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HomeMy WebLinkAbout53303-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#: 53303 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 electrical shed as applied for. Additional certification may be required. Premises Located at: Peconic Bay, New Suffolk, NY 11956 SCTM# 134.-3-5 Pursuant to application dated 09/18/2026 and approved by the Building Inspector. To expire on 09/20/2028. Contractors: Required Inspections: Fees: As Built Accessory Structure $410.00 CO Accessory Structure $100.00 Total S510.00 uilding Inspector 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 htqis:t/www.soutlioldtowiitiygov Date Received APPLICATION FOR BUILDING PERMIT p�. For Office Use Only PERMIT NO. Building Inspector: Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is Owner's Authorization form(Page 2)shall be completed.not the owner,an arum °' Date:09-14-2026 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 :=mMark.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: [il0ther Maintain Existing Electrical Shed $15,000.00 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? RYes ❑No IF YES, PROVIDE A COPY. R 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 RAuthorized Agent El 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, Agent (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 t is 'Z— day of A. 2G= CIL" /"4�6, Notr Public SHEILA E HORTON Notary Public-State of New York NO.01H04948825 PROPERTY OWNER AUTHORIZATION Qualified in Suffolk County MY Ccmmisslon�xplres Mar 27, 2027 (Where the applicant is not the owner) I, Ronald Kuoppala to apply on I✓� f y pPY t. � �-� 1-- do hereb authorize 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 off BUILDING DEPARTMENT- Electrical e Z E V E TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - So91 Southold, New York 11971-0 � t Telephone ( ) 765-1802 631 APPLICATION FOR ELECTRICAL INSPECTION 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 0 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#: 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 Electrical Shed maintained and legalized. Square Footage: Circle All That Apply: Is job ready for inspection?: ❑✓ YES 0 NO F-]Rough In Final Do you need a Temp Certificate?: � YES � NO Issued On Temp Information: (All information required) Service Size Ell Ph3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 FJ2 0 H Frame D Pole Work done on Service? Y ON Additional Information: PAYMENT DUE WITH APPLICATION n-)v r- 05 ZC38 N In ­6 1� 40, (w iE grlIL- ,:0 P 9 P4