HomeMy WebLinkAbout51756-Z 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#: 51756 Date: 03/18/2025
Permission is hereby granted to:
Alfred R Tesiny Jr
1275 Gabriella Ct
Mattituck, NY 11952
To:
Construct an interior alteration to remove a wall as applied for..
Premises Located at:
1275 Gabriella Ct, Mattituck, NY 11952
SCTM# 108.-4-7.36
Pursuant to application dated 02/11/2025 and approved by the Building Inspector.
To expire on 03/18/2027.
Contractors:
Required Inspections:
Fees•
Single Family Dwelling- Alteration $250.00
CO Single Family Dwelling-Addition /Alteration $100.00
Total $350.00
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 hilt s:l`www.sotitholdtownU. ,o
Date Received
APPLICATION FOR BUILDING PERMIT
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For Office Use Only
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PERMIT No. 519 5 b Building Inspector; �. 25
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant Is not the owner,an
Own ers Authorization form Page 2 shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name:Eric Firestone SCTM#1000-
Project Address:1275 Gabriella Court Mattituck NY 11952
Phone#:917-862-7000 Email:1275Gabriellla@gmail.com
Mailing Address:15 Broad St apt1604 NY NY 10005
CONTACT PERSON:
Name:Eric Firestone
Mailing Address:15 Broad St Apt 1604 NY NY 10005
Phone#:917-862-7000 Email:1275Gabriella@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name: �aSEpW GiSLhe t l' PE
Mailing Address: 17Acj ficaAar Vb _';;wTtwi�
Phone#: 6 76Sz S-7 Email: �oS�Gf°� #t � .Zv✓,'1
CONTRACTOR INFORMATION:
Name Amos Meringer Builder LLC
Mailing Address:PO Box 315 Mattituck NY 11952
Phone#:631-513-6283 Email: Amosmeringerbuilder@yahoo.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $13,100
Will the lot be re-graded? ❑Yes;Ao Will excess fill be removed from premises? ❑Yes ZNo
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PROPERTY INFORMATION
Existing use of property:Residential Intended use of property:Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes MNo IF YES, PROVIDE A COPY.
17 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 pass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print n e): 141W5 �e/`in��/L C -thorized Agent ❑Owner
Signature of Applicant: Date:
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU6185050
COUNTY OF ) Qualifled in Suffolk County
COfnMIsslon Expires Alprll 14,2r-Q
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
L y of r-�'16IrLt 2t3. n-44
Notary Public
PROPERTY OWNER UT'I@-1 IC II „,wTIO
(Where the applicant is not the owner)
Eric Firestone residing at 1275 Gabriella CT Mattituck NY 11952
I,
do hereby authorize Amos Meringer to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
�'� - m— 2/10/2025
Owner's Signature Date
Eric Firestone
Print Owner's Name
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APPROVED AS NOTED 3 �MDLY WITH AL CODES
NEW X STATE &TOWN COMS
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- -I r E
35 0• oo sy.6
UTHLD N N
NOTIFY BUILDING DEPARTMENT AT
SOUTH
OWTONTIRLISTIO
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPEOTIONS: N. e
FOUNDATION=TWO REQUIRED SORUD H
PC
FOR POURED CONCRETE _ SCIFID
ROUGH—FRAMING&PLUMBING
INSULATION
FINAL—CONSTRUCTION MUST
KITCHEN DINING
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS —
ELECTRICAL
EXISTING COLLININ IN BASE NT RE MOVIE EXISTING MALL.&ADD_
INSPECTION REQUIRED 3-2XW POSTS 3-11 7/r LW&2-1 'MEL FLITCH
2W- MAT ROER
LIVING ROAM
i
1 Partial First Floor
1/4"=1'-0"
Eric Firestone No. Description Date Joseph Fischetti, PE Partial First Floor Plan a
1275 Gabrielle Ct '
Professional Engineer Matlituck,NY 1 Project number 0242025 0
Date Issue Date Al1725 Hobart Road l Drawn b Autncr ~ N
Southold,NY 11971 Wall Removal & New Girder C y
hecked by Checker Scale 1/4°=1'-a' a
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