HomeMy WebLinkAbout53297-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#: 53297 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" above-ground 5,000 gallon fuel tank as applied for with SCHD approval.
Premises Located at:
Peconic Bay, New Suffolk, NY 11956
SCTM# 134.-3-5
Pursuant to application dated 08/07/2026 and approved by the Building Inspector,
To expire on 09/20/2028.
Contractors:
Required Inspections:
Fees:
As Built Accessory Structure $250.00
CO Accessory $100.00
L, Total $350.00
Building Inspector
A 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 litt ://wwN . of tlioldtovynii Gov
eta
Date Received
APPLICATION FOR, BUILDING PERMIT
11 E i )
For Office Use Only
AUG26
PERMIT NO. � �� Building Inspector:
-i
Applications and forms must Building Department
Towpp be filled out in their entirety. Incomplete r f Southold
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 SCTM# 1000-134-03-05
Project Address: Robins Island, Town of Southold
Phone#:646-465-0602 Email:Mark.Mcbreairty@bllc.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:
DOther Maintain existing 5,000 Gallon Diesel Fuel storage Tank $15,000.00
Will the lot be re-graded? ❑Yes 1WNo Will excess fill be removed from premises? ❑Yes ®No
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 I
this property? RYes ❑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 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 WAuthorized 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
r
Zday of 2f ,
Notaf Public
SHEILA E HORTON
Notary Public-State of New York
PROPERTY OWNER AUTHORIZATION No.o1Hoa9akCo
ualifl'ed in Suffolk County
(Where the applicant is not the owner) My Commission rxplres Mar 27, 2027
-' 0FhC6;p- D F
�
Ronald Kuoppala to apply on a tr�[ �t1�S LZ-C do hereby authorize pp Y
my behalf to the Town of Southold Building Department for approval as described herein.
07-14-2026
Owner's Signature Date
Print Owner's Name
2
11,
BUILDING DEPARTMENT- Electrical Inspector
X TOWN OF SOUTH'OLD ��' '
Town Hall Annex.� 64376 Main � ' B i � "
Southold, New York 1 _0969
Telephotos (6: 1) 802 f'Y; '
veldt g Depart°
APPLICATION FOR ELECTRICAL INSPECTION " fl
ELECTRICIAN INFORMATION (All Information Required) Date: 08/10/2026
Company Name: Fingleton Electric
Electrician's Name: Donal Fingleton
License No.: ME-36271 Elec. email: donalfingletonyahoo.com
Elec. Phone No: 516-356-2196 ❑✓ I request an email copy of Certificate of Compliance
Elec. Address.: 320 Three Mile Harbor, East Hampton, NY 11937
JOB SITE INFORMATION (All Information Required)
Name: Robins Island Holdings, LLC
Address: Robins island
Cross Street:
Phone No.: 646-465-0602
Bldg.Permit#: 5-3 email: Mark.Mcbreairty@bllc.com
Tax Map District: 1000 Section: 134 Block: 3 Lot: 5
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Existing 5,000 Gallon Diesel Fuel Tank to be maintained and legalized.
rSquare Footage:
Circle All That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required)
Service Size01 Ph F]3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 FJ2 H Frame M Pole Work done on Service? Y F1N
Additional Information:
PAYMENT DUE WITH APPLICATION
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