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Home My WebLink About52497-Z 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#: 52497 Date: 12/01/2025 Permission is hereby granted to: Marc Weissbach 2909 Frankel Blvd Merrick, NY 11566 To: Construct additions and alterations to an existing detatched garage as applied for to include new dormers,new roof and basement structural enforcements. Premises Located at: 350 Paddock Way, Mattituck, NY 11952 SCTM# 107.-4-2.12 Pursuant to application dated 10/08/2025 and approved by the Building Inspector. To expire on 12/01/2027. Contractors: Required Inspections: Fees: Accessory-Addition/Alteration S573.00 CO Accessory Structure S100.00 Total S673.00 Building Inspector aF �l TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 " f Telephone (631) 765-1802 Fax (631) 765-9502 httns://www southoldtowwly.gov Al Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. 5a 1 r7 Building Inspector:, iJ � :.� � OCT0 CT 2025 .� 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 Depar"^nent Owner's Authorization form(Page 2)shall be completed. 'io w t of_S uIhold Date:October 6, 2025 OWNER(S)OF PROPERTY: Name:Shari Lash Weissbach SCTM# 1000- 10 1-4-2.;12 Project Address:350 Paddock Way, MattituCk, NY 10952 Phone#:917.648.2028 Email: Marcweissbach @outiook.Com Mailing Address:2909 Frankel Blvd., Merrick, NY 11566 CONTACT PERSON: Name: Marc Weissbach Mailing Address:2909 Frankel Blvd., Merrick, NY 11566 Phone#:917.648.2028 Email: Marcweissbach @outlook.com DESIGN PROFESSIONAL INFORMATION: Name: Robert Stromski, AIA Mailing Address: PO BOX 1254, Jamesort, NY 11947 Phone#:631 .779.2832 Email: Robert@stromskiarchitecture.com CONTRACTOR INFORMATION: Name:Jason C. Leonard, Inc. Mailing Address: PO BOX 1528, Southold, NY 11971 Phone#:6,31 .433.6612 EmaikJasoncleonardinc.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $25,000.00 Will the lot be re-graded? ❑Yes ONo Will excess fill be removed from premises? ❑Yes NNo mom PROPERTY INFORMATION Existinguse of ro ert : Intended use of property:Accessory Garage p p y Accessory Garage �' 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. IN 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,Suffok 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(prin n mfz):Shari- V Vm ash eissbach 0Authorized Agent ❑■ Owner Signature of Applicant: `s . , lw�C Date: OCtober 19, 2025 STATE OF NEW YORK) SS' COUNTY OF Nassau Shari Lash Weissbach being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the OW n e r (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 G , 20 C�J SETH Notary Public NOTARY PUBLIC, STATE OF NEW YORK NO. 02KO6299091 QUALIFIED IN NASSAU COURMPERTY OWNER AUTHORIZATION COMMISSION EXPIRES MARCH 17, a the applicant is not the owner) I, residing at do hereby authorize to apply on Id Buildi ng Dep artment for approval as described herein. my behalf to the Town of Southold g p Owner's Signature Date Print Owner's Name 2 PROPERTY INFORMATION Existing use of property: Intended use of property: ' Accessor Gara a Accessor_Garage 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. 8 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):Shari Lash Weissbach ❑Authorized Agent BOwner Signature of Applicant: Date: October 3, 2025 STATE OF NEW YORK) SS: COUNTY OF Nassau Shari Lash Weissbach being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is theOwner (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 AUTHORIZATION (Where the applicant is not the owner) Shari Lash Weissbach residing at 350 Paddock Way, Mattituck, NY 11972 do hereby authorize Jason Leonard to apply on my alf to the Town of Southold Building Department for approval as described herein. October 8, 2025 Owner's Signature Date Shari Lash Weissbach Print Owner's Name 2