HomeMy WebLinkAbout52612-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#: 52612 Date: 01/20/2026
Permission is hereby granted to:
Maria Karabatsos
359 Wilson Ave
Fort Lee, NJ 07024
To:
construct an unconditioned accessory garage as applied for.
Premises Located at:
345 The Strand, East Marion, NY 11939
SCTM#30.-2-88
Pursuant to application dated 01/14/2026 and approved by the Building Inspector.
To expire on 01/20/2028.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $313.50
CO Accessory $100.00
Total $413.50
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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 htt. ://www.sotithol(ltowliii . go
Date Received
APPLICATION FOR BUILDING PERMIT
S)
For Office Use Only
T
PERMIT NO. �
� �Buildin Ins l ,1
Applications and forms must be filled out in their entirety.Incomplete � orr«r:t
applications will not be accepted. Where the Applicant is not the owner,an J 4X_,rU °.r:.y,. raolCal
Owner's Authorization form(Page 2)shall be completed.
Date:JANUARY 12, 2026
OWNER(S)OF PROPERTY:
Name:DARIUS MROCZKOWSKI SCTM #1000-030.00-02.00-088.000
Project Address:345 THE STRAND EAST MARION, NY 11939
Phone#:516-807-4411 ]Eil-:R:USHBUILDINC@GMAIL.COM
Mailing Address: 11 LIVINGSTON STREET BAY SHORE, NY 11706
CONTACT PERSON:
Name:MICHAEL ORLANDO
Mailing Address: 11 LIVINGSTON STREET BAY SHORE, NY 11706
Phone#:516-807-4411 Email: RUSHBUILDINC@GMAIL.COM
DESIGN PROFESSIONAL INFORMATION:
Name:TODD O'CONNELL
Mailing Address: 1200 VETERANS HWY SUITE 120 HAUPPAUGE, NY 11788
Phone#:631 .650.6666 Email:PERMITS@TOCARCHITECTS.COM
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
*'New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition J Estimated Cost of Project:
❑Other $ 100,000.00
Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? *Yes [:]No
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PROPERTY INFORMATION
Existing use of property:VACANT Intended use of property: RESIDENTIAL
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R40 this property? Dyes ®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 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 210AS of the New York State Penal law.
Application Submitted By(print name):n IL d ) ❑Authorized Agent wner
Signature of Applicant: Date: ( �
STATE OF NEW YORK)
S:
COUNTY OF )
0� ( C /-e 0r i 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 2a An.615, 20,96
Notal°y Public
MICCALIA A ROOUE
NOTARY PUBLIC,STATE OF NEWYORK
II.IAURED IN xUFFOLK COUNTY
PROPERTY OWNER AUTHORIZATION NO.01 R06 173781
(Where the applicant is not the owner) COMMISSION EXPIRES 9112AA
I, 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
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