HomeMy WebLinkAbout52680-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
G
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#: S2680 Date: 02/18/2026
Permission is hereby granted to:
Sarah A Apgar
104 Washington Ave
Chatham, NJ 07928
To:
Construct alterations to an existing single-family dwelling to finish the existing basement as applied
for.
Premises Located at:
6580 New Suffolk Rd, New Suffolk, NY 11956
SCTM# 117.-4-33
Pursuant to application dated 12/23/2025 and approved by the Building inspector.
To expire on 02/18/2028.
Contractors:
Required Ins wectlons:
Fees:
Single Family Dwelling.- Alteration $896.00
CO Single Family Dwelling-Addition /Alteration $100.00
Total 996.00
Building Inspector
g d
.: TOWN OF SOUTHOLD--:BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY11971-a959
Telephone 631 765-1802 Fax(631) 765-9502 11,��ttp�:s,.,//w"ww.sot,"I,thold,,tow,,n,,,v,".VIOV,
0
Date Received
APPLICATION FOR BUILDING PERMIT
-1 0 IVfe% IF""*
For Office Use Only 19
/may(5001 �O PERMIT NO. "�✓ Building Inspector
DEC 2 3 2025
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applilcant is not the owner,an Building 0epartment
wnees Auth+oriaat on form Page 2)shall be completed. Town of SOuthold
Date:12-20-25
OWNER(S)OF PROPERTY:
Name:Sarah Apgar SCTM#1000- 3:�)
Project Address:650 New Suffolk load, New Suffolk
Phone#* Email:sarahapgar@hotmail.com
Mailing Address:6580 New Suffolk Road, New Suffolk
CONTACT PERSON
Name: Joseph Aiello - Get Joe
Mailing Address: MattituCk, NY
Phone#:631-79 -5 5 Email:
DESIGN PROFESSIONAL INFORMATION:
Name:N lck Mazzaferro, PE
Mailing Address:Gr enport, NY
Phone#:516-457-55 Email:
CONTRACTOR INFORMATION:
RMATION:
Name:to be determined
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED SED CONSTRUCTION
n New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cast of Project:
0 Other finish basement $80,000
Will the lot be re-graded? nYes ❑No Will excess fill be removed from premises? C�Yes D No
00111
PROPERTY INFORMATION
Existing use of property:family residence Intended use of property:same with finished basement
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R40 this property? MYes *No IF YES,, PROVIDE A COPY.
El Check Box After Readift: 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):Joseph Aiello RAuthorized Agent ElOwner
Signature of Applicant: Date: December 20, 2025
STATE OF NEW YORK)
SS:
COUNTY OF
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the Agent- ro ert manager
(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)
Sarah Apgar iding at 6580 New Suffolk Road, New Suffolk, NY
resi
do hereby authorizeJoseph Aiello to apply on
my behalf to the Town of Southold l3u',,,,,ing Department for approval as described herein.
1 Pill December 20, 2025
Owner's Signature Date
Sara
h Apgar
Print Owner's Name
2