HomeMy WebLinkAbout53006-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#: 53006 Date: 05/21/2026
Permission is hereby granted to:
Barbara Thermos
355 Sound Beach Dr
Mattituck, NY 11952
To:
construct an accessory garage as applied for with flood permit.
Premises Located at:
355 Sound Beach Dr, Mattituck, NY 11952
SCTM#99.4-19
Pursuant to application dated 05/04/2026 and approved by the Building Inspector.
To expire on 05/20/2028.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $465.00
Flood Permit $150.00
CO Accessory Structure $100.00
Total $715.00
B 'Jd'ung Inspector
TOWN OF SOUTHOLD BUI:LDING DEPARTMENT
W Town.Mall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
Telephone(631) 765--1802 Fax (631) 765-9502 t www. tjth, 1 t n°
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Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. BuildingInspector,
.
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form~(Page 2)shall be completed.
Date:
F.OWNER(S)OF PROPERTY:
Name:Barbara Thermos SCTM # 1000-099.00.0 1 0 0.0 19.00 0
Project Address:355 Sound Beach Drive, Mattituck NY 11952
Phone#:917-747-0631 Email:barbarathermos@aol.com
Mailing Address:355 Sound Beach Drive, Mattituck NY 11952
CONTACT PERSON:
Name:Michael Macrina Architect P.0
Mailing Address:97L Main Street, Stony Brook NY 11790
Phone#:631-686-6585 Email:barbarathermos@aol-com
DESIGN PROFESSIONAL INFORMATION:
Name:Michael Macrina Architect P.0
Mailing Address:97L Main Street, Stony Brook NY 11790
Phone#:631-686-6585 Ema il:mmacrina@mmarchitectaia.com
CONTRACTOR INFORMATION:
Name:
Mailing Address,:
Phone#: Email.
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Rep air ❑Demolition Estimated Cost of Project:
C�Other detached garage with storage loft and roof deck $ 0........... 0 +()
h lot be re-graded? DYesqNo Will excess fill be removed from remises? C�es ❑NoWill t e g p
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TOWN OF SOUTHOLD-- UILDING DEP'ARTM
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Town Hall Annex. 54375 Main Road P. 0. :�Box 1179 Southold,NY �1 �'�� ��
Telephone (631) 765-1802 ," m °��� �v�s�� �t � � � �n. N �f'°t �r
M AY 2 0 2026
Floodplain Development Permit Application
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PROPERTY INFORMATION: Flood zone: AE12 FIRM Panel:35103 O14�' H SCTM# � 09,90:�'�,J',�.19...
Address: 355 Sound Beach Drive
city:Mattituck zip: 11952
CONTACT PER.SON: Name:Michael Macrina Architect, pc Phone#:(831) 686-6585
Mailing Address:97 L Main Street, Stony Brook, NY 11790
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PROJECT DESCRIPTION: Proposed detachedgarage with roof deck Above
SECTION A:STRUCTURAL DEVELOPMENT(CHECK ALL THAT APPLY)
Type of Structure Type of Stiructural Activity
® Residential(1 to 4 families) IR New structure
❑ Residential(mare than 4 families) 0 Demolition of existing structure
D Combined use 0 Replacement of existing structure
0 Non-residential ❑ Relocation of existing structure
❑ Elevated 0 Addition to existing structure
❑ Flood proofed(attach certification) [I .Alteration to existing structure
❑ Manufactured Home 0 Other:
F1 Located on individual lot
❑ Located in manufactured home park
.SECTION B:OTHER DEVELOPMENT(CHECK ALL THAT APPLY)
.......................
0 Mining El Drilling ❑ Dredging
Cl Clearing of trees,vegetation or debris
g ❑ Grading
171 Connection to public utilities or services ❑ Paving ❑ Placement of fill material
❑ Drainage improvement(including culvert work) ❑ Roadway or bridge construction
CI Fence or wall construction ❑Watercourse alteration (attach description)
❑ Excavation (not related to a structured development) D tither development not listed (specify):
By signing below i,agree to the terms and conditions of this permit and certify to the best of my knowledge the information contained
in this application is true,and accurate. l understand that no work may start until a permit is issued.The permit may be revoked if any
false statements are made herein. if revoked,all work must cease until permit is re-issued.[development shall not be used or occupied
until a pert.of Compliance is issued.The permit will expire if no work is commenced within one year of issuance.other permits may be
required to fulfill regulatory requirements.Applicant gives consent to local authority or representative to make reasonable inspections
to verify compliance.
Application Submitted By(print name): Michael Macrina Architect,
-------------------
Signature of Applicant; �� � Date. 5/19/26
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Town Hall Annex
Telephone(831)785-1802
� Fax 631 765-9502
54375 Main Road `s
P. O. Box 1179 fty
Southold, NY 11971-0959
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BUILDING DEPAR
NOTICE OF UTILI, ION OF TRUSS, ION11 PREwENGINEERED
WQQQ u' TI TIMBER
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Owner:
ovation of Property: r6,C
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Please take notice that the (check applicable line):
New commercial or residential structure
Addition to existing commercial or residential structure
Rehabilitation to an existing commercial or residential structure
to be constructed or performed at the subject property reference above will utilize
(check applicable line):
Truss type construction (TT)
�7' Pre-engineered wood construction (PW)
Timber construction (TC)
in the following location(s) (check applicable line):
Floor framing, including girders and beams (F)
Roof framing (R)
v/ Floor and 1 ming (FR)
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Capacity(che k plicable line): P .
Owner
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