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HomeMy WebLinkAbout41213-Z �g��wt�coTOWN OF SOUTHOLD BUILDING DEPARTMENT 0 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#: 41213 Date: 12/8/2016 Permission is hereby granted to: S&P East End Properties LLC 68555 North Rd Greenport, NY 11944 To: construct interior alterations to existing commercial building as applied for. At premises located at: 44360 CR 48, Southold SCTM # 473889 Sec/Block/Lot# 63.-1-20 Pursuant to application dated 11/22/2016 and approved by the Building Inspector. To expire on 6/9/2018. Fees: COMMERCIAL ADDITION/ALTERATION $309.20 CO -COMMERCIAL $50.00 Total: $359.20 Buildin or I 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$15.00, Commercial$,115.00 Date. New Construction: Old or Pre-existing Building: --'✓ (check one) Location of Property: y LA 3 0 CR 4T d House No. Street Hamlet Owner or Owners of Property: S to Suffolk County Tax Map No 1000, Section(0 3 Block ( Lot c2 O Subdivision Filed Map. Lot: Permit No. 3 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: v/ (check one) Fee Submitted: $ Applicant Signature FIELD INSPECTION REPORT I DATE COMMENTS mrd FOUNDATION(IST) -------------------------------------- FOUNDATION (2ND) IL z � o ROUGH FRAMING& y PLUMBING G � INSULATION PER N.Y. y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS r Ii Z m ;o O �z H C b H 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 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined '20 Single&Separate Stone-Water Assessment Form Contact: Approved 120 Mail to: Disapproved a/c Phone: 3 lr _ ( 5 Expiration ,2011-Y rh DBu nspector ?LICATION FOR If3UIL)ING rERMIT NOV 222016 Date � L ��-`� , 20 l(9 BUILDING DEPT. INSTRUCTIONS j a P�c'd�PPW% ;completely f lied 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 steal I 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 1.8 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. (Si nature of applicant or name,if a corporation) ® Q 'Rill -VW-1410.0vt, �q (Mailing address Jf applic nt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder r OL./ .� Name of owner of premises `�' P can+ Etlj (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized office PA44 Re-hi-)e 1 (Marne and title of corporate officer Builders License No. 2L-1'8lR--0 Plumbers License No. 1 q$'1 - m ? Electricians License No. 1 oo S - M5_ Other Trade's License No. 1. Location of land on which proposed work will be done: ,+J 36 a G �4 7' (Sou+h oO House Number Street Hamlet County Tax Map No. 1000 Section Co3 Block ) Lot ..O Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended u e and occupancy of proposed construction: a. Existing use and occupancy e ` � l ®C�tsa b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration—v/ Repair Removal Demolition Other Work (Description) 4. Estimated Cost S'U,Coo Fee IF (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. 19. e &-s ®lN'lc'e 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories a Dimensions of same structure with alterations or additions: Front A/®C q4; Rear, ,-- Depth Height Number of Stdrips; r• 4 8. Dimensions of entire new construction: Front Al. "W Rear ; ' Depth ! � Height Number of Stories W i 9. Size of lot: Front Rear Depth 338 _ ,,.n_ 10. Date of Purchase 21 ato 1 a.O 15 Name of Former Owner 1 P6/,ap+4sinc d' 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO L/ 13. Will lot be re-graded? YES NO-A/Wexcess fill be removed from premises? YES NO 14. Names of Owner of remises c�I hr Address PC,Oe*`All I � hone No. 9-16 C2,— Name of Architect Ca��te D�hr" ddress ff.S.0.L P'/�a Phone No X31' 4 y`� -Q 7 Name of Contractor 5'9-S Con!�+Y-L c+i or% Address PDB lb3-1 Phone No. t S1Q(o- -1,5-17 7 MA4++aUK I Ig61Z 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ell * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BEEQUIRED. 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 I / * IF YES, PROVIDE A COPY. STATE OF NEW YORK) �► n SS: COUNTY OFVPOIk77 ) `1%-L4 C being duly sworn, deposes and says that(s)he is the applicant (Name of individual sig mg contract) above named, (S)He is the (S aW� -�(,C-P�(' (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. Sworn to before me t ay of 20 r da Notary Public CvNTHI , A. GALLO Signature of Applicant NOTARY PUBLIC, State of New York No 01GA604Ra51 Ouuhfied in Suffolk County �� Commission Expires August 14,20 7�6 NEW YORK STATE & TOWN CODE AS REQUIRED AND CONDITIONS O ., ;PP 0 . ED AS P� TSD ►.I ;ROAR AT B.P.# / `?� -EE: BY: NYS SFr JOT) Y BUILDING GE'1,^.RT'.'- '" T 165-1 ,C 8 AM TO Y 'tip Ft:�.. Ti3E OCCUPANCY OR --- -OLL : racy INSPuC r ;. FC ')ATiO"J - T4`JrJ F FC ..' ` :=r, USE IS UNLAW" IJL IIIJ1 I F'�d FOURED CONCRETE a ----- -� 1 i i i I I 11 EXAM AI o ® ® . R1 U H - F131,1`11Nr, & PLUMBAG f i, \ u iii �� lq ® _ �" EXIT EXIT . IN. ' LATION WITHOUT CERTir ►SATE O� . FIFA - CON7T 71'37!C'N MUST C�!: OCCUPANCY IA[ALI [ALI [A 0 0 BE COMPLETE 10. ELECTRICAL- TYPICAL : /�-��\ iii �(��' `r 1 2 LL NSTRUGTIO`J S�'ALL MEET THE 6!'v sPECT@OSS RECaI�lR;EC� �--i DEMO WALL 2x4 I ► I \` ' `� TYPICAL RECESSED TYPICAL RECESSED r T�'�r`�7E5 Gi N " 6 III \ WALL MOUNTED EQ I �MENTS OFTHE NEW LIGHTING. 4 PER AREAL LIGHTING. 4 PER AREA o S A + rT 1�-� � � � i STUDS GYP � \���,,� iii �� WORK STATION O WAITING iFLC FOR O ORI TATE. NOT REu. C'N,, T I I I I BRD. BOTH SIDES I I I I BY HUMANSCALE / EAST WEST EAST WEST *- L_.__� I � � � i Iii � ( � ) AREA ) ESI OR CONSTRUCTION ERRORS. ^�- ►-I �I i-I I I MODEL # NEW 8 SF 'i .M .�� I ++ I ] C-I III V647-1111-11000 � �= W±-' '. , M P ►1:.< I r I WOOD VINYL PLANK FLOORING ml I I _ o o $-O RIGHT HAND --- o ' O I ------ I I I LUSH ^� `• UMBER CE.RTIFfCATIO,ti! _________ I _ III I 1 I --�--� EW (2) 2 X 8 DROP 32 HT. TRANSACTION COUNTER LEA•") COIw �F-t;;�-�__., C13E I — — I I I \ 1 " n r` _ is r t �` � / r- 11 I r-,� I \` i I I i \ I I -___-_= CLOSE UP � ' = VINYL 11L��� F.E. EADER 1 I I�_-�I /r•� III I I I -- -- --'�_ - EXISTING WINDOW I< LJLJLJ , I � I L--J I I _ FLOORING Q I I I I �tl I I ------ , , „ a I _I I I I\ 10N EXIT - 32 HT. ----=-------- O -- O O 7 I c l /'' TER '�i RU J 2 G.4�rrA,�®IRitiQUI .EQ NEW 2 2 X 8 TRANSACTION NEW 2 27 8 DROP �+ it li i i I ' i i i EXIT O 2 cq HEADER t r� i r 3 NEW 2 2 X 8 DROP =t ,� ( ) DROP HEADER m COUNTER V V u I I I I I I 11 1 :-I I HEADER RrFAIN STORRA V'JATLR RUNOFF _ __ I I `9 �- ----- EXIT I 6._1.. I 2'-6" �— 1 --- — 1. ,' I. Ir, ;. PURSUANT T t goo j.. OF THE TOWN L___ REPLACE EXISTING OR /�I /�I I RECEPTION 1 &V;t;i r i I ' J i I WITH 36" WIDE C�. CL. CL. ] 3'-a"_ i iii WALL OUNTED o0 -- a -� LL==_J_____ WORK TION _ REPLACE EXISTING D OR BY HUMA C STAFF O WITH 36" WIDE NEW 18" MODEL # � �;7i EEP V647-1111-11000EXAMA2 5D O 9 90 SIF 10 EXAM 01 II11 I �O �I I I o Ne(91 1 110 SF I r-_, i WALL MOUNTED I I I RK STATION FM� BY HUMANSCALE V647 MODEL11 1-11000 NE ISSUE FOR CONSTRUCTION N0. DATE REVISIONS I 5 F.E. NEW 18 - 9 NVEXAM B I OFF I OE A DEEP " 0 WALL MOUNTED ® rn WORK STATIO [.:Ell 11 EX `-�I MODEL BY �NSCA 107 SF EX a V647-,,,,-1100 `� E�:,�M 02 ° [1 1 F 10 WALL MOUNTED WORK STATION HUMANSCALE LA\/G MOD V647-1111-11000 Accilitect and Engineer's Sea! u»d = SOILED © dig,;�:`ure o 'I! goon! for initl�,' cse o$ EX UTI L I Tl' EXIT REP�ACL O H ' EXISTING DOOR dr��°•`'i;�'� Gi°�>?�;,,.s, a: ���rrTio�s cs ra. 7 i{`: i t' "se f ' v •ter WITH 36" WIDE � a, r�. ,,,. of crn�r:;,.., o 0 0 o EX EX o.l� f':rc' i.c:ci or Engineer's Apl;rrrval `ool � eo 0 0 0 voids Seal and Signature on same. 0 0 .r�1 I ■ o 0 II II o0 EX EX FE. OFFICE C PROJECT SITE 9 OFFICE B M�� WALL MOUNTED ® r `' WORK STATIONL '7'-"Te/4° BY HUMANSCALE MODEL # EXISTING , ED oa V647-1111-11000 LAS/ E �� oa EX V (Do ® 'EXAM B2 ° � , X <<. sr)I,II,oid 93 SF 5 DEMO PLANy, �� -�►�� exp'� �,�.,� yrs �� 1� J k1 ) IPA u CONSTRUCTION PLAN _ . s ASG N.J. Mazzaf erro, P. �P�� OF Nfty y 565 INLET LN. J. M,q EXIST.8'H.GEIL. EXIST.814.GEIL. OREENPORT, NY I I c14 'A GENERAL SCOPE OF WORK AND ADDITIONAL NOTES 12. NEW 15" BASE CABINETS AND SINKS AND UPPER CABINETS W/TOWEL 4 50AP 015PEN5ER5 AND WAIL MOUNTED P.G. NYS License Number `� w 13. MAINTAIN AND REUSE EXI5TIN6 PLUMBING,ELECTRICAL AND HVAC ROUGHING A5 CURENTLY INSTALLED. , I. REMOVE TWO EXISTING BATHROOMS AND RESPECTIVE ROUGH PLUMBING TO SOURCE- GAP AND SEALADDITIONAL COMPLIANCE RELATED ITEMS: °A 05104� 2. INSTALL NEW CORRIDOR CONNECTING THE EAST WING AND WEST WING OF THE BUILDING 1 3 OFESSIO�P 3. INSTALL ONE NEW BATHROOMS,WITH COMPLIANT EXHAU5T. ALTER HVAC SUPPLIES AS REQUIRED (HAITIN6 ROOM BATHROOM SENSOR ACTIVATED TO BE M COMPLIANT(O SPACE PERMITS. INSTALL NEW H.G. TOILET d SINK 4 EXHAUST FAN. NEW DOOR TO HAVE LEVER STYLE I. INSTALL ILLUMINATED BATTERY BACKUP COMPLIANT EXIT SIGNS THROUGHOUT FLLV40METER. P.E. SEAL BATHROOM LOCK5ET . ' 2. ' INSTALL EMERGENCY E6RE55 LIGHT5 WHERE REQUIRED 4. REMOVE EXI5TIN6 WOOD BURNING STOVE. REMOVE ALL FINISHES IN PROP05ED EXAM ROOM. INSTALL NEW GYP BD WALL °d CEILING 3. INSTALL HARDWIRED SMOKE/G.O. DETECTION 5Y5TEM AND A550CIATED EQUIPMENT. SURFACES,PLYWOOD 50135TRATE FLOORING AND NEW VINYL TILE FLOORING AND BASE. INSTALL NEW LIGHTING AND 24' x 45" SINK 4. INSTALLATION OF SECURITY SYSTEM A5 REQUIRED. ALL INFORMATION TECHNOLOGY SUPPLIED BY OCCUPANT. SEN50R ACTIVATEc' BASE W/EXAM SINK W 60" UPPER CABINETS. MAINTAIN EXISTING FRONT DOOR AT HEST WING,NEW*LI-5 A5 5HOHN,CREATE NEW 5. Materials as listed below. 6' 3'4" '20" RECEPTION AREA (2) WITH NEW TRANSACTION COUNTER W/SLIDING, GLASS,AT EAST WIN6 WAITING AREA. INSTALL NEW PA-AM WORK Halting Room Flooring : Armstrong Natural Creations,Arbor Art Nouveau Maple Neutral Cray,TP)43 _ _ _ SEN50R ACTIVATED Stony SURFACE TO INCLUDE WIRE GROMMETS,RECEPTACLES AND DATA JACKS UNDER DESK,TYPICAL. Hall Paint : Benjamin Moore° Navajo White,Eggshell finish es —I — t p�0METM5. INSTAL-L NEW P/LAM WORK SURFACE AS PER PLAN. COORDINATE GROMMETS,DATA JACKS, AND RECEPTACLES WITH EQUIPMENT VGT flooring : Mannington ,Almond Buff 16'1 ( ;� B LOCATION. Millwork : Nevamar Antique White Textured,51005T base # upper cabinets ICC/ANSI Au-r.I _ 2,_0„ x : . p TOILET 6. REMOVE HALL DIVIDING HAITIN6 ROOMS,EXTEND EXISTING LAY IN CEILING GRID FROM EAST WAITIN6.IN5TALL NEW FLURE50ENT Nevamar Dry Greek Plum Tree Textured ,WZ6001T with bullnose edge,exam countertops. 4 SEC - 1 RECE55ED DOHNL16HT5 IN ENTRANCE WAITING AREA. REMOVE EX15TINO CARPET PADDING,AND INSTALL NEW VINYL TILE FLOORING. Hork surfaces,and reception transaction counter. m ICG/ANSI Alh.l 4 �� � Medicine REMOVE DENTAL MOLDING AT WEST WAITING ROOM. REMOVE TRACK LIGHTING, o ;- COMPLAINTrFL '1. WHERE MULAT RAW PLYWOOD FLOORING AND RAW CARPET PADDING EXISTS, REMOVE PADDING AND FLASH PATCH ALL SURFACES TO NOTE: INFORMATION TECHNOLOGY RELATED ITEMS DO NOT REFLECT ON THI5 DRAWING. SINK HANDI LAV&AID PIPE o BUM DTNG DFPT" LEVEL. AND INSTALL NEW VINYL TILE FLOORING AND VINYL COVE BASE NO X-RAY OR OTHER IMAGING EQUIPMENT R, TOWN OF SOLTMOLD 5. EXAM ROOM GI, INSTALL NEW VINYL TILE FLOOR. THE ROOMS WILL BE USED CON515TENT WITH GENERAL EXAM AND TREATMENT ACTIVITIES 4. IN EXAM ROOMS A2,BI, ,82, CI,G2 REMOVE EXISTING SINK BASE , INSTALL NEW l5" DEEP SINK BASE 4 UPPER CABINETS W TOHEL d THE OCCUPANCY WILL NOT BE CON515TENT WITH ARTICLE 25 REQUIREMENTS. I'-6" --I I'-4- I-- DRAWN BY PROJECT TITLE 50AP DISPENSERS. AND HALL MOUNTED P.G. USE ALL EXISTING ROUGH PLUMBING ALL EXAM ROOMS) 442110 CR 48 10. EXAM ROOM CI,02 REMOVE EX15TINO LIGHTS. INSTALL (2) NEW 4', 4 LAMP FLUORESCENT FIXTURE. NOTE: EXI5TINC STRUCTURE 15 "TYPE 5" TO MAINTAIN. CHECKED SOUTHOLD .N.Y 11`1-71 - E.L.I . II. IN 6ENERAL, PAINT ALL NEA AND EXISTING HALLS BENJAMIN MOORE WHITE. PRIME AND PAINT ALL EXI5TIN6, AND NEW DOORS,TRIM TYPICAL ELEVATION TYPICAL ELEVATION DWG. TITTLE AND INTERIOR WINDOW SURFACES AND 'TRIM, 5EMI-61-055 WHITE. ADD NEW RECEPTACLE FOR UNDER COUNTER REFRIGERATOR AND 1 ), , „ / / DATE FLOOR PLAN NEW G-�FGI ® SINK. 3 8 = 1 -0 3 8" = 1'-0'� 11/14/16 1► r�i a� �'�'+� is h�S -�a C��n�1 w a �'�C Y SCALE PROJECT N0. DWG. N0. 1/4