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Home My WebLink About51505-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#: 51505 Date: 12/23/2024 Permission is hereby granted to: Joshua Smith 770 Kennys Rd Southold, NY 11971 To: legalize "as built"alterations to existing single-family dwelling as applied for. Additional certification may be required. Premises Located at: 155 Glover St, Southold, NY 11971 SCTM# 59.-11-2 Pursuant to application dated 10/28/2024 and approved by the Building Inspector. To expire on 12/23/2026. Contractors: Required Inspections: Fees: As Built Alteration $1,415.00 CO-RESIDENTIAL $100.00 Total S1,515.00 1ri Inspector - . TOWN OF SOUTHOLD—BUILDING DEPARTMENT ' 11971 9 9 Southold,NY Box 1179 Sou Town Hall Annex 54375 Main Road 1'_ O. B , Telephone (631) 765-1802 Fax(631) 765-9502 httL)s,,//wmrw.,soLitlioldt'owiiiiyj.7ov Date Received 0_ Y r Office Use Only °—&"—", � �66 PERMIT NO. Building lnspectar; ' „ Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page Z)shall be completed. Date: OWNERS)OF PROPERTY: Name: O^Tlo,sv Ct, e- `V\ SCTM#1000- � �\ C)Zi Project Address: (Aoup 't- '"\7 A,0k try Inn I Phone#: Ll� Email: ' e,4%,,,^Slv,A Mailing Address: 0 QCp-r10 V ( o e L 3 d CONTACT PERSON: Name: Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION: Name: o,'l,'�i Mailing Address: r`D � Toy l'C"oh Phone#: � ) -�-� �— �� Email: CONTRACTOR INFORMATION: Name: Mailing Address: ---[Phone#: Email: DESCRIPTION OF PROPOSED:CONSTRUCTION ❑New Structure ❑Addition Iteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other OV Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes AND 1 PROPERTY INFORMATION ExistingNJ use of roe Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to i this property? ❑Yes No IF YES PROVIDE A COPY. beck Bay After,Read,'I' g: 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 210AS ofthe New York State Penal law. Application Submitted B t nafn d1 I ❑Authorized Agent +� ner pp y Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF SlXro ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing 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 ry Y of day �d ✓ d ,20_ OG C Notary PuWwr,USAN A. RIZZO Notary Public, State of New York No.01 RI6183459 Qualified in Suffolk County PROPER I'VC)MIER _( I�w ( ( '� m Commission Expires March 17,2 (Where the applicant is not the owner) Q 1, { V--residing at J �*►- to apply do hereby authorize � ply on be alf to th wn of So thnld Building Department for approval as described herein. W wej 01 YOwner's Signature Date jmkm- Jews., Print Owner's Name 2 N. J. MAZZAFERRO P.E. PO Box 57, Greenport,N.Y. 11944 Phone - 516-457-5596 Consulting Engineer December 20, 2024 Qesign, Construction. .ins eetton Page 1 of 1 Town of Southold-Building Department 53095 Main Road Southold NY 11971 Re: 155 Glover St Southold,N.Y. 11971 District-1000, Section-59, Block-11, Lot-2 Building Permit Application for Alterations Inspection—Existing Septic System On October 23, 2022, I inspected the existing septic system at the noted location. The inspection covered the location and size of the septic system components. —The System includes a precast concrete septic box(1250 gallon) and two precast concrete leaching pools. Each pool has precast one ring (8'diameter x 6'-0"deep) and a concrete cover. System is performing as designed. - The System construction was approved by SCDOH on May 20, 2021. The approval for installation was done using the SCDOH Contractors Portal by a licensed handler. The size of the System components is based upon SCDOH Standards. The Suffolk County Install Management Number is 2400713. (copy of contractor's documents are attached). Result—Based upon inspection of this site and to the best of my knowledge, belief and professional judgment, the Septic System, as existing, complies with the SCDOH Requirements for a four(4) bedroom house. OF Nicholas J. Mazzaferro, P.E. 0 . 05)1 Suffolk County Department of health Services Office of waste"ater Management 360'Vaphank Avenue,Suite 2C Vaphank,News York 11980 (631)852-5700 Olt licalthWWM(a—),suffolkcf)untyny.gt)v CERTIFICATION OF SEWA(`X'E DISPOSAI, SYS,1,1�,,M BY INSTAIIIIJER ted W11 'Hsis cerlifivaiion tall"Itilko ill—11(sl be used ill Hell of inspections re(IlAred ION per of tile Deparlinent conlpaulv lellerlivad,provided it contains the In forinal ion hclmv� Leave Iflarsk any ilculN thist are 1101 t"'lie 1"s Health Department Reference Number: ........... ... .......... .............. Lot(s) .. ......... Suffolk Tax Map ,q: Disc Scel,Js) 4"' Hlk(s) Project Narnc or Address: Applicant's Name: ...... Date ot-Systeni fnstallation. PiI/ Sketch below the Illeasorements troll, building I/A 0 WTS Thal"EATAfEN T 1,/All T corners to the 3cccS'5c"vers,/polrts oftlisposal syslem, Make and Model.- ill*iattlich a separate sktqc.h prepared by ilistaller- Rated Daily Treatment Capacity(gallons): Material: Concrete Fiberglass/Plastic SEPTIC T4NK volunic(galkllls)� !�o Material: W.",on(;rcte [ ] Fj bergyl ass/P last ic Shape: [] Rectangular P* cylindrical Top: [ ] Slab [ ] Traffic Slab F*1)01-ne Name of Tank Manufacturer: ;,- r� ra /,4 Sr. D[STRI'HUTION LE A C11IN6 POOLS t''/fal)pfieah&) 30 Number of Pools ----------- Diameter and Effective Depth _ IA .-Top: Slab Traffic Slab Dome Name of Precast Manufacturer: LE'4 CHING POOLSIGALLE YS 7 Total Number of Pools/Galleys Diameter/Dimensions and Effective Depth Top: Slab Traffic Slab Dollie N/A Name of Precast Manufacturer: 0 THER LE I C1ffVG S TI? XTURES Make and Model (if applicable), ---- .......Total Linear Feet of Leaching Structure(s): COVERS AVD LIDS Installed covers comply with current standards (secondary safety device installed if cover weight,less.tha&661bs.) 1811es N/A I hereby certify that the subsurface sewage disposal system,described herein,has been installed by me in accordance with the'lloproved plans and standards ofthe Suffolk County Department of Health Services;and any and all mechanical/electrical componcnts have been tested and are operational. Installer's Signature. w� Date Installer's Name: ww Company Name., Phone -—--------- Company Address: Consumer Affairs Liquid Waste License Number and endorserne'llt(s)., THIS DOCUMENT MUST CONTAIN AN ORIGINAL SIGNATURE FROM THE INSTALLER '4'WM-078 (04/18) ALLER Suffolk county 1)epartwent of l.lcalth Services / office of"Wastewater 11°l.anagelalcnt. 3tttl" aphank Avenut~;, Suite IC Yaphank, 'Sep+ York 111980 (631) 892-5101)OR llealth �� ,�suffolkeounhnY gov CERTIFICATION OF SEWAGE DISPOSAL SYSTEM ABANDONMENT 0 Health Department Reference�u m her5cct(s) �� B s) Lo ., t(s) Suffolk Tax Map#: Dist° ... Pro'ect Name or Address: Subdivision Name&Lot Applicant Name .. . .. I HEREBY CERTIFY THAT: l. 'lre first,,,ep6c lank/leaching pool, frotn the roundation, was located and uncovered, AND 2, If liquid sewn-ge was noted therein,was pumped (lry by a licensed sewage hauler, AND 3 Ta�r�r is pool was inspected for outlet line to art t c.tl`lc)w pool, AND (trey°l lit x pool(s) was/were located„ uncovered and items #2 and #3 were repeated until all parts of saniiarN systern were located. AND 5 All Darts of sanitary system were removed or filled with clean back.fill and any ct�rbelled block:domes collapsed. I also certify that the sanitary system abandoned consisted of. First tanklp of pool fee(diameterfeet feet.sleep( )precast (lock ( ) other_,,__,-,—.— ..., r t overnow feet deep )precast k5lock ( ) other—,�----- Next overflow pool fleet diameter__,—__tmt deep( )precast ( )block ( )other Next overflow pool ,....M w feet diameter, feet deep( )precast ( )blink: ( ') other Company which pumped out sanitary system if different from certifying company: Name of Company. ._..vo _— .._. —-..- . .... .,o_ . _ .. . Address: Consumer Affairs License Number: Contractor Signature. Date " C 0 L PRO' ,LLC Phone Print Namelt tamptt � . ...�.... .. ., .. . 09 � Address:1096 UDALL ROAD BAY SHORE NY 11706 Consumer AttatrS,.� .... ..� .....��_. � _. License Number: 5 502 LW ins This certification shall not be used in lieu of inspections required b personnel of the Department YP P and trul. ,ly lie duplicated on company letterhead, provided it contains the above information. PHOTOCOPIES OF DOCUMENTS WILL.NOT BE ACCEPTED WM-080 (Rev.02/12) �� N. J. AZZAFE O ".E. PO Box 57, Greenport,N.Y. 11944 Phone - 516-457-5596 Consulting Engineer October 28, 2024 Qes Construction, Inspection Page 1 of 1 Town of Southold-Building Department 53095 Main Road Southold,NY 11971 Re: Smith 155 Glover Street Southold,N.Y. 11971 District-1000, Section-59. Block-11 Lot-2 Building Permit Application—As Built Alterations This is in reference to the As-Built Conditions at 155 Glover Street, Southold NY. The work included: 1 - Conversion of an existing Garage space to a Bedroom and Bathroom. 2—Conversation of an existing Basement Storage Area to a Family Room. Both projects included framing and insulation work. The garage conversation also included plumbing installations. There was no work performed on the existing main house area. This area was only refurbished with new finishes. The septic system was previously noted as a 4- Bedroom System installed in 2021. The current configuration of the house includes a total of two (2) bedrooms. The exterior dimensions of the house did not change, the setbacks shown on the survey are still current and correct. Nicholas I Mazzaferro, P.E. N. J. MAZZAFE O P.E. PO Box 57, Greenport,N.Y. 11944 Phone - 516-457-5596 Consulting Engineer October 28, 2024 Des Construction, .ins ion Page 1 of 1 Town of Southold-Building Department 53095 Main Road Southold,NY 11971 Re: Smith 155 Glover Street Southold,N.Y. 11971 District-1000, Section-59. Block-I I Lot-2 Building Permit Number—As Built Alterations Inspection—Existing Basement On December 23, 2022 and October 24, 2024, I inspected the existing basement construction at the noted location. The inspection covered the framing and insulation for the interior walls of the basement of the existing house. The areas inspected in the basement included the walls and ceiling and exterior egress window. 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. 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 applicable codes of the IRC,NYS and Southold Town Building Codes. OF Nicholas J. Mazzaferro, P.E. 0 r i U6 N. J. MAZZAFE O P.E. PO Box 57, Greenport,N.Y. 11944 Phone - 516-457-5596 Consulting Engineer October 28, 2024 Design Construction, .ins ee ion Page 1 of 1 Town of Southold-Building Department 53095 Main Road Southold,NY 11971 Re: Smith 155 Glover Street Southold,N.Y. 11971 District-1000, Section-59. Block-11 Lot-2 Building Permit Number—As Built Alterations Inspection—Existing Garage to Bedroom Conversion On December 23, 2022 and October 24, 2024, I inspected the existing interior construction at the noted location. The inspection covered the framing and insulation for the interior walls of the garage to bedroom conversion of the existing house. The areas inspected included the walls and ceiling and exterior window. The framing and insulation work included the floor, interior walls and ceilings. 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-13 walls R-30 ceiling) meets code requirements. 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 applicable codes of the IRC,NYS and Southold Town Building Codes. Nicholas J. Mazzaferro, P.E. NEW , 17 Fe % N. J. MAZZAFE O P.E. PO Box 57, Greenport,N.Y. 11944 Phone - 516-457-5596 Consulting Engineer October 28, 2024 De i n Construction, eutlo Page 1 of 1 Town of Southold-Building Department 53095 Main Road Southold,NY 11971 Re: Smith 155 Glover Street Southold,N.Y. 11971 District-1000, Section-59. Block-11 Lot-2 Building Permit Number—As Built Alterations Inspection—Existing Garage to Bedroom Conversion - Rough Plumbing On December 23, 2022 and October 24, 2024, I inspected the interior of the garage to bedroom conversion in the existing house. The inspection covered the interior plumbing roughing for the Drainage Waste and Vent System (DWV) and the Water Supply System(WS)of the new bathroom. The inspection results are: 1 —DWV— System was exposed and readily viewed. I observed all drainage and vent lines. System constructed as required.New installation is connected to the existing system. 2—WS—System was exposed, pressurized and readily viewed. I observed all hot and cold water supply lines. System constructed as required. 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 applicable codes of the IRC,NYS and Southold Town Building Codes. OF N J.M � Nicholas J. Mazzaferro, P.E. 051 �?, ` 00 f • _ a.. . o }r ic O Y i 60 21 - _ ~ �� ` -f .1 ` ; Ira ,. L" •i y�� ` L°, � Ma✓i p}an� t.� nt ` _.� egT� 'f� , � - {l � '•e. �` up�a '"may-�r x. 4 �''+G�i x r AREA - 25,019 8q ft. r, ; a ' On � fr s� €i i I VEY :— OF 1� �e Rot - SC)UrHO tr `• OF S�WHD 02 LAND L. A. ' • Prod tir� �� - .e = � - � ' tie A-LS and ro � YA LIG. NO. �48868 t ► �1 • to tow firC. _ _• a ---- -- f