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Home My WebLink About52304-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#: 52304 Date: 09/26/2025 Permission is hereby granted to: Paul Seck 430 St. Mark Ave Brooklyn, NY 11238 To: Construct additions and alterations to existing accessory structure as applied for. Premises Located at: 2445 Private Rd #18, Mattituck, NY 11952 SCTM# 121.-4-7.1 Pursuant to application dated 08/06/2025 and approved by the Building Inspector. To expire on 09/26/2027. Contractors: Required Inspections: Fees: Accessory-Addition/Alteration $1,098.75 CO Accessory Structure $100.00 Total S1,19875 Building inspector " it7d 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 https://www.souttiolcitowilny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMITN Building I "' 2 �t. I 0. g nspect�ar:, ��,��r �'� �..��.�) Applications and forms must be filled out in their entirety.Incomplete Building Department applications will not be accepted. Where the Applicant is not the owner,an ` " Town of Southold Owner's Authorization form(Page 2)shall be completed. Date:8/6/2025 OWNER(S)OF PROPERTY: Name:Paul Seck SCTM #1000-121-4-7.1 Project Address:2445 Laurel Lake Drive, Mattituck Phone#:917-731-5820 I Email:pseck@mvvainc.com Mailing Address:430 St Marks Ave, Brooklyn, NY 11238 CONTACT PERSON: Name:Brooke Epperson Mailing Address:PO Box 152, Mattituck, NY 11952 Phone#:631 603 9092 Email:bepperson@amparchitect.com DESIGN PROFESSIONAL INFORMATION: Name:Anthony Portillo Mailing Address:PO Box 152, Mattituck, N.Y. 11952 Phone#:631 603 9092 Email:aportillo@amparchitect.com CONTRACTOR INFORMATION: Name: Mailing Address: I, Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther Renovation to existing detached garage $ I Will the lot be re-graded? El Yes El No Will excess fill be removed from premises? Dyes ❑No 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 R80 Non-Conforming this property? ❑Yes ®No IF YES, PROVIDE A COPY. 8 Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water,issuevas,provided'by" Chapter 236 of the Town Code. APPI.ICAMN IS NCROBY 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 Caws,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 authonz ins i gu ed pectors on remises and in buridin (s)for necessary inspections.False statements mada herein are P g , punishable as a Class A misdemeanor pursuant to Section 2id.0 of the New York State Penal law. Application Submitted By(print name): q>t-6)0\L.2_ er—, BAuthorized Agent ❑Owner.,. g Signature of Applicant: R' spa �i Date: "I & f STATE OF NEW YORK) _ S. COUNTY OF w' 11 being duly sworn, deposes and says that(s)he is the applicant (Name of6ndividualsigning cont TA))above named, (S)he is the (ilhtractor,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 201All� ary Public A 1EENANGE ' PROPERTY OWNER AUTHORIZATIONNOTARY PUBLIC,STATE OF NEW YORK F?egisiration No. 01AU0019644 (Where the applicant is not the owner) Qualified in Suffolk County Commission Expires January 9,2028 A Paul Seck residing at 2445 Laurel Lake Drive - Mattituck AMP Architecture do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Digitally signed by A Seck A Paul Seck Date:2025.04.041328:114-04'00' 8/4/2025 Owner's Signature Date A Paul Seck Print Owner's Name 2