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Home My WebLink About52350-Z 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 52350 Date: 10/14/2025 Permission is hereby granted to: Costello JP Rev Trt 750 Holbrook Ln Mattituck, NY 11952 To: finish an existing basement of a single-family dwelling as applied for. Premises Located at: 750 Holbrook Ln, Mattituck, NY 11952 SCTIVI# 113.-6-9 Pursuant to application dated 09/02/2025 and approved by the Building Inspector.. To expire on 10/14/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Alteration $650.00 CO-RESIDENTIAL $100.00 Total $750.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT F Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-95021tts: �. catoldtewr�r o Date Received APPLICATION E C E � W E ,w For Office Use Only PERMIT NO. Building Inspector. � a EP 2 202 Applications and forms must be filled out in their entirety. Incomplete Datl,uy rr% a .i t _,i applications will not be accepted. Where the Applicant is not the owner,an Tare"n Apr Owner's Authorization form(Page 2)shall be completed. Date:08/30/2025 OWNER(S)OF PROPERTY: Name:JANE P. COSTELLO sCTM# 1000-113-6-9 Project Address:750 HOLBROOK LANE, MATTITUCK Phone#:631-942-9355 Email:JPCOSTELLO@LIVE.COM Mailing Address:750 HOLBROOK LANE, MATTITUCK, NY 11952 CONTACT PERSON: Name:JANE P. COSTELLO Mailing Address:PO BOX 2124, GREENPORT, NY 11944 Phone#:(631)477-1199 Email:JANE@COSTELLOMARINE.COM DESIGN PROFESSIONAL INFORMATION: Name:N.J.MAZZAFERRO, PE Mailing Address:PO BOX 57, GREEN PORT, NY 11944 Phone#.516_457_5596 Email:NICKM AZZAF ERRO @VERIZON.NET CONTRACTOR INFORMATION: Name:TBD Mailing Address: Phone#: Email. DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition L Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other �5,000 Will the lot be re-graded? ❑Yes HNo Will excess fill be removed from premises? ❑Yes 9No 1 PROPERTY INFORMATION Existing use of property:RESIDENTIAL intended use of property:RESIDENTIAL Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 Residential this property? ❑Yes BNo IF YES, PROVIDE A COPY. IN heck Box After Reading: The owner/contractor/design professional b 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): JANE P. COSTELLO ❑Authorized Agent @Owner Signature of Applicant: , Date: 8/310 la�� STATE OF NEW YORK) SS: COUNTY OF SUFFOLK JANE P. COSTELLO being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (s)he is the AGENT/OWNER (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 3 �day of l� - ,20 a S Notary Public UM E STEVENS Notary Public-State of New Yak 6 1ST629424 IVIG ( IM ) ) ' �,s�NaOctfnSltf3dl ~at (Where the applicant is not the owner) CommWou Expire 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 S.C.T.M. PJO. DISTRICT: 1000 SECTION: 113 BLOCK: 6 LOT(S): 9 I I I I W I —.I O � O r �EL11 -$--_ � EDGE p� S�Ap 0 103.74' EL t1.s 1t. E 1tT.fr O1 11�0z is WAYJ EL t 1 2 ". EL T; EL 12.7 EL 9.8 D1 .13 EL 10.8 WELL t9 O EL 10.3 000 EL 12.6 EL 8.8 EL 10.8 P-12 0 1*1 20.3' 2. 20,0 .. " o =1 STORY a J 00 EL 12.6 M ... 14ff EL 11.1 01 WOOD DECK t2 c EL 12.6 Th O M.H. z 2 OF IF m LAND N/F OF LYNN HARPELL l ROCHE PROTECTION TRUST FIRE PIT GRAVEL L.P. GAS O WOOD 122 ` . O M <\ 10.0' o w O � O !� Z 10 w -ISO, 14O' 12.4' o� v PIPE iWD Jr RACK' 6 RAOD CK PIPr 4 t M S 824.92 2' E S 01 11E 13005 �fpF 'N RD'S BRANCH old 5 A TITK 'CREEK UPDATE 04-30-25 FLOAT` THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. AREA: 30,546.28 SQ.FT. or 0.70 ACRES ELEVAT70N DATUM: UNAUThIORIZED AL7FRA77ON OR ADDITION TO THIS SURVEY IS A V70LAT70N OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP N0T BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY T(O THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING 1NST7TU77ON LISTED .HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR' SUBSURFACE S7RUMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY a SURVEY (OF: DESCRIBED PROPERTY A y' � CERTIFIED TO: JANE COSTELLO; I MAP OF: � - FILED: SITUATED AT: MATTITUCK TOWN OF: SOUTHOLD - y KEI+II�ETH IVY YCRUK LAND SURVEYING, PLLC SUFFOL_K COUNTY, NEW PORK Professional. Land Surveying and Design -- P.O. Box 153 Aquebogue, New York 11931 _ PHONE (631)298-1588 FAX (631) 298-1588 FILE # 1 8-135 SCALE: 1 »=40' DATE: DEC. 5, 2018 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Roychuk