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Home My WebLink About52131-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#: 52131 Date: 07/30/2025 Permission is hereby granted to: Scott Klatsky 101 Lexington St Westbury, NY 11590 To: construct additions and alterations to existing single-family dwelling as applied for per Trustees approval. Premises Located at: 560 Sunset Ave, Mattituck, NY 11952 SCTM# 115.-3-2.1 Pursuant to application dated 03/05/2025 and approved by the Building Inspector. To expire on 07/30/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition &Alteration $1,245.25 CO-RESIDENTIAL $100.00 &,;otal S1.345.25 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) 765-9502 hitLis://www.soLitli ld r r i ,ytgg Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only �( U PERMIT NO, Building Inspector. i Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: 8 �l a.0a4 OWNERS) OF PROPERTY: Name: �TM000-SQe} 115 Dl• 3 L ra '� Project Address: 540 e �•[ N" (1 :L Phone#: 1"1_ 9 _ 1 Email: Mailing Address: .5f ,5 $ __ "t l "` • Y'1' 5 - CONTACT PERSON: Name; � � Mailing Address: t.(00 6 4 pkje., mki+14v- k- o 015ia Phone# Email; a o1 . n- l o-, Ib ;.1+ - DESIGN PROFESSIONAL INFORMATION: Name: h�c P L L Mailir Address:_. Phone#: _ _q 11 Email: 011e',_ Sc1.®� o Qw or1�s G.r a CONTRACTOR INFORMATION: Name Nl l �Gdress:gN .. Phone#: Email:C, J � CA DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure XAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ 400,rJ00 Will the lot be re-graded? XYes El No Will excess fill be removed from premises? Dyes ONO 1 ( PROPERTY INFORMATION Existing use of property: Res�de�.a aa1^ 5� ��,,,, Intended use of property: 0.Q ee.de cl- G'%"\e fi�►..a1r Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes o 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 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): G " ❑Authorized Agent caner � Signature of Applicant: .. Date: 8)�� ` �2�• CRISTINA MEDIA STATE OF NEW YORK) NOTARY PUBLIC,STATE OF NEW YORK'. SS: Registration No. 01 ME6439947 COUNTY OF ��^'w � ) Qualified in Queens County Commission Expires 09/06/2026 being duly sworn, deposes and says that (s)he is the applicant Name of ind ividual dividual signidg 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. '/ i Sworn before me this � �.. _ day of w, . K , , 20 ` Notary Public CRISTINA MEJIA NOTARY PUBLIC,STATE OF NEW YORK Registration No. 01ME6439947 PROPER OWNER AUTHORIZATION Commission Expires C-ou ty PROPERTY_ _ ._ Qualified in Queenss Coon Where the applicant is not the owner) (, residing at 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 oo� nD E C E 0 V JE IRK S.C.T.M. NO. DISTRICT: 1000 SECTION:115 BLOCK:3 LOT(S):2.1 LAND N/F OF 345,1e JUL 1 8 2025 HANN @ SCHECHTER UP. LAND N/F OF I I TOWN OF SOUTHOID X - t pRN'e�F'Y _ Buildingent Iss.ss , w d Town of S1i •�1G � � 'x11fY, ,'�G� vp 3.7'S lao'E a�? N5 37 40 c o 0 N Q Q y F a g�j, LAND N/F OF 9ti Y HORNE h WADELTON >1—yX LAND N/F X OF TOWN OF SDUTHOLD I j 7,j 11.7'E % R 2` e. f tip Z f g G GARAGE AND 33EEZtEZ iAY-O a ABS T a .RUtT, 1s L,ADD C4 ;o R 2ND �ACC.?1UV LAND N/F REVISE f / X757"N`e SANi RY FEMA MAP# 36103CO482H sATr EFFECTIVE 09/25/2009 THE WATER VAMY WELLS OR"Wf 8 AND GES L A TA OPTA � BiM A -'' AR A 45,418S7 S .FT. or 1.04 ACRE ELEVATIONDATDM: NAVD88 1 r7 UNAU7N042ED AL7FR4I W 0R ADDITION TO TWS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORA STATE MUCARON LAW. COPIES OF iWS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSDER D TO BE A VALID 7RUE COPY. GUARANTEES NOIC47EV HEREON SHALL RUN ONLY TO THE PERSON FOR NNOM THE SURVEY IS PREPARED AND OF HIS BEHALF RJ THE TITLE COMPANY GOVERNMENTAL AGENCY AND LENDING AGT ON US70 HEREON,AND TO THE ASSIOVEES OF THE LENDING INSI711071CW,GUARANTEES ARE NOT TRANSFERABLE. e THE OFFSETS OR DIMENSIONS SHOWN HEREON F77011 THE PROPERTY LINES TO THE STRUCTURES ARE FAR A SPECIFIC RE PURPOSE AND USE RE THEY ARE NOT INTENDED TO MONUMENT THE RECORDED LINES t OR lO VE DE E ERECTION OF T FENCES ADGRONAL y cwDURES OR AND OTHER IMPROVEMENTS ATTTIME EASEMENTS ANO/QP SUBSURFACE STRUCTURES REGORGED OR UNRECORDED ARE NOT flARAA7EE0 UNLESS P7IYSICALLY EVIOEN!ON THE PREMISES A7 THE TIME OF SURVEY -3 SURVEY a:DESCRIBED PROPERTY CERTIFIED'TO- SCOTT 4ASKY; MAP OF: �CHRISTAL. JP-6lfV = TD� FlIEO: .1 FIRST A.ArvU•u�MAW d 'K,E INSURANCE OF WEV - _ sTuATED Am MATTITUCK ) ADD PROP.ADDITIONS 0rJ0-25 - - - � (' — - — = 1 TOWN OF:SOUTHOLD --- UPDA7E 05-12-25 - — — — I� = =L — = KENNETH N WOYCHUK LAND SURVEYING,PL.1C p .-7 - — , SUFFOLK COUNTY, NEW YORK •- Profeeei9ml Lend Eurve and D.Bign REVISE SANITARY LOCATION 08-02-13 '- = �. -1 — —ry�.,�Y 1 _ — — — — --. �i LOC.NEIGHBORING WELLS AND CESSPOOLS 05-28-13 _ %�% _ _ 1 ;s P.O.Eoz 153 Aquebague,New York L1931 ADD LOG.OF SANITARY @WELL 04-OJ-1J — — — — — 1 FILE/12-111 SCALE:1'-40' DATE:SEPT. 17, 2012 - PRONE(65L)YYe-Lees PAX(631)296-IM ADD TEST BORING 10-17-1J — -- — — — — — N-�: L Y EC E0 E J U L 2 9 22 Albert J. Kr r PTO RIM[WA' IER, SUPERVISOR Building Dope \N\A\,G IEN[IEN'7F Town,of Sow SOUTHOLD"TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) - - — — — - - - — — — - - - - - — — — - - - - - - - - - - - - - — - - APPLICANT: (Property Owner, Design Professional, Agent, Contractor Other) NAME: C` Date: 7/;Lg Qf�r ratipfl nn Contact Informa "pan: �e CA ��c✓ �M!Yr `C.� (G-Mail 8 Telephone Number) Property Address / Location of Construction Site: �5_60 S_v„iJcr- A-vr S.C.T.M. # 1000 District •9 ° r � � n/ C qS~ -- res 3 � - c Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT Area of Disturbance is less than I Acre. No S.P.D.E.S. Permit is Re uired I ❑ - Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Required! ❑ - Area of Disturbance is Greater than 1 Acre&Storm-water Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Building Permit. ❑ - Area of Disturbance is Greater than I Acre & Storm-water Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit through the Southold Town Engineering Department Prior to Issuance of a Building Permit. t OJL,�Reviewed By: Date: FORM SMCP-TOS December 2024 ,� � .`/D 'I ✓� ��f� , Glenn Goldsmith, President Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples : Fax(631) 765-6641 Cou BOARD OF TOWN TRUSTEES 2 �n 2 E TOWN OF SOUTHOLD E V Permit No.: 10809A Date of Receipt of Application: June 24, 2025 mOnt Applicant: Scott Klatsky BuildingTowof Southold SCTM#: 1000-115-3-2.1 Town of S'co Project Location: 560 Sunset Way, Mattituck Date of Resolution/Issuance: July 16, 2025 Date of Expiration: July 16, 2028 Reviewed by: Board of Trustees Project Description: Construct a 374 sq.ft. first floor addition and 837 sq.ft. second story addition to existing dwelling; demo existing garage and breezeway; construct 30.5' x 6' covered porch; construction activity within 100' of wetlands. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Caseworks Architects, received on June 24, 2025, and stamped approved on July 16, 2025. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees