HomeMy WebLinkAbout53126-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#: 53126 Date: 07/15/2026
Permission is hereby granted to:
John Tandy
PO BOX 1217
Mattituck, NY 11952
To:
install (7) window replacements to an existing single-family dwelling as applied for.
Premises Located at:
1100 Marratooka Rd, Mattituck, NY 11952
SCTM# 115.-9-10
Pursuant to application dated 06/22/2026 and approved by the Building Inspector.
To expire on 07/14/2028.
Contractors:
Required Inspections:
Fees•
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
Total $350.00
Beat ing Inspector
Oocusign Envelope ID:5A203EB6-8025-85BE-8330-4DC88F7B6CCD
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765.1802 Fax (631) 765-9502 ltt�gas.//wvv% .;o q,O��sa,�(ILgLy��a� , gy
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
E WE
PERMIT NO, r Building Inspector.
u f9
Applications and forms`musi ii 1itl2d,outm their ePtire#y Incorhplete
applications will not be.acceptetl Where the;Apolicant is motthe owner,an Building C)et)artmrrrt#
Owner's Authorization form i'page 2), h/, be comptetetl ; ; fc-myn of Soulhrld
Date: 6/16/26
OWNER(S)OF.PR9f1El
Name: Jack Tandy SCTM#1000-
Project Address: 1100 Marratooka Rd., Mattituck, NY 11952
Phone#: 516-353-4549 Email: jbtl27@yahoo.com
Mailing Address: 1100 Marratooka Rd.
CONTACT PERSON:
. -
Name: Glynn Norgan - Go Permits
Mailing Address: PO Box 30 Glastonbury, CT 06033
Phone#: 412-404-0306 Email: permits@gopermits.org
DESIGN PROFESSIONAL INFORMATION,
Name: n/a
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION
Name: Home Depot USA
Mailing Address: 2455 Paces Ferry Rd,Atlanta, GA 30339
Phone#: 412-404-0306 Email; pe,rmits@gopermits.org
DESCRIPTION OF PROPOSED"CONSTRUCTION '
[:]New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other Remove and replace 7 windows, same size, no structural change. $ 9663
Will the lot be re-graded? ❑Yes LMo Will excess fill be removed from premises? ❑Yes ENO
1
'a;,'. ' i?"41�t.?,+o,V�'�r{.�1i';' ,-w�a"���� •�w��hM ",a'� ��'�,��$''�a�'��,�' �'J�I*V ri n�m�'�
} ATION
E
4_X .r60b U-0 fijrr le if rr°m'Hlr' Intended use j roperfyo ,,Angle farrail
r rrrr'u useidistn'etin Npremisesissituate r Arie�1fhe rlrlll
1
Vfrrsµ�M'44�,r4�11�4 llh!�plliiiia I�nti�ra �F YES13 b"uiubrhY�wrb a �i��
eull flue'��h 0400..,w woos u�'>�y��4vivuladi1 by
r r~ r ,u" r fm�aww� �
rmm dram corde
°I4rk"d.Nrya Matov,rMvPev,+uve
Application Subs (print name).y i Z5A,uthorixedftent ['
SiViature of Applicant- . , meµ. Date:
k
�. U, �'14 b"N Y 0 Fk K,r
Ptid'i"Y J ,
a:r
�bOng dulyo II'11rr'rr„ depose av,rcf sm �a IIiuj,,s atl'pr IIIV',f o
�r �wwwrri of And{uvkhjwif s giMng rrrntract)ak e named,
Agent
(ContractaT,Agent,Corporate officer,etc.)
b 4 a�u`ud avvrurr or owners, and is duly ethorl e to perfrir.111 or havle performed fire id rrrk, r°r(°j to rr'iark'rr Pp ff, fbba_�
1.4)f,il4� W11 Onr That zrl4jlj rtat rvuentr contained in this application are true to the best of Ihjrw/her kr°ro?a vfjgj r��rm°gj IIjelrf;:fp rind
th,. thi.,work vivM be perforined in fbe rrranner r f foytkr In the application file ffrerewftj,,
o-aato�a" tnOore Ivrarer tf'Is
J�r�, r'rof June
;
r ,rr �the lr en 0 riot�,h owner) e'CrrTu(rH.�fN376977 �
n bb*y PUNY-Stai^�f r.4di r
residing at f ff f a r ru err Rd
a V Jennifer rnke 'emir L G fu �rf��rfe�rf�e
� 6°,4 ; i� rr.r rpfrr ger�r�4rr rrf rrrref f'frrf�rJ�r"r f�e ;rf;lfrrrrfiv.f`�'°fiw rrrfrrr,�rr�r���rr rJe �,ri4f�a;�rf��e'rr�r�r.
1 720'a
Natne