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HomeMy WebLinkAbout43390-Z .zr.cyt.- .,��SUFFUt,t Town of Southold 7/21/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40525 Date: 7/21/2019 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 2870 Fairway Dr., Cutchogue SCTM#: 473889 Sec/Block/Lot: 109.-5-14.15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/15/2019 pursuant to which Building Permit No. 43390 dated 1/15/2019 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: ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Snowden III,Robert of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43390 01-30-2019 PLUMBERS CERTIFICATION DATED 06-24-2019 X., J ee's Plum ' g �4c. A t riz Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT r�i► x 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#: 43390 Date: 1/15/2019 Permission is hereby granted to: Snowden III, Robert 2870 Fairway Dr Cutchogue, NY 11935 To: Addition to a Single Family Dwelling; Day Room, 14' 10" x 13' 9" with Washer & Dryer, as applied for. Replaces BP# 36446 At premises located at: 2870 Fairway Dr., Cutchogue SCTM # 473889 Sec/Block/Lot# 109.-5-14.15 Pursuant to application dated 1/15/2019 and approved by the Building Inspector. To expire on 7116/2020. Fees: p� PERMIT RENEWAL $140.80 _c Total: $140.80 Building Insp ctor -- . TOWN OF SOUTHOLD �SUFFotK�� BUILDING DEPARTMENT a TOWN CLERK'S OFFICE 5 . 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 #: 36446 Date: 6/3/2011 Permission is hereby granted to: Snowden R E Jr Revc Trst 2870 Fairway Dr Cutchogue, NY 11935 To: Addition to a Single Family Dwelling; Day Room, 14' 10" x 13' 9" with Washer& Dryer, as applied for. At premises located at: 2870 Fairway Drive, Cutchogue SCTM # 473889 Sec/Block/Lot# 109.-5-14.15 Pursuant to application dated 5/25/2011 and approved by the Building Inspector. To expire on 12/2/2012. Fees: CO -ADDITION TO DWELLING $50.00 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $281.60 Total: $331.60 P Building Inspector 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: I. 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 1% 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. :5 —;)s--New Construction: Old or Pre-existing Building: (check one) Location of Property. � 1 �1n -L' 9 V 0-.J-4G4W LA--4-'— House No. Street amlet Owner or Owners of Property: a tJ-6Sf1p LZ:)C1 ell �►� Suffolk County Tax Map No 1000, Section ` ©" Block Lot �'t, Is' Subdivision l ff Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted' $ !:b - A Applicant Signature OF SOU��®� a Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q Southold,NY 11971-0959 �p • �® roper.richert(a�town.southold.ny.us �y11®UI19�1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Robert Snowden Address: 2870 Fairway Dr City: Cutchogue St: New York Zip: 11935 Building Permit#- 43390 Section: 109 Block 5 Lot 14.15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: John Ludemann License No: 4643-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 25 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches r 5 Twist Lock Exit Fixtures TVSS Other Equipment: Notes: Inspector Signature: Date: January 30 2019 81-Cert Electrical Compliance Form As Town Hall Annex ~ S Telephone(631)765-1802 54375 Main Road j'. Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �+y r , + BUILDING DEPARTMENT DD TOWN OF SOUTHOLD JUL - 2 2019 BUMMIG DEP': _•. TOWN OF SOUTH911"D CERTIFICATION i Date: W-;;') Building Permit No. 32M 0 Owner: (Please print) W _ Plumber: J--a -'S —Ph-w—g rc (Please print) d I certify that the solder used in the water supply system contains less than 2/10 of I% lead. ; I i I (Pl ers Signature) - Sworn to before me this 0�4 .JAr-Le day of , 20 1 Notary Public, � .County., ' A EVE L.OATZ-SCHWAM13ORN NOTARY PUi,1C,STATE OF NEW YORK Registration No.01GA6274028 i Qualified in Suffolk County Commission Expires Dec.24,20 OF SO�ryo cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: dam— 9 DATE ��� INSPECTOR �f ' ` �33(7-0 �Of SO(/Ty hod olo 36 Lf4 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. KFOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: r DATE 7- 7, 11INSPECTOR OF S0(/ryo! o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FO�JNDATION 1 ST [ ] ROUGH PLBG. rUNDATION 2ND [ ] INSULATION AMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ( [ ] ELECTRICAL (FINAL) REMARKS: 67 P DATE INSPECTOR /� �O��OF SOUTyolo fP_ TOWN OF SOUTHOLD BUILDING DEPT. ( �" 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) RE1111 KS: AV � C Aj •� DATE ( Z( INSPECTOR as X34 #` courm,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND INSULATION 6 [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR rAf s 0 q_D courm,��' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOU DATION 1 ST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION [ FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) - -- - -- REMARKS:--- DATE - REMARKS:--DATE INSPECTOR 36 r4f so cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT 0 N- ] FOUNDATION I ST R70UGH lPLI3G. FOUNDATION 2ND INSULATION FRAMING/STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTR7�11A (FINAL). --REMARKS!- ZP DATE - 7/0 21"f --INSPECTOR t I L ( tOE so f J� _D cou )U TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLOG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ----REMARKS: DATE //Z--'_INSPECTORZ��� f � SOUjyo! �✓ �o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION..,, . . [ ] FOUNDATION 1 ST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] E ECTR19AL) REMARKS: DATE - �� INSPECTOR aOE SOUTyolo * # TOWN OF SOUTHOLD BUILDING DEPT. as33�,`D' ,o courm��' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ �ECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)- [ CODE VIOLATION [ ] CAULKING REMARKS: few 4e _,!, ni, gr ktsf1 t ,� . 1 DATE ll INSPECTOR pE 50(/l�o TOWN OF SOUTHOLD BUILDING DEPT. °ycourm��'' 765-1802 INSPECTION I. ] FOUNDATION 1ST [ ] ROUGH PLSG. [ ] FOUNDATION 2ND [ ] I SULATION [ ] FRAMING /STRAPPING [ FINAL A�;bopl [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) I l CODE VIOLATION [ ] CAULKING REMARKS: Ci DATE 3 INSPECTOR OF SOUIyo� # TOWN OF SOUTHOLD BUILDING DEPT. `y�ourm N�' 765-1802 INSPECTION FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE '� f INSPECTOR�� NOV 18 2011 BLDG.DEPT. Nemschic,k Silverman Architects P.c. TOWN OFSOUTHOLD the business of ARCHITECTURE." Date: November 18, 201 1 Southold Town Building Department Southold, New York RE: Snowden 2870 Fairway Drive Cutchogue, NY 11935 TM: 109-05- 14.015 Drawings dated: 09.07.201 1 #5K I To whom it may concern: To the best of our knowledge, belief and professional judgment,, the drainage system installation for the above referenced application meets New York State Building Code. If you have any questions or would like additional information about this project, please feel free to contact our office. Regards, Ray Nemschick, AIA Nernschick Silverman Architects, P.C. �G�&TERE Q� p ! ; n `9p86 O,c/VEW d0P� 430 Green Way Cutchogue, New York 11935 631.734.7007 telephone ® 631.734.7347 facsimile www ns-arch.com COMMENTS ' • 1 • 1 ���L�IswLL�JirLihl6�r � � `' L��� //���L�i�a��-;rte' " I �!► 1i sir. Mi` �.��..a.` •Pl - WOM t , - I FA morwoo ADDITIONAL COMMENTS r � �� x S�I�i'� l r�'` �?„`a �n w ti;�.� �a a' ��i�y .� �.>1,.�,�� J�►�Z� �!\Ii , ''j ��>'i �Z� \ i i k__=fes, • , I/�w._L.-� � '. O f ,I I ��,�f�''IIS �• �” :r s � r ff ' A �i, Ilemliff,WIN �_i 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:(31j 765-1802 � �� Planning Board approval FAX: 631 3 765-9502 Survey_ www.northfork.net/Southold/ PERMIT NO. Check Septic Form NYSDEC. Trustees Examined !r' a/� 20 1 Contact: Approved J 20_11 Mail to Phone Expiration /9`n-' 20 C C E Building Inspector D APPLICATION FOR BUILDING PERMIT MAY 2 5 2011 0 Date May 19 12011 INSTRUCTIONS @i RQW.ication ST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets a� Wti#%plot plan to sc le.Fee according to schedule b Pot p an s 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,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) 160 Main Street, Suite 200, Sayville, NY 11782 (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Architect is applicant Name of owner of premises Robert E.Snowden,Jr. (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: 2870 Fairwav Drive, P.O. Box 910, Cutchoque, NY 11935 House Number Street Hamlet County Tax Map No. 1000 Section 109 Block 5 Lot 14.015 Subdivision Filed Map No. Lot (Name) _l y 2. date existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Single Family Residence b. Intended use and occupancy Same as Existing use/occupancy 3. Nature of work(check which applicable):New Building Addition ✓ Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee $281.60 (To be paid on filing this application) 5. If dwelling,number of dwelling units 1 Number of dwelling units on each floor 1 If garage, number of cars 2 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. N/A 7. Dimensions of existing structures,if any:Front 65.0' Rear 65.0' Depth 71.0' Height 17.8' Number of Stories 1 Dimensions of same structure with alterations or additions: Front 65.0' Rear 65.0' Depth 71.0' Height 17.8' Number of Stories 1 8. Dimensions of entire new construction:Front 13.8' Rear 13.8' Depth 14.8' Height 14.4' Number of Stories—1 9. Size of lot:Front 180.0' Rear 180.0' Depth 225.59' 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated R-40 12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO ✓ 13.Will lot be re-graded?YESNO ✓ Will excess fill be removed from premises?YES ✓ NO Robert E.Snowden,,Ir 2870 Fairway Drive,PO Box 910 14.Names of Owner of premises Address cutchogue,NY 11935 Phone No. Name Of Architect Nemschick Silverman Architects,P.C. Address Main NY 11 y82 to 200 Phone NO (631)563-2130 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. 1 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS COUNTY OF Suffolk ) Raymond W. Nemschick, RA being duly swom,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Agent (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 belief;and that the work will be performed in the manner set forth in the application filed therewith. Swo fore me this da ofM o ary Publ c Sig natu Applicant LAWRENCE E.81LVERMA14 Notary Public,State of New York Reg.No.01S14977025 Qualified in Suffolk County Commission Expires January".20-LI Town of Southold I Erosion, Sed611 entation & Stoirm-Water Rare-off ASSESSMENT FORM o PROPERTY LOCATION: S.GT.M.fi: THE FOLLOWING ACTIOAIS MAY REQUIRE THE SUBMISSION OFA i 1000 109 5 14.015 STORNf-WATER,GRADING,DRAINAGE AND EROSION CONTROL PIM i t91s r*cee3 cuon oc —175t— CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. } SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESS141FNt T Yes 40 a. What is the Total Area of the Project Parcels? 1 Will this Project Retain Ali Storm-Water Run-Off (Include Total Area of all Parcels located within 40,606 sf/93 acres Generated by a Two(2")Inch Rainfall on Site? ' the Scope of Work for Proposed Construction) (This item will include all run-off created b site n b. What is the Total Area of Land Clearing (s.P.Iacres) y st� clearing and/or construction activities as well as all — and/or Ground Disturbance for the proposed 204 sf/.005 acres Site Improvements and the permanent creation of construction activity? (S.F/Acres) impervious surfaces.) PROVIDE BRIEF PROJECT DESCRIPTION(FrovtaeAddmenai Pages as Needed) Drainage Does the Site Plan and/or Survey Show All Proposed r Drainage Structures indicating Size&Location?This Item shall include all Proposed Grade Changes and I Slopes Controlling Surface Water Flow. This nrr)*ert inritirlps the ronsrtl tion ofd_ j 204 sf Day 3 Does the Site Pian and/or Survey describe the erosion P' Room=addition. Please refer to and sediment control practices that will be used to t� sheet A-1 tor a itional in orma Ion. control site erosion and storm water discharges. This —' — Item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or � Excavation where there is a change to the Natural Existing Grade involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? — '— i 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or Within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities Involving sod Beach? disturbances of one(1)or more acres: including disturbances of less than one acre that T Will there be Site preparation on Existing Grade Slopes ® 1 are part of larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Ris /01e including Coo nstruction activities involving soil disturbances of less than one(i)acre where e to I i the DEC has determined that a SPDES perrmt is required for storm water discharges. One Hundred(100')of Horizontal Distance? (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other impervious r for Storm Water Dischargos from Construction activity-Permit No.GP-0-10.001.) Surfaces be Sloped to Direct Storm-Water Run-Off ® — 1.The SWPPP shall be prepared prior to the submittal of the N01.The NO)shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. i 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, I required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any ® i constructed to reduce the pollutants in storm water discharges and to assure t compliance with the terms and conditions of this permit.in addition,the SWPPP shall Item Within the Town Right-of-Way iWay or Road Shoulder identify potential sources of pollution which may reasonably be expected to affect the Area?(Thts item will NOT Include the lnstollatlon of Dr]voway Aprons.) quality of storm water discharges. NOTE: It Any Answer to Questions One through Nine Is Answered with a Check Marls I 3.All SWPPPs that require the post-construction storm water,management practice in a Box and the construction site dlsturbance is between V110 S.F.&1 Acre in area, component shall be prepared by a qualified Design Professional Licensed In New York a Storm-Water,Grading,Drainage Erosion Control Plan is Required by the Town of i that is knowledgeable In the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of Airy Building Permit. i fNOTE: A Check Mark(d)andfor Answer for each Question is Required for a Complete App!Ication) 1 STATE OF NEW YORK, COUNTYOF.....••............................... SS I` That I, .... r. .......... ei { PAY,;; hufduar signing -Document) trig duly sworn,deposes and says that he/she is the applicant for Permit, 1 And that he/she is the ......................................... I'dr, onVactor gent,Cosporaie Officer,etc� .............................................•..........•.... Owner and/or representative of the Dimer or Owners,and is duly authorized to perform or have performed the said work and to i 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 herein ith. Stivorn to befo J this; Notary Public: . .,:... �d /. ! ...........� ! ... .......... ........... _� / l� S! nature of A ficant FORM a ®611® Notary Public,State of New York� g pa ) Reg.No.01 S14977025 j Qualified in Suffolk County Commission Expires January 22,20 sool�o . Town Hall Annex 1 Telephone(631)765-1802 54375 Main Road g�Q P.O.Box 1179 Q roQer.IlCh�w(fel s)o otS.ny us Southold,NY 11971-0959 "�Uii 11, BUILDING DEPARTMENT TOWN O]F SOUMOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY. �� o% x Date: T�3 Company Name: P Name: o/ ahs Liceni$.e No.: Address: P.O- Phone .O Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: t�}"o &F'- cSn�acz�•/ �r *Address: &7a *Cross Street: ' *Phone No.: Permit No.: Tax Map District: 1000 Section: ®r-j Block: Lot: , 15 *BRIEF DESCRIPTION OF WORK(Pleaee Print Clearly) to Ica c_ H d h re Let`r e_- ji (Please Circle All That Apply) *Isjob ready for inspection: YES/ NO ough In Final *Do you need a Temp Certificate: YES/ V'O Temp-information(if needed} *Service Size: 1 Phase 3Phase 100 150 00 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead f Additional Information: / PAYMENT DUE WITH APPLICATION / 82-Request for Inspection Form - Southold Town Building Department ,,,g11tFOLIr y P.O.Box 1179 Permit#: 36446 54375 Main Road Co Southold,New York 11971 Permit Date: 6/3/2011 (631)765-1802 Expiration Date: 12/2/2012 ' Parcel ID: 109.-5-14.15 BUILDING PERMIT RENEWAL LETTER Dated: 1/9/2015 Applicant: Snowden R E Jr Revc Trst Location: 2870 Fairway Drive, Cutchogue Work Description: RESIDENTIAL ADDITION Addition to a Single Family Dwelling; Day Room, 14' 10"x 13'9"with Washer&Dryer, as applied for. A FEE OF $140.80 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Snowden R E Jr Revc Trst Address: 2870 Fairway Dr Cutchogue,NY 11935 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. pF SO(/r�®l _ 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • Q Southold,NY 11971-0959 Q a lyc®UNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD January 24, 2019 Robert Snowden III 2870 Fairway Drive G Cutchogue, New York 11935 TO WHOM IT MAY CONCERN: The items marked below are required to obtain your Certificate of Occupancy pplication for Certificate of Occupancy. (Enclosed) ® � Electrical Underwriters Certificate. (Electrical Inspector 631-765-1802) 1 A fee of$50.00. V/ZFinal Survey with Health Department Approval. Plumbers Solder Certificate or Pex Affidavit Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. (631-765-1802) Final Landmark Preservation approval. Final Elevation Certificate required. Final Storm Water Runoff Approval from Town Engineer Spray Foam Insulation certification from a NYS licensed architect or engineer BUILDING PERMIT: 43390-Z addition SUFFOLK COUI4TY REALlO 17J9PARtLT,0 MAY 2 0 1976 H. D. REF. DATES---- disposal ani .a•er svnriY The sewage n insrectedfacilit:lesty`t._�.> L 1•aJ �v �t_Y eau d Lot /4 u Q Lo pe satisiact�:� � . Chie� of Ge;j.rIV il � eering `` Services S890/2,10"E, , 225.591 I - . I I N: . I I I ill y�l by �,�` 1�V "• /O7 So' , < W o **s• ti \I u 3 c— � h N.89°!2"/O"W. 225.591 f Q Lot /6 16 K o a , o North Fork COMPL"y AID rE. • =MONUMENT SUBDIVISION MAP FILED/N THE OFF/CE OF mE CLERK OF SUFFOLK COUNTY ON FEB./S,/9 74 AS FILE NO 6066 77g LOCATION OF WELLS AND CESSPOOLS SHOWN HEREIN ARE FROM FIELD OBSERVATIONS AND/OR FROM DATA OBTAIN."D FROM OTHERS REVISIONS YOUNG & YOU J<O at D w. FEB 6,/976 400 OSTRANDER AVENUE, RIVER AD rW YORK/O� ALDEN W YOUNG H W:, UN PROFESSIONAL ENGINEER AND LA YOM LAND SURVEYOR N Y S LIC NO,12845 N NO 45 913 SURVEY FOR: UNAUTHORIZED ALTERATION OR ADDITION TO lj�„ �G n5393 THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION ROBERT SNOWDEN ��• LAW LOT 15 " FAI RWAY FAR M S lgkG suRVEy°� COPIES OF THIS SURVEY MAP NOT BEARING , THE LAND SURVEYOR'S INKED SEAL OR , EMBOSSED SEAL SHALL NOT BE CONSIDERED 10 BE A VALID TRUE COPY AT - GUARANTEED TO. CUTCHOGUE GUARANTEES INDICATED HEREON SHALL RUN .NLY TO THE PERSON FOR WHOM THE TOWN OF SOUTHO LD _ SJPVEY IS PREPARED,AND ON HIS BEHALF 0 THE TITLE COMPANY,GOVERNMENTAL _ AGENCY AND LENDING INSTITUTION LISTED - BY HEREON,AND TO THE ASSIGNEES OF THE SUFFOLK CO., N.Y. LENDING,INSTITUTION GUARANTEES ARE HJT TgTIONS ABLE TO ADDITIONAL SCALE 111=501 DATE OCT.1' 1975 NO 75-679 G INSTITUTIONS OR SUBSEQUENT OWNERS, J l,, KS.E 175113 9-74 40913• - - - -- -_ REVISIONS: x„ REScheck Soffivare Version 4.4.2 Compliance Certificate Project Title: SNOWDEN Energy Code: 2010,Kaw York Energy Conservation CGnstruction Cod i.acabcn: Sufd*,Countyr.New York " a Corrstn.ukkrnT�w Si Te FaTnilyr PFQJEdT�: �d tiontJ'4lt'L ion feairng Degree Days: 5750a Climate zGcte: 4 Cons r uctian Se: Cvmerl< t Det- fCc ntradar. a .arc AF,A=leutEXTERIOR m P.O.Box 03 2X6 WALL 5/8" dia. min. ANCHOR BOLT �e w11G-05 PROPOSED 4" CONC. SLAB R19 INS. w/WASHER & NUT @ 72" OC a 631-7-1 hCed p.brfl Bret REINFORCE w/ #4 REBAR DOWEL INTO EXISTING �. ,, ,, k.,. @ 6"OC E.W. FOUNDATION (TYP.) CompEance:7.5%EleituThan Coda Madfum LIA:97 Ymur tri G Tku 96�.,rd rrA lmsa'T'wm oda L-du m1= her dmtm m=#gn=do hum Is hsd eWJ--=d2 buCe-0 r mar vQiuN_1 K OU a t a� r a t�1uH k k d aw 2" DOW BOARD _ GRADEmeter R10 INSULATION Cering 1:Flat Caring or,Sals5mrTruss 2+014 99.0 0.0 10z'M 1:W od Framp_16"mc. 20 99.0 C1.0 9 �%Vlrrdtzv1:'ModFraniF-DouMePaneviriilr,1_rr-E 1s a.�® � EXISTING A CHOW Door Flow� _��-�� � 3� 9a © ® BOLT TO REMAIN I I I I-- - _ 0 0 irrsrfatlmn 2 DOW BOARD R10 INSULATION _ I I I_ CompMrce 59ate+t rti 711,2 pJopofied tiff dEskp dc-s=ed here Is cons!dent A=the buulIigrEj pans,6PA.-C81^30Dn5,and COEr 1111 FT F,— calmdatons sut�mMed with tl�permit appli"atlon.The proposed burding tis been lgned do meet ate 21390 New YOM Energy CoisE,rnwMan NON-ORGANIC FILL- I _ Corrsta=Wn,Corte re rernetn M RESa*&VeW_W 4A2 and to 6reith tl nrancia I rns lir>1Ed m roue RE�checdc tars , u3r1 i I_— _ =I I=EXISTING q"l ' COMPACTED TO 95% �Q FOUNDATION ��j�/� COMPACTION (TYP.)- �darrre_ �tgrrahiae DaiF —. D n v + I _ rn EXISTING SLABII I 0 4 I I o TO REMAIN "I Wks SO = o NOv 3 p 2011 CROSS SECTION = BLDG DEPT. SCALE.1-1/2 - 1 TDWN OF SOt7TH0LI) Y DRAWN MH MS SCALE 114"=1'-0" JOB N. November 29,2011 SHEET NUMBER �rrcjE+ct Title:SRIO�tQEI+t �dahe:11l�P19 yI of } Datafllenam:CNizem'fraftiag StUc t+D rt"I'r�SchE&;S�dV'Meua Pacfi 1 of 9 I �t� !1® �j A5P/IALT 5HlNaE ROOF OVER RAINFALL CALCULATIONS 30#BUILDER5 FELT OVER 516' G.Dx PLY M7.SIE4THIN6 ON 2 x 6 ROOF RAFTER5,TO MATCH AREA -204 5F M EXI571N5 ROOF 204x.167"= 34 CU FT OF RA1NFA 2 X 6 5TUD WALL W R-19 FIBER 4'DEEP&DIA. RING BAMN6/II LLAnON Rs(N) 5HIAKLE5 TO MATCH EXI571N6 (4)3.14(4)2 =200.96 GF 15#FELT PAIR l/2'CDX PLY/'1 V 5/E4THIN57 4z .y� No.029086 OQ� FOF NE� � FINI5/ED FLOOR A5 5ELECTED BY OMER 3/4'ADA RATED T$6 PLYWD.S B41COR 2 X 6 5/LL PLATE 2 X l0 FJ.®I6'O.G.H/R-50 PRE54-WW TREATED 2 X 6 SILL FIBER BATT lAI5G A7/ON PLATE FOUNDATION TO RECEIVE A TRO41W GOAT OF'KARNAK' 5ILL 584LER AND ALIHMiM A-cFNAL.TIAl5 WA7ER FROOFINC TEW17E 5/EX0 OVER FDX ML $FTC.PROVIDE I/2'FRO7ECTION BOARD 5/6'DIA.x l6'LOW ANCHOR ---%. 2 X 12 PT COMMM BORD&e /tel BOLT 5ET®3'-0'O.C.AND l'-0' f MAX FROMANY CORAER 6RADE VAPJ 5 MF) \ REINFORCE GONG.WI77/#4 BAR5 J\ VERTICALLY®l6'O.G. $#4 BAR5 HORWONTALL.Y®24'O.G. 4'DIA DONT PERFFRATED DRAIN PIPEW PEW016 FABRIC$5TOAE BACKFILL TO 4X6, SEALANT OVER l%2'DFAAWON DRYML '� .01Mr FILLER®f7 f(!RE FEPJ ETER /'-0- OF FDN PIALL '-0'OFFDNWALL � COW-RM RAT 6'RAFED GONGRETE FCYWDA710NWALL /Q W/(2)#4 BAR5® TOP AND BOTTOM b NIL MIX VAPOR BARRIER 6'COMPAG7ED GRAVEL l6'X 6'GONTIAtt�lS PGYHZEb BASE CONCRETE F0077 C W/2 X 4 KEYWAY AND 0#4 BARS A OfM91005ED FOUNDATION PLAN BorroM E'•1'-0' PROECT TRE W rao.ECT R MWN sr. Nemschick Silverman Architects u Na Euai--fMCHRECTURE• 280WDE/1 Rf/ID Vr J/10WDk TC 2870 PAIRWAY DRIVE �yyp�� 430 Green Way,Cutchogue,New York 11935 CUTCHOGUE,/D'11955 Phone 631-734-7007 Fax 631-734-7347 fK-1 1�ttp://www.ns—arch.com 09� .mart�riewQ aw.w�mrn ra 09/07/11 AJ/10TED Non Insulated Fire Rated Access Door 24"x 30"Prime Coated Steel http://www.accessdoorsdirect.com/nomnfiraacdl9.htm1 AccessrV.)",'- Talk to a Professional Available For DOORS DIRECT 888-250-2900 Immediate Shipment � view cart home it show order I technical data sheets I contactus I site Thap search, Go Home > Non Insulated Fire Rated > Non Insulated Fire Rated Access Door Prime Coated Steel > Non Low Price Insulated Fire Rated Access Door 24"x 30"Prime Coated Steel Guarantee Non Insulated Fire Rated Access Click Here For Details Door 24" x 30" Prime Coated Steel -- Description11 Specifications CATALOG__" The FB-5060 access door Is flush mounted, Plastic Access Doors with both anchor straps and mounting Economy Flush universal 0VIEW LARGERIMAGE holes to facilitate installation. The FB-5060 Premium Flush universal is non-Insulated for wall installation only Aluminum Exterior and rated by Underwriters Laboratories for Galvanized Exterior $212.00 1.5 hour "B" label In walls. Surface Mount Concealed Flange Drywall Part #: F13-5060-24x30 Recessed For DrywallRough Opening Should Be 3/8" Larger � V Recessed For Acoustical Qty: ADD TO CART Than Order Size Tile - - -This iem is shipped via Recessed Fire Resistant Door Sizes Shown Are Width x Height �"Ah n Carrier Truck Drywall Ceiling • due to size Insulated Fire Rated For Walls&Ceiling Concealed Flange Quantity Price Each Insulated Fire Rated Non Insulated Fire Rated 1 $212.00 Flush For Plastered Surfaces 5 - 9 $205.64 Security Access Doors 10 - 24 $201.40 Walk Thru Door Roof Hatches 25 - 34 $195.04 Floor Hatches Ceiling Hatches 35 - 49 $190.80 Fiberglass Ceiling Doors 50+ $186.56 Valve Boxes Insulated Duct Doors * Larger Sizes Available Upon Request. Round Duct Access Doors * Order by Phone 888-250-2900 Grease Duct Access Doors Access Doors Direct Low Price Guarantee 9803 Independence Ave. Chatsworth, CA 91311 8 am thru 5 pm PST 888-250-2900 ** 818-341-2521 fax Monday Thru Friday Economical shipping rates from multiple warehouse locations • Los Angeles,CA • Las Vegas, NV • Fairfield, N7 • Maspeth, NY 1 of 2 8/3/2011 10:51 AM VA A5PHAL T 5H/N55LE ROOF OVER 30#BVILDE-R5 FELT OVER 5/6" G.D.X. PL YM. 5HEATHIN57 ON 2 x 6 n; ROOF RAFTERS, TO MATCH hil— — — — — N - AilEXISTING ROOF. - R 11 111 F J N I 2 X 6 57UD HALL H/R-19 FIBER BATTING INSULATION I 5H/NGLE5 TO MATCH EX15TIN57 5T I KITCHEN BEDROOMSINK ka4 I5#FELT PAPER O RAN6E1 GUEST I — I/2"COX PLYWOOD 5HEATH/N5 O DATH I DM4 � — W11" COVED AS NOTED X. ka' ( � FMIORO. DATE b^�^' B.P.# X15Tl 6 GONG. FDR. Q L--I– WALL TO REMAIN N L— JL� � ��►6o FFE — BY - INS? ' ,-,ING DEPARTMENT AT #5 FDN DOWELS, 6 A "O.G. m 1, b ,10 TO 4 PM FOR THE VERT.W MIN 4"EMBEDMENT I FOL. Y, I:PECTIONS: t. FOU". TWO REQUIRED Iz-EAGHWAY(n'PJ I REF. 1, .I�:;`L: CONCRETE 2 PLUMBING, EQ. EQ. NEW WALL LEGEND I FIN/5HED FLOOR A5 STRAPPING~rELECTRICAL 9 CAULKING 6 2" _ — 6 2" -- - 5ELEGTED BY OWNER 3 INSULATION PANTRY 4. FINAL-CONSTRUCTION&ELECTRICAL EX15TIN6 KkLL - -ej 6" 3/4"A.D.A. RATED T G MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL LII THE — — — PLYHD. 5VB-FLOOR REQUIREMENTS Of THE CODES OF NEW _ IFOR 77 — 't<ORK STATE. NOT RESPONSBLE °. . . 2 X l0 FJ. a l6"O.G. W R-30 DESIGN OR CONSTRUCTION ERRORS. I Wro !n FIBER BATT INSULATION I _I m 2 X 6 SILL PLATE ZXBFJ I :• I r- - ® l6"O.C. PAY, FRE55ORE TREATED 2 X 6 SILL ROOM SILL 5EALER AND ALUMINUM PLATE 2 X 6 GJ TERMITE 5HEILD PROPOSED I I n. Z ® l6"O.G. L— s - FOUNDATION TO RECEIVE A 5/6"DIA. x IB"LONG ANCHOR TROWELED COAT OF "KARNAK" CRAWL 5PAGE m A-I m A-1 BOLT 5ET® 3',O"O.G. AND l'-O" I A5PHALTING HATER PROOFING MAX FROM ANY CORNER OVER FOR WALL d FTG. PROVIDE II � l/2"PROTECTION BOARD REINFORCE GONG. HITH#4 BAR5 2"GONG RAT SLAB OVER .6 HIL I `; ( 4 m RADE POLY VAPOR BARRIER OVER 6 „ m VERTICALL Y a 18 O.G. $ #4 BAR5 �' HORIZONTALLY® 24"O.G. 6"POURED CONCRETE COMPACT GRAVEL BASE I I A-1 FOUNDATION HALL W/(2)#4 BAR5 u� SEALANT OVER I/2"EXPANSION a ® TOP AND BOTTOM JOINT FILLER®ENTIRE PERIMETER OF FDN WALL — 6"DIA. CONT. PERFORATED DRAIN — — — — — — — — m ------ 2"POURED CONCRETE RAT PIPE H/TH 5TONE BACKFILL TO 5LAB t , DRAIN FIELD NEW 6'P.C. FDN WALL � 14'-40" ON 16"X 6"GONG FTG 14-10 t .6 MIL MIN. VAPOR BARRIER 16"X 6"GONrIRVU5 POURED 36"MIN. BELOW GRADE. CONCRETE FOOTING H/2 X 4 8 4 6"COMPACTED GRAVEL KEYWAY AND(2)#4 BAR5 A-I A_1 BA5E BOTTOM F OFOB I;� FOUNA7I ON PLAN F OFO5 I;� I BT FLOOR PLANF OF �O5 ALL 5 C7I ON COMPLY WITH ALL CODES OF 1 SCALE = I/4"=I'-O" SCALE = I/4"=I'-O" SCALE NEW YORK STATE & TOWN CODE AS REQUIRED A 22.5.59' I 1 IT - j DRIVEWAY I CCUPANCY OR ' PROPOSED 204 5F 1 (JSE IS UNLAWFUL 6,� e �� j ADDIT1014 i o VITHOUT CERTIFICA I � Vr OCCUPANCY ww I� d I51'-1" EX/5T/NG I PLUMBINIG I j PLU--IRC`".ASTE RESIDENCE ALL TO REMAIN F,WATER U-!!:St- ED TESTING Et-FC'-I'-"-CMF;:"!G j 4 i 1 ° LOT#15 I E -ECTRICAL I INSPE .TION REQUIRED _ _.. _.._.._.._.._.._.._.._.._.._.._.._.._..� PL '1'r3FRCER TIFIvAT/0N ON L .D cowEPIT£EFORE CERTIFICATE OF OCCUPANCY — — — — — — — — SOLD, R USED IN WATER F L 0 7 FLAN SUPPLY SYST011.CANNOT r%Q EXCEED'2/10 OF 1%LERD. — — — — — — — — — — — — — SGAl.E = 1:40 SEAL: --_ REVISIONS/SUBMISSIONS; DRAWING TITLE: �i/GRED C DATE: DESCRIPTION: F ®F®5 Ex�SriNG PROPosED 'EN & ELEVATIO/;I/' ®�®� X A 7 I 0 �► � ELEVATION 5/19/11 �uiL�n�vcPr. son PROPO-/ D PLA FOUNDATION FOUNDATION L SCALE = 1/4" 1'-0" SCALE = I/4"=1'-0" No.023;3S� Q // CAD FILE NAME: #: Nemschick Silverman Architects P.C. PROJECT TITLE: DATE: NSA PROJECT ...the business of ARCHITECTURE." J'NOWDE/`I RUIPP._/`ICll /VA 5/19/11 2870 FAIRWAY DRIVE SCALE: DRAWING NO.: CUTCHOGUE, NY 11955 430 Green Way, Cutchogue, New York 11935 'I — A,J'NOTED Phone : 631-734-7007 Fax : 631-734-7347 DISTRICT: SECTION: BLOCK: LOT: DRAWN BY: A1 ._. h tt p://wwvv. n S-a rc h.CO t"Y•1 0 COPYRIGHT 2009 NEMSCHICK SLVERMAN ARCHITEC'S P.C. 1000 109 5 14.015 TC