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Home My WebLink About53276-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#: 53276 Date: 09/16/2026 Permission is hereby granted to: Richard N Kalich 605 Saltaire Way Mattituck, NY 11952 To: construct additions and alterations to an existing single-family dwelling as applied for. Premises Located at: 605 Saltaire Way, Mattituck, NY 11952 SCTIVI# 100.4-19 Pursuant to application dated 08/14/2026 and approved by the Building Inspector. To expire on 09/15/2028. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition &Alteration $ 48.50 CO-RESIDENTIAL $100.00 Total $1,048.50 �� wilding Inspector� � 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 htt.s:// %vw. o tlioldtowTii', . xoY Date Received APPLICA TIONIF R BUILDING PERMIT For Office Use Only r PERMIT NO._�.- �"'` Building Inspector-t- A U G 1 4 202 Applications and forms must be filled out in their entirety.Incomplete Building Department applications will not be accepted. Where the Applicant is not the owner,an gown of Southold Owner's Authorization form(Page 2)shall be completed. Date:8/14/2026 OWNER(S)OF PROPERTY: Name:Mary & Nate Kalich �T ` 2000-100-1-19 Project Address:605 Saltaire Way Phone#:(917) 334-6639 Email:marymotto@yahoo.com Mailing Address:605 Saltaire Way, Mattituck NY 11952 CONTACT PERSON: Name:Adam Volosik Mailing Address:South Harbor Rd, Southold NY 11971 Phone#:(631) 806-2537 Email:avalosik@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:Adam Volosik Architect Mailing Address:South Harbor Rd, Southold NY 11971 Phone#:(631) 806-2537 Email:avolosik@gmail.com CONTRACTOR INFORMATION: Name:TBD Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure LRAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? ❑Yes *No 1 ,... .....,. _ _.�......... ti PROPERTY INFORMATION I`xisting use of property: Residence Intended use of property, Residence a , , _... ®,_,a., _ __. ,. . ....... ._...... ,one or use district in which premises is situated Are there any covenants and restrictions with respect to R_40 this property? rJ!Yes oei No IF YES, PROVIDE A COPY. O+re�� 13 o9pA A Ru!",12H I The owner/contractor/design pro toss lonal Is respainslble for all drainage and ttorm water Issues as provided by Chapw 236 of the Town Code. APPLICATION 15 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, WdRdrrns,ahmtlons or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building cede, housing code and regulations and to admit audwri:ed Inspectors on premises and In building(s)for necessary Inspectlorrs.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application ;AdamVOloslk F*Authorized Agent ❑Owner PP Submitted B VIPrint name� Signature of Applicant: Date: STATE OF NEW YORK) COUNTY OF S �.. .. being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the (Contracto0Anorporate Officer, etc.) of said owner or owners, and is duly authorized toor 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 d'a of 20 ,w..�. y ofary Public `Kj NOTARY PUBIC,STATE WYER OF NEW PORK NO.01 DW6306900 PROPERTY OWNER " 0 R I "" y'.'x c�U 111FIED IN SUC'FOLK COO (Where the applicant is not the owner) eoMtillssraNEiIFPESUNCttJ I, Mary.....Kailch residing at 605 Saltaire....Way. . .... ...._. . _ .. ......... � .. .... .._._.._.........�........... ,. . ...._...... d s Mattituck, NY....1.1952�. . _... _.. o hereby authorize Adam VOIoir.a..... .... . ..�..... ............n.. .....w..... .to apply on my t�� °If to the Town of Southold Building Department for approval as described herein. M, 8/13/2026 Ownt ignature Date Mary Kalich Print Owner's Name 2