HomeMy WebLinkAbout50240-Z z�r�-�,
�OSUFF8I'�cpG, Town of Southold 10/4/2024
P.O.Box 1179
10 53095 Main Rd
�y�j01 dap '` Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45624 Date: 10/4/2024
THIS CERTIFIES that the building ALTERATION
Location of Property: 650 Old Harbor Rd,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-5-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/3/2018 pursuant to which Building Permit No. 50240 dated 1/22/2024
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
interior alterations to existing single-family dwelling as applied for.
The certificate is issued to AVELNO LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50240 9/9/2024
PLUMBERS CERTIFICATION DATED 9/24/2024 A no LC
Authze o i ignat e
�o�suEfill o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy,• ��a 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#: 50240 Date: 1/22/2024
Permission is hereby granted to:
AVELNO LLC
C/O Barbara Gladstone
515 W 24th St
New York, NY 10011
To: construct interior alterations to existing single-family dwelling as applied for. Replaces
BP #42663
At premises located at:
650 Old Harbor Rd
SCTM # 473889
Sec/Block/Lot# 117.-5-7
Pursuant to application dated 5/3/2018 and approved by the Building Inspector.
To expire on 7/23/2025.
Fees:
PERMIT RENEWAL $170.30
ELECTRIC $100.00
Total: $270.30
Building Inspector
SvOt;r TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
.oy. • o� 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#: 42663 Date: 5/10/2018
Permission is hereby granted to:
AVELNO LLC
C/O Barbara Gladstone
515 W 24th St
New York, NY 10011
To: construct interior alterations to existing single-family dwelling as applied for.
At premises located at:
650 Old Harbor Rd, New Suffolk
SCTM # 473889
Sec/Block/Lot# 117.-5-7
Pursuant to application dated 5/3/2018 and approved by the Building Inspector.
To expire on 11/9/2019.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $291.60
CO -ALTERATION TO DWELLING $50.00
Total: $341.60
Buil ' I spector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
5. Commercial building, industrial building,multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses:
1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date.
New Construction: Old or Pre-existing/Building: (check one)
Location of Property: D L 4 % If J
House No. Street Hamlet
Owner or Owners of Property: /311_"
Suffolk County Tax Map No 1000,Section Block Lot l
Subdivision Filed Map. Lot:
Permit No. 3Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary
Certificate Final Certificate: (check one)
Fee Submitted:$ 60
1417- <
Applicant Signa
SOUr�ol .
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
CO-
P.O.Box 1179 io sean.deviinO-town.southold.nv.us
Southold,NY 11971-0959 Q�y�OiJNTY,�c"�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: AVELNO LLC
Address: 650 Old Harbor Rd city:New Suffolk st: NY zip: 11956
Building Permit#: 50240 Section: . 117 Block: 5 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures 3 Bath Exhaust Fan 3
Service 3 ph Hot-Water GFCI Recpt 3 Wall Fixtures 5 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 5 4'LED Exit Fixtures Sump Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " Three Bathrooms
Inspector Signature: c Date: September 9, 2024
S.Devlin-Cert Electrical Compliance Form Copy
'D
1
Town Hall Annex ' � Telephone(631)765-1802
54375 Main Road
P.O. Box 1179
Southold, NY 1 1 971-0959
BUILDING DEPARTMENT
OWN OF SOUTHOLD
CERTIFICATION
Date: 'RP„ter her 74,?.09.4.
Building Permit No.
Owner: Avelno LLC
(Please print)
I certify that the solder used in thc water supply system contains less than 2/10 of 1% lead.
(Owner.�s SEt:el' `
Sworn to before me this
day o6epk2nnj4C , 20 2 Li (VC 4AA-"
Notary Public,ivPw 4,rk county
FEUCIA BOLLIN -
NOTARY PUBLIC,STATE OF NEW YO
NO.01606396279 1
QUWFIED IN NEW YORK CO
w COMMISSION EIRS Aram 1191
a SOUIyO� -
# TOWN OF SOUTHOLD BUILDING DEPT.
co 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [/ ] PRE C/O [ ] RENTAL
REMARKS:
1 - 1&4Af_
NJ 71
c),w
DATE INSPECTOR
OF SOGTyOIo
TOWN OF .SOUTHOLD BUILDING DEPT.
o � 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH. PLBG.
] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ �INAL A
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT_CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL-(FINAL)
[ ] 'CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: ev-s so/Je ro-- ced'►i�c
DATE a3 . INSPECTOR
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N. I MAZZAFEIDURO, P.E. AI 29 2024
PO Box 57, Greenport,N.Y. 11944 TP
co
Phone- 516-457-5596
ns liIng` 'n'gin"eer
January 27, 2024 Design, Construction, Inspection
Town of Southold-Building Department
53095 Main Road
Southold NY 11971
Re: Avelno LLC
650 Old Harbor Rd
New Suffolk,N.Y. 11956
District-1000, Section-117. Block-5 Lot-7
Building Permit Number—50240 (renewed 42663)
Inspection—Insulation
On January 26, 2024, 1 verified the insulation installed at the noted location. The
inspection covered the new and renovated bathrooms. The insulation was located in the
exterior and interior walls and the ceiling of the alteration. The inspection results are:
I —Walls—Insulation provided and installed by General COntrcator. The insulation
provided filled the existing cavities to 100% and was done in compliance with the
applicable sections of the IRC,NYS and Southold Town Building Codes.
2—Ceiling/Roof—Insulation provided and installed by General COntreator. The
insulation provided filled the existing cavities to 100% and was done in compliance with
the applicable sections of the IRC,NYS and Southold Town Building Codes.
Result- The insulation and caulking installation as verified by inspection on January 26,
2024, is compliant with all applicable codes. The insulation was installed in compliance
with the IEC Code for Existing Buildings, in particular Section R503 Alterations;
Paragraph R5 03.1.1 Building Envelope.
0.41e.�'Ie
R Q
O
Nicholas J. Mazzaferro, P.E.
0
0 057
6FESSIO
N. J. MAZZAFERRO, P.E. JA N 2 9 2024
PO Box 57, Greenport,N.Y. 11944A';
Phone- 516-457-5596
Consulting Engineer
January 27, 2024 Design, Construction, Inspection
Page 1 of 1
Town of Southold-Building Department
53095 Main Road
Southold NY 11971
Re: Avelno LLC
650 Old Harbor Rd
New Suffolk,N.Y. 11956
District-1000, Section-117. Block-5 Lot-7
Building Permit Number—50240 (renewed 42663)
Inspection—Framing
On January 26, 2024, I inspected the construction at the noted location. The inspection
covered the framing for the addition/alteration to the existing house structure. The areas
inspected included the new second floor bathroom and the renovated first and second
floor bathrooms of the existing house. The framing work included only and interior walls,
and ceilings..
The inspection results are:
The construction was verified during the inspection. The work was found to be
structurally correct and properly located. Items inspected included the finished wall
locations, dimensional spacing, and framing integration with the existing structure.
The framing work was done according to approved plans and 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
applicable codes of the IRC,NYS and Southold Town Building Codes. 45.
OF W Y
F
Nicholas J. Mazzaferro,P.E. i o
a
�w
FO �O 05709y
AROFESS10119A
N. J. MAZZAFERRO, P.E.
PO Box 57, Greenport,N.Y. 11944
Phone- 516-457-5596
Consulting Engineer
January 27, 2024 Design, Construction, Inspection
Page 1 of 1
Town of Southold-Building Department
53095 Main Road
Southold NY 11971
Re: Avelno LLC
650 Old Harbor Rd
New Suffolk,N.Y. 11956
District-1000, Section-117. Block-5 Lot-7
Building Permit Number—50240 (renewed 42663)
Inspection—Rough Plumbing
On January 26, 2024, I inspected the construction for the alterations at the noted location.
The inspection covered the interior plumbing roughing for the Drainage Waste and Vent
System(DWV) and the Water Supply System (WS). The inspection results are:
I —DWV—System was viewed,tested and verified. I observed the operation of all
drainage and vent lines. System constructed as required.New installation is connected to
the existing system. All construction was done in compliance with the applicable sections
of the IRC,NYS and Town of Southold Building Codes.
2—WS—System was fully viewed,tested and verified. I observed all hot and cold water
supply lines operation. System constructed as required. All construction was done in
compliance with the applicable sections of the IRC,NYS and Town of Southold 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
applicable codes of the IRC,NYS and Southold Town Building Codes.
OF N
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O
Nicholas J. Mazzaferro, P.E.
N�OA �O 05709y
FESSIONP�'
FIELD INSPECTION REPORT DATE COMMENTS (R
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FOUNDATION (1ST) --�--��y
o
--------------------------------------
'FOUNDATION (2ND)
O
ROUGH FRAMING&
PLUMBING H
1
INSULATION PER N.Y: �y
STATE ENERGY CODE
�a3 a v,44 ba-s 5,P10144 c PI _
0,0- G,a.
FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
South oldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.-
Trustdes
C.O.Application
f 1 Flood Permit
Examined Single&Separate
Truss Identification:Fonn
Storm-Water Assessment Form
J� Contact:
Approved Mail to: orl�
Disapproved a/c .
Phone:
Expiration 20
,�D) D But Inspector
M M = 3 2018 ' 'APPLICATION FOR BUILDING PERMIT
Date 320 /
TOWN OF SOUTHOLD INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule. .
b. Plot plan showing location of lot and Of buildings on premises,relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may-not be commenced before issuance of Building Permit.
d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shal I be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of-Occupancy.
f. Every building permit shall expire if the work.authorized has not commenced within 12 months after the date of
issuance or has not been completed within 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
addition six months. Thereafter, a new,permit shall be required. ..
APPLICATION IS HEREBY MADE to the,Building Ddpartment for the issuance of a Building Permit:pursuant to the
Building Zone Ordinance of the Town ofSouthold,'Suffalk County,New York, and other applicable Laws,Ordinances or
Regulations,for the construction of buildings;additions,or alterations or for removal of.demolition.as.herein described.The
applicant agrees to comply with all applicable laws, ordinances,building code,liousih&code, and'regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
a
(Signature of applicant At name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
�i-
Name of owner of premises
(As on the tax roll-or latest deed)
If applicant is a corporation,-signature of duly authorized officer
(Name and title of corporate officer)'
Builders License No. `f3- OO " 17
Plumbers License No.
Electricians License No.
Other Trade's License No. ,
1. Locat'on of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section . �' I Block Lot
V"U"L V 101V11
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and-occupancy
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units . Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and-extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height `.•Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stori,e's
8. Dimensions of entire new construction: Front Rear. `�``=' Depth
Height Number of Stories:
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO • Will excess fill be.remove'd.from premises? YES NO
14. Names of Owner of premises ►- /-0T'9ddress 6-0 O . Phone No.
Name of Architect Address•. Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwaterwetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES'& D.E:C:•PERM-ITS'MAY BE RE D.
b. Is this property within 300 feet of a"tidal wetland?'* YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale, with accurate foundation plan and distances to property lines.
17. If elevation at,any point.on property is at 10 feet or below,must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK).
SS:
COUNTY OFF
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named, CONNIE D.BUNCH
Notary Public,state of New York
No.01 BU6185050
(S)He is the Qualified in SiMnIk rmjntv4
(Contractor,Agent, Corporate Officer, etc.) uommisslon Expires April 14, _
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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me th's
—day of 20)_�
Notary Public Signature of Applicant
ett BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
; ► Telephone (631) 765-1802 - FAX (631) 765-9502
ia mesh(c-southoldtownny.gov— seand(@-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: Z2 ZUZt�
Company Name:
Electrician's Name:
License No.: Elec. email: vu w.a-ua .(up @ v-e-c k1 ZAA,y`-t-
Elec. Phone No: request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required) �l
Name: 10,- 0-#,N , Gka�S j, I V�G2 lvv 10T
Address: loS 0 41 ��p,.tloa�c �- 1��,,,7 y� k166(p
Cross Street: Qr—`a v- Qo\
Phone No.: 46 - tk(� %S
Bldg.Permit#: s®a q c7 email: A�L�c. -1,za -(vvG� Uer�'tck
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
I ,
Square Footage: I 21�tv
Circle All That Apply:
Is job ready for inspection?: YES ❑NO ❑Rough In � Final
Do you need a Temp Certificate?: ❑ YES' a NO Issued On
Temp Information: I (All information required)
Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
#Underground Laterals D 1 R2 H Frame Pole Work done on Service? Y F1N
Additional Information:
PAYMENT DUE WITH APPLICATION
ti
S�ffpC� BUILDING DEPARTMENT- Electrical Inspector
j0� CPGy..c TOWN OF SOUTHOLD
c = Town Hall Annex- 54375 Main Road - PO Box 1179
utn 0" , Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
lamesh(cD-southoldtownny.4ov-- seand(�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: A"v k
Electrician's Name:
License No.: EIec. email: wo v-u atnn.Y--R-A
Elec. Phone No: I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required) qq
Name: k-&Ik�ik a��� W1
Address: (OS() Old 4ANoo c T-A V6(9
Cross Street: Qr—o
Phone No.: 1Q- L« — �5 LuNk��c�}
Bldg.Permit#: ESQ a Lf c7 email:
Tax Map District: 1000 Section:-, Block: Lot: 9
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO Rough In �q Final
Do you need a Temp Certificate?: ❑ YEStjaNO Issued'On
Temp Information: (All information required)
Service Size Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION i 2sl 2-4
Y-,c4-
PERMIT p Address.
Switches
Outlets
GFI's
Surface I
Sconces
H H's
UC Us
Fans Fridge HW
Exhaust Oven WAD
Smokes DW Mini
Arbon Micro Generator
=ombo Cooktop Transfer
aC AH Hood Service
Amps Have Usec
-pedal:
comments
yP f
Scott A. Russell ��°Su p ST0][ZI��1 WA\T]E)E,
SUPERVISOR J ( �T
I��1[A\lam A\G�]EI��1[]EI�'7C'
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 ' O Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES ')<'lH[IS ]PROJECT INVOLVE ANY OF THE FOLLOWING:
Yes .No (CHECK ALL THAT APPLY)
❑V. Clearing, grubbing, grading or stripping of land which affects more
❑than 5,000 square feet of ground surface.
Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑ C. Site preparation on slopes which exceed 10 feet vertical rise to
00 feet of horizontal distance.
❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑Elf Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse.
❑Ea'FIfinstallation of new or resurfaced impervious surfaces of 1,000 square
f eet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
:......................... _. ... _. ........._._................... ... . ....................___...---....._............._..........................................
..........._........._.. . . _. ..._... .
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT: (Property Owner,Design Professional,Agent,Contractor,other) S.C.T.M. #: 1 OOO ate
District '
NAME: i—Id✓�C �O'' ��°. ✓ ` ]
/
l '(Print Section Block Lot
(Signature) :kyrik:k 17OR BUILDING DEPART iNIE.NT 1.ISE O.N12] x*'*
Contact Information: V
rrel<phone NumGd �s
Reviewed By: �\�P
(\
- - - - - - - - - - - - - - - - - - Date: 5-- 3 -1 '
Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — —
Approved for processing Building Permit.
Stormwater Management Control Plan Not Required.
"��✓ ����� l! Sib Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM # SMCP-TOS MAY 2014
APP AS NOTE
OAT E:60 OV B P. # � >
EY
„- AT
766-1802 8 Ak1 TO 4 PM FOR TI E
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRE
PLUMBING FOR POURED CONCRETE
N�Q/F f-fA ALL PLUMBING WASTE . 2. ROUGH - FRAMING & PLUMBIN
& WATER LINES NEED RTUNG GETRUDE GOODAL,E _TEST NG [=FORE CCVERINP 4. FINAINSL
LA N
- - - - - - - - -- �'- - ---- - -- - - - US_
4. FINAL _ _ONSTRUCTfON M T_._
r" BE COM LETS FOR C.Q.
ALL CONS UCTION SHALL MEE THE
5,0 1 Qp,pQ' (QERD} REQUIRE OF THE CODE co NEW
S 83° 30' DO°E 99 $4' AC YORK ST . NOT
-'`' '---- - — ( TUAL� RESPONSIBLE FOR
P L DESIGN O CONSTRUCT(QN ER ORS.
�.r.. yes
r;R, GAR.- �s��
a /
5 0'
o OCCUPANCY OR
USE IS UNLAWFUL
0 WITHOUT CERTIFICATE
K1 x R 3ER TRIPLE
CHERY � s y O F OCCUPANCY
C U PA N C YHERRYd ; f
G p o
: ' ate COMPLY WITH ALL COE IES O
<D
`� a SEW YORK STATE & TOW CODES
37 �° 3 , � _ e 'G � '; �-��tc' A 1-R AND COND! rIONS O
s �A
- - 0, � � ,�n SOUTHOLD Tt;'NN Z
o �y 11
cn �i T. oR� SOUTHOLD TOWN PL NNING BOARD
gyp` w i �' ,, SOU f HOLD TOWN Tfl STFES
Tt r`n y 1 r ! 1 t
r
m ` F �?`'' : � N.Y.S.DEC
Iv4
PLUM ER CER !F/CAT!
-7 , , D'C0NT NT BEFO E
N PL CERTIFtC,q 7-E'OF CCUPA y�
- - - -N 87° 55' 00" W 149.58' (ACTUAL) SOLDER USED N SATE,
! 150' (DEED) �. PPL}'` Y�T�C CA1Vl1�Qt ,
EX
CEED 21to o
ANGLE0 LEAL�
POINT
NIO/F CELIA & MICHAEL WITHERS. N/01F FREDERICK KLEIN &
SHARON HEIMINK RETAI TORM WATJR RU�fOFPURSUAN TO SECTIN 45-IOC
ABBREVIATIONS LE&EM7)
----------i
A.F.F. - AB 11 FIN15H FLOOR L.V.L - LAMINATED VENEER LUMBER 1 EXISTING FOUNDATION
COMPLY WITH ALL CODES OF A.P.B. - ANTHONY POWER BEAM MIN. - MINIMUM
; AND FOOTING x ARCH I TEGTURE, PLLIC
NEW YORK STATE & TOWN CO D E c B.P. - BEAM POCKET MNFR. - MANUFAGTURER'5 NEW DOOR
APPRO D AS NOT D AS REQUIRED AND CONDITIONS Op G.J. - GEILING J015T5 M.O. - MA50NRY OPENING O EXISTING WOOD FRAME WALL PH: 631.&16.551&
'�"" " N 0 G.M. - CARBON MONOXIDE O.G. - ON CENTER DOOR SIZE
DATE: s g,P.# a C�(Q gin!Tunl n Tnuin,inn X x i/ i/ �i, NEW WOOD FRAME WALL
w w G.T. - COLLAR TIES O.S.B. - ORIENTED STRAND BOARD FAX: 631.4'15.2Q50
FEE:Z� BY: UIF uun � " BOARS Exlsr. EXIST. O - DOWN P.T. - REFRIGERATOR
TREATED �------- EXIST. WALL TO BE REMOVED E: D5TE15EL@OPTONLINE.NET
r-------i SMOKE DETECTOR
DP. - DEEP � REF. - REFRIGERATOR
NOTIFY BUILDING DEPAR AT . �� EES D.H. - DOUBLE HUNG R.O. - ROUGH OPENINGWWW.DIESELARGHITEGTURE.VPWEB.GOM
765-1'802 8 AM TO 4 PM FOR THE D.J. - DECK JOISTS R/0 - ROOFED OVER
.` CARBON MONOXIDE
FOLLOWING INSPECTIONS: ' ' ' t D.W. - DISHWASHER R.R. - ROOF RAFTERS
%�' EXISTING DOOR G.M.
DETECTOR
EXIST - EXISTING R/R - REMOVE 4 REPLACE �', TO BE REMOVED
FOR I. OR POURED E.P.- E
ON = TWO REQUIRED . 50 GFM MIN. EXHAUST 1101 WAVERLY AVE., HOLTSVILLE, NY 11142
F POU � � =�cr L ECTRICAL PANEL T.O.W. - TOP OF WALL VENT TO EXTERIOR
2. ROUGH = FRAMING & PLUMBING OCCUPANCY C:'j� x ' i< F.D.- FLOOR DRAIN TYP. - TYPICAL EXISTING DOOR z AS PER NY5 CODE
`" �` FL. - FLUSH U.O.N.- UNLE55 OTHERWISE NOTED SECTION R303.3 N.O.N.)
4. FItIAL3. LA--T CONSTRUCTION MUST USE I S U N LAW �'
EXPANDED FP5G - FIRE PROOF SELF GLO51NG V.I.F. - VERIFY IN FIELD PROJECT TITLE:
ALL CONSTRUCTION SHALL MEET THE WITHOUT CERTIFICATr �'-�° BATHROOM #1 GALV: GALVANIZED V.P. - VALLEY PLATE
GYP. BD. - GYPSUM BOARD V.R. - VALLEY RAFTER FRAMING NOTATION
REQUIREMENTS OF THE CODES OF NEW EXIST. EXIST. BEAM o H.R. - HIP RAFTER W.H. - WATER HEATER
Ib INTERIOR ALTERATIONS
----------
OF 0
YORK STATE. NOT RESPONSIBLE FOR 'V I r`1"" ' ----- ---- INSUL. - INSULATION W.M. - WASHING MACHINE
DESIGN OR CONSTRUCTIDN ERRORS.
EO 0
m
RET( ,,! S F CORM Vv ER RLI° �i i
R T TO CHAPTER 2,�u EX151. DINING RM. REF. EXIST. KITCHEN
PU SUA
OF THE 1 3WN CODE. EXIST. EXIST. EXIST.
LL
X CIO "T�1 ROOF PROJECT LOCATION:
W G 0
RooF
EL TRICAL x -'I'ROPO D -� r 11=2 (65O OLD HARE30R RD.
EXIST. . 1xI
INSPEC N REQUIRED
BATHROOM #5 I I BAf�HROOM #2 NEW SUFFOL#C N I 1 1�11
I I/2" PIA.-- ' ' I I/2"VIA.
I I
1 LAV I I LAV I RELOr- I .
X I TLTILI
I
SEAL AND 51 C NATURE:
� EX15T. SCREENED EX15T. LIVING RM. FP 'SHE �'R' SECOND
FLR.
'LUMBER CE 'TIFICATION 3"DIAILI .
PORCH 2"DIA. EXPANDED EXISTING
O (,,LEAD CON =NT BEFORE p, TE .O. c pl i BATHROOM #I KITCHEN
CE *1dA.TE,O 'OCCUPANC'I' NOTE: 3" DIA.
'OLDER USE 1:IN WATER A CONTRACTOR MAKING A BID FOR '�= ►vr� ���0 ARChyT
!�PPLYSYS . :M CANNOT +� WORK ON THI5 PROJECT 15 MADE --- -1 In"DIA. IEXI5T. �� o` sT s F
C �/ 0) AWARE BY TH15 NOTE THAT IT 15 THE ' 'RELY. ' 'SINK � \�`' Ft
GEED?110 'F 1%.LEAD. ~ Ex�gT. I LAV
EX15T. DEN w INTENT OF THE OWNER TO HAVE A _
�Vt 1 I=.A.1.
COMPLETELY INSTALLED JOB AND 5HALLF-A
sr+l�x FIRST FLR. * J �
PLUM 31NI(3 � UNDER5TAND THAT ALL NEGE55ARY 2"DIA.
I;LI.PLUr:�B1; ' �%A-CTE X 3" DIA. WASTE GO qrE E�
WORK TO COMPLETE THE IN5TALLATION T 020A3� -i
WATER LI 'E� �vL.�D w
SHALL BE PERFORMED AT NO G.O.
C.O. C.O. O F N
T! ST1�!G BEFO COVERING ADDITIONAL G05T TO THE OWNER OR IRON D'A CAST 4"VIA.CAST
PROJECT. '� IRON MOUSE
TRAP
EXIST. EXIST. EXIST. sEPTic 5 SMM D
EXIST. EXIST. EXIST. EXIST. EXIST. as
NOTE: BY INGLU51ON OF THI5 NOTE,THE OWNER HAS
BEEN ADVISED THAT PRIOR TO ANY CONSTRUCTION
AND/OR DEMOLITION WORK, IT SHALL BE THE OWNER'S
L�U
QN�5
(RESPONSIBILITY TO OBTAIN A BUILDING PERMIT FROM
�XIST. FIRST FLOOR PLAN kq/fi ROPOSE � INTERIOR ALTERATIONE P ML�I R I G JFR D I AV/�RAM THE GOVERNING BUILDING DEPARTMENT. THE
ARCHITECT DOES NOT RECOMMEND AND DOES NOT
C)jGUARANTEE THAT 50LELY BY THE PREPARATION OF
SCALE: I/4"= 1'-O" N.T.S. THESE PLANS SHALL GON5TRUGTION OCCUR. PROPER
REVIEW AND APPROVAL BY A QUALIFIED BUILDING
DEPARTMENT OFFICIAL IS REQUIRED PRIOR TO
CONSTRUCTION.
INTERIOR I� AL.L5 TO BE G0N5TRUGTED W/ C N RAL. NOTES.
2x4 5TUD5 @ I6" o.c. UNLE55 OTHERWI5E ,C3ENIMAL CONDITIONS: No. Date Issues and Revisions
NOTED ON PLANS
1. THE ARCHITECT SHALL NOT BE HELD LIABLE FOR ANY AND ALL UN-FOR5EEN AND 7. ALL DIMENSIONS OF EXIST. 5TRUGTURE5 SHALL BE VERIFIED BY CONTRACTOR PRIOR TO CONSTRUCTION. No 'DESTRUCTIVE' TESTING WAS 4/21/18 PERMIT SET
UN-DOCUMENTED CONDITIONS NOT READILY VISIBLE. BY INGLU51ON OF THI5 NOTE, THE PERFORMED IN VERIFYING EXISTING CONDITIONS. THE ARCHITECT DOES NOT OFFER DESTRUCTIVE TESTING OR INSPECTION SERVICES FOR ANY PART
EXIST. EXIST. EXIST. OWNER/GLIENT HAS BEEN APVI5ED THAT tNKNOWN BUILDING CONDITIONS WITHIN THE OF THI5 PROJEGT. IF ANY DISCREPANCIES/ CONDITIONS ARISE WITH THESE PLANS PRIOR TO OR DURING THE COURSE OF CONSTRUCTION,
�I. SCOPE OF THI5 WORK GAN ONLY BE ADDRESSED AS THEY AR15E OR ARE DISCOVERED. CONSTRUCTION 5HOULD CEASE AND THE ARCHITECT SHALL BE NOTIFIED IMMEDIATELY. FAILURE TO DO THI5 WILL RESULT IN THE ARCHITECT A55UMING
I. WALL AND GEILING FIN15HE5 5HALL BE IN DOCUMENTED CONDITIONS BY THE ARCHITECT ARE 50LELY FOR THE ARGHITEGTS 05E IN NO LIABILITY WITH THE ACTIONS TAKEN TO CORRECT THE DISCREPANCY.
ACCORDANCE WITH 2O15 N.Y.S.CODE TABLE R102.35. e. ..
PREPARATIONS FOR PROPOSED WORK AND DO NOT CERTIFY OR GON5TITUTE STRUCTURAL &. N/A
2. INTERIOR WALL COVERING 5HALL BE IN EXIST. INTEGRITY OF BUILDING COMPONENTS OR LEGAL CONFORMANCE OF PRIOR WORK. THEq, PLAN DIMMEN510N5 ARE FROM FINISH WALL TO FINISH WALL,UNLE55 OTHERWISE NOTED.
ACCORDANCE WITH 2OI5 N.Y.S. CODE SECTION R-102. ARCHITECT RECOMMENDS THAT THE OWNER HIRE A LIGEN5ED ENGINEER VERSED IN BATHROOM #2 INSPECTION AND TESTING 5ERVIGE5 FOR A FULL REPORT. 10. WRITTEN DIMEN51ON5 ON THESE DRAWIN65 SHALL HAVE PRECEDENCE OVER 5GALED DIMEN51ON5. LARGER SCALE DRAWINGS 5HALL HAVE PRECEDENCE
3. ALL INTERIOR WALLS IN BATHROOMS AND OTHER OVER SMALLER SCALE DRAWINGS.
HIGH MOISTURE AREAS SHALL BE FINISHED WITH NEW r (RECONFIGURED) DE1`�fOLITION:
2. THE ARCHITEGT SHALL NOT BE HELD LIABLE AND DOES NOT GUARANTEE THE EXISTING
MOISTURE RE5I5TANT 6YP5UM BOARD 4 GEMENT FIRE PROTECTION SYSTEM, MECHANICAL 5Y5TEM, ELECTRICAL 8 PLUMBING THROUGHOUT 11. G.G. TO FURNISH 4 INSTALL TEMPORARY BRAGING 4 5HORIN6 PRIOR TO THE REMOVAL OF ANY 5TRUGTURAL
BOARD IN TUB 4 SHOWER w 1 I THE ADDITION. THE ARCHITECT RECOMMENDS THAT THE OWNER HIRE A LIGEN5ED ELEMENTS.
4. R302.q FLAME SPREAD INDEX AND ; ; ENGINEER VERSED IN INSPECTION AND TESTING SERVICES FOR A FULL REPORT. 12. WHERE EXISTING WALLS ARE INDICATED TO BE REMOVED, CONTRACTOR 15 TO PATCH EXIST. FLOOR,ADJACENT WALL5 4 CEILING FIN15HE5 AS REQ'D.
SMOKE-DEVELOPED INDEX FOR WALL AND CEILING 1 ; (•Yp)
FINISHES. FLAME SPREAD AND SMOKE-DEVELOPED ' I '
L2O1 I ,� 3. THE ARCHITECT SHALL HAVE NO CONTROL OVER OR CHARGE OF AND SHALL NOT BE
INDEXES FOR WALL AND GEILIN5 FIN15HE5 SHALL BE ' ' N RESPONSIBLE FOR CONSTRUCTION MEANS,METHODS, 5EQUENGE5 OR SAFETY FRAMING 15TRAPPING:
IN AGGORDANGE WITH 5EGTIONS R302.11.1 THROUGH PRECAUTIONS AND PROGRAMS IN CONNECTION WITH THE WORK SINGE THESE ARE 50LELY 13. ALL SHEATHING AND 5UBFLOORING 5HALL BE EXTERIOR GRADE AND AS REQUIRED BY ALL GOVERNING REGULATIONS.
R302A.4. WALL AND CEILING FIN15HE5 SHALL HAVE A < S THE GONTRAGTOR'5 RESPONSIBILITY UNDER THE CONTRACT FOR CONSTRUCTION. THE 14. ALL FLOOR .JOIST SHALL BE DOUBLED AT END RUNS, UNDER PARTITIONS RUNNING PARALLEL TO THEM AND UNDER
FLAME SPREAD INDEX OF NOT 5REATER THAN 200 CLIENT SHALL HOLD HARMLE55 THE ARCHITECT FOR ANY DAMAGES THAT ARE A RESULT BATHTUBS.
(R302A.1). WALL AND CEILING FIN15HB SHALL HAVE EX15T. BEDROOM EX15T. BEDROOM OF THE CONTRACTORS NEGLIGENT ACT5. 15. BLOCKING SHALL BE PROVIDED TO SUPPORT ROOF GUTTERS,FASCIA END5, GYPSUM BOARD CORNERS AND EDGES, GABINET5 AND ACCESSORIES, ETC.
5 #2 #I
(R302.a.2). 4. THE OWNER/GLIENT BY INCLUSION OF THI5 NOTE 15 MADE AWARE THAT CERTAIN
EVELOPED INDEX OF NOT GREATER THAN 16. INSTALL FIRE STOPPING AT ALL REQUIRED LOCATIONS TO COMPLY WITH 2O15 N.Y.5. ODE SECTIONS 502.13,602.8 4 1003.19.
450 (R302:
❑ ASSUMPTIONS HAVE BEEN MADE REGARDING EXISTING GONDITION5 WHIGH MAY PREVENT LOAD �ARINC 5TRUGTt1RE: Project No.
THE EXECUTION OF 50ME OR ALL A5PEGT5 OF THE PROP05ED PROJECT. SUCH
CONDITIONS CAN ONLY BE ADDRESSED AND RESOLVED AS THEY ARISE THESE Il. LUMBER TO BE DOUGLAS FIR, Fb=850, E_ (3 x 10 60R BETTER
PROPOSED x BE RESPONSIBLE FOCONDITIONS MAY
ADDITIONAL WORK AND G05T WHICH THE AR.GHITEGT SHALL NOT M.E,P NOTES. scale: A5 NOTED
BATHROOM #3 IS. ALL PLUMBING, HVAG, AND ELECTRICAL WORK SHALL BE PERFORMED BY LICENSED AND INSURED ONTRAGTOR5 AND IN ACORDANCE WITH ALL
' I 5. WORK DONE BY OTHERS -THE ARCHITECT SHALL NOT BE LIABLE FOR ANY WORK APPLICABLE ODES AND REGULATING AGENGIE5. Drawn By: DLS
2068 �66e; ; INGLUDED IN THESE PLANS DESIGNED BY OTHERS. THIS SHAH INCLUDE ALL WORK NOT 19. ELECTRICAL WORK TO BE UNDERWRITER'S INSPECTED AND APPROVED.
X ; ; 5167NED AND SEALED BY THE ARCHITECT. THE GLIENT SHALL HOLD HARMLE55 THE
w -- __6 � ARCHITECT FROM ALL WORK "BY OTHERS'. 20. GENTERLINE OF TYPICAL ELECTRICAL OUTLET TO BE MOUNTED 1'-3" A.F.F. UNLE55 OTHERWISE NOTED. CONTRACTOR SHALL FURNI5H AND INSTALL A
------ -- - -I-__-__ MINIMUM OF ONE OUTLET PER WALL AND ONE OUTLET PER TWELVE LINEAR FEET OF WALL. Date:
t 4'-0" 6. THE ARCHITECT HAS ENDEAVORED TO THE BEST OF H15 PROFE55IONAL ABILITY TO 21. CENTERLINE OF TYPICAL LIGHT SWITCH TO BE MOUNTED 4'-0" A.F.F. UNLE55 OTHERWISE NOTED.
PREPARE THESE PLANS. IN THE EVENT ANY 015PUTE5 AR15E BETWEEN THE CLIENT/OWNER
1 ' AND THE ARCHITECT GONGERNING ANY WORK PERFORMED BY THE ARGHITEGT OR HI5 22• ALL ELEGTRIGAL EQUIPMENT 4 WIRING 5HALL BE DESIGNED AND INSTALLED IN ACCORDANCE W/
' AC WHICH CANNOT BE RE50LVED BETWEEN THE PARTIES, BY INGLU51ON CHAPTERS 34-41 OF THE 2015 RE5IDENTIAL CODE OF NEW YORK STATE.
OF THIS NOTE AND USE OF THESE PLANS YOU AGREE TO SETTLE ALL LEGAL ACTION 23. ALL PLUMBING WORK 5HALL BE DESIGNED AND INSTALLED A5 PER THE 2015 RESIDENTIAL CODE OF NEW YORK 5TATE, CHAPTER 25-33
THROUGH MEDIATION AND /OR BINDING ARBITRATION. INGLU5IVE. ALL DOME5TIG WATER SUPPLY LINES 5HALL BE COPPER TYPE 'L' UTILIZING 5% MAXIMUM LEAD GONTENT SOLDER
X 1ST. SECOND FLOOR PLAN 24. THESE DRAWINGS AND SPECIFICATIONS ARE THE PROPERTY OF DIESEL ARCHITECTURE, PLLG AND ARE FOR USE 50LELY WITH RESPECT TO THIS
PROJECT ONLY. THEY ARE NOT TO BE USED BY THE OWNER, CONTRAGTOR,9U13-CONTRACTOR5 OR SUPPLIERS ON OTHER PROJECTS OR FOR ADDITIONS TO (D
M15 PROJECT 1�41TH PROPOSED INTERIOR ALTERATION5 RESERVED RIGHHT5, IN ADDITION TO SIDE THE SCOPE HE OPY THE �RIGHK. �THE GDESIGN SHOWN AND DESCRIBED HERT SHALL 13E DIEEMED THE EIN, NGLU AND D RETAIN
ALL TECHNICAL DRAWINGS,ON W ARE AND OTHER Proj. North pyie I ®1
PROPRIETARY AND GANNOT BE OPIED, DUPLICATED,OR COMMERCIALLY EXPLOITED, IN WHOLE OR IN PART WITHOUT WRITTEN AUTHORIZATION OF THE
SCALE: I/4"= I'-O" COPYRIGHT @ 200q. ALL RIGHTS RESERVED. DO NOT SCALE PRINT5