HomeMy WebLinkAbout50855-Z TOWN OF SOUTHOLD
ell
a BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED FLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 50855 Date: 6/24/2024 .................
Permission is hereby granted to:
Blum, Jeffrey
420 Glenn Rd
Southold, NY 11971
To: Legalize "as built" finished basement and construct alterations to an existing
single-family dwelling as applied for.
At premises located at:
Southold
420 Glenn Rd�..m _._..... .... _..... _ ........
SCTM #473889
Sec/Block/Lot# 78.-2-22
Pursuant to application dated 6/3/202 4 and approved by the Building Inspector.
�
p 2025.
To ex ire on 12/24/ _.........
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,262.00
CO-ALTERATION TO DWELLING $100.00
Total: $1,362.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Nry Telephone (631) 765-1802 Fax (631) 765-9502 httDS://W ' Sou1l olc°i!'nnyr OV
Date Received
APPLICATION FOR BUILDING PERMIT /F P ,°' `
For Office Use Only
PERMIT NO. 0955 Building Inspector:
—J&— MAY 3 2024
Applications,and forms must be filled out in their entirety.Incomplete r
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name: 1 ,,., JAB SCTM# 1000-
Project Address: \Ck
Phone#: 1 '- _ \��,"' �2 Email-
Mailing Address: ,�Z. E C� SZJ:���LG��,
CONTACT PERSON:
Name:
Mailing Address: 0v t e� ' ' 1
Phone#: � �� , Email: �1.AA 'v�Go�Z ��t �v Jb��'��ZU'�•ti�
DESIGN PROFESSIONAL INFORMATION:
Name: �
Mailing Address: ��i ° � ��� �?1 �1'✓O Po °� l'�
Phone#: - �� �0� Email.
CONTRACTOR INFORMATION:
Name: .
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Additiaan Iterati n ❑R epair ❑Demolition Estimated Cost of Project:
s_
Other
�Willhe lot be re-graded? ❑Yes* 'o Will excess fill be removed from premises? ❑Yes XNo
1
PROPERTY INFORMATION
Existing use of property. w Intended use of property: ����� e L`
Zone or use district in which premises is situated: Are there any covenai-I4 and restrictions with respect to
this property? ❑Yes No IF YES, PROVIDE A COPY.
❑ Check Box After Reading.' The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 220.45 of the New York State Penal Law.
Application Submitted By(pri n ): Ji µ CZ" ,Ca` �� "Authorized Agent Downer
Signature of Applicant: Date: j I,, ` 1
STATE OF NIEW YORK)
SS:
COUNTY OF
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual igning contract) above named,
(S)he is the
(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/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
"f 20�
Notary Public
LYNN E STEVENS
No,twy Public-State of New Yore
NO.OI T 269424
PROPERTY OWNER AUTHORIZATION Qualified in Suffo i:ou n
(Where the applicant is not the owner) °ommlissionEx� �
�
residing at � � �', Et
� � do hereby authorize
d^ o to apply on
y be If to of Southold Building Department for approval as descr"bed erein.
Sign ture ate
Print Owner ame
2
N. J. MAZZAFE O P.E.
PO Box 57, Greenport,N.Y. 11944
Phone - 516-457-5596
Consulting Engineer
May 2, 2024 Q si n Construction InsMetion
Page 1 of 1
Town of Southold-Building Department
53095 Main Road
Southold,NY 11971
Re: Blum
420 Glenn Road
Southold,N.Y. 11971
District-1000, Section-78. Block-2 Lot-22
Building Permit Number—As Built Alterations
Inspection—Existing Basement
On April 4, 2024, I inspected the existing basement construction at the noted location.
The inspection covered the framing and insulation for the interior walls of the bedroom in
the basement of the existing house. The areas inspected in the basement included the
bedroom walls and ceiling and exterior egress.
The framing and insulation work included the interior walls and ceilings.
The basement has one (1) egress window that conforms to the current code.
The inspection results are:
Items inspected included lumber size, dimensional spacing, connections, and integration
with the concrete foundation. The existing insulation placement was verified. The
insulation (R-10 walls R-30 ceiling) meets code requirements.
The framing and insulation work was done in compliance with the applicable sections of
the IRC, NYS and Southold Town Building Codes.
Result—Based upon inspection of this project and to the best of my knowledge, belief !,
and professional judgment, construction as installed complies with the plans and gp
applicable codes of the IRC,NYS and Southold Town Building Codes. o
C._,.,,
Nicholas J. Mazzaferro, P.E.
4,0. f 1 c'
a10
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SURVEY OF LOT 6 N
A9 SHOWN ON A CERTAIN MAP ENTRL®wAF OF WBT amm ESTATES' n s
FILED IN THE OFFICE OF THE C(ERY OF SUFFOV COUNTY AUGUST 19.18E51-5 MAP N0.30415 �C
SITUATE: SOUTHOLD E
TOWN: SOUTHOLD
SUFFOLK COUNTY, NY
s
SURVEYED 1 1-08-2015
PROP05ED 12-18-2018
REV 15ED O 1-10-2019
RtVl5ED 02-2G-2019,04-02-2019
04-05-2019
5UFFOLK COUNTY TAX#
� 1000-78-2- 22 `'
CERTIFIED T0: / W
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JEFF BLUM
J MELISSA KONDAK
CHICAGO TITLI;INSURANCE SERVICES,LLC
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]'-0, VI R PROFESSIONAL ENGINEER aA ;1<
P.O.Box 57,GR5ENPORT NY,J 1944
o c� INTO CT U�'Y sss.as7AM EMAIL nkkmandeKofte►bon nat scALE. W
A'?OResst0T1�'�'� , a 3 �L PWTIO SHEET NO.
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NOTES:
I. ®NEW WALL
2. KITCHEN LAYOUT TO BE PROVIDED DURING INITIAL CONSTRUCTION.
KITCHEN TO COMPLY WITH CODE REQUIREMENTS.
3. EXISTING DOORS & WINDOWS TO REMAIN UNLESS SPECIFIED FOR
(2) ANDERSEN A400 TW 3832 CHANGE OUT.
- RO = 8'-0"W x 3'-4"T (VERIFY W/ WINDOW SPEC.) 4. ALL EXTERIOR ROOF/WALLS TO BE INSULATED PER NYS ENERGY
- EXISTING HEADER TO REMAIN. CODE / 2018 IECC SECTION R503.1.1 PARAGRAPH 2 - EXISTING.
- MODIFY BAY WINDOW ROOF AS NEEDED TO 5. ALL INTERIOR CEILINGS/WALLS TO BE INSULATED PER NYS ENERGY
MATCH EXISTING ROOF LINE. CODE / 2018 IECC SECTION R503 ALTERATIONS.
- - ---- — - - 6. ALL CONSTRUCTION TO BE PER 2020 NYS BUILDING CODE.
19'-B..
6'-0" SLIDING DOOR s
f -�-_6 4,_7�
NEW EGRESS WINDOWS: I I I I
ANDERSEN 400 SERIES I I I I
L_J L-_J (2) NEW 30"x40" SKYLIGHTS VELEX OR APPROVED EQUAL
INDOWCW135 OR TW3046 . FIXED LIGHT PANELS
NEW P N EXISTING FRAME - 0
DOUBLE RAFTERS (2"x8") AT SKYLIGHT OPENINGS I
KITCHEN
SISTER TO EXISTING I
- - - - PROVIDE (2"x8") HEADERS AT SKYLIGHT OPENING
9'-9° 5'-10°jk o s U ENDS - BOTH TOP AND BOTTOM
� 3
'�A�T9'6 g� fN�L
.o 7 Cat[ of 60 :J _ Yd�6l&��ri9 G UM.
°� BATHROOM u BEDROOM SHOWER ���-�• i �'•
BEDROOM#1 #2 T i c-x-
N NEW EXHAUST 29 _T
FAN IN BATHROOM f!T °,ml
29
O
29 HALL 29
0
bo29 _ _. ------_--------
CLOSET n 2-2°X8"HDR
7, 2" v AT STAIR TOP 2-2°x8"FRAME AT BASEMENT STAIR
FLOOR LEVEL FOR NEW FLUSH HEADER USE:
DEN/FAMILY 2OOM
(2) I %4"x7%4" LVL W/ 3/4" STEEL PLATE
OR
TO REMAIN
FIRE PLACE DINING (3) 1 3/4"X7/4" LVL W/ (2) 3/" STEEL PLATE
SUN ROOM/OFFICE DOUBLE 2"x8"JSTS FOR STAIR
SUPPIORT-BOTH FLOORS
8'-5"FROM FLOOR TO
BOTTOM OF JOISTS UP -
-- - 30 - -
if OV47ul D SCTM#1000-97-3-7
PORCH RELOCATED STAIRS: # ISSUE/REVISION DATE
2R TO PLATFORM
3D 42"x37.5" PLATFORM 1 FOR PERMIT 06/29/23
12R TO SECOND FLOOR Z REVISION 1 08/17/23
NEW FIXED PLEXIGLASS REFRAME OPENING AT CEILING LEVEL
WINDOW - ZPANE IN O IY v y 3 REVISION oi/18/24
EXISTING FRAME
�. 4 REVISION 3 01/29/24
N.J.MAZZAFERRO,P.E. DRAWNKS BY.
FIRST FLOOR PLAN p PROFESSIONAL ENGINEER DATE:
SCALE: I/8"=1'-0" P.O.BOX 57,GREENPORT NY,11944 SCALE:9/23
4'0 O J7�9y C)�= 516.457.5596 EMAIL:maz_lin@msn.com 1/8"=V-0"
RESIDENTIAL SHEET NO:
AROFfSStONP�'
350 SKUNK LANE SEAL !1 A��
CUTCHOGUE, NY 11935