The URL can be used to link to this page

Home My WebLink About49760-Z TOWN OF SOUTHOLD r BUILDING DEPARTMENT x 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 #: 49760 Date: 9/21/2023 Permission is hereby granted to: McGowan L 2021 Rev Trt 2555 Youngs Ave Unit 16E Southold, NY 11971 To: Install egress window to existing single family dwelling as applied for. Additional certification may be required. At premises located at: 2555 Youngs Ave Unit 16E Southold SCTM #473889 Sec/Block/Lot# 63.1-1-30 Pursuant to application dated 8/29/2023 and approved by the Building Inspector. To expire on 3/22/2025. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 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-/`/www.southoldtownn . Dov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only AUG 2 9 2023 PERMIT NO. Building Inspector: Applications and forms must be filled out in their entirety.Incomplete Building Department applications will not be accepted. Where the Applicant is not the owner,an Town of Southold Owner's Authorizatioh form`(Page 2)shall be completed. Date: S" OWNER(S)OF PROPERTY: Name: =S&M # 1000- t' '� Project Address: �(•� 5, J OL S &'�' Phone#: // ' b ,3 l Email: M L��l y� � t� �uZ (' ✓h Mailing Address: A CONTACT PERSON: Name: Mi C / a A Mailing Address: �« 0,2 N A ne Svc /l1 Phone#: ?/ 7 ,/•- k`i 3 -; Email: DESIGN PROFESSIONAL INFORMATION: Name: ,3,4 1, ( ("C- op"(SS PD, y. Mailing Address: Phone#• �r� C;> 9-d- -7 S 7 Email: CONTRACTOR INFORMATION: Name: M A C Mailing Address: L-2 S;, A-ue , ,, Phone# S/L �/� - � -) Email: z DESCRIPTION OF PROPOSED CONSTRUCTION LINew Structure LAddition LAlteration L epair LLDemolition Estimated Cost of Project: ❑Other "115 e 5 S wt-j �J $ Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes El No i 1 rr� rc� 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) 765-9502I ttt2s://wwuv.soutliol(it,2v i n . ov BUILDING PERMIT APPLICATION INSTRUCTIONS& CHECKLIST • Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. • The work covered by this application, including land clearing/site work, may not be commenced before issuance of a building permit. • No building shall be occupied or used in whole or in part for any purpose whatsoever until the Building Inspector issues a Certificate of Occupancy. • Every building permit shall expire if the work authorized has not commenced within twelve (12) months after the date of issuance or has not been completed within eighteen (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 additional 6 months. Thereafter, a new permit shall be required. ALL APPLICATIONS MUST BE SUBMITTED WITH THE FOLLOWING MATERIALS: ❑ Building Permit Application: Complete, signed and notarized. ❑A survey/site plan, drawn to scale at original size, showing the location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas and waterways. ❑Four (4) sets of plans bearing the signature and original seal of a NYS licensed professional engineer or architect illustrating compliance with the Building Codes of New York State. ❑Contractor's proof of insurance and Suffolk County license: • Certificate of Workers' Compensation Insurance (C105.2 or U26.3) AND a Certificate of Disability Benefits Compensation Insurance (DB120.1) • Certificate of Liability Insurance "Note: Final Fees will be calculated by the Building Department using the fee schedule. Fees will be collected after the permit is written" ADDITIONAL DOCUMENTATION MAY BE REQUIRED AS IDENTIFIED BELOW: ❑Suffolk County Department of Health Services Approval (original copy) ❑Approval of the Zoning Board of Appeals, Planning Board, and/or Historic Preservation Commission (if applicable) ❑Electrical Permit Application (FILED SEPERATE'LY): Electrician must have an active license with Suffolk County El Flood Plain Develo rnent Permit Application (if applicable) ❑Southold Town Trustees Permits may be required: If any work will be done within 100' of a tidal or fresh water wetland. ❑NYS D.E.C. Permits may be required: If any work will be done within 300' of a tidal wetland or 100' of a fresh water wetland ❑1 copy of ComCheck/ ResCheck (if applicable) L-1 I copy of Manual J, Manual D and Manual S (if applicable) 01 JUization of truss/pre-engineered wood timber construction form (if applicable) ❑Single and separate title search (if applicable) ❑Curb cut permit (NYS or Suffolk County form 239F) (if applicable) El Original signed Owners Authorization: if applicant is other than owner. 3 12 4 New York State rr, JL4Department of New York State and Local Sales and Use Tax Taxation and Finance New k;ertiflncate of Capiltal Improvement After this certificate is completed and signed by both the customer and the contractor performing the capital improvement, it must be kept by the contractor. Read this form completely before making any entries. This certificate may not be used to purchase building materials. Name of customer(print or type) Name of contractor(print or type) Long Island Egress Pros,Inc Street address Street address 21A Edison Ave City State ZIP code City State ZIP code West Babylon NY 11704 Certificate of Authority number(if any) Certificate of Authority number(if any) To be completed by the customer: Describe capital improvement to be performed: Egress Window Installation Project name Street address(where the work is to be performed City State ZIP code I certify that: —I am the V owner, ❑ tenant, of the real property identified on this form,and —The work described above will result in a capital improvement to the real property within the guidelines of this form,and —This contract(check one) ❑ includes, J;k does not include,the sale of tangible personal property that,when installed, retains its identity as tangible personal property and does not become a permanent part of the real property. I understand that: —I will be responsible for any sales tax, interest,and penalty due on the contractor's total charge for tangible personal property and for labor, if it is determined that this work does not qualify as a capital improvement,and —I will be required to pay the contractor the appropriate sales tax on tangible personal property(and any associated services) transferred to me pursuant to this contract,when the property installed by the contractor does not become a permanent part of the real property;and —I will be subject to civil or criminal penalties(or both)under the Tax Law, if I issue a false or fraudulent certificate. Signature of customer Title Cate �- Homeowner 08/ 8/2023 To be completed by the contractor: I,the contractor,certify that I have entered into a contract to perform the work described by the customer named above.(A copy of the written contract, if any,is attached.) I understand that my failure to collect tax as a result of accepting an improperly completed certificate will make me personally liable for the tax otherwise due,plus penalties and interest. n re of contractor or officer Title Date ( i 1108/18/2023 This certificate is not valid unless all entries are completed. Suffolk County Dept. of r Labor, Licensing &Consumer Affairs �l F-OIVF IMPROVEMENT LICENSE Name �s GLEN P DALMAN _ Busin-"-s Name This certifies fiat We rarer is duty licwsed LONG l -0 EGRESS PROS INC )y the County of suf[oac License Num c N-54832 Rosalie Drego, Issued: 1 015 ClfRln'•SSa@� Expires: 03101/2025 A0 DATE(MMpDDlYYYY 4 EO CERTIFICATE 4F LIABILITY INSURANCE 411 ,r2�3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSU'RE'D provisions or be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the pollcy,certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s). PRODUCER CONTACT _ SPECIALIZED INSURANCE&SERVICES PHONE ...... -758-6780 ), 1458-b U Ko 204 RTE.112rwlL N " PATCHOGUE,NY 11772 ADD E 'RUAII'�CDIk�SUl�AiCE.COi4A INS ORDB°�Q� Auto-Home-Business-cycle-etc. $ - �c p ,RyD�A_ATLANTIC CASUALTY INSURANCE CO 42846 .......................... INSURED INSLMER 0: LONG ISLAND EGRESS PROS INC INSURER C: 21 EDISON STREET .,_,.. .� ER D ..... ._ W BABYLON,NY 11704 INSURER E: F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILN.11R TYPE 0..._.__ ADU AMR _.. .._.. LICY EFF a'OLICY E5R'P LrWT6 FINSURANCE POUCYNUMBER M COMMERCIALGEHERALLIABILITY Y N L266000514-6 8/25/2022 8P25/2023.EACH OC E E_ 1,000,000 DAMAGETORENIED CLAIMS-MADE ®OCCUR S �100,000 MED EXP one _j_ ; 5,000 PERSONAL B ADV INJURY ; 11000,000 GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2000,000 PRO- LOC PRODUCTS-COMPIOP AGG S��O pOI�Y❑IECT [:1 OTH MI E AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) ; AUTOS ONLY AUTOS HIRED NON-OWNED 'PROPERTYDAMAGE ' AUTOS ONLY AUTOS ONLY E 1 ; UMBRELLA LIAR OCCUR EACH OCCURRENCE S . . ......... EXCESS LHIB CLARAS44ADE.I AGGREGATE E � DED I RETENTION$ $ WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY YIN ANY ETOR/PARTNERAMCUTNE NIA EL EACH ACCIDENT E OFFICERMMSER EXCLUDED? (MendaWryfiNN) E.L.DISEASE-EAEMPLOYEE S iU. oder R�TfS�t#LIF OPERATIIONS twAaw EL bISEASE-POLICII LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Addlkmal Remarks Scaladulo,may be attadied If more space Is required) CERTIFCATE HOLDER IS ADDITIONAL INSURED AS PER WRITTEN CONTRACT OR AGREEMENT v CERTIFICATE HOLDER. CANCELLATION SOUTHOLD BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 54375 NY-25 ACCORDANCE WITH THE POLICY PROVISIONS. SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE ,. I ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD � o o PROVIDE WALK-ABLE GRATE PROVIDE WALK-UP STAIRS EGRESS WELL SHALL BE EQUIPPED WITH A PERMANENTLY AFFIXED LADDER OR STEPS GRADE a USABLE WITH THE WINDOW IN THE FULLY OPEN Q a POSITION.LADDERS OR STEPS REQUIRED BY w w THIS SECTION SHALL NOT BE REQUIRED TO Q COMPLY WITH SECTIONS R311.7 AND R311.8 U z z Lu= o c� CD W zm cmui 8"CONC.FOUNDATION WALL Wl2#4 BAR TOP& W z M BOTTOM CONT.OVER 16x8 CONCRETE T - ® uJ o \� FOOTING Wl3#4 BARS CONT.Wl 2"x4"CONTINUOUS w w KEYWAY C'7 (A a c N 6"SAND-GRAVEL MIXTURE SOILS IN ACCORDANCE W WITH THE UNITED SOIL CLASSIFICATION SYSTEM, CJ m GROUP I SOILS,AS DETAILED IN TABLE R405.1. • • . w o WINDOW WELL DETAIL - A 1 "= 1 '-0" REVISIONS: DRAWN BY:R.ORDONEZ r SHEET NUMBI y 3 OF 1 � WOOD ACQ BLOCKING WITH CAULK SEAL AROUND WINDOW PERIMETER REMOVABLE WEIGHT BEARING T-z° ALUMINUM GRATE AND POLY COARVBEORANNAPTOELCYOCVAERRBON AOTREEQUIVALENT w a 5'•z" 0_ EGRESS PROS STEEL 56"X36"X60"WINDOW 6-o" Uo WELL WITH STEEL ESCAPE LADDER IF w c w OVER 44" m j U INSTALL DRAINAGE ROCK BASE,TOP o OF GRAVEL BASE TO BE APPROX.8" CD O m BELOW WINDOW SILL(TYP) w Z_ a W m W (n o d � o U) W w WINDOW WELLS REQUIRED FOR EMERGENCY ESCAPE AND RESCUE SHALL W N INLET GRATING HAVE HORIZONTAL DIMENSIONS THAT ALLOW THE DOOR OR WINDOW OF THE EMERGENCY ESCAPE AND (D m RESCUE OPENING TO BE FULLY OPENED.THE HORIZONTAL DIMENSIONS OF THE WINDOW WELL SHALL w o PROVIDE A MINIMUM NET CLEAR AREA OF 9 SQUARE FEET WITH A MINIMUM HORIZONTAL PROJECTION AND WIDTH OF 36 INCHES AS PER 2020 I.R.C.R310.2. REVISIONS: WINDOW WELL DETAIL - B 1 "= 1 1-011 DRAWN BY:R.ORDONEZ SHEET NUMBI EIE EXISTING 30x15 WINDOW TO BE REPLACED BY EGRESS PROS INSWING QUICK RELEASE 31"X42"OR EQUIVALENT OR LARGER TO ANY WOOD FUR OUT OF ROUGH PROVIDE EMERGENCY MEANS OF EGRESS AS OPENING ADJOINING CONCRETE PER SEC.2020 IRC R310,REQUIRMENTS FOR SHALL BE ACQ OR EQUAL AS PER 2020 EGRESS WINDOW ARE AS FOLLOWS; IRC R317 AND R318 Lu ¢ U a U) o ° MIN. NET CLEAR OPEN'G=5.7 SQ FT z 2a 3 z w W V MIN.NET CLEAR OPEN'G HEIGHT=24" U z MIN.NET CLEAR OPEN'G WIDTH=20" Z 0 -1 MAX HEIGHT FROM INT.FLOOR=44" 4 6 m Zm uj S � W (n ul f/J U)LU z ¢ PROPOSED WINDOW WELL PER SECTION 2020 aX o SWING TYPE WILL BE INSWING SEE MIN IRC R310,EGRESS PROS WELL SYSTEM OR W w SIZES ABOVE SIMILIAR)IF WINDOW WELL IS DEEPER THAN W N TIT MUST HAVE A FALL PREVENTION OR N GUARDRAIL AS PER IRC CODE R312 m W EXISTING FOUNDATION MUST BE SAW CUT TO ACCOMMODATE NEW EGRESS WINDOW ALONG WITH NEW 2X6 REVISIONS: HEADER OR 112"STEEL LINTEL DRAWN BY:R.ORDONEZ WINDOW WELL DETAIL - C 1 "= 1 '-O" SHEET NUMBI 3 0 3 oF\