HomeMy WebLinkAbout50441-Z �tw TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
: 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 #: 50441 Date: 3/15/2024
Permission is hereby granted to:
Pol n, Randol h
2900 Grand Ave
Mattituck, NY 11952
To legalize "as built" bathroom alterations to existing single-family dwelling as applied for.
Certification may be required.
At premises located at:
2900 Grand Ave Mattituck
SCTM # 473889
Sec/Block/Lot# 107.-2-5
Pursuant to application dated 2/13/2024 and approved by the Building Inspector,
To expire on 9/14/2025.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $588.00
CERTIFICATE OF OCCUPANCY $100.00
Total: $688.00
i:::I—
Building 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 ] ttD ://WWW.SOLltl:101dt,owriti 'go
Date Received
APPLICATION
For Office Use Only
�6
� PERMIT NO. Building Inspector.
—k—
'i F E B 1 3 2024
Applications and forms must be filled out in their entirety. Incomplete
i applications will not be accepted. Where the Applicant is not the owner,an S�'FIn Dynen
Owner's Authorization form(Page 2)shall be completed. €evut�tat ,
Date: 4 , 1a ay
OWNER(S)OF PROPERTY:
Name: Pln �XN0 SCTM#1000- 10'J l5
Project Address: 2grj0 QmA. Avorve, 1A&M►kv& r '3Y m5I
Phone#: (.0& - 5$0`l Email:
Mailing Address:
CONTACT PERSON: (�
Name: mock_ �ecnccK RnMQ-6r\&ex-
Mailing Address: Q,O C3 ox 3\5 M� "��
Phone#: (031- 9(05 —`l�Oc7 Email AMaS cY1 c6n bu.\Iles � �t�•Ca°'�
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email;
CONTRACTOR INFORMATION: n
Name: A.m0.S me,(V ). r
Mailing Address: Q ,O-%$ '-A5 kA%ytVacV-,
Phone#: (y3i- `1bS-yq0D Email: cowl
DESCRIPTION OF PROPOSED CONSTRUCTION
❑Other pEstimated
ima ed Cost of Project:
�� Y1"` ITYL $ DO
❑NewStr tour Addition AliLueratnon ❑Re alr ❑Demolition stlma
Will the lot be re-graded? ❑Yes%No Will excess fill be removed from premises? ❑YesXNo
Ce -
1
PROPERTY INFORMATION
Existing use of property: q'Q-S�1cllk;OL\ Intended use of property:'4sleraa l
Zone or use district in which premises is situated: Are there any covenants nd restrictions with respect to
this property? ❑Yes covenants
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 taws,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 210AS of the New York State Penal Law.
Application Submitted By(print name): tA gMoSkmlk Authorized Agent ❑Owner
Signature of Applicant:
Date:
STATE OF NEW YORK)
SS:
COUNTYOF ' lU lk—
Mq � ��� being duly sworn,deposes and says that(s)he is the applicant
(Name of d'ividual 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
13 day of kbrjAdA LA 202 Amtw 0(1
lary Public
TRACCE:Y L. DWYER
EPROP ) H I ZAT°I NOTARY PUBLIC,STATE OF NEW YORK
� . ..,p ._. NO.01 DW6306900
(Where the applicant is not the owner) QUALIFIED IN SUFFOLK COUNTY
COMAOSS"ii N EXPIRES AR4E 50,2OL4�
I S 9 —14 �S TM Sore& go,., 4 (icy-cl i
I, � `"hero residing at r
do hereby authorize MO`I -Sem%�` M05 rr) i (- apply on
behalf to the Town of Sogjhoid Building Department for approval as described herein.
Owners Signature
e Date
i S
Print 0 ner's Name
2
p-� 4--
�` SS
AM®S MERII\TGER BIJILDER
c�
Amos H. Meringer
P.O.Box 315
Mattituck,NY 11952
(631)513-6283-C
(631)765-4900-O
AmosMeringerbuilder ftahoo.com
Provvisiero
To whom it may concern-
Amos Meringer on behalf of Angelo Provvisiero would like to replace the ground floor bathroom.The
scope of the project is as follows,
1- Remove and dispose of the existing first floor bathroom fixtures,floor,shower surround,closet and
current bathroom door.(closet under the stairs to remain)Construct new shower stall where tub was.
Install new vanity in new vanity location,install new water closet in new water closet location.Both
noted on accompanying drawing.Build new wall with new 2468 door to new bath space.Remove
and dispose of current bathroom door.Remove and Install new insulation(r-15)in exterior wall,new
moisture resistant drywall throughout new bathroom(cement board in the shower)Spackle and paint
ceiling white on ceiling and customer supplied color to walls.Nothing structural is changing.
2- We have removed the acoustical tiles from the livingroom ceiling exposing antique beams and wish
to leave this exposed.Eric Williams is applying for the electrical updating permit.
Any questions or concerns please contact me directly,cell-631-513-6283
--- Thank you for your consideration.
Regards,
Amos Meringer
113 1/2"
64 1/2" —TT4 1/2" 44 1/2"
2 1/2" 6"IT
36"
'v
Current Loc. �I
O m
60"
n
m m
Remove Toilet,
relocate toilet
Remove vanity. relocate
within bathroom m
r plumbing to new vanity
r
inside bathroom
5524 R
I p I
I I
I
64 1/2" 4 1/2" 4 1/2"
_. Remove !Nall - part of Hallway
113 1/2"
Bathroom
a 0, n., to