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Home My WebLink About51911-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#: 51911 Date: 05/12/2025 Permission is hereby granted to: Robert Navarra PO BOX 1195 Cutchogue, NY 11935 To. Construct additions and alterations due to fire damage to an existing single-family dwelling as applied for. Premises Located at: 490 Tall Wood Ln, Mattituck, NY 11952 SCTM# 113.-7-19.28 Pursuant to application dated 05/02/2025 and approved by the Building Inspector.. To expire on OS/12/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition &Alteration $1,936.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $2,036.00 dfi) Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax (631)765-95021ittos:/Iw,,�N .southoldto'.-nny.p o ° Date Received APPLICATION FOR BUILDING PERMIT EC "" IVE For Office Use Only &— M AY - 2 2025 PERMIT NO.15 19 11,,,. ...�.,._..�. Building Inspector;_-- Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Building Departmimt Owners Authorization form(Page 2)shall be completed. Town of Southold Date: OWNER(S)OF PROPERTY: Name: RO6 eh N/-i-v 1+rr 1- ]:ETm:#1000- iJS —7 )Cj,Z Project Address: "' O 7A41—L. W cods L rw yYJ Jc Phone#: 431 - '24'~6 3 3 S Email: Nvle 4-k r-m I ryojo L. eIfi1 A-t - 0.i Mailing Address: gax CONTACT PERSON: Name: Mailing Address: I Phone#: Email: 1 DESIGN PROFESSIONAL INFORMATION: Name: TOSS ti F$c�ie i/i iz� Mailing Address: 170S- h�)61),+ — P0.4d Phone#: sl 6 — Email: eh n�� @G� (ou /LC CONTRACTOR INFORMATION: Name: Amos P)oIntiq wU I Mailing Address: Phone#: 631' _ 765-- -4 c7 40 Email: f}MDS/YIER/4 of co DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure (Addition ;41teration P Repair ❑Demolition Estirpated Cost of Pro ect: 00ther $ o ODd W111 the lot be re-graded? ❑Yes;lo Will excess fill be removed from premises? ❑Yes KNO 1 PROPERTY INFORMATION Existing use of property: b ale j f on Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to 11 _*0 this property? ❑Yes.No IF YES,PROVIDE A COPY. ACheck'Box After Reading- The owner/cwtractor/design professional is respormlWe for all drahuge and storm water issues as provided by of the Torero Colo.APPLICATION M WROBY MAN to the Building Departmnerrt for the Issuarce of a Bugd"urg Permit p%usuant to the Building Ian Ordiriame of the Town of Southold,Suffolk,County,New York and other applicable Laws,ordinances or Reguiador s.fir the construction of bulk!>ngs. addhieft aim as or for removal or demoldon as bweln described.The app0wtrt agrees to emmmply with all appl a ble laws,ordirwres,buPAhM code, houdit nxM urd regulations and to admit audiorked hopectors on premises and In building(s)for necessary inspactioms.False su tanerw made herein are ptm4shabla as a less A mkdmreanor pursuerrt to Section nGAS of the Meer York State Penal Law. Application Submitted By(priftt �� A`/� iG me): r �VG.rf^A— OAuthorized Agent VOwner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF ) 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,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 Notary Public PROPERTY OWNER Myr.HOWATION (Where the applicant is not the owner) I, residing at Rio hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 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 this property? ❑Yes []No IF YES, PROVIDE A COPY. ❑ 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 MADEto 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,aherations or forremoval or dernolitlon as herein'described.the applicant agrees to comply with all applicable laws,ordinances,building code, Jo code and eeguations and to admit authorized inspectors on premises and in buildings)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 Lair. Application Subml ed BY(pr name): 0 �41C ❑Authorized Agent ❑Owner Signature of Applicant: .....,_ Date: CONNIE D. BUNCH Notary Public,State Of NeW York No.01BU618.5050 STATE OF NEW YORK Qualified in Suffolk County SS: Commission Expires ApfA 14,2 ��<O/ COUNTY OF 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, 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 D-4dav of `y V I 20� Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) l 5-0— residin-gya t rl I do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 1 May 6, 2025 Tracy Dwyer Southold Building Dept Main Road Southold, NY 11971 RE: Navarra; 490 Tall Woods Lane, Mattituck Tracy, I have made the correction to the drawing as requested. ours ruly Jose Fischetti, PE GV s� �d BOARD CERTIFIED IN , -1 RUIC-1-UR L 'ENMINEERIN It 1 7 2 5 H 0BART ROAD S o u -rH0LD , N EW YORK 1 1 9 7 1 IWn lomRar MIDI!ne of AifvwmnI r✓n nr4(wr.vL tae worlo"of Wens ana A10 CONSTRICTION OF SUBSURFACE SEWAGE shorn 7rrraan cre from field QIxurs DISPOSAL SYSTEMS FOR SINGLE FAMLY RESIDENCES and or from data obtained .ham others. t and al�fda bT the condlliow set forthIhereln and on fhe � Q petadl to slwl. SCAMS REF#R70 #3 roTZ z i' W . .' O � �Lit ,, - " '4 b� s. s FL Rr SLRVEY OF l £ ' .. LOT 2 "CLUSTER MNOR"qM0� T�.'�Eh� ARMER FOSTER" AT MATTITUCK Vik TOWN OF SOUTHOLD ' ,sUFFOLK COUNTY N.Y. knit 1000- 113-07-P/O 19.14 f 10 A ' 0 AM 24 1"7 1 fow4MA I A"ON S" �. 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