The URL can be used to link to this page

Home My WebLink About52686-Z TOWN of SOUTHOLD BUILDING DEPARTMENT r 7 SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPTON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 52686 Date: 02/19/2026 Permission is hereby granted to: Theodore J Koltis 125 W 22nd St Apt 413 New York, NY 10011 To: Construct pool pavilion at existing single family dwelling as applied for. Premises Located at: 5850 New Suffolk Rd, New Suffolk, NY 11956 SCTM# 117.-2-18.1. Pursuant to application dated 02/19/2026 and approved by the Building Inspector. To expire on 02/19/2028. Contractors: Required Inspections: Fees: Accessory-New Structure $323.00 Co Accessory Structure $100.00 T t. 423.00 Q Building Inspector � TOWN OF SOUT"`HOL D--BUILDING DEPARTMENT Town Hall Annex 54375 Main.Road P. 0. Box 11.79 Southold,NY 11971-0959 Telephone(631) 765-1 02 Fax(631)76�5-9502 Wt s:,/ -o ov Date Received APPLICATION FOR BUILDING PERMIT 73 For Office Use Onfy 7 PERMIT NO. .. Building 1npet . Applications and farms must be filled out in their entirety. Incomplete applications will not be accepted. where the Applicant is not the owner,an ,, Owner's Authorization form(Page 2)shall be completed. Date: 12/16/25 0 WNER s OF PROPERTY: Name: Jeffery FoxLSCTN # + 0+ -117-02-18.1 Project Address: 5850 New Suffolk Road, New Suffolk 11935 Phone#: .. ,. Email: 2 0`7' .. Mailing Address: CONTACT PERSON: Name: Richard Mato, A.I. A. Mailing Address: P.O. Box 2284 Aquebogue, N.Y. 11931 Phone#: 631-523-5879 Email: rich@rmatoarchitect.com DESIGN PROFESSIONAL.INFORMATION: Name: Richard Mato, A.l. A. Mailing Address: P.0. Box 2284 Aqu e bo u e, N.Y. 11931 -7 Phone#: 631-523-5879 Email: rich@rmatoarchitect.com ........... CONTRACTOR INFORMATION: Name, Mailing Address., Phone#. Email : DESCRIPTION OF PROPOSED CONSTRUCTION t .e Addition 'Alter,ation ❑Repair El Demolition Estimated Cost of Project: *New,St � ❑other $ 60,000 Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises. ❑Yes 19,No PROPERTY INFORMATION Existing use of property: nt nded use ofproperty: lv f4AW Zone or use district in which premises is situated: Are there any covenants a� restrictions with respect to this property? ❑Yes o IF YES,, PROVIDE A COPY. V, Choeck Box AfterReading"' professional is responsible for all drainage and storm water issues as provided by The owner/contractor/design rdesi n� 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 i able as�a Class A misdem eanor umuant to Section 210.45 of the New York State Penal Law. pun sh p . P-�- Agent d Owner Application Submitted�y(pant name. � AI� LarlZed g d Signature of Applicant: � �� R�» Date: 12 /0 f, otar No.01BU6'8 STATE OF NEW YORK) e i old � uaii r fir ' SS. Omm, its n �„�;ires� k � - COUNTY OF o is the being duly s�nrorn,deposes and sa s y that (s)he applicant (Name of i `dividual 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; pp li ion•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 ay of �� „ � Y 4<�� Notary Public (Where the applicant is not the owner) ` Jeff Fox residing at 580 New Suffolk Road, New Suffolk, NY 11956 do,hereby authorize Richard M. Mato, AIA to apply on my behalf to the Town of Southold Building Department for approval as described herein. D194ally signed by Jed 11/6/2025 Jeff Fox Date 2025, 1.06 11:1 n' _05'00' Owner's Signature Date J eff Fox Print Owner's Name 2 LAND N/F OF S.C.T.M. N0. DISTRICT: 1000 SECTION:117 BLOCK:2 LOT(S):1 .1 J J J J JJJ STAN GRODSKI JJJJJJJJJ J J JJJJJS�� J J J J JJJ' ODD J J J J l JJ, JJJJJ J JJJJ 1 33 LAND N/FOF S 72"58 .JJJ JJJ JJ ' J J J J J JJJ � COOPER FAMILY 2007 t J IRREVOCABLE TRUST t JJJ/ JJJJJ f/JJJ , JJJ JJJJ J c JJJj JJJJJJ � " 7E �4�32 J J J 9*2 0 J J J METAL S 1 EDGE AL014G UNE SHED H s S 2 4'WOOD p U.P. WETLANDSIIIA PIPE O. N 0) 1-1 AS DELINEATED BY •� C COLE ENVIRONMENTAL SERS CF) OCT.15,E025 _ tv 4 0` o •� o p � Ul 52.3 � a �. LAND N F OF ' - STANLEY & ALEXIS GRODSKI S {£ 2 dARLO =, ENCLOSED I.. PORCH V U.P.T Doti Asp All P SED 2Q'x50 ` r r � �� O O POOL � .. P �� ROI ' ze __. 501 POOl NC - o PROpOS WOO FENCE 0.5' g � D RAIL E REVISE POOL LAYOUT 12-01-25 � t _ POOL D � REVISE POOL LAYOUT 11-18-25 WOOL)RAIL FENCE A UPDATE 09-05-25 ' 275.33 0 0 THE WATER SUPPLY, WELLS,DRYWELLS AND CESSPOOL 0#0 o , 0 6 LOCA 77ONS SHOWN ARE FROM FIELD OBSERVA77ONS .D N 75 14 30 AND OR DATA OBTAINED FROM 07HERSS, PROPOSED POOL EQ-U' AREA:45,726.24 SOFT. or 1.05 ACRES ELEVA7I0u DAna NAVD88 LAND N/F OF . UNAU77IORIzED AL7ERA701V OR ADDITION IV THIS SURVEY IS A WO.A7IOv OF SECAON 7209 OF 7HE NEW YaW STATE EDUCA776W LAW. COPIES OF 7?#S SURVEY KEITH & CHRISTINE PIACENTE MAP NOT BEARING 7HE LAND SURVEYW'S EMBOSSED SEAL&VALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. GUARANTEES INDICATED HEREON SMALL RUN (�� ONLY 7V THE PERSON FOR'IWOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY,GOVERNMENTAL AGENCY AND LEND110 INSI17VI70N LISTED tIFREON,AND TO 7HE ASSIGNEES OF THE LENDING INS77TU77OW,GUARANTEES ARE NOT TRANSFERABLE o f _ S O re TO AID` j 1� NOT +1TE TO M=LI r :TY TO 77 OF Z _ O TSACE S N(T AID LI Y E -_ AT ThE W O VEY _ - a s suavEY OF:DESCRIBED PROPERTY CERTIFIED T0: JEFF FOX; ANY FOB f_ �_ MAP�: FIDELITY NATIONAL TITLE INSURANCE# FILED: _ sITuATm AT NEW SUFFOLK 1 TOWN OF:SOUTHOLD SUFFOLK COUNTY, NEW FORK Ric Professioual Ind Survey and Desisn e P.O.Box 153 Aquebo3ue.New York 11931 FILE 017-100 SCALF 1"-30' DATE:JULY 18, 2017 N.Y.S.LISa NO 050W2 PBMM{e81}29e-15ae FAX(681)2I6-160