York, NY 10036
To:
legalize an "as built" accessory pickle ball court(33' x 6T) as applied for.
Premises Located at:
Peconic Bay, New Suffolk, NY 11956
SCTIVI# 134.-3-5
Pursuant to application dated 08/26/2026 and approved by the Building Inspector.
To expire on 09/20/2028.
Contractors:
Required Inspections:
Fees:
As Built Accessory Structure $250.00
CO Accessory Structure $100.00
Total $350.00
Building Inspector���4��
�r� tf 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 kttl ://,,,,,Lvw soutlioldtowi�ln . o-
Date Received
APPLICATION FOR BUILDING
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For Office Use Only
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PERMIT NO, Building Inspector:_
Applications and forms must be filled out in their entirety. Incomplete �'o'lldln �P
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applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:08-02-2026
OWNER(S)OF PROPERTY:
Name:Robins Island Holdings LLC =CTM# 1000-134-03-05
Project Address:Robins Island, Town of Southold
Phone#:646-465-0602 Email:Mark.Mcbreairty@blic.com
Mailing Address: 11 Times Square, 38th Floor, New York, NY 10036
CONTACT PERSON:
Name: Ronald Kuoppala Architect
Mailing Address: 63 Village Line Road, Babylon NY, 11702
Phone#:516-848-0932 Email:rka@rkarchitecture.com
DESIGN PROFESSIONAL INFORMATION:
Name: Ronald Kuoppala Architect
Mailing Address: 63 Village Line Road, Babylon NY, 11702
Phone#:516-848-0932 Email:rka@rkarchitecture.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
OOther Maintain ExistingPickle Ball Court $25,000.00
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes RNo
1
PROPERTY INFORMATION
Existing use of property:Residential intended use of property: Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-400 this property? iOYes El No IF YES, PROVIDE A COPY.
8 Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter
er 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.
Application Submitted By(print name): Ronald Kuoppala ®Authorized Agent ❑Owner
Signature of Applicant: Date: 07-14-2026
STATE OF NEW YORK)
SS:
COUNTY OF )
Ronald Kuoppala 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 met is /
2 day of / i ..
Not#j Public
SHEILA E HORTON
Public•State of New YorkNO.01H04948825
PROPERTY OWNER AUTHORIZATION [Notary
Qualified in Suffolk County
(Where the applicant is not the owner) y commission Expires Mar zz, zoz7
---�' O�' I c d F
Ronald Kuoppala�iJ 6-.� L�--�-� do hereby authorize pp to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
07-14-2026
Owner's Signature Date
�L Print Owner's Name
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