The URL can be used to link to this page

Home My WebLink About48721-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT g TOWN CLERK'S OFFICE 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 #: 48721 Date: 1/11/2023 Permission is hereby granted to: Hardman, Dale 2405 Marratooka Rd Mattituck, NY 11952 To Construct alterations and legalize as-built additions & deck, as applied for, with SCHD approval. At premises located at: 435 Inlet Dr., Mattituck SCTM #473889 Sec/Block/Lot# 106.-2-21 Pursuant to application dated 4/25/2022 and approved by the Building Inspector. To expire on 7/12/2024._ Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $665.60 AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $572.80 CO-ADDITION TO DWELLING $50.00 Total: $1,288.40 V)Z— Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT V Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 7ti F s:h�r w ° w�. otl llol�)t w �� .n, ,Yo Date Received FaMA 9 11 �4PN FOR BL1113IPERMIT cT N o For Office Use Only DJ Y PERMIT NO. Building Inspector: Al' Q 2 5 2022 w &dUH D1NG DEi"'i: Applications and forms must be filled out in their entirety.Incomplete ntnr Or Si S j applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:04/21/22 OWNER(S)OF PROPERTY: Name:Dale Hardman SCTM #1000-106-2-21 Project Address:435 Inlet Dr Mattituck NY 11952 Phone#:631-618-5381 Email:dalethardman@gmail.com MailingAddress:435 Inlet Dr Mattituck NY 11952 CONTACT PERSON: Name:Michelle Sarabia, AMP Architecture Mailing Address:10200 Main Rd Unit 3A Phone#:631-603-9092 Email:msarabia@amparchitect.com DESIGN PROFESSIONAL INFORMATION: Name:Anthony Portillo, AMP Architecture Mailing Address:10200 Main Rd Unit 3A Phone#:631-603-9092 Email:aportillo@amparchitect.com CONTRACTOR INFORMATION: Name.: Mailing Address: Phone#: Email:. DESCRIPTION OF PROPOSED CONSTRUCTION New Structure ❑Addition ®Alteration ❑Re mmm ❑ pair ❑Demolition Estimated Cost of Project: ❑Other - Will the lot be re-graded? ❑Yes liQNo Will excess fill be removed from premises? ❑Yes RNo 1 PROPERTY INFORMATION Existing use of property:Single Family Residence Intended use of property: Single Family Residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40-NC this property? ❑Yes 1 No IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design profess lonal 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 theTown of Southold,Suffolk,County,New York and otherapplicable 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 bullding(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. l Q ,�i a Application Submitted By print name) 1 `� 6Authorized Agent ❑Owner Signature of Applicant' J Date: q I ZZ STATE OF NEW YORK) COUNTYOF, 1 001?�-Ihellle 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, nd 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 l"7 20 2Z No ary Public u " Dawn iohnson Notary Public,State of New York No 01J06349053 PROPEny OWNER II a i Quaiii►ed in Suffolk county (Where the applicant is not the owner) " co"-m'ys`r„'1axpires 1011l0 . I, residing at < < -do hereby authorize AMP ARCHITECTURE to apply on my behalf tot a Town of Southold Building Department for approval as described her In. owpeirl Signature D t Print Owner's Name 2 �/%r /�%//� j/�//%i/ %%% / %/ / / /A% /i lr /' /?;, Nor x E �� (f��✓r / //N !r l r r/'/�� L// i7 ! r fir.'; e, /i, �l / I//% / r o // I r rw: gal Ir v /i, re N'�ICJ7i7,h �Jfj rf rir. o,,j� J /i111' Pf i�GMVii��8fl� /.p er, Al i %%�% Biu %4 l/j J{'l�� 1J��7r, f r/ l /� �I jt / �/ r erg M. l / � � /ii r rir Ali/ r i /�i NMI �j0�� ✓ i 1 � ��ll o �, Al / r �// � r /ii% i!�%/% /. AW r 0,/ I�Y� 1 /� i r i t r°c0 ' // � r �I , 'fameOf 56 r%og%�Tl/ i o N /i Br r I r // %rp11 /r ✓�r //j �/� (� 1 „frill / ,Ili % IG fr ll .. 9r ��, a% / �IV/ � r NO-� irr>` ao� AIV ryr1 J� �� / «Dya" Aarm1Alse 5-0/ � o , OSTO-6SL9TS:02 60 660aT'A'N'NAlNO0M8 866TT ANl3UM 011 <T<'W N0'133!l1S HAS6 OS4 '083ll1ANIIMNVUA SLOT ��. W '-- 1 a dV 0331"V'N 011ILL80d ANOININV 3�11M.11HONV CC s p s V `•,. V) 0 r � � � � M A� n a 4 Q v � Q N •�� I U� /lel i rl i1, �' ._ ..,.,.,_...._..........,_... Y W I 00 E" -7 �D c-4 z 'D O > C7 CJ I L) C) LLJ Co W Lj DO Cn c �2 2 L� --) m cl�NI❑ o00 U Z (A � I X V) 2 (D < (D Lo V) zo c F L -t� =0 -1 Uzi' .5,02 --N-M 1 11 0 Ll ITINI 4 ;CllYd S3[4 sm,com U..M, 0,99 43,5' At 2S TORY FRAME OUSE & GARAGE CMN .0 P� f 'R �Mo DECK 6.0* Is QD STEP C) co 00 3 A