HomeMy WebLinkAbout52678-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#: 52678 Date: 02/17/2026
Permission is hereby granted to:
Timothy J Rice
398 W Neck Rd
Huntington, NY 11743
To:
Construct a new single-family dwelling with unfinished basement as applied for per SCHD approval.
Premises Located at:
4390 Mill Ln, Mattituck, NY 11952
SCTM# 107.-5-1.4
Pursuant to application dated 11/25/2025 and approved by the Building inspector.
To expire on 02/17/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling-NEW $4,588.50
Co single Family Dwelling-New $100.00
Total $4,688.50
Building Inspector
� TV1T OF OIJ --SOUTH OLD BUILDING DEPARTMENT
ENT
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y Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
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� Telephone(631) 765-1842 Fax (631)765-9502
"
Date Received
APPLICATION FOR BUILDING
6' FE 11 °°° r�-
For Office Use On ly �
u
PERMIT NO,
LP r-7 R Building I s e foryAR N ,:7 �
Applications and forms must be filled out in their entirety. Incomplete fr
applications will not be accepted. Where the Applicant is not the owner,an
i
Owner's Authorization form(Page 2)shall be completed.
Date:1 1/21/25
OWNER(S) OF PROPERTY:
• � SCTM#1Dt�o- �
Name: Tim Cameron Rice 1 Q7-o5-1.3
Project Address:4390 Mill Lane, Mattituck NY 11952
Phone#:6- 1-405-893 Email:timrice8@gmail.com
Mailing Address; 398 West Neck Road, Huntington NY 11743
CONTACT PERSON:
Name:
Ryan Harper
y �
Mailing Address: 291 8th Street, Brooklyn NY 11215
Phone#: 718-832-4601 EmaiI:ryan@harperdb.com
DESIGN PROFESSIONAL INFORMATION:
Name: Christine Harper - Harper Architecture, P.C.
i
Mailing Address: 291 8th Street Brooklyn NY 11215
00,
Phone#: 71 8-832-4601 Email:christine@harperdb.com
CONTRACTOR INFORMATION:
Name: Kyle Bchadt - North Fork Woodworks
Mailing Address*PO Box 1407, 810 Travelers Street, Southold NY 11971
Phone#: 531.298-7900 Email:kyle@nfwoodoworks.com
DESCRIPTION OF PROPOSED CONSTRUCTION
N New Structure RAddition ❑Alteration []Repair ❑Dernolition Estimated Cost of Project:
E]Other
$21750,11000
Will the lot be re-graded? QYes 0 No Will excess fill be removed from premises? ❑Yes 01 No
1
I�TOIKIM[WA\,�FIEIK
Albert J. Krupski,
Jr. , a
SUPERVISOR MA\,
NA\xG1E1\\A11EN]F
TOWN HALL-P.0.Brix 1179 v�
5(JUTHCIL� (5
53095 Main Road-sovTHCILD,NE
W YORK 11971 Town
of Southold FORM
CHAPTER 236 STORMWATER MANAGEMENT REFERRAL
( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA. OR LARGER. )
(Property Desi n Professional, Agent, Contractor, Other)
APPLICANT:
NAM Late:
(Print)
INS I I,la I ure
I
Contact Information: XE
� Oki—
(E-Mad&Telephone Number)
P Address / Location of Construction Site:
S.C.T.M., 1000
District
&/01
.
m
JJ 3,
L,0,* >:7 .
...
Section Block. 1. ot
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
Area of Disturbance is less than 1 Acre. No S.P.D.F-S. Per rit is 1�e� � iced
Project does Not Discharge to Waters of the Mate. No S.P.D.F.S. Permit is Reg uired l
Area of Disturbance is Greater than 1 Acre& Storm-water Runoff" Discharges Directly
to Waters of the Mate of New York. THE APPLICANT MUST OBTAIN a S.P.D.F.S. Permit
DIRECTLY From N.Y.S. D.E.C. Prier to Issuance of a Building Permit.
�] Area o Disturbance is Greater than 1 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 En I'llineerin Department
Prior to Issuance of a BuildingPe:r nit.
Reviewed By:
Date:
FORM # SMCP"-"T"OS December 2024
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