HomeMy WebLinkAbout51231-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#: 51231 Date: 10/01/2024
Permission is hereby granted to:
Paddock on FI LLC
c/o J Christopher Wilmerding
Wyndmoor, PA 19038
To:
Construct doorand beam replacementsto an existing single-family dwelling as applied for.
Premises Located at:
5393 Equestrian Ave, Fishers Island, NY 06390
SCTM#9.-9-3.2
Pursuant to application dated 08/12/2024 and approved by the Building Inspector.
To expire on 04/02/2026.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
Total S350.00
Building Inspector
wy�nt r
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://Nvww.southoldtowliny.gov
1W
„.,rrc nor"
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT N0. S � � 22 1 Building inspector.
nt
Applications and forms must be filled out in their entirety. Incomplete Building soot cold
applications will not be accepted. Where the Applicant is not the owner,an
Town ref�oaat4�old
Owner's Authorization form(Page 2)shall be completed.
Date: 4.02.24
OWNER(S)OF PROPERTY:
Name:CHRIS WILMERDING SCTM#1000-9.-9-3.2
Project Address:5318 EQUESTRIAN AVE FISHERS ISLAND NY
Phone#:617-312-8025 Email:chriswilmerding@gmail.com
Mailing Address:
CONTACT PERSON:
Name: DAVID NOE
Mailing Address: 4 STONEWOOD DR. OLD LYME CT 06371
Phone#: 617-549-5456 Email: dnoe@360designplus.com
DESIGN PROFESSIONA
L INFORMATION:
Name: DAVID NOE
Mailing Address: 4 STONEWOOD DR. OLD LYME CT 06371
Phone#: 617-549-5456 Email:dnoe@360designplus.com
CONTRACTOR INFORMATION:
Name: DIRK HARRIS
Mailing Address: 439 MONTAUK AVE PO BOX #356 FISHERS ISLAND NY 06390
Phone#: 812-483-6732 Email: djhcustomcarpentry@gmail.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ®Repair ❑Demolition Estimated Cost of Project:
❑Other see drawings REPLACEMENT OF EXISTING STRUCTURAL BEAM AND DOORS INTERIOR ONLY $25.000
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes NNo
1
PROPERTY INFORMATION
Existing use of property:RESIDENTIAL Intended use of property: Remain the same
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R_80 this property? ❑Yes QNo IF YES,PROVIDE A COPY.
lM 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 bullding(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursua t to Section 210.45 of the New York State Penal Law.
i
Application Submitted By(pr1n a
David Noe @'Autfaori2 ent []OwnerOwner
Signature of Applicant: Date: d � �41
STATE OF NSS)' O` A
COUNTY OF ,, tK ')
David Noe being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent
(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
Pr
� ll ,
day of Py ST 2001�
- \j otary Public
IRENE E WHEATON `
' Notary Public,State of Connecticut
My Commission Expires Feb.28,2025 ROPE EIS AUTHORIZATION
_......--- (Where the applicant is not the owner)
11 CHRIS WILMERDING residing at 5318 EQUESTRIAN AVE
do hereby authorize David Noe to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
J. Christopher Digitally signed byJ.Christopher 04/02/2024
Wilmerding
Wilmerding Date:2024.04.02 13:04:48-04'00'
Owner's Signature Date
J Christopher Wilmerding
Print Owner's Name
2
brkere Certificate of Attestation of Exemption
CmipensalJon from New York State Workers'Compensation and/or
Boam Disability and Paid Family Leave Benefits Insurance Coverage
"This form cannot be used to waive the workers'compensation righfs or obfigations of any par of**
The applicant may use this Certificate ofAltestation of Exemption ONLY to show a government entity that New York State
specific workers'mans ion and/or disability and paid family leave benefits insurance is not required The applicant
,may W1 use this form to show another business or that business's insurance carrier that such insurance is not required.
Please provide this form to the government entity from which yen are requesting a permit,license or eontracL This Certificate will
not be accepted by government officials one year after the date printed on the form.
In the Application of Business.+gyp' long For.
(Legal Entity Name and Address): Building Irerwtdt
ntrx t HmTb 439MoatankAvc From SWelk county baildialt 4epartawat
#356
Raters ldrwsd,NY 66390 The location of where work will be perfomtod is
PHONE:8tb183-6732 FEIN:XXXX L2197 5318 Equestrian Ave.,Fnhers Island,NY 063".
Estimated dates n to eom��wwleta work with the building
permit are from Otto r°1,21k24 to February 1,2025,
the dollar amount of prwaject is 'g2S 801.$50,888
o ker^s* o sw� nt�•
The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE SPECIFIC
WORKERS'COMPENSATION INSURANCE COVERAGE for the following reason:
The business is owned by one individual and is not a corporation. Other than the owner,there are no employees,day labor,leased
employees,borrowed employees,part-time employees,unpaid vohmteers(including family members)or subcontractors.
Disability a d PgjA EMftJ&gvce a
The above named business is certifying that it isNOT REQUIRED TO OBTAIN NEW YORK STATE STATUTORY
DISABILITY AND PAID FAMILY LEAVE BENEFITS INSURANCE COVERAGE for the following reason:
The business MUST be either. 1) owned by one individual; OR 2) is a partnership(including LLC,LLP,PLLP,RLLP,or LP)under
the laws of New York State and is not a corporation; OR 3) is a one or two person owned corporation.with those individuals owning
all of the stock and holding all offices of the cdqmration(in a two person owned cmporstion each individual must be an officer and own
at least one share of stock); OR 4) is a 1xisiness with no NYS location. In addition,the business does not require disability and paid
family leave benefits coverage at this time since it has not employed one or more individuals on at least 30 days in any calendar year in
New York State. (Independent contractors are not considered to be employees under the Disability and Paid Family Leave Benefits Law.)
4 Dirk J.Harris,am the Sole Proprietor with the above-named legal entity. I affirm that dwwe to my position with the above-m rned business 1 have the
knowledge,information and authority to make this Certificate of Attr-4atuon of Exemption. l hereby affirm that the statcroonts made herein are true,that I
have not made any materially false st9mcats and i make this Certificate of Attestation of Exemption under the penalties of perjury. I further affirm that
I understand that any false statement,representation or concealment will subject me to felony criminal prosecution,including jail and civil liability in
accordave with the Workers'Compensation Law and all other New Yak State laws. By submitting this Certificate of Attestation of Exemption to the
goverommt entity listed above f also berchy affirm that if oirw urns, cliartgo so that workeW compensation irourame andlor disability and paid
family leave benefits coverage is required,the above-named legal entity will immediately squire approptf ste Now York'State specific workers'
comgpenset"ron insurtince artdlor disability and paid family leave benefits coverage and also immediately fwWdsh proof of that coverage on f)r ms approved
by the Chair of to Wotkcrs"C4nyTsation Board to the S ernment entity listed above.
SIGN I $ lure: ", Date: f
HER /
Exemption Certificate Number twelved
2024-059306 My 31, 2024
NYS Workers'Compensation Board
Y
y
a
e Licensin &Suffolk County Department o f Labor, g
� Consumer Affairs
a VETERANS MEMORIAL HIGHWAY * HAUPPAUGE,NEW YORK 11788
DATE ISSUED: 11/3/2016 No. 57689-H
SUFFOLK COUNTY
Home Improvement Contractor License
This is to certify that DIRK J HARRIS �
` doing g business as DJH CUSTOM CARPENTRY
{ having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules ,
and regulations of the County of Suffolk,State of New York is hereby licensed to conduct business as a HOME I
IMPROVEMENT CONTRACTOR,in the County of Suffolk.
License Category `
NOT VALID WITHOUT Additional Businesses
GC
_-
DEPARTMENTAL SEAL
l= AND A CURRENT
CONSUMER AFFAIRS
i
ID CARD
Commissioner
Ut
� i
e & CERTIFICATE OF LIABILITY INSURANCE DATE2plY1'YY)
08107107/2024
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 policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER NAt+t Barbara Dammers
Roy H Reeve Agency,Inc. PllcottE (6'31')298 A7tth A N . (631)298-3650
PO Box 54 ADIAIa;ss: bdamrrlersErDyreeve com
13400 Main Road INsuRERsg AFFORDING covERAGE NAIc
Mattituck NY 11952 INsuRERA: Main StreetAmericaAssurance Company 29939
INSURED INSURER B
Dirk Harris,DBA:DJH Custom Carpentry INSURER C:
PO Box 356 INSURER D:
INSURER E t
Fishers Island NY 06390 INSURER F:
COVERAGES CERTIFICATE NUMBER: CL2441120870 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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.
N
TYPE OF INSURANCE D POLICY NUMBER MOLICY F -POLICY
'lY E PP LIMITS
LTR
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE g 1,000,000
CLAIMS-MADE � an OCCUR PREMISES Ea 1,, S 500,000
X Contractual Liability MED EXP(Any one person) $ ,,0
10 OO
A MPU0578S 09/22/2023 09/22/2024 PERSONAL&ADV INJURY $ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE �I$ 2,000,000
POLICY ECCT LOC PRODUCTS-COMPIOPAGG $ 2.000,000
OTHER^. $
AUTOMOBILE LIABILITY COM IN-&}S NGLE IT $
-,s a dsn
ANY AUTO BODILY INJURY(Per person) �$
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPVM t)AMAGE. $
AUTOS ONLY AUTOS ONLY Por sccldent
UMBRELLA LLAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE; AGGREGATE $
DED I RETENTION$ $
WORKERS COMPENSATION
ST TLITE RH
AND EMPLOYERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E NIA E.L.EACH ACCIDENT $ ,,.......
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Chris and Jean Wilmerding ACCORDANCE WITH THE POLICY PROVISIONS.
5318 Equestrian Ave
AUTHORIZED REPRESENTATIVE
Fishers Island NY 06390 t
01988-2015 ACORD CORPORATION. All rights reserved„
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
S 12-3
G 0 D 5 1 G N F U 5 LLC
architectural 5erV1Ce, 5 dC51 jn
9
4 5tonewood Drive , Old Lyme , CT OG37 I
www . 3 60de5i n I U5 . Com dnoe@3GOde,5i6jnpIU5 . COM t 6 1 7 549 - 5457
it
PROP05ED E3EAM AND. DOOR REPLACEMENT ,.
WILMERDING RE51DENCE
AUGUST 18 , 2023
FOR PER- -M-IT
.5 -'60'. 18 EQUESTRIAN AVE FISHERS ISLAND , NEW Y01vf1�,.-.
CHRIS WILMERDING LOCATION MAP
5318 E UESTRIAN AVE
FISHERS ISLAND, NY 06390 DESIGN CRITERIA
GROUND WIND DESIGN SEISMIC SUBJECT TO DAMAGE WINTER P`
z�
SNOW SPEED TOPOGRAPHIC WIND EXPOSURE DESIGN weathering Frost line Termite DESIGN
r'
LOAD (ULT) effects CATEGORY CATEGORY depth TEMP
30 psf 130 ESCARPMENT D B SEVERE 42" MODE[ HERATE/ 7° F
f
ICE BARRIER
FLOOD AIR MEAN CLIMATE WIND BORNE PROJECT LOCATION
UNDERLAYMENT HAZARD FREEZING ANNUAL ZONE DEBRIS ZONE
REQUIRED INDEX TEMP
YES
N/A 1,500 OR LESS 500 F 5A YES
E4uo+r„a,��`h
CODES THIS PROJECT WAS DESIGNED TO:
s,
� E A&C "'n
v p
2018 INTERNATIONAL RESIDENTIAL CODE W/ 2020 NEW YORK STATE AMENDMENT
a n'
g4Psrrtan �o
, r�o
,` ✓ JS U:IAS1 Gdard
�F �.
V`I !�� a Go gle Ern,-:fie r_v n!•a�a.,�n<-.�
Y•
BEAR NEW BEAM ON EXISTING NNE �,�MNG 360 DESIGN PLUS LLC
WALL,MIN V-6" W/SST CCOM CAP FWGD1 10611-4 M CAP
David A. Noe, AIA
4 Stonewood Dr. Old Lyme, CT.
(3)1 a"x 11 1/4"LVLs LUSH W/(2) 360DESIGNPLUS.COM
\ 1/2"STL PLATES,FLU H BOLTED W/
\ ;"A325 CARRIAGE B LTS 16"O.C. TEL. 617.549.5457
\ STAGGERED- -- - - --- - -- - -I- - - - - - - -- - i
Y Y
28'-7 1 T
FAMILY ROOM LO
CLG 12-6"
-- - - -- - ,-- - - - - - -I- - - - - - - - - - -
\ I
—0 5 A"x 5 4"PSL SST ABU
BASE AND T PCZ CAP
I
(3)1 J"x 11 1/ "LVLS,CONT. Lj
NEW BEAM TO SIT ON TOP — —— NEW BEAM TO SIT ON TOP I
OF EXISTING CMU WALL. OF EXISTING CMU WALL. I
VERIFY ALL CORES BELOW VERIFY ALL CORES BELOW
ARE FILLED,W/SST ABU t9'-10 /_ ARE FILLED,W/SST ABU
I
PROPOSED FLOOR PLAN BUILDING SECTION C�
(D W w
Scale 4" = 1'-o" 2 Scale 4' = 1'-0"
Q >--
_ � z
zo
U)
W a � C/)
0 fr
� WW
C� 00 C_/�
(y H J
LO
7KJP6POST
ROOF 5.5
KIPC PO5T
V-6° NEW BEAM(3) 1 a"x I 4"LVLS W/(2) "x 1 1"STEEL PLATES V-6"
mo
BEARING BEARING
00 ISSUED FOR:
4-
♦ o
FOR PERMIT
FWGD1510611-4 * REVISION DATE: ALTERATIONS TO DRAWING:
8/18/23 FOR PERMIT
3 PROPOSED ELEVATION '
Scale 4 III — it-oil
PHASE:
CONSTRUCTION
GENERAL PLAN NOTES: DRAWINGS
1. SEE ARCHITECTURAL DRAWINGS FOR DIMENSIONED OVERALL 11. ALL METAL FRAMING CONNECTIONS SHALL BE
7. ALL FRAMING LUMBER SHALL BE DRY (19% FULLY NAILED AS PER MANUFACTURER'S
LAYOUT,AND DIMENSIONED LOCATIONS OF PARTITIONS. MAXIMUM MOISTURE CONTENT) DOUGLAS FIR RECOMMENDATIONS. DRAWING NAME:
DO NOT SCALE DRAWINGS. No.2 GRADE WITH A BASE VALUE FB OF 850 PSI.
2. MINIMUM 3 -6 FROST DEPTH TO BE MAINTAINED 12. CONTRACTOR TO SUBMIT FOR REVIEW EXACT PLANS AND
FOR ALL FOOTINGS. FOOTINGS SHALL BEAR ON NATURAL 8. A.P.A. RATED SHEATHING SYSTEM COVNECTION MANUFACTURER'S DATA SHEETS
NON—DISTURBED, COMPACT NON—ORGANIC SOILS. 3/4" T&G PLYWOOD DECKING GLUED WITH PL400 FOR EACH TYPE OF CONNECTION SPECIFIED. SECTIONS
3. CONTRACTOR TO COORDINATE EMBEDMENT ADHESIVE AND SCREWED AT 12"o.c. INTERMEDIATE
OF ANCHOR BOLTS, ETC. INTO CONCRETE. SUPPORTS 6"OC ABOUT PERIMETER. 13. AL_ NAILED CONNECTIONS SHALL BE SECURED
4. 4" CONCRETE SLAB ON GRADE (WHERE APPLICABLE) 9. ALL OPENINGS SHALL BE FRAMED WITH DOUBLE IN ACCORDANCE WITH THE STATE OF NEW YORK JOB#: WILMERDING RESIDENCE
REINF SLAB W/6x6—W2.0x2.0 WWF. PLACE MEMBERS UNLESS SHOWN OTHERWISE. BASIC BUILDING CODE NAILING SCHEDULE. FILE NAME:
SLAB ON 6MIL VAPOR BARRIER & 6" MIN
COMPACTED COARSE GRANULAR FILL. 10. ALL LAMINATED VENEER LUMBER AND COMPOSITE 14. CONTRACTOR SHALL VERIFY THE DIMENSION AND CONDITION DRAWN : D.A.N. DATE: 8/18/23
LUMBER SHALL BE MICROLAMS, OF ALL EXISITNG STRUCTURE IN THE FIELD. CONTRACTOR
5. ALL POSTS AND JAMBS TO BE FULLY SPIKED. PROVIDE IS SOLEY RESPONSIBLE FOR ALL TEMPORARY SHORING, (�KE Y: D.A.N. SCALE: AS-NOTED
DOUBLE JACK STUDS AND DOUBLE FULL HEIGHT STUD UNDER ALL PARALLAMS, OR TRUSS JOIST BR,NCING AND JOB SITE SAFETY RELATED TO ALL CONSTRUCTION
BEAMS SPANNING 6 —0 AND GREATER AND UNDER ALL LVL AS PRODUCED BY TRUSS JOIST MEANS AND METHODS. SFI FZ 0 ARCy/ SHEET:
BEAMS UNLESS NOTED OTHERWISE. MACMILLAN, OR AN APPROVED EQUIVALENT. THIS DOCUMENT,INCLUSIVE OF THE IDEAS �5 mot\ A
ALL LVL LUMBER SHALL BE BOLTED FULL LENGTH. 15. PROVIDE DOUBLE JOISTS UNDER ALL NON—BEARING PARTITIONS AND DESIGNS INCORPORATED HEREIN,IS P O�
6. PROVIDE 2X4 BLOCKING UNDER ALL POSTS BOLT PER MANUFACTURER'S SPECIFICATIONS. PARALLEL WITH JOISTS BELOW. FURNISHED AS AN INSTRUMENT OF [t; ta
AND JAMBS OF WINDOW AND DOOR OPENINGS CONTRACTOR TO VERIFY ALL PROFESSIONAL SERVICE AND REMAINS THE
OPENINGS EXCEEDING 6'-0" IN WIDTH DIMENSIONS IN THE FIELD SOLE PROPERTY OF 360 DESIGN PLUS,LLCM _ A1 . 1
AND REPORT ANY DISCREPANCIES AND IS NOT TO BE USED IN
TO THE DESIGNER BEFORE OTHER PROJECTS WITHOUT THE EXPRESS N� 04 0 3qg O�
PROCEEDING WITH WORK. WRITTEN AUTHORIZATION OF THE ARCHITECT