HomeMy WebLinkAbout49226-Z 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#: 49226 Date: 5/11/2023
Permission is hereby granted to:
Ivy, Kristina
423 Main Rd
Green ort NY 11944
To: legalize "as built" bathroom in existing single-family dwelling as applied for. Additional
certification may be required.
At premises located at:
1595 Lake Dr, Southold
SCTM # 473889
Sec/Block/Lot# 59.-5-9
Pursuant to application dated 4/7/2023 and approved by the Building Inspector.
To expire on 11/9/2024.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $414.40
CO-ALTERATION TO DWELLING $50.00
Total: $464.40
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
% Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https:/1www,sotu lioldt wvn .001`
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use OnlyDO
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PERMIT NO, Building Inspector. AP I1 2ry
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Applications and forms must be filled out in their entirety.Incomplete ���iC�,P.�HN1U I�FPT�
applications will notbe acce ted Where the Applicant is not the owner,an (��voN�"bl-��l�il'��4�1-r)
,, . ,
Owners Autliotiz"at ori form(P1 11
aiW2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name:
-I-1 -SCTM # 1000-
g� ` y �cl N ...-
Project Address: 5q G, �
Phone#: �J '/J� (-6D5 Email: x��q`� �' etHML"(200
Mailing Address: 50
CONTACTPERSON:
Name: (I � W l
Mailing Address: ��f and 1J �b4 (( 7 �S
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Phone#: 61(p ' g)b q-15q Email: P U vdwa +d(b
DESIGN PROFESSIONAL INFORMATION:
rd
Mailing Address: b 0 D , ?- J k Tooc--
Phone#: Email: P17 PO e
CONTRACTOR INFORMATION:
Name: (�S
Mailing Address.
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition WAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes [:]No
1
i
PROPERTY INFORMATION ,
011111 1
Existing use of property: 5�nk4rq( Intended use of property:
VL _............._.................
Zone or use district in which premises is situated: Are there any covenarestrictions with respect to
this property? ❑Yes Zro IF YES, PROVIDE A COPY.
❑pCheck BOX After Reading: The owner/contractor/design rofessional Is res responsible for all drainage and storm water issue's P P g ues as provided by
Chapter 236 of the Town Code. APPLICATION IS HEREBY WADE to the Building Department for the Issuance of a Budding 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,alterations or for removal or'demolitibn'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(s)for necessary Inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Lahr. '
Application Submitted By(print ria e): kAuthorized Agent ❑Owner
Signature of Applicant: Date;
STATE OF NEW ynRKI
SS:
COUNTY OF ) CONNIE D. BUNCH
y, York
C g
Notary Public,Stagte ��e
being 01
BU�� 5�� rs that (s)he is the applicant
(Name of individual signing contract) above named, 4,
(S)he is the n�o _..........
(cam+tee r, 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/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of mm � *
� � 1 zo
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
" residing
at �.
f
— do hereby authorize �" � �... to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owners Signature Date
Print Owner's Name
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'AS BUILT ' POWDER ROOM
Entry Deck
Bedroom#1
Kitchen EXISTING
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Outdoor shower
SID
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85 sq ft
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< DRIVEDATE: 12/2812
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' # 1000-59-05-9
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TOWN OF SOUTHOLD ;REVISIONS:
TABLE R301,2(1)
CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA
GROW NRIO SmC SURECTTODAMMEFROM Wim MES)09.D FLOOD
SNOW SPEED DES(GN .1'dcA HMS FROSTINE MMM DECAY DESIGNUNDBiIAMENT HAMS
LOAD MM CATEGORY DEPTH Tia RE9UIRED
20PSF 140 8 SEVERE 3v M-H S-m 1i YES NOR
DESIGN CRITERIA ERNG USED. 2020 WERNATIONAL RESONT)AL 8UILDING CODE AND
2020 UNFOIN NEWYORKSTATE CODE SUPPLEMENT
NAILING SCHEDULE WM FRAISE CONSTRUCTION MANUAL 2018,PAGES 149 AND 193
Tm—mowc—ft 1womhorNoals tLa7Spadag w
Taming U
Ragarrotepp oe 386 ParRattei
CeLingJae4ratopphae(Teeh'aaed) 346 Perjw z
CeFmgJo6ro Raltar(Facet4e3ed) 6464 Eadt4p
NEWt3ATHROOM CedmyJo$LapsaverPatfffidas( NmIM) 6•16d ENchiap Q r
4 C ur0 (Face ed) Per ;e
Nd Each end ♦/)
m oardio er(Endtd ) mQt Eaehen r� > T-
4 tC �. .
rm 50
P1M(F- 2-166 Per Fad
TapPiateatTop eaw aceNwo 4.164 Jainlsea5�e L.J.. �—
ro (Fecanaied) 2.1 2 ac � Q z
cA eaw to (Face ) 16'O.c,amag edges ^
TO EXISTING `n
r �/ ,
SEPm SYSTEM _„,�ti opdTBo✓mmPhtatoShl (eOd17a4ed) 2166 Per 2%4 Stud 0
3-16d Pat2roftd LL .I
1 PLUMBING RISER ori' Perms SW o o
N.T.S BottsnNotoftoor*Band34End JoKor6locft(feceN4W) 2-16d PerFoat N L 2
oar taming L.L f
ro Top etaaGader(ToeNe ) 4.6d Periost Q U-) O
&id�gtohis t(T'0e ) 24d EatAEnd
o2t(for I d
too ar s—p (Toe ) S m v J
LedWStnpto8 m( ad) 3.16d each
Stm;Le4erto8w(TcoWW) m Period
BandJoRSMIQJ (En ) 3.160 par)oud
Band loistm6BmTcP e(Tae 2166 per —
Roctmemning
stradutalt�aaek ad
mg sM gg WEdget4'Fea
1 Ort 6' Fersippmt
----------..._.__..._....._..__._..__..____-__..._._._.-_-- 1-41p rlYder 386 Persuppmt
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Panels ed rEdge/4'FA
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Inc fid 3 Edgers DETAILS
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GW.An 6 clots rEdge111rRed
Habgoaid Od 6'Edge112'
pankNimm Panels M 6'E 11Y tg
DiagonelBoaNSheathing DATE: 12/28/22
Tkb'atflt6° per�pmt
Mir—orflo3.66
or SCALE: MTS
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strudum Panels
ilorhss 6d 3'Edge14'FWd SHEET X10:
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