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Home My WebLink About51526-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 51526 Date: 01/08/2025 Permission is hereby granted to: Margus Kart Puunsi Viimsi parish, 74013 To:. Legalize "as built"deck addition to an existing single-family dwelling as applied for. Additional certification may be required. Premises Located at: 1120 Central Dr, Mattituck, NY 11952 SCTM# 106.-2-15 Pursuant to application dated 11/08/2024 and approved by the Building Inspector. To expire on 01/08/2027. Contractors: Required Inspections: Fees: As Built Addition/Alteration $756.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $856.00 Building 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) 765-9542 la � wpm , ttllltcae tin a Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only { PERMIT NO. �w..��U Building Inspector..,.,._ AV NOV Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an lldl i � Owner's Authorization form(Page 2)shall be completed. Date:November 4, 2024 OWNER(S)OF PROPERTY: Name: Margus Kart SCTM #1000-106-2-15 Project Address: 1120 CENTRAL DRIVE MATTITUCK, NY 11952 Phone#:3725128215 Email:Margus.Kart@antalis.com Mailing Address: 1120 Central Dr, Mattituck, NY 11952 CONTACT PERSON: Name:Anthony Portillo Mailing Address: PO Box 152, Mattituck, NY 11952 Phone#:631 603 9092 Email:aportiilo@amparchitect.com DESIGN PROFESSIONAL INFORMATION: Name:Anthony Portillo Mailing Address: PO Box 152, Mattituck, N.Y.' 11952 Phone#:631 603 9092 E—mail-aportillo@amparchitect.com CONTRACTOR INFORMATION: Name: N/A Mailing Address: N/A Phone#:N/A Email:N/A DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: them $ Will the lot be re-graded? ❑Yes XVo Will excess fill be removed from premises? ❑Yes K 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 LA o QC this property? E]Yes l!)4o IF YES,PROVIDE A COPY. El Check Box After 11eacfillg: The owner/contractor/design professional Is responsiblefor 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(pr iht name):AMP Architecture RAuthorized Agent DOwner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF 'SdA I k C) being duly sworn,deposes and says that(s)he is the applicant (Name of individual sigig contract)above named, (S)he is the Age nt (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 a NOTARY iP u DARCEE UFENANGER N 0. F� OTARY PUBLIC,STATE OF NEW YORK I t Registration No. OIAU0019644 PROPERTY (")WNER AUP'10 R IZATIO N Qu Ii i County ty ....... .... ........ Qualified in Suffolk County tU,Iry 9 2028 (Where the applicant is not the owner) commission Expires,january 9,2028 I, Margus Kart residing at /3 11-7 4- fr AMP ARCH ITECTU RE hereby authorize ....... apply on my behalf to the Tow of Southold Building Department for approval as described herein. -3 ,1 e2,612 eel Ov�n&s,Signature Date 5 1(2 Print Owner's Name 2