HomeMy WebLinkAbout53026-Z ��akaQuryo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
0
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#: 53026 Date: 05/27/2026
Permission is hereby granted to:
Joseph M Sedotto
735 Reeve Ave
Mattituck, NY 11952
To:
legalize an "as built"generator as applied for.
Premises Located at:
735 Reeve Ave, Mattituck, NY 11952
SCTM# 114.-9-11
Pursuant to application dated 05/20/2026 and approved by the Building Inspector.
To expire on 05/26/2028.
Contractors:
Required Inspections:
Fees:
As Built Generator $250.00
CO-RESIDENTIAL $100.00
Total 350.00
Building Inspector
W
(JLJTI-IOL�--BUILDING DEPARTMENT
TOWN OF
Main load P. C�. Box 1179 Southold NY 11971-0959
Town Hall Annex 54375 7
Telephone (631) 765-1802 Fax (631) 765-9502 ht �� ` � t h o w
�00
Date Received
APPLICATION FOR BUILDING PERMIT
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For Office Use Only
S6
Building Inspector.-PERMIT NO, A'11111111( ��� �� � 21,NG
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i it entirety.Incomplete
filled out in they e
Applications and fo
rms must be P
.
applications will not be accepted. Where the Applicant cant is not the owner,,an �!"��� � ��n'
ownees Authorization form(Page 2)shall be completed. . . h
Date.,,
l
OWN ER(S)of PROPERTY:
Name: 0�ff
SCTM # 1.(300- so"
Project Address:' S
CK
fi�
Phone#0 ��b Email:
Mailing Address: A-1A
CONTACT PERSON:
Name,
..........
Mailing Address:.
Phase
Email,
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone# Email:
CONTRACTOR INFORMATION:
A►TION:
Name,:,
Mailing Address: + �-
Phone#: f EmaiC
DESCRIPTION OF
PROPOSED CONSTRUCTION
❑Addition ❑Alteration ❑ae air ❑Demolition Estimated Cost of Project:
❑New Structure p 10,
� _ �
KOther
$ 0
Will excess fill be removed from remises? ❑YesKNO
Will the lot be re-graded? C�Yes., �No w p
g
C - : .� Q
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PROPERTY INFORMATION
..............................
Existing use of property: ' 'ou jv\" Intended use of property: +rZ.� 'NYC.--
Zone or use district in which premises is situated.- Are t here any covenants,and restrictions with respect to
this property? E]Yes')°'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 210.45 of the New York State Penal Law.
Application Submitted By(print name): b 0 M, ElAuthorized Agent _10wner
Signature of Applicant: T12atp D.BUNCH
GUN
Notary Public,State of New York
No.0IBU8186050
STATE OF NEW YORK) Ouallfied In Suffolk County
SS: Commission Expires April 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
(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
� "-
CA
al, of Cr V MI 14� 2 0 6v
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
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
2
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S FOR QFS RTEQ PARCEL ARE REFERENCED TO DEED L18ER 8509 PAGE 06.
RE5 (WALKS, ' -�-
PATIOS, DRIVEWAYS, etc.) IF ANY ARE NOT SHOWN =
'OVER AT DATE OF SURVEY.
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