HomeMy WebLinkAbout46574-Z �QS�fFOiK�, Town of Southold
6/4/2023
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44163 Date: 6/4/2023
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 1650 Meday Ave.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-11-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/30/2016 pursuant to which Building Permit No. 46574 dated 7/16/2021
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
accessory garage with covered storage as applied for.
The certificate is issued to Adams,Jason
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40971 2/14/2019
PLUMBERS CERTIFICATION DATED
r
Au ori ed i ature ,
TOWN OF SOUTHOLD
�osuffoc
moo oy BUILDING DEPARTMENT
C2 x TOWN CLERK'S OFFICE
y . SOUTHOLD, NY
o .
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#: 46574 Date: 7/16/2021
Permission is hereby granted to:
Adams, Jason
382 Van Brunt St
Brooklyn, NY 11231
To: Construct an accessory garage as applied for.
Replaces BP# 43542
At premises located at:
1650 Meday Ave., Mattituck
SCTM # 473889
Sec/Block/Lot# 113.-11-11
Pursuant to application dated 7/16/2021 and approved by the Building Inspector.
To expire on 1/15/2023.
Fees:
PERMIT RENEWAL $180.60
Total: $180.60
Building Inspector
TOWN OF SOUTHOLD
��4��gUFEot �.
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
vy . 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#: 43542 Date: 3/11/2019
Permission is hereby granted to:
Adams, Jason
382 Van Brunt St
Brooklyn, NY 11231
To: Construct an accessory garage as applied for.
Replaces BP# 40971
At premises located at:
1650 Meday Ave., Mattituck
SCTM # 473889
Sec/Block/Lot# 113.-11-11
Pursuant to application dated 3/11/2019 and approved by the Building Inspector.
To expire on 9/9/2020.
Fees:
PERMIT RENEWAL $155.60
Total: $155.60
Buildin Inspector
TOWN OF SOUTHOLD
%10 FOL4r BUILDING DEPARTMENT
y a TOWN CLERK'S OFFICE
o • 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#: 40971 Date: 9/6/2016
Permission is hereby granted to:
Adams, Jason
382 Van Brunt St
Brooklyn, NY 11231
To: construct an accessory garage as applied for.
At premises located at:
1650 Meday Ave., Mattituck
SCTM # 473889
Sec/Block/Lot# 113.-11-11
Pursuant to application dated 8/30/2016 and approved by the Building Inspector.
To expire on 3/8/2018.
Fees:
ACCESSORY $311.20
CO -ACCESSORY BUILDING $50.00
$361.20
CRuildiir
pF SO(/r�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold, Bo 1 1 97 1-0959 �� • �o roger.richert(a�town.southold.ny.us
�yCOUNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Jason Adams
Address: IID5 0,Meday Ave City: Mattituck St: New York Zip: 11952
Building Permit#: 40971 Section: 113 Block: 11 Lot: 11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Petersen Electric License No: 4102-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures 4 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures 5 CO Detectors
Sub Panel 100a A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 5 Twist Lock Exit Fixtures TVSS
Other Equipment: "DETACHED GARAGE" 2-GFCI circuit breakers
Notes:
Inspector Signature: Date: February 14 2019
81-Cert Electrical Compliance Form.xls
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial $15.00
Date. Aur,- 2'a G�
New Construction: ✓ Old or Pre-existing Building: (check one)
Location of Property: /QP5 0 1-1 i✓t7/-,y *j �'f l T► -��>�
House No. Street Hamlet
Owner or Owners of Property:.__:)�,_) ,�, fi�, i to=BLJ }-VPc�—�O k
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: L (check one)
Fee Submitted: $
A igna e
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OWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE f - INSPECTOR7(
0�0 Tyo
* # TOWN OF SOUTHOLD BUILDING DEPT.
Coo 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2NDVF
SULATIIO__N/CAULKING
FRAMING/STRAPPING NAL �'f(:e, G fVA��
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]. FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION -
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
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1NSPECTION
DATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION '
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ]V,7
RICAL (FINAL)
REMARKS: 0jis - . I
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DATE D INSPECTOR %0 M),OL-1
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
/] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION .
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
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DATE I INSPECTOR
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[19] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
D
[EC[E0V[E
Flood Permit
Examined '20 DD
Single&Separate
Storm-Water Assessment Form
t AUG 3 0 2016 Contact:
Approved ,20 Mailto:
Disapproved a/c BUILDING DEPT.
TOWN 91S.O.UTHOLD Phone:
Expiration ,20 Ir
Y
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date NQ 20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans,accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter,a new permit shall be required.
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,or alterations or for removal or demolition as herein described.The
applicant agrees to comply with all applicable laws,ordinances, building code,housing code d re ulations,and to admit
authorized inspectors on premises and in building for necessary inspections. .
(S' ture of applicant or name,if a corporation)
F-V-01.11T ST,
Uj O�I�tGl�ri. tQ`C 1 l ZFS I
(Mailing address of applicant
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
(o\N!'N C�
Name of owner of premises IND �, �Q�}.� �� Ef hJ SQA t,�No lel
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
162 5D Ln M
House Number Street amlet
County Tax Map No. 1000 Section Block l Lot i
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy C)\,k/ W6z
b. Intended use and occupancy STCIAUf Q\Ug . 16]!�t
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work pr;TpnA �) -L&C—
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars 1
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front ::31 , Rear Depth
Height -L 1A--1 Number of Stories
Dimensions of same structure with alterations or additions: Front 1, Rear
Depth ,+j Height W Number of Stories
8. Dimensions of entire new construction: Front 7,A-' Rear Depth 22—
Height
2Height )Ar Number of Stories
9. Size of lot: Frontl -rj0 Rear 1 SCJ .2 Depth q15 161
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOIlk
13. Will lot be re-graded? YES NO—)�-Will excess fill be removed from premises? YES NO-)�--
P, s9z vAo Sw�j(ST,
14.Names of Owner of premises 6(tEEiQ Address 6(2.1-"RJ 117Z/ Phone No.&46 "770-533�
Name of Architect H"A6, Address mp&u pi, p�f _Phone No ZlZ- A'?:- 1 O
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO�
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
—j PSol'j being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the 65)c4j j--e7�1
(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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before met is
day of 20 It)
IENNE PATRICIA STEWART
Notary Public,State Of New
otary Public No 01ST491096g Sign Applicant
Qualified in Kings County
Commission Expires Nov. 9,2b-L-] i
Scott A. Russell ,��0S111FQ'r00 ST0]KI��l WAX]EIK
SUPERVISOR - AMIANAGIIECENT
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROI ECT INVOLVE ANY OF THE FOLLOWING:—
Yc5 No (CHECK ALL THAT APPLY)
❑ e[1LA. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑a B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑�C, Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑MD. Site preparation within 100 feet of wetlands, beach, bluff or coastal it
erosion hazard area.
❑E[ E. Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse.
❑� F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes j
in-kind replacement of impervious surfaces. - - -- - ---il
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT (Property Owner.Design Professional,Agent.Contractor.Other) i S.C.T.M. ": 1000 Datc:
District
NAME: I _"_
SecTion Block L-dt
FOR BUILDING DEPARTMENT USE ONLY
Contact Information. i�
T�kph,N..brl '
— — — — — — — — I Reviewed By: ,
i
- - - - - - - - it e— �
��—�
_Property Address/Location of ConstructionDale:
Work: — — — — — — — — — — — — — — — — —
` Approved for processing Building Permil.
Stormwater Management Control Plan Not Required.
�l �� — — — — — — — — — — — — — — — —
1,
\ � �_���� I ❑ Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Revicw.)
FORM SMCP-TOS MAY 2014
i
Z S-ot
Town Hall Annex 11 Ji[ Telephone(631)765-1802
54375 Main Road cn (631)765-995
P.O.Box 1179 G �: o roger.richerttcfown.soutnoQ .ny.us
Southold,NY 11971-0959 'Q
I•
BUII DING DEPARTMENT {
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY. �'cS'-Pv� Date:
Company Name:
Name: i
License No.: l a ._h)zF_
Address: 31S
Phone
Phone No.: 1p f'" .37 —4 3
JOBSITE fN_FORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street: p�,{� G� -
*Phone No.: �3
Permit No.: 7/
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DES PTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YES N Rough In Final
*Do-you need a Temp Certificate: YES N
Temp mation (lf,needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other I -
*New Service: necf Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
{
.82-Request for Inspection Form
Town Hall Annex Telephone(631-1802
54375 Main Road �t Fax(631) 734-9502
P_ O. Box 1179 0
Southold, NY 11971-0959
BUILDING DEPARTMENT
NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION, PRE-ENGINEERED
WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION
Date: Jeo 2 , 20( G
Owner: 6-soa cvol-�, d-- �i l2 n �> n rl.c n
Location of Property: 1650 a AVe
Please t ke notice that the (check applicable line): .
New,residential structure
Addition to existing residential structure
a: Rehabilitation to an existing residential structure
to be constructed or performed at the subject property reference above will utilize
(check applicable line):
Truss type construction (TT)
Pre-engineered wood construction:(PVV)
Timber construction (TC)
in the following location(s) (check applicable line):
Floor framing, including girders and beams (F)
Roof framing (R)
Floor and roof framing (FR)
Signature:
Name (person submitting this form): LCTnC,` A&A
Capacity(check'applicable line):
Owner
Owner representative i
TrussResReg15.docx Effective 1!1!2015
6" DIAMETER
REFLECTIVE RED ROMAN ALPHANUMERIC
--"---- DESiGNHTYOiv-Or CuNSTi<UCTivid
(PMS) ff187 TYPE BASED ON SECTION 602 OF
THE BUILDING CODE OF NEW
YORK STATE
2" MIN.
REFLECTIVE
WHITE
112" STROKE
:�ESYGt�7i'i`tdN-F0Oi2'S'Y'RoC'Y`ltYti4t �-
COM PON ENTSTHAT ARE-OF
TRUSS CONSTRUCTION
"F" FLOOR AFI
FRAMING, %CLUDING
GIRDERS% U,BEAMS „
"R" ROOF FRAMING
:77—
"FR" FLOOR AND ROOF FRAMING
k
TRUSS IDEf4nf:ICATION SIGN
-GOI�I�,�IVCE 1(119rtI-19 I1CCRAfT'1251
NormscALE
'CODES oYVrsIOY�! E LE TRUSS IDENT1RCPMON SIGN DATE:0310&(2005
NEW YORK STATE DEPARTMENT 'OF STATE
_. :'. : f,,,• DIVISION OF CODE ENFORGEM'ENT
• `'�P:cf 2�ESENXAND ADMINISTRATION
�UE .L1�'%S��Ci c:
Jason Adams
1650 Meday Avenue
Mattituck, NY 11952
(646) 772-5336
R [Ef�R=qV[E
DD
May 17, 2018 MAY 2 2 2018
Michael
3
J. Verity �J1��j�rii�':�u�t�
Chief Building Inspector TOWN OF50UTHOLD
Town Hall Annex Building
54375 Route 25
P.O. Box 1179
Southold, NY 11971
RE: Building Permits No's 40970 and 40971
1650 Meday Ave., Mattituck
Dear Sir:
I respectfully request a six (6) month extension to the expiration date of the above
building permits.
Thank you for your attention to this matter.
Southold Town Building Department
��o�og�fFOt y P.O.Box 1179 Permit#: 40971
a 53095 Main Rd
o _ Southold,New York 11971 Permit Date: 9/6/2016
(631)765-1802 Expiration Date: 3/8/2018
Parcel W: 113.-11-11
BUILDING PERMIT RENEWAL LETTER
Dated: 2/27/2019
Applicant: Adams,Jason
Location: 1650 Meday Ave.,Mattituck
Work Description: ACCESSORY GARAGE
construct an accessory garage as applied for.
A FEE OF $155.60 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: Adams,Jason
Address: 382 Van Brunt St
Brooklyn,NY 11231
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department,P.O. Box 1179, Southold, New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Jason Adams
1650 Meday Avenue
Mattituck, NY 11952
(646) 772-5336
August 17, 2020
Michael J. Verity
Chief Building Inspector
Town Hall Annex Building
54375 Route 25
P.O. Box 1179
Southold, NY 11971
RE: Building Permits No's 43542 and 43543
1650 Meday Ave., Mattituck
Dear Sir:
I respectfully request a six (6) month extension to the expiration date of the above building
permits.
Thank you for your attention to this matter.
4Sincerms
D
AUG 2 1 2020
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17742 � m
A) DETACHED GARAGE & COVERED STORAGE= 528 S.F. ® �
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528 x 0.166=87.65 < 88cf F �
B) DRIVEWAY=800 SQ.FT.
725 x 0. 766=120.35 < 121 cf
C) PROPOSED ADDITION= 153 S.F.
153 x 0.166=25.40< 26cf
TOTAL: 235 C.F REQ.
PROVIDE (1) 8'DIA x B'DEEP DRYWELL = 338CF
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL 0
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
REVISED 04-23-16 AND OR DATA OBTAINED FROM OTHERS. Cf) J
--
AREA: 14,793.84 S.F. OR 0.34 ACRES ELEVATION DATUM: NAVD88 <
75 co UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY nj Q
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN LL
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION W U)
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. Q Q
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS Z
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEYO
O cfl ED
SURVEY OF: PART OF LOTS 26,27 & 28 CERTIFIED T0. JASON ADAMS; ULU
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MAP OF: MAP OF LOTS LOCATED AT EILEEN SHANNON; Q co a
MATTITUCK L.I. PROPERTY OF WM. B. COOLING Z
FILED: MAY 10, 1921 AS X745 C/)
SITUATED AT: MATTITUCK Q
TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
� r P.O. Box 153 Aquebogue, New York 11931
FILE # 23-164 SCALE: 1 "=20' DATE: DEC. 18, 2003 PHONE (631)298-1588 FAX (631) 298-1588
N. Y,S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk
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PAVER GRIDWORK FINISH GRADE
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CREATE SWALE TO CONTAIN — — �_ _ III III III—III III=III III—III III III=111 II—III-111_111 III III—III-111=III III III—II I_III—
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MAX PERMITTED LOT COVERAGE = 21958.80 SF
EXISTING STRUCTURE = 1 ,320.25 SF — TOTAL W/PROPOSED ADDITIONS = 1,848.25 SF
CLEARING, GRUBBING , GRADING AND STRIPPING OF SITE FOR THE PROPOSED
WORK IS LESS THAN 5,000 SF. THE INSTALLATION FO PROPOSED NEW IMPERVIOUS cn
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AUGUST 16, 2016
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MONOXIDE ALARM DETECTOR r
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GENERAL NOTES. ��.0
'7742 Q 4 Q,°°
DOOR SCHEDULE 1. ALL WORK TO COMPLY WITH 2015 IRC, NYS BUILDING CODE AND SOUTHOLD
TOWN CODE
HARDWARE 2. COMBINATION SMOKE/CARBON MONOXIDE DETECTORS TO BE INSTALLED AS
SYM NAME HEIGHT WIDTH THICKNESS ACTION MAT'L NOTES PER IRC 314 IN EACH BEDROOM AND OUTSIDE OF THE SLEEPING AREA. ALL
SET DETECTORS TO BE INTERCONNECTED AND POWERED BY 120VAC.
HDGF INSIDE SLIDE LOCK. "COPLAY" MODERN 3. STORM WATER SHALL BE CONTAINED AND RECHARGED THROUGH DRYWELL
D OH GARAGE 8-0 9-0 OVERHEAD INSULATED REAR TRACK STEEL, FLUSH PANEL AS INDICATED ON PLANS. U
WINDCODE 4, COLOR 4. ALL WORK SHALL CONFORM TO NYS ENERGY CODE —'
STEEL HANGER "WHITE" 5. CONTRACTOR TO COORDINATE ALL BUILDING DEPARTMENT INSPECTIONS AS M <
E EXT GARAGE 6-8 3-0 1-3/4" SWING STEEL EXT LOCKSET REQUIRED INCLUDING BUT NOT LIMITED TO: Q �
F DOUBLE GATE SHT A-301 4-0 SHT A-301 SWING WOOD DBL GATE DTLS 1&2-A301 5.1. FOUNDATION, FOOTINGS AND WALLS FOR POURED CONCRETE (TWO W0 1 U)
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HARDWARE SETS
1. ALL SWING DOORS TO RECEIVE 1-1/2 PAIR 3.5" X 3.5" HAGER 1191 32D
+ 2. PRIVACY SETS TO RECEIVE BALDWIN #5041 WITH #5046 ROSE FINISH 26D
3. SLIDING CLOSET DOORS TO RECEIVE "DELTANA" FP238 FINISH 26D wAUGUST 16, 2016
4. SLIDING DOOR TRACKS SHALL BE "JOHNSON" #9603 WITH #9572 HANGERS °
5. GARAGE DOOR OPENER TO BE 1/2HP, CHAIN DRIVE OPENER, "LIFTMASTER #8365"
6. EXTERIOR GARAGE DOOR TO BE PRE-HUNG. PROVIDE LOCKSET AND DEADBOLT IN STYLE TO MATCH INTERIOR � 1/4" = 1'-0"
SETS
7. GATE HINGES TO BE ONE PAIR 1/2" GALVANIZED STEEL PINTLES AND L HINGES FLOOR PLAN
8. GATE LATCHES TO BE STAINLESS STEEL RING LATCHES BY "GATEMATE"
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ROOFING SPECIFICATIONS
1. ENTIRE ROOF TO RECEIVE 2" OF POLYISOCYANU RATE ROOFING BOARD MECHANICALY
ATTACHED. INSULATION BOARD SHALL BE FIRESTONE IS095+ GL. FASTENERS SHALL
BE COMPATIBLE FIRESTONE ALL PURPOSE FASTENERS AND PLATES. FASTENERS TO BE
OF ADEQUATE LENGTH TO PENETRATE ALL EXISTING ROOFING MEMBRANES INTO
SOUND ROOF STRUCTURE.
2. ROOF MEMBRANES SHALL CONSIST OF ONE PLY OF SMOOTH SBS BASE SHEET AND ONE
PLY OF WHITE GRANULE CAP SHEET - - - - - - - - - - - - - - - - - - - - - - -5 - - - - - - - - - - - - - - - - - - - - - - - - - - _- - - - - - - - - - - - �
3. BASE AND CAP SHEETS SHALL BE FULLY ADHERED WITH TYPE MB MULTI PURPOSE I
COLD APPLIED ADHESIVE. 1 1 1 1 1 1
4. PROVIDE FULL PERIMETER WOOD NAILER FOR ATTACHMENT OF GRAVEL STOPS AND
GUTTERS i i I I
5. PROVIDE COMPATIBLE LIQUID APPLIED FLASHING AT ALL PENETRATIONS I I I
6. CUT NEW REGLET AS REQUIRED AND INSTALL NEW STAINLESS STEEL COUNTER
FLASHING INTO MASONRY CHIMNEY I I
7. PITCH GUTTERS 1" IN 10' MINIMUM
8. PROVIDE 20-YEAR NDL WARRANTY FOR ENTIRE INSTALLATIONI i i I L
l EXISTING BUILDING ii I I Q Z
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SCALE: 1A = 1'-0"
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3" PVC X 12" LONG SLEEVE FOR FENCE POST
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#4 VERTICAL REBAR 24" O.C. #4 HORIZONTAL REBAR 12 FROM TOP OF WALL C-)
AND MID WALL
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GENERAL NOTES I uiW
1 . ALL WORK TO COMPLY WITH ALL CODES OF NEW III � Q
YORK STATE & TOWN CODES III
2. CONTIRACTOR IS RESPONSIBLE FOR o I I /I/
VERIFICATIONS OF ALL DIMENSIONS AND
III
CONDITIONS BEFORE WORK BEGINS. 14'-5X4" — — —
3. ALL FOOTINGS TO REST ON UNDISTURBED SOIL
I
MINIMUM 3-0" BELOW FINISHED GRADE I I
4. CONCRETE DESIGN AND CONSTRUCTION SHALL III
BE AS PER ACI 318-89 ►' 1 1
5. ALL CONCRETE TO BY 3500 PSI NORMAL WEIGHT - c
I
6. WELDED WIRE FABRIC SHALL CONFORM TO ASTM co
S2 A-185. MIN. TENSILE STRENGTH OF 70,000 PSI N I• III ��c�-�E° 4
7. ALL BAR REINFORCEMENT SHALL CONFORM TO
'-2Y" 91�11 c 1'-11Ya" I I I I I `��°�P�L
1 -92 n
ASTM A-615, GRADE 60
8. FOUNDATION AND RETAINING WALL DESIGN AS 1'-11Y,° • • • _' • • I _ _ ' _ _ _ _ �,
PER 2015 I.R.C. SECTION R404 _ I = � o'-o" _ — _ — _ — �''�0F N17742 s
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1/2"X 6-1/2"TYP
EL. 31'-0" #4 HORIZ 12" FROM TOP AND MID WALL
T.O.W. #4 VERT 24" O.C.
4' CONC W/6X6-W2.0 X W2.0 WWF
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T.O.W. [30'-9"]
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3 X CEILING JOISTS DOUBLE 2 X 4 TOP PLATES
2 X 4 STUD WALL 16" OC TYPICAL 2 X 4 STUD WALL 16" OC 3/4" X 5-1/2" HARDI TRIM BOARD DOUBLE 2 X 4 TOP PLATES
1/2 DRYWALL 3 ROXUL SOUND BATT INSULATION
3" ROXUL MINERAL WOOL SOUND CONTROL 7/16" HARDI PANEL 1/2" DRYWALL
INSULATION 2 X 9-1/2" LVL HEADERS AT DOOR OPENINGS 3-1/2" ROXUL MINERAL WOOL INSULATION
TYVEK WRB TYPICAL
1/2" PLYWOOD SHEATHING
FINISH FLOOR 1/2" QUIETROCK DRYWALL BOTH SIDES
1/2" QUITEROCK DRYWALL BOTH SIDES 2 X 4 STUD WALL 16" OC
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