HomeMy WebLinkAbout43008-Z mr,
��o�gUFF04 Town of Southold 2/12/2020
P.O.Box 1179
0
C* 53095 Main Rd
Dy, ' �ao�y� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41068 Date: 2/12/2020
THIS CERTIFIES that the building RAMP
Location of Property: 275 Mid Farm Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 63.-7-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/27/2018 pursuant to which Building Permit No. 43008 dated 9/6/2018
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 AND HANDICAP RAMP TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Sullivan,George&Margaret
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 1
u o0 911knature
0
I
�gUFFOt,� 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#: 43008 Date: 9/6/2018
Permission is hereby granted to:
Sullivan, George & Margaret
PO BOX 837
Southold, NY 11971
To: make alterations (handicap accessibility) to an existing single family dwelling as
applied for.
At premises located at:
275 Mid Farm Rd, Southold
SCTM # 473889
Sec/Block/Lot# 63.-7-22
Pursuant to application dated 8/27/2018 and approved by the Building Inspector.
To expire on 3/7/2020.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
1
Buil ng 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. ry, M® 19
New Construction: Old or Pre-existing Building: (check one)
Location of Property:2f!E MR-91jr P0, 420
House No. Street Hamlet
Owner or Owners of Property: 4",&W �OOy q V"mi
Suffolk County Tax Map No 1000, Section ��� Block `� Lot A5?–
Subdivision Filed Map. Lot:
Permit No. —1+3-00E Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval: /
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 7V�
scan a re
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
i-INSPECTION -
FOUNDATION 1-ST ROUGH PL13G.
FOUNDATION 2ND--' I ULATION/CAULKING
FRAMING/STRAPPING [VeFINAL
FIREPLACE & CHIMNEY- FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION -
ELECTRICAL (ROUGH) ELECTRICAL (FINAL) -
CODE VIOLATION PRE C/O
REMARKS:
DATE /V /W2V INSPECTOR
NEMSCHICK SILVERMAN ARCHITECTS P.C.
° the business of ARCHITECTURE."
l
November 20,2018
Southold Town Building Department
Town Hall Annex Building
54375 Route 25 JAN 2 2 2020
P.O.Box 1179 ,
Southold,NY 11971
Re: Sullivan Residence
275 Midfarm Road,
---- =—Southold,"NY-11971
ADA Accessibility
To whom it may concern,
Nemschick Silverman Architects P.C.has inspected the above referenced project and jmds Framing,Strapping and Concrete Footing to be in full compliance
with Local,State and Federal applicable building codes.
Sincerely,
NEMSCHICK SILVERMAN ARCHITECTS P.C.
s
Raymond Nemschick,AIA
Principal
41/24
�3f,�1
OF N� y:°
�� 160 MAIN STREET• SUITE 200 • SAYVILLE, NEW YORK 11782 • 631 563 2130 telephone 631 563 2139 facsimile • www.ns-arch com
J Z
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (IST)
------------------------------------
'FOUNDATION (2ND)
O
cn
ROUGH FRAMING&
PLUMBING 'y 9
d
INSULATION PER N.Y:
STATE ENERGY CODE 4
0
FINAL
ADDITIONALCOMMENTS
11 tb
�-
-
rn
O
Z
d
b
H
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
t i 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 �y�e� Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
NYS.DEC
Trustees
C.O Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20Mail to
Disapproved a/c
Phone
Exuatioll 20
Xding-flls
s
A U G 2 7 2018 APPLICATION FOR BUILDING PERMIT
Date �� ka '20/9–
INSTRUCTIONS
0/O
INSTRUCTIONS
p}$0d MUST be completely filled in by typewriter or in ink and subirutted 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 demolition as herein described The
applicant agrees to comply with all applicable laws,ordinances,building code,housing d , regulations,and to admit
authorized inspectors on premises and m building for necessary inspections.
( e of applicant or name,if a corporation)
Iqkjjor. 40#Q
(Mailing address of applicant)
State whether applicant is owner,lessee,a ent,architect,engineer,general contractor,electrician,plumber or builder
I-W
Name of owner of premises `
(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 pro osed work will be done:
a7-, 641 Jzlrm pwd, &X85:- &Jd, NY
Y
House Number Street /^_ Hamlet
County Tax Map No. 1000 Section—&3 3 Block Lot C
Subdivision Filed Map No. Lot
'j
2. State existing use and occupancy of prelpises and intended use and occup y of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy O e
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other WorkhPA//R /U 2"
(Description) y
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures,if any:Front 2.5 Rear Depth
Height Number of Stories / /
Dimensions of same structure with alterations or additions: Front 2 3�W Rear U.ov
Depth Height p, Number of Stories !
8. Dimensions of entire new construction:Front2-,3:f //T� Rear N906' Depth
Height Number of Stories !
9. Size of lot:Front / �J Rear /D�e/pth /Q,/
10.Date of Purchase / 7L Name of Former Owner PVQ/TU"
11.Zone or use district in which premises are situated 7C,/
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO_/
13.Will lot be re-graded?YES_NO_L,,�4ill excess fill be removed from premises?YES_NO__j!!!:"
������ 2-:7-5- 9R
Mbdonr ;' ./
14.Names of Owner of premises,OMe'K,%'/�l d4r'ddress Box 83",��� 'Thone No.
Name of ArchitectNeMSC-hCI Si 1%(efgVn(�rzhrle dress i6a Man"P';5 za°P', Phone No (031-50-2 GD
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO t---
*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 f/
*IF YES,PROVIDE A COPY.
LAWRENCE E.SILVERMAN
STATE OF NEW YORK) Notary Public,State of New York
SS Reg.No.01 S14977025
COUNTY OF Qualified in Suffolk County
Commission Expires January 22,201-1
being duly swom,deposes and says that(s)he is the applicant
(N e of mdividu si g con ct)above named,
(S)He is the
(Con ,tor,A nt, orporate is r 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
Swo before me this
day 20� ,
ary b �` °�'Signature of Applicant
. MAY 219 X34
TOWN
DEPT.
OW
L N OF So BOLD U
�=�o / UPON pod. CODEBEFORLMWAp ER- 14
LLJ
n
i •V �_+1
L7
c; ras�c-e61 In 7/c
L. �Y7 r( ?` cl.f r,/ '�(�
,ryr{� Cl
Ups
�. . v��,,.�-�
OR FORMERLY OF:
LAND NOW ER 190. -
R. GOLD
S 4 oz1
lI n
_ ao
00
N
V'
� I o
EX15TING POOL
a
ZEX5nl iS PATIO A&V 16 WP l�lA
VAP RAW t AOLVININS PA � U
I
0 1 �
w ' q O, EXIST.l sm M*ff RE51PECE a
l.n I
Q+ FXIsnMS 6RAVS O
.``l� DRll2i�44Y 7
22.0' O
N
14.5'
W � Exrsnnss rw�,rlcar
0
O �
� SURVEY INFORMATION TAKEN o OMD.v
M FROM 56RVEY PREPARED BY I;ATE;
ROPER/GK VAN n/J 1, rF_
L2A7ED FEB 2, 1972Al
.
T
FiJLL{):��II'�`] f.l\;?• r. �.l1Z ,f-{L..
-_ a .UIJ
FOR POURED
tt — — — — — — — — — — — NECK RD 2. ROUGH FRAM;,NG & PL,_Jtvl, !IvG
N65005 00 W 237.94L 540' ± TO CALVES 3. INSULATION
4. FINAL - CONSTRItCTIOi4 f.91,'&T
BE COMPLETE ;OR C.O.
ALL CONSTRUCTION &HALL lk"^ET THE
REQUIREMENTS OF THE CODES OF NEIN
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
MIDFARM � OAD
COMPLY WITH ALL CODES 0='
R�_Tr "; S i CrE�vl WATE`l f?'J EOi F NEW YORK STATE & TOWN CODES
f,URSUAt,!T TO CIIAPTER 236 AS REQUIRED ANn C Ninrrinn,,,j�
OF THE TMV[i CODE. S^'r „vt lows
TEES
�'v i i "P l t Il p
0 FLOT PLAN C ' '
SCALE = I/Ib" = I'-O" SEAL- REVISIONS/SUBMISSIONS: DRAWING TITLE:
A9L, DATE: DESCRIPTION:
W. rvF „ 8/17 Pfau PLOT PLM
029086 e�SCAD FILE NAME:
O OF NE`N �
Con Docs_Current_17-1906_Plans
N E M S C H I C K SILVER MAN ARCHITECTS PROJECT TITLE: DATE: NSA PROJECT #:
"...the business of ARCHITECTURE." -f ULLIVA/N RUIUMCE 7/20/17 17_1908
LJ
VA)N
_. OX 857_ _. _ . ..._ IV
_ -— __ — ......_�.._—_.... �.._. ._.....— - — T
CALE. DRAWING NO
S
•-- ,f OUTHOLD, NY 11971
160 MAIN STREET, SUITE 200 Af NOTED
SAYVILLE, NEW YORK 11782 DISTRICT: SECTION: BLOCK: LOT: DRAWN BY:
Phone : 631 563 2130 Fax : 631 563 2139 www.nS-arch.com �COPYRIGHT 2017 fEMSCHICK SLVERMAN ARCHrrECTS P.C. Zm
i
o DW� ---- -
on
I
I
GALLERY MA57BR
I � BBI�ROOM
PORGH LAUNDRY j KITCHEN j
FR(6.
' I
i
- GL.
DN
LIN.
5TORA6E 5TORA6E 57 UDY M. BATH
QO
OOL/Y/NG0
ROOM o o
FILE GA65.
B-I O
17/N/NG
BA Tff
i
�OYBR
GARAGE
LIN.
, j
LIN. GL.
i
GUEST
BEDROOM � �'�
X1571N6 FLAN
50ALE = 1/16" = 1'-0" SEAL: REVISIONS/SUBMISSIONS: DRAWING TITLE:
'gED A,QC DATE: DESCRIPTION:
NFLjS,y/, 11/8/17 PERMr ESI/ (; PLM
Q� Q4 L Cn 11/29/17 PERMIT
'9 N 029086 �
yOQ CAD FILE NAME:
OF NO
Con Docs Current 17-1906 Plans
PROJECT TITLE: DATE: NSA PROJECT #:
NEMSCHICK SILVERMAN ARCHITECTS _
„/'ULLIVAN RUIDE/`ICE 7/20/17 171908
"...the business of ARCHITECTURE.- OX 857
VA/N �
.. ..---....._. ---------------- _..__.. - ._. _._. -.... - _... - --- ---...._..._.__... _... --
_-..-. -_. ... -.. T— -... --- ----. _._. ._.._.._.- -� --_..- ... .- -- -_...___....--- — ---_—____._.._. _._... --- CALE. RAWING NO..
„/'OUTHOLD, NY 11971
..................... ....._.....----- .... .................. ... .... ......................__............_......... .........._. _. ..._......... ..._....------.. . ................ ... ....................................... �f NOTED
160 MAIN STREET, SUITE: 200 ................... ... _... ._..........__ ........... ......... ................ j
DISTRICT: SECTION: BLOCK: LOT: DRAWN BY: r.X
._.
SAYVILLE, NEW YORK 111782 p
Phone : 631 563 2130 Fax : 631 563 2139 www.ns-arch.com COPYRIGHT 2017 NEMSCHICK SILVERMAN ARCHITECTS P.C. ZU 1
IL
✓IF aEVATON CHANGE TO DETERMINE RAMP 3
RUM. MAX I/10 SCOFF-NO HANDRAIL REWIRED A_2
IF SLOPE 6 LE-55 THAN 5?;GRADE. CURB ON
20'-0" BOTH 5/DE5 5"ABOVE FIN/SHED RAMP 5URFACE.
V/F
A-2
n9Y X4LKMY - NEW RAW DN-70—/ CONTINOU5 LANDING
Ilk -0" AINTAIN P051TIVE 5LOPE FROM HOV5E(✓IF)
5" in 5" $„ GD
- LEDER BOAR
VIF CLEARANCE NEEDED
ee-
FOR EX15TIN55 LAN95CAPIN55 a
(OWNER TO VER/FY) 4 j �5 2X6 LEDGER BOARD FULL 2X6 LEDGER BOARD R/LL -
ILL
\y_ EX/STING HEADER TO
FLA
5HED(TYP) FLA5HED 077T) REMAIN. TYP. VIF.
I
On irl
oLi pm
---
JCI5TIN57 HEADER TO ✓1F EX/5TIN57 WINDOW TO BE REMOVED AND
REMAIN. TYP. OF REPLACED W 3'-0"x 6'-8"AUTOMATIC A5515
PRIMARY EXIT ROUTE DOOR WITH INTEGRAL PUSH PLATE.
SECONDARY EXIT ROUTE EMEDIATE EORE55
KITCHEN O � TOTAL PATH(32 L.F)
O � OFFICE MASTER
��DROOM
PORCH I DEN
4
� A-2
my
EX/5TIN57 DOOR TO REMAIN. RETROFIT
W/NEW POWER ACCESS DOOR — — ROLL-IN 5HOWER MINI"INTERIOR D/MEN5/ON5 OF
40"x 40" W1TH A MINIMUM OPEN/NG OF 36".
OPENER (5EF NOTE A. TH15 PAGE) NEW 3'-015(6'-8" NEW 3'-0"x 6'-8" NOTE:
—
5HOWER TO HAVE NON-SLIP FLOORING W/TH A
FRIG. — COEFFICIENT OF FRICTION 0.60 OR GREATER.
MAXIMUM FLOOR SLOPE OF 1/4"PER 12"RUN.
JVN o o I , AT LEA5T ONE GRAB BAR PER WALL.
AT LEAST ONE HAND HELP 5H0IIER HEAD AND
U ACCE55/BLE THERM05TATIC OR
PRE551RE-BALANCE CONTROL.
5TORAGE 5TOZAGELl
L/Y/NG PROVIDE BLOCKING IN WALL5 FOR GRAB BAR5,
-- ETC.
ROOM
FILE GAB
ONEW 3'-O'x 6'-8"INTERIOR DOOR. REVERSE
D/NI NG B-I BA TH EX/STING TO 5W/NG OUT PER CODE.
�OY�R
GARAGE
NOTE.-
LIN.
OTE•L/N. CL. (POWER ACCE55 AUTOMATIC RE51DE-NTIAL DOOR
OOPENER MODEL 2300 TO BE FITTED TO DOOR A5
REOU/RED(3 LOGATION5JW/TH 44g4J5 PU5H
PADDLE AND HIRELE55 HAND HELD REMOTE)
- -- - WWW POKER.4GGE55.GOM
GUST
��DROOM
yOP05 I;) � I 57 FLOOR FLAN
5cALE = 1/4" = 1'-0"
SEAL: REVISIONS/SUBMISSIONS: DRAWING TITLE:
,EF ED ARC, DATE: DESCRIPTION:
W. NF2js y /a/17 PERMIT
`k L to11/29/17 PERMIT
CIAPROPQ/T-D FIRfT FLOOR PLAN
PROPQJT-D P)ATHROOM PLAN
o.o2soe pP'�' CAD FILE NAME:
OF N E`N
COnPocs Current 17-1906 Plans
N E M S C H I CK S I LVERMAN ARCHITECTS PROJECT TITLE: DATE: NSA PROJECT #:
the business of ARCHITECTURE.- f ULLIVA/N RUIUMCE
7/20/17 171908
_. .. _.. .._. _.V
.-_..... - -.._......... .._......._--....... ...........- .......... -------... ......_........_...__....__.................-_........... — _ -- OX 857
_ __... — ...-- --- —_... —_...__......._..__._..._._.. _.._. _............ ..._._... - 75 MIDFARM ROAD
_ - - - .. ..... _.. .. ... .... _ — - - - --- - -- — SCALE: DRAWING NO..
.— fOUTMOLD, NY 11971
_..... ......._...........
160 MAIN STREET, SUITE 210 _.............. ............... ............. .............._..... ... f N TED
do
SAYVILLE, NEW YORK 11782 DISTRICT: SECTION: BLOCK: LOT: DRAWN BY:
Phone : 631 563 2130 Fax : 631 563 2139 www.ns-arch.com c COPYRIGHT 2017 NEMSCHICK SUERMAN ARCHITECTS P.C. zm