HomeMy WebLinkAbout43387-Z 1f�
Town of Southold 11/22/2019
P.O.Box 1179
53095 Main Rd
l � it Southold,New York 11971
�r/afXAi�;Li
CERTIFICATE OF OCCUPANCY
No: 40881 Date: 11/22/2019
THIS CERTIFIES that the building ALTERATION
Location of Property: 2435 Laurel Way, Mattituck
SCTM#: 473889 See/Block/Lot: 121.4-17.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/7/2019 pursuant to which Building Permit No. 43387 dated 1/11/2019
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:
ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Sachs,Richard
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43387 10-31-2019
PLUMBERS CERTIFICATION DATED 09-24-2019 an Jame
t o * Signature
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#: 43387 Date: 1/11/2019
Permission is hereby granted to:
Sachs, Richard
PO BOX 1261
Mattituck, NY 11952
To: construct interior alterations to existing single-family dwelling as applied for.
At premises located at:
2435 Laurel Way, Mattituck
SCTM # 473889
Sec/Block/Lot# 121.4-17.1
Pursuant to application dated 1/7/2019 and approved by the Building Inspector.
To expire on 7/12/2020.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $270.40
CO -ALTERATION TO DWELLING $50.00
Total: $320.40
Bu ding 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:
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 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. IS/lq
New Construction: Old or Pre-existing Building: ✓ (check one)
Location of Property: � ISS
l,./'1 O&L LA WL 04UL IJf W,_
House No. Street Hamlet
Owner or Owners of Property: iZ1 CWKD 9 SHS
Suffolk County Tax Map No 1000, Section 12-1 Block OLI Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: I� Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ So. 00
Applicant Signature
CONSENT TO INSPECTION
!!5Mb-5 , the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 935 !Y942 L LAkfL a-jtx-. LAW"
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 12-1 , Block 0 4 , Lot ?I
That the undersigned as have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: 6A ILolA) r
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated: '3
CZignature)
(Print Name)
(Signature)
(Print Name)
OF SO(/lyol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin(a-town. us
Southold,NY 11971-0959 y'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Richard Sachs
Address. 2435 Laurel Way city Mattituck st: NY zip 11952
Building Permit# 43387 Section. 121 Block. 4 Lot: 17.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor DBA. Donnelly Electric Inc License No 4993-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1 st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Gas Duplec Recpt 43 Ceiling Fixtures 1 HID Fixtures
Service 3 ph Hot Water Gas GFCI Recpt 8 Wall Fixtures 7 Smoke Detectors 4
Main Panel 200A A/C Condenser 1 Single Recpt Recessed Fixtures 19 CO Detectors
Sub Panel A/C Blower 1 Range Recpt Gas Bath Exhaust Fan 3 Pumps
Transformer Appliances Dryer Recpt 30A Ceiling Fan Time Clocks
Disconnect Switches 14 Twist Lock Exit Fixtures Combo SD/CO 2
Other Equipment:
Notes: House Wiring
Inspector Signature: Date: October 31, 2019
S Devlin-Cert Electrical Compliance Form.xls
SOUI,�o�
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Gt • A
Southold,NY 11971-0959
"v[11111,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: n Id`1) 1
Building Permit No.
Owner: 61cload S�C /n s
(Please print) OCT - 9 2019
Plumber: R 61 A ' lCl r MeS
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of I%
lead.
( / (Plumbers Signature)
Sworn to before me this
day of Ste'---, 20 9
J JEA:vANN LELLA
Not ry P:�iic _ State of New York
?1567 7
u n " f"'aC
Notary Public, e County ��� � ,,;r' �,_ ��/�1,...
�o�yoF soulyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
°`�rouKn ' 765-1802
INSPEC ON
[ ] 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:
n r AL vl oCJ4V -C
DATE 3 INSPECTOR
*pf SOUryo�
* # TOWN OF SOUTHOLD BUILDING DEPT.
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:
V�,� L ccr4
DATE 61-7 , INSPECTOR
4V7 SOF 50(/1,
hod 06
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPEC ION
[ ] FOUNDATION 1ST [ GH PLBG.
[ ] UNDATION 2ND [ 'INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] CTRICAL (FINAL)
[ ] CODE VIOLATION [S- 4- mwillm
CAULKING
RE ARK ' OIC
X4 3 Pi Voir
DATE INSPECTOR 06.
"Al
Lj 143K �l
hO�yOF SOUTyy �J7
6 J
# * TOWN OF SOUTHOL BUILDING DEPT.
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) L%
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: e' 9 1 ,�c a�� 'wa �z�—,►—
diV
DATE INSPECTOR
# #qlf so
TOWN OF SOUTHOLD BUILDING DEPT.
°`"rou�rtr, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] RO GH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKI G
REMA KS: oml
yrJ
DATE R INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST) �
------------------------------------
_C
'FOUNDATION (2ND) a
1AA 3v OW 7 �
ROUGH FRAMING&
PLUMBING y
i
f
INSULATION PER N.Y: y
STATE ENERGY CODE
I
FINAL
ADDITIONAL COMMENTS
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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 �j Surve
Southoldtownny.gov PERMIT NO. U Check
Septic Form
N Y.S.D.E.0
Trustees
C.O.Application
Flood Permit
Examined 20 D CO
A Single&Separate
-
DTruss Identification Form
JAN - 7 1019 Storm-Water Assessment Form
Contact: I'VYc.U�aA ?_;*AT.6Z
Approved ,20 ,rt_ �., Mail to: 2-0(a w4cow 61 ar
Disapproved a/c TOWN OF SO �,U2fti't0 pD
Phone:(6 1) 2VV)_0960
Expiration 20
But spector
APPLICATION FOR BUILDING PERMIT
Date LIMA" , 201_
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, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
A,W Voir tAAd I l�OZ3
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ��L - C7_5�1s__
(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. 11
1. Location of land on which propo ed w rk will be done: J 1J
Ji 15-
House Number Street amlet
County Tax Map No. 1000 Section )2_1 Block 011 Lot :,
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 ','� QE5I06A)CC
b. Intended use and occupancy 6F a�5102NC(
3. Nature of work(check which applicable): New Building Addition Alteration C
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost �361000 Fee
('fid bq paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units:on each floor
If garage, number of cars I (-(L COACUD 6&M6C (,Cruin&)
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. t\))A
7. Dimensions of existing structures, if any: Front (151q I Rear (o�,Cl Depth X32
Height h' t/— Number of Stories 7
Dimensions of same structure with alterations or additions: Front G Rear
Depth r\) C- Height C_ Number of Stories iiT
8. Dimensions of entire new construction: Front Rear C_ Depth G
Height 0 Number of Stories C-
9. Size of lot: Front 1 Rear 1-7. IC' Depth 361. 6(57'
10. Date of Purchase �� �� Name of Former Owner, FJao W tCO Z 1&wLf P,16H
11. Zone or use district in which premises are situated —�
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO-X-
13. Will lot be re-graded? YES NO_><,_Will excess fill be removed from premises?YES NO
i o a4raALPAaLOwAfF-y -1WrN
14. Names of Owner of premises /1lLO HS Addresswwyaak.Am 10023 Phone Not(o`i6)GZy—7661
Name of Architect Address 6 Phone N&OD2_00-2050
Name of Contractoi6f2LiJl06L 661J�PI J G�.Address Phone No(i31)25Y-3606
M'
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YESXNO
* 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_X
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OFnjjWUX
P'lablym 51af-5 being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the IwAly)-L
(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.
Swor t t9 before me thi
"t`�'h day of 20
SAHRiNA1N BARN Signa re of A licant
Notary Public,State of New York
No.01806317038
Qualified in Suffolk County
Commission Expires Dec.22,201�
fF�KC BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTH
Town Hall Annex - 54375 Main D
a Southold, New York 1 -0959
Telephone (631) 765-1802 - F �( 31�,g6i 519
roger richertPtown southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTIMMNOFSOUEdi;L.
Date: SZ
REQUESTED BY: _
Company Name: 'GC ecTri�
Name: -
,/ email: _ ,•�CGG e eC� v Toy✓ ��ti• N �
License No.: T 993----
AIV
93 109a
Address:
Phone No.: 31 Co
JOB SITE INFORMATION: (All Information Required)
Name:
Address: Z�3S g��� 6J9 !'''�ArTer���
Cross Street:
Phone No.:
email;
BIdg.Permit#:
Tax Map District: 1000 Section:
Block: Lot: <
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Apply= YES ! NO Rough In Final
Is job ready for-Inspection?:
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
Service Size
1 Ph 3 Ph Size: = # Meters Old Meter#
New Service - Fre Reconnect- Flood Reconnect- Service Reconnected - Underground -Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form-As
Scott A. Russell ,�d°SU '� ST0IkMWA\T]E]k
SUPERVISOR
Z MANAGEMENT
SOUTHOLD TOWN HALL-P.O.Box 1179 v'
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
Yes No (CHECK ALL THAT APPLY)
WA. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑�. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑0'C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑E3'/D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
' erosion hazard area.
❑ . Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse.
0511"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
in-kind replacement of impervious surfaces.
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 witFyour Building Permit Application.
APPLICANT. (Property Owner,Design ProfessionAgent, ontractor,Other) S.C.T.M. *: 1000 Date:
District
NAME.
L arK a) oLi
Section Block Lot
�1 `2277\\ 'J (� Q�� **** FOR BUILDING DEP RTMENT USE ONLY ****
Contact Information t 4 C6 1_ ) 2-0 J -06 0
Reviewed By:
— Date_
Property Address/Location of Construction Work: — — — — — — — — — —
2 L 2 j 1 al V�,rj LAI j�/ /'�'l l VC Approved for processing Building Permit.
L J L-/ 1l/��:.GC. tJ rn-� 1(�tU Stormwater Management Control Plan Not Required.
Lfttu L - Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM * SMCP-TOS MAY 2014 ��� T
Jeffrey T. Butler, P.E. , P.C. 206 Lincoln Street
Architectural and Engineering Services Riverhead, NY 11901
Tel: (631) 208-8850
Fax: (631) 727-8033
October 3,2019
Building Department
Town of Southold
P.O. Box 1179
Southold,NY 11971
RE: 2435 Laurel Way,Mattituck(Building Permit No.43387)
To Whom It May Concern:
Enclosed please find the Solder Certification for the above Building Permit. This should be the
only item required to close out the Building Permit. Please forward the Certificate of Occupancy
to me.
Should you have any questions,please feel free to call.
Sincerely,
0elissaButler
OCT - 9 20119
New York State Insurance Fund
Workers'Compensation&Disability Benefits Specialists Since 1914
8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED)
a. 'a
^^"^^^ 112755579
GREENIDGE CONSTRUCTION CO INC
PO BOX 182 O' .w
SHOREHAM NY 11786
SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
GREENIDGE CONSTRUCTION CO INC TOWN OF SOUTHOLD
PO BOX 182 54375 MAIN ROAD
SHOREHAM NY 11786 SOUTHOLD NY 11971
POLICY NUMBER CERTIFICATE NUMBERT POLICY PERIODDATE
11063602-5 404107 12/05/2018 TO 12/05/2019 1/3/2019
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORKSTATE INSURANCE
FUND UNDER POLICY NO 1063602-5, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
PRESIDENT
DON GREENIDGE
GREENIDGE CONSTRUCTION CO INC
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY
NEW YORK STATE INSURANCE FUND
C�
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER:732121798
U-26.3
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By law,excavators and contractors working in For safety reasons, homeowners are strongly
the five boroughs of New York City and Nassau encouraged to call as well when planning anys c
and Suffolk Counties on Long Island must type of digging on their property. Homeowners
contact DigNet, 1-800-272-4480 or 811,at least can contact us directly at 1-800-272-4480 or by a ei Y•:ori e
48 hours but no more than 10 working days calling 811,the national call before you dig
(excluding weekends and legal holidays)prior to number.For excavation work completed on
beginning any mechanized digging or excavation personal property,it is the contractor's
SITE LOCATION
work to ensure underground lines are marked. responsibility--NOT the homeowner's--to contact \
Excavators and contractors can also submit DigNet. Having utility lines marked prior to
locate requests online,through ITIC. If you do digging is free of charge.
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not currently use ITIC,please call n
1-800-524-7603 for more information.
PIPE
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0,
LOCATION MAP N o
N.T.S. �
SITE DATA:
SITUATE AT:
(Ti2435 LAUREL L,4<F= DRIVE
�Q�QQ�� U.P. MATTITUCK, NY IIS52
MON. COUNTY OF SUFFOLK
/ TOWN OF SOUTHOLD
/ MON. SCTM ": 1000-121-4-11.1
WOOD
STEPS ZONING DISTRICT: R-80
/
[v / SITE DATA:
AREA OF SITE: 40,819.91 SQ, FT, OR ACRES (NON-CONFORMING).
0 / SITE PLAN BASED ON
/ I ORIGINAL SURVEY BY:
<ENNETH M WOYCHUK LAND SURVEYING, PLLC
PROFESSIONAL LAND SURVEYING AND DESIGN
P.O. BOX 153 AQUEBOGUE, NEW YORK 11931 rr ll
/ PHONE: (631) 298-1588 V cm
U.P. / FAX: (631) 298-1588 ^
DATE: JUNE 26, 2018
�to / ELEC.
/ APPLICANT / OWNER: 91.4 r
/ METER �D / �� RICHARDS SACHS
2435 LAUREL LAKE DRIVE a/ O
LAND N/F OF / / LAUREL, NY w X
ERIC d VALERIE / / lD .4
O
SHOENFELD -$ / / XZ
EXISTING 1 STORY � �
/ GARAGE d
tu CZ
o/L 's�'" cj. T, cfJ
800 GAL, IN-GROUND PROPANE TANK O O
10' MIN, TO PROPERTY LINE
EXISTING 1 STORY FRAME
LOG DWELLING
9"
02435 / / APRON
EXIST,
SHED �0 ARCHITECT:
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/ ap , iA% 22;2 t/ ry/' / (0
O LAND N/F II
6 _ / OF JIE CAO !�
30826 4�
9I RICA DANIEL ti8E R.A.
BRIC{�
PATIO /
1.81; PSA TIo
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,0 / EXIST. ROOF / z
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19.39 O ,
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UI LAUREL LAKE EXISTING SITE PLAN
1" = 20'-0"
A- 000 N
&i
LAND N/F OF 10 b 0 20 50 100
M
TOWN OF GRAPHIC SCALE I" - 20'-0"
SOUTHOLD N
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T
THESE DRAWINGS AND ACCOMPANYING SPECIFICATIONS,AS INSTRUMENTS OF SERVICE,ARE THE EXCLUSIVE PROPERTY OF THE ARCHITECT AND THEIR USE AND PUBLICATION SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR WHICH THEY WERE PREPARED.REUSE,REPRODUCTION OR PUBLICATION BY ANY METHOD,IN WHOLE OR IN PART,IS PROHIBITED EXCEPT BY WRITTEN PERMISSION FROM THE ARCHITECT.TITLE TO THESE PLANS SHALL REMAIN WITH THE ARCHITECT.VISUAL CONTACT WITH THEM SHALL CONSTITUTE PRIMA FACIE EVIDENCE OF ACCEPTANCE OF THESE RESTRICTIONS.
e
WALL LEGEND
EXISTING WALL TO
REMAIN
r ——— EXISTING WALL TO
BE REMOVED
NEW WALL
S'Y'MBOL LEGEND lY
Ui
lY
SD SMOKE DETECTOR p
it
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CO CARBON MONOXIDE DETECTOR
cD
EXHAUST FAN
m
Z O
0
N N
W M
SCOPE OF WO�;�
1. REPLACE 4 RELOCATE FIXTURES AND
FINISHES IN EXISTING= MASTER BATH, BATH 2
AND KITCHEN. PROVIDE RELATED ELECTRICAL
4 PLUMBING WORK.
2. REPLACE EXISTING ROOFING AND GUTTERS. \
/3. REPLACE SHAKE SIDING W/ VERTICAL
BOARD 4 BATTEN SIDING.
4. REPLACE SELECTED WINDOWS,
5. CONVERT HVAC TO GAS (PROPANE),
WINDOW PERFORMANCE DATE:
NEW DOUBLE HUNG WINDOWS BY
/ LE PAGE U=0.30, SUGG=0.31
DP=30, LOW E GLAZING.
m
20' - ll" 10' - 9" 10' - 2 1/2" 9' - 6" 11 - 4 1/2" Q
W
w r=
N
AP '4'q-
VED AS DOTED � V
DATE: {, I B.P.t 3 iD 1 �/ O �
FEE: � '/A BY: w c') x
NOTIFY MXDING DEPAR k. AT X LL
765-12 AM TO 4 PM FOR THE z
FOLLOWING'tNSPECTIONS:
°mQ
1. FOUNDATION - TWO REQUIRED O
FOR POURED CONCRETE =3:
- S �
2. ROUGH - FRAMING & PLUMBING O �
8 II 3. ]INSULATION
in O 4. FINAL - CONSTRUCTION MUST :r cv
BE COk,',.%M FOR•C.O. t�
r ALL COEMENTCTVI ° ,ALL MEET THE
REMOVE
— — — -- � / REPLACE �
KITCHEN CABINETRY b YORK STATE. NOT RESPONSIBLE FOR
/ 4 COUNTER TOPS. EXIST. DINING DESIGN OR CONSTRUCTION ERRORS. w
i EXIST. APPLIANCES
i - TO REMAIN. / 108
EXIST. BEDROOM '
COMPLY WITH ALL CODES OF ARGI IITEGT:
0 110 {" O� NEW YORK STATE & TOWN CODES ��tER p
r \ AS REQUIRED AND CONDITIONS OF �� \\EL A. �\
N EXIST. FURNACE , EXIST KITCHEN 00 Q' pP 6G��, �
RD
a ;
EXIST. SLIDING DOORS TO STONE / Tf $ U)
1 /
BE REMOVED. 19' - 11" 19' - 5° FIREPLACE 3 - 511 6 I - 811
41 - 9II
REPLACE W/ SWING DOORS7
mo
_ 1 (8:0 1 DANIEL A. BUTLER, R.A.
O — —
EXIST. LIVING ROOM STONE W N EXIST. BEDROOM EXIST. W.I.C. m
EXISTING TOILET 4 SHOWER cn 109
/7/j/
105 106 DC Q
` CUPANCY OR o Q
TO BE RELOCATED TUB F_--A 'n (NO WORK) : 6 (NO WORK) (NO WORK) USE IS UN °
LJ U i A IG
_777
EXISTING FLOORING TILE, �►��C>*s M AWFUL
WITHOUT CERTIFICATE o
FIXTURES 4 ACCESSORIES XfST. W.I� _ T
EXIST. CL. OF OCCUPANCY H
TO BE REMOVED � MASTER BATH
O LJ 113 V CL, HWH LL
EXISTING TUB TO NE LJ 111 I/ „ N EXIST. FOYE \`J� 1� ' �� ' } a
BE RELOCATED cq LA — — — — — ---- WC 1 S WR (Y r' }
-- - -1 - - 5 - 87�\ 11 100 CL. P Q a) i z Q
REMOVE EXIST. WINDOW. F CL• F O Q
RE-FRAME SHEATHE 4 NEW W _ ELECTRICAL "- II Q
INSULATE AS REQUIRED N i MASITR�HO NEW z ,\ \ M �151
. AT 2 w Z Q Q
INSPECTION REQUIRF � � N fY OL
` / � ' � _� ' K1 q 101 Q
w o
ST TOI
EXIST. WALL TO 1116 o _ VENT TO ELEC. Q
BE REMOVED — — — — J 111A - - EXTERIOR -� `4 P/+r1EL ( F-1 n/ � 'fit
WC IJ LAID V, i 11�L - OQ IN
Z j
NEW DH DRYER WP NE OH NEW FULL SIZE STACKABLE PLUMBER CERTIFICATIONU O O
VENT GFI WASHER 4 DRYER ON LEAD CONTENT BEFORE �---a m to L Q
CERTIFICATE OF OCCUPANC P-4 N N
RELOCATE EXISTING
ELECTRICAL PANEL SOLDER USED IN WATER
(ROTATE IN EXIST. WALL) WATER SHUT-OFF SUPPLY SYSTEM CANNOT O
EXCEED ?110 OF 111 41 - 31
?.Fq n
4' - 3
5' - ro 4' - 10" 3' - O" 6 - 511 2' - 011 4' - 1" 6' - 511 O O
PLUME INGi '—' Q
21' - 1511 191 - 6" 14' - (o" 13' - 111 ALL'PLUMBINNG WASTE
1 - 9" Tc1 TIlNGBEFORATER ECNJE
68RING
-
"'NOF06ED 16T FLOOR FLAN 1 A- 20111 �
N
1/4 = 11-011
O
N
�t
T
THESE DRAWINGS AND ACCOMPANYING SPECIFICATIONS,AS INSTRUMENTS OF SERVICE,ARE THE EXCLUSIVE PROPERTY OF THE ARCHITECT AND THEIR USE AND PUBLICATION SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR WHICH THEY WERE PREPARED.REUSE,REPRODUCTION OR PUBLICATION BY ANY METHOD,IN WHOLE OR IN PART,IS PROHIBITED EXCEPT BY WRITTEN PERMISSION FROM THE ARCHITECT.TITLE TO THESE PLANS SHALL REMAIN WITH THE ARCHITECT.VISUAL CONTACT WITH THEM SHALL CONSTITUTE PRIMA FACIE EVIDENCE OF ACCEPTANCE OF THESE RESTRICTIONS.
ELECTRICAL
SYMBOL LEGEND
SWITCH LOCATION
DUPLEX OUTLET
�nFI GROUND FAULT INTERRUPT
q wfl
GFi WATERPROOF GROUND FAULT INTERRUPT
D E—
DEDICATED OUTLET
qp¢2" u�i
OUTLET m 42" A,F,F, 0-
ip 1/2 SWITCHED OUTLET
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QUAD OUTLET
FLOOR DUPLEX OUTLET Z m
o p
FLOOR 1/2 SWITCHED DUPLEX OUTLET „ c
LIGHT FIXTURE LEGEND
RECESSED LIGHTING
RECESSED LIGHTING - WALL WASHER
ROUND SURFACE MOUNTED LIGHTING
2'x4' SURFACE LIGHTING
® PENDANT m
a m
W N
CHANDELIER a
O
W � � X
WALL SCONCE d
E-� o z >�
DOWNLIGHT STRIP O
H 0- tY �
3: p
CEILING FAN
—1
W u�1
ARCHITECT:
TRACK LIGHTING jE7D
ARC
A.EXIST PINING
100'
s r c a
�H26
I _
EXIST. BEDROOM O
_ N -
i� DANIEL A. BUTLER, R.A.
EXIST. KITCHEN
EXIST, FURNACE TO
BE RELOCATED 101 Q
CsFl ( U
I � S
-` Z U
I � O
4-0
EXIST. LIv NCx ROOM LL
lu
EXIST, BEDROOM EXIST. 11114, }
Ju
O Q
NEW TUB ` 1-� �, 0
_ - ACES Z IY IL
EXIST.
r� `\MASTER h ATH t EXIST. W.I.G. i a l
4 0
- - - 1
113 w n �,».. _ __. ... -5
NEW 13 F- '
WCLAV
W QO co
EXIST. FOYER SHWR +� m
W.
Uu-100 =3
O
s
NEW k '� � � - -.-.__ ('V
' ✓ E r � i N Ul
EXIST BATH 2
I -
LAV. NEW MA TOILET -3:! ,.. O
__. MASTER SHOWER `_
I ELEG.
su 11IA o -- E>CTERIOR PANEL lOI
11 G CsFI WC
.
� z
DRYER T wr RELOCATE EXISTING ELECTRICAL U O Q
PANEL (ROTATE IN EXIST. WALL)
PAGE:
fROPOSED ELECTRICAL FLAN CL
CL
1 co 1/4" = 1�-O" IR
0
Lo
rn
0
N
d'
THESE DRAWINGS AND ACCOMPANYING SPECIFICATIONS,AS INSTRUMENTS OF SERVICE,ARE THE EXCLUSIVE PROPERTY OF THE ARCHITECT AND THEIR USE AND PUBLICATION SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR WHICH THEY WERE PREPARED.REUSE,REPRODUCTION OR PUBLICATION BY ANY METHOD,IN WHOLE OR IN PART,IS PROHIBITED EXCEPT BY WRITTEN PERMISSION FROM THE ARCHITECT.TITLE TO THESE PLANS SHALL REMAIN WITH THE ARCHITECT.VISUAL CONTACT WITH THEM SHALL CONSTITUTE PRIMA FACIE EVIDENCE OF ACCEPTANCE OF THESE RESTRICTIONS. T