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Home My WebLink About52895-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#: 52895 Date: 04/21/2026 Permission is hereby granted to: Gary Zaremba 880 W Mill Rd Mattituck, NY 11952 To: construct alterations to an existing single-family dwelling as applied for. Premises Located at: 880 Mill Rd, Mattituck, NY 11952 SCTM# 106.-9-13 Pursuant to application dated 04/08/2026 and approved by the Building Inspector. To expire on 04/20/2028. Contractors: Required Inspections: Fees: Single Family Dwelling- Alteration $300.00 CO-RESIDENTIAL $100.00 Total $400.00 __ _. thing Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT f Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 I s://wNvw.south()ldtowiin gLy Date Received APPLICATION FOR BUILDING PERMIT V For Office Use Only g �' qs PERMIT NO. Building Inspector:_._.. ...... ,Q S Applications and forms 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:04-08-2026 OWNER(S)OF PROPERTY: Name:Tower Barn LLC (by Daniel Deegan) ISCTM# 1000-106-09-13 Project Address:880 West Mill Road Mattituck NY 11952 Phone#:516-313-8848 Email:DDeegan@ForchelliLaw.com Mailing Address: 245 12th Ave Sea Cliff, NY 11579 CONTACT PERSON: Name:Timothy Cloughen Mailing Address:3 Manorview Way Manorville NY 11949 Phone#:631-255-7845 Email:tm.cloughen@gmail.com DESIGN PROFESSIONAL INFORMATION: Name: Matthew J. Friend A.I.A. Mailing Address: 101 Glen Summer Rd, Holbrook, NY 11741 Phone#: 631-741-2205 Email: mfriendarch@aol.com CONTRACTOR INFORMATION: Name:Jorge Gomez JGQ Construction Mailing Address:26 Center Street, Greenport, New York 11944, United States Phone#:631-574-5834 Email:info@jggconstruction.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition *Alteration ❑Repair ❑DemoVion Estimated Cost of Project: ❑Other Proposed 8'-9"X 11'-4"bathroom renovation=102 sf $5000.00 Will the lot be re-graded? Eyes *No Will excess fill be removed from premises? ❑Yes WNo 1 PROPERTY INFORMATION Existing use of property:Single family Intended use of property:Single family 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. APPUCATION 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 an 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):Timothy Cloughen BAuthorized Agent BOwner Signature of Applicant: CONN BUNCH "104 Notary Public,State of New York .01 BU6185050 STATE OF NEWYORK) �Zol-'-'�—�Qual ed In SolkCyoSS: n ExpiresApril 14, 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 (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 �tclay of . r j _ _,ZC Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) .,e r 'r`n residing at 245 12th Ave Sea Cliff, NY 11579 �' do hereby authorize Timothy Cloughen to apply on my behalf to£h T can of Southold Building Department for approval as described herein. 03-31 -26 Owner's Signature Date nCA I'I.I c' oe-e j n. i Print Owner's Name z E AS NOTE CA B.P.# FM BY; NOTIFY BUILDING DEPARTMENT AT 631-765.1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING INSPECTION REQUIRED 3. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS t" OMBL-ij GL-.`R 1 °1 ONLE COMPLY WITH ALL CODES OF NEW YORK STATE &TOWN CODES CONDITIONS �� CC UpAj 4ASREQUIRED'ANC I USED ESO 0o �T NG BOARD XCE 2 OFT ' I� UE OLD HPG lo CHD PL IIVIB ALL PLUMBING WASTE &WATER I...M C NEED TESTING BEFCBL COVER114 USE OCCUPANCY OR PROPOSED x II'-4 BATHROOM 102 SF 2-- 4'\'.THRU ROOF 5q—Frec,--nane'l m4y- VE EXISTING iN O N,QV A-lE D 4" ATTIC 501L V, VENT EXISTING BATHROO BATHROOM 1,T F I Ill" 11/21, LAV.HALL I II �EXISTINC-EXISTING 5TA I RS 5 T I NN 5 PER CODE AUNI?R AK 4- 4' i NET COWEGT TO—, �Comr--T TO BAR i up O GO I EX.VENT E.X.4'501L EXISTING KITCHEN TO BE REMOVED NOT A COOKING F F N FLUM51NO R.15ER 1;)IA&RAM � AREA e- -- ------ PZOP05ED 2D R C OO?b& EXISTING 1 S�ED ARC61. REG ROOM Wi 14'-C" X 25'-5" EXIISTIN ec LOUNGE 0 7764 0 N EX S-TIN6 (5AURD RAIL PER CODE LEGEND: 0 z 4! v -7-77-7-7= EXi5TI Kr, HOOD FRAMED 1,4ALLS® V r,-rP.KALL.BOARD OR PLASTER EA.'111E ON INTERIOR"'LL5 70WEP, 5ARN LLC, OS SMOKE PETE�-TOIR T HROOM FLAN 550 WEST MILL PCAn 5A GADETECT OP FZE30N MONOXV L:E A7-ITUCX NY H-152 --1 I20 —T FAN 04-05-:26 A-1 -W 50W 7, A(D-A 'A- 1115TIN5 12' TO 25 b2-��---l' &12 Al� EX15 IUL'255aF L05 i 21 71 21,al�51-71 g2L 5F RAIL PER GODS AREA EXl Tl�O� t T- 5� E.15IN5 DNS'. Ta DELas e!gSD Af� vv �x -emsAW�l �20 A4�� iow"4klrl -11:D MW Al� -�W A�W Duet�lm 33;— 25 22-il j, 04,76,0 0 OF N TOYtiER BARN Ll C 0 880 ^r=57 MILL ROAD MATT 1 TUUG NT' 14:152 mmm=fmm= EXISTING WOOD FRAMED 4NALL5 6 CELLAR 34L�5F 16 11 0C.W OYP.iiALL BOARD OR FIR5T FLOOR 204(5 5F PLASTER EA.SIDE ON INTERIOR GARAGE - 4-15 5F HALLS 5ECOND FLOOR - 294p 5F 05D 5MO<E PE-TEGTOR, A-- !C' - 544 5F _ TO-AL - 6,2a3 5F CARBON HONOXOE r-LOOR PLAN DETECTOR i2-.-I.—FAN A