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HomeMy WebLinkAbout51602-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#: 51602 Date: 02/03/2025
Permission is hereby granted to:
Griswold Terry Glover
PO BOX 591
Southold, NY 11971
To:
construct accessible bathroom to existing commercial building as applied for.
Premises Located at:
51655 Route 25, Southold, NY 11971
SCTM#63.-6-1
Pursuant to application dated 11/26/2024 and approved by the Building Inspector.
To expire on 02/03/2027.
Contractors:
Required Inspections:
DRAINAGE, FOOTING/REBAR, FOUNDATION 1ST, FOUNDATION 2ND, FRAMING/STRAPPING , PLUMBING ,
ELECTRICAL- ROUGH, FIRE RESISTANT PENETRATION , ELECTRICAL- FINAL, INSULATION, FIRE SAFETY
INSPECTION , FIRE RESISTANT CONSTRUCTION , FINAL,
Fees:
Commercial-Alteration $349.50
CO Commercial-Addition/Alteration $100.00
Total $449.50
ilding Inspector
f Fat x
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 littps://www.soLitholdtown!iy..&,()v
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only Ra
PERMIT NO.� "u' Building Inspector. N O i
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an �i �'`"1 " "' �� :"'�1
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)Ck PR P'ERTY:
Name:60v*W Mf41CJq0 te DAJ SCTM #1000- (13 G•, �,
Project Address: '510 4V HA 4dv1V6"--T> 19-7 1
Phone#: (.03 1— 7 bs" S27� Email: '+ "#sr 5,01 , 40
Mailing Address: V,0 . 5&-/- Cj91 =0V-04dLb V q*7
CONTACT PERSON:
Name: i L,%4i9 H , t`�iANZ A e( 1 TrF�'
Mailing Address: f.a. ? p ¢ Aiqu SO btvE t �i y q3
Phone#: U 3 1 — 72s, � Email:fm-4Tr4efh . wAl
DESIGN PROFESSIONAL INFORMATION:
Name: 1 GW H .
Mailing Address: + 22 IJE �
Phone#: ( ' �23— � " Email: "" —4*IL 64A1
CONTRACTOR INFORMATION:
Name.
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition KAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $
oe
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes o
1
PROPERTY INFORMATION
Existing use of property: G CN'Oti Intended use of property: "A lm—
Zone or use district in which premises is situated: Are there any covenants restrictions with respect to
this property? ❑Yes L No IF YES, PROVIDE A COPY.
tack Box After Racting: 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 IMAGE to tfine�'M11ding5 partment 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 210.4S of the New York State Penal Law.
Application Submitted By(print name): I01 I, R(uthorized Agent ❑Owner
Signature of Applicant: cam` Date: l l Zee 1Zt�—
STATE OF NEW YORK)
r SS:
COUNTY OF J u �► ��L )
R ( J,,,C�_, A G being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is theA /- � 1� cl+
(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
dayof 20
0
� �� , ,...
ary Public
TIFFANY J B�ERF_ZNY
Notary Public-State of New York
No.01 BE6284112
PROPERTY OWNER � UI III I�0FUZ TIO Qtn�wliLa�d in Suffolk County
My Corn n'tission Expire 0 �....... _..25
(Where the applicant is not the owner) so6�17i2o
residing at
-50 -fiO`t4 N ft 7, tit , V1�i' � do hereby authorize, lL Q �i to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Da-y►
- A E �� Fr►'P s
Print Owner's Name
2
2'x 4' GENERAL CONSTRUCTION NOTES, 1
SUSPENDED
C LG. I. ALL CONSTRUCTION SHALL CONFORM TO THE 2020 BUILDING CODE OF
NEW YORK STATE. ALL LOCAL BUILDING AND ZONI EMENTS, ALL FEDERAL
BUILDING REQUIREMENTS AND THE NEW YORK STATE ENERGY CONSERVATION,
ALL BUILDING CODES AND REQUIREMENTS SHALL SUPERCEDE THE DRAWINGS
I I I
ALL WORK MUST BE IN COMPLIANCE WITH ICC/ANSI A117.1-2009.
2. ALL CONSTRUCTION WITHIN THE 130 MPH THREE SECOND
I GUST WIND SPEED REGIONS SHALL BE IN CONFORMITY WITH THE AMERICAN
— ( FOREST AND PAPER ASSOCIATION (AF*AP) WOOD FRAME CONSTRUCTION
�I MANUAL FOR ONE AND TWO FAMILY DWELLINGS.
e I 2 4 B. ALL CONTRACTORS SMALL BE LICENSED AND INSURED AS REQUIRED. O
0 TILE
I FLOOR A. ALL PLUMBING, MECHANICAL AND FUEL GAS WORK SMALL CONFORM TO
XI ST i N C- ----tt�� THE PLUMBING CODE, MECHANICAL CODE AND FUEL GAS CODES AND r l �-
JJ�� M LO REQUIREMENTS HAVING JURISDICTION. ONLY A LICENSED AND INSURED v
GOAT �OOI I / PLUMBING CONTRACTOR 5HALL PERFORM ALL PLUMBING WORK. M u
S. ALL ELECTRICAL WORK SHALL CONFORM TO THE THE 2020 RESIDENTIAL CODE OF
/ NEW YORK STATE AND ALL LOCAL AND FEDERAL CODES AND REQUIREMENTS w
\ t� HAVING JURISDICTION. ONLY A LICENSED AND INSURED ELECTRICAL U
— CONTRACTOR SHALL PERFORM ALL ELECTRICAL WORK. �p
6. ALL CONSTRUCTION SHALL BE BASED ON THE DIMENSIONS AS INDICATED W
IN THE DRAWINGS. VERIFY ALL WORK NOT DIMENSIONED WITH THE ARCHITECT z
V/ i (PC I -O 11 BEFORE THE START OF THE WORK. DO NOT SCALE DRAWINGS FOR DIMENSIONS. �{ (7a U
rJ X
7. THE CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFICATION OF ALL Q O
� /x CONDITIONS AND DIMENSIONS WITH THE ARCHITECT PRIOR TO THE START OF THE
N I / [flWORK. Cc Q
8. THE CONTRACTOR SHALL MATCH ALL EXISTING CONDITIONS AS THEY
RELATE TO ALL MATERIALS, MECHANICAL, ELECTRICAL, PLUMBING FINISHES, < f�
HEIGHTS ALIGNMENT AND DIMENSIONS UNLESS INDICATED OTHERWI5E.
00
9, ALL MATERIALS AND PRODUCTS SHALL BE PROVIDED AS INDICATED IN n1
THE DRAWINGS AND SPECIFICATIONS AND INSTALLED AS PER THE N
VI p LINE OF MANUFACTURERS SPECIFICATIONS AND INDUSTRY STANDARD PRACTICE. ALL O 00
I co CLEAR MATERIAL AND PRODUCTS SHALL BE NEW AND FREE FROM DAMAGE. a] c+1
I' I X SPACE ^ � N
W O 10. ALL CONSTRUCTION SHALL BE LEVEL, PLUMB AND TRUE UNLESS NOTED �� a
OTHERWISE. ALL CONSTRUCTION SHALL BE TO THE LINES AND DIMENSIONS
Z M
SHOWN UNLE55 NOTED OTHERWISE.
It. THE ARCHITECT 15 NOT RESPONSIBLE FOR CONSTRUCTION MEANS,
METHODS, TECHNIQUES, SEQUENCES, PROCEDURES, SHORING, BRACING,
PROTECTION, OF LIFE AND PROPERTY OR FOR THE SAFETY PRECAUTIONS AND
PROGRAMS IN CONNECTION WITH THE WORK AND ALSO NOT RESPONSIBLE FOR
KO"L ER I"IORN I NGS I D E THE CONTRACTOR'S FAILURE TO PERFORM THE WORK IN ACCORDANCE WITH THE
WALL-1"IOU NT E D A DA DRAWINGS AND SPECIFICATIONS. THE ARCHITECT 15 NOT RESPONSIBLE FOR THE
BAT"ROOI"I SINK K- 12GSG ACTS OF ERROR OR OMISSION BY THE CONTRACTOR OR ANY OF THE
SUB-CONTRACTORS OR ANY PERSON PERFORMING THE WORK. M
EXISTING EXISTING EXISTING
-7/1\ NOTE :
3" V.T.R. � T^
INSTALL PRODUCTS ` ROOF
P 'I' V1
I ACCORDINGLY TO T"E R E F L EC-r I V/ E CEILING PLAN L -- 2" � O
+-- IN O � �� N O INSTALLATION INSTRUCTIONS
T I I O
EX . COAT ROO 1 1M � . C . BAT" ROOT 1 TO INSURE ADA GOI"iPLIAN I _ 1 11 2" o
SCALD: /2 11 — 1 —D 12"
IST FL. Ily.
SCALE: /211 = 1 1 -011 SCALE: /211 = I 1 -011 [� O
I�
3"
BASEMENT l•
V �J
C.O. TO EXISTING APPROVED
SANITARY SYSTEM
V 1�
W H
CA V h�l
O
EXISTING TOP PORTION O Q
OF WINDOW TO REI"IAIN, n/
BOTTOI"1 TO BE FILLED
IN ON T"E INSIDE, SUSPENDED F+1
EXTERIOR TO REI"IAIN CLG.
R C
PA
GYP.i BOARD PAINTED PAINTED M.
GYP. BOARD GYP. BOARD c� 2� 2�
PAINTED
GYP. BOARD
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fn 1 Q (n 1 Q 0 I/30/25 REVISE
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No.., Date Title
inREVISIONS:
Drawn By:
R 1"I i"1
TILE WALL ct
L .; Date: 11118124
1 1Ury
I; Drawing No.:
E L EVAT 1 ON II 1II II ELEVATION 2II E L FEVAT I ON ' 3 ' E L EVAT I ON i t 411
SCALE: %2it'll—oil SCALE: %211=11-011 SCALE: %211=11-011 SCALE: %21'=11-011
OF 1 SHEETS