HomeMy WebLinkAbout51602-Z '�Xpf SOUlyO`° Town of Southold
* * P.O. Box 1179
04 53095 Main Rd
k' Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46204 Date: 05/30/2025
THIS CERTIFIES that the building COMMERCIAL ALTERATION
Location of Property: 51655 Route 25 Southold, NY 11971
Sec/Block/Lot: 63.-6-1
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 11/26/2024
Pursuant to which Building Permit No. 51602 and dated: 02/03/2025
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:
Accessible bathroom to existing commercial building as applied for.
The certificate is issued to: Griswold Terry Glover
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION: Samaritan Plumbing 5/15/2025
Auth riz d ignature
�aoFsaury° 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
SCTIVI#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
I�
.. oSufFoc c ��
Town Hall Annex �� �� , MAY 2 8 Telephone(631)765-1802
54375 Main Road a r4Cm
P. O. Box 1179
7' Southold, NY 11971-0959 ' tttll�Itaz g��par'rmettt
�O!`F TC�`.P,1-1 Of ti, 0
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No. z) 16 f��
Owner:
(Please print)
Plumber: � 1'L Lj _
(Please print)'
I certify that the solder used in the water supply system contains less than 2/10 of 1% lead.
t�J c C, cat
(Plumbers Signature)
Sworn to before me this I
day o
THOhgAS J.McCP.RiH`(
Notary Public,Stale of New York
No.5004790-Suffolk County
Notary Public, SU County Commission Expires Nov 23,E
1
z
laE SOUIyO<o
. # TOWN OF SOUTHOLD BUILDING DEPT.
utm, ' 631-765-1802
,1�v. -I-NS-PEC ION
[ ] FOUNDATION,1 ST/REBAR [ ] 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:
n ry
A)mk V
ol
DATE l Y> INSPECTOR
OP SOUIyOIo
# TOWN OF SOUTHOLD BUILDING DEPT.
Vouto, 631-765-1802
060 INSPECTION
[ ] FOUNDATION 1ST/'REBAR [ ] 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
REMAR S: i
d QA
DATE Y INSPECTO
HELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (IST)IST)
------------------------------------- -
FOUNDATION (2ND)
YX
ROUGH FRAMING&
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS ZZ
Vc, -IV4 q
z;u
-----------
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4��SUFFOI�coG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
N yz Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
L� C� LQWL
/L PERMIT NO. Building Inspector: NOV 2 6
2024
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an 1 "TIff€ng DePariment
Owner's Authorization form(Page 2)shall be completed. TV1; in "iAtf 0 1 d
Date:
OWNERS)dF PR PE/R�T,Y: 1
Nam e:�D '0 - f ' -(�i ON SCTM#1000-
Project Address: �� Ljw'I'�vb {R-1 1
Phone#: L03_I ZZ7.(r Email: �GST 503..GO
Mailing Address: V,0, �p� G�Gt{ =OV'WC—b 0 7. -
CONTACT PERSON:
Name:
g Addr
ess:- -_ . . -'?�-o. Box _Z,zB Q v�'Sv Prue -r�:Y
Phone#: Y'! I _ SZ?� .r Email:P� M L`
DESIGN PROFESSIONAL INFORMATION:
Name: -(40-�} . _! PAP A -C
Mailing Address:----
Phone# Email:E
P : O ma
- --------- --- _v 3 ?3-- -Sa7 .--- _ . . - _ . . ___ �+�A h�c�r •�c�rL-. cam
----
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: [Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition KAlteration ❑Repair ❑Demolition Es,timateq Cost of Project:
❑Other $ 20 -
.000
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 Intended use of property:
Zone or use district in which premises is situated: Are there any covenants restrictions with respect to
this property? I]Yes ^No IF YES, PROVIDE A COPY.
Check Box After R ading: 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 210.45 of the New York State Penal Law.
Application Submitted By(print name): 10P A tPh1rd,A L A . DAuthorized Agent ❑Owner
Signature of Applicant: S Date:
STATE OF NEW YORK)
C SS:
COUNTY OF J y �i
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Arc,,�
(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
414
day of f�l0U�nn�jZI1 , 20 V
ary Public Cj
TIFFANY J BEREZNY
Notary Public-State of New York
PROPERTY OWNER AUTHORIZATION Niedo. in Suffolk
12
Qualified in Suffolk County
(Where the applicant is not the owner) My Commission Expires 06/17/2025
residing at 5/3a .f0 4o' a ,?f
do hereby authorize ekC� AQ M 1 �'I ACD to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
9_3L � �tlo✓, /�1 �o�ly
Owner's Signature Date
Print Owner's Name
2
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APPR VED AS NOTED
• 3 a-� �.P. 5 a
FEE �S�eY:
NOTIFY 8 ILOING DEPARTMENTAT
631-765.1802 8AM TO 4PM FOR THE OCCUPANCY OR
FOLLOWING INSPECTIONS: USE IS UNLAWFUL
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE WITHOUT CERTIFICA'
2. ROUGH-FRAMING&PLUMBING
3. INSULATION OF OCCUPANCY
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS ELECTRICAL
INSPECTION REQUIRED
COMPLY WITH ALL CODES OF
NEW YORK STATE &TOWN CODES
AS REQUIRE/NELC
DITIONS OF
N ZBA
N PLANNING BOARD
w x .PLUMBI G ASE
N TRUSTEES
EC
ER LINES NEED
RE COV.ERING'
PLR,CIT�FICATIO� ° {R {{�StPE_�i
owl i tbkpoF
REQUIRED SERo
C
; RoPAN OPENING
SOLD V 4 9A _ ..
S17P,P S,YSrEM. tl ANW
�"XrFF.D 240 OF 1°/ ' r
ST—202G
2'x4' GENERAL CONSTRUCTION NOTESs
SUSPENDED
CLG. I. ALL CONSTRUCTION SHALL CONFORM TO THE 2020 BUILDING COCE OF
NEW YORK STATE. ALL LOCAL BUILDING AND ZON1 EPIENT% ALL FEDERAL
BUILDING REQUIREMENTS AND THE NEW YORK STATE ENERGY CONSERVATION.
ALL BUILDING CODES AND REQUIREMENTS SHALL 5UPERCEDE THE DRAWINGS
I I t 1
ALL WORK MU5T BE IN COMPLIANCE WITH ICC/ANSI A117.1-2009. I
2. ALL CONSTRUCTION WITHIN THE 130 MPH THREE SECOND
GUST WIND SPEED REGIONS SHALL BE IN CONFORMITY WITH THE AMERICAN
FOREST AND PAPER ASSOCIATION (AFtAP) WOOD FRAME CONSTRUCTION
' I MANUAL FOR ONE AND TWO FAMILY DWELLINGS.
° v ( 2 ^ 3. ALL CONTRACTORS SHALL BE LICENSED AND INSURED AS REQUIRED. O
TILE I �-I'
I FLOOR I .S 4. ALL PLUMBING, MECHANICAL AND FUEL GAS WORK SHALL CONFORM TO
�XI �TING - THE PLUMBING CODE, MECHANICAL CODE AND FUEL GAS CODES AND � l
J� M REQUIREMENTS HAVING JURISDICTION. ONLY A LICENSED AND INSURED �„/ _ Q
COAT ROOT I / _\ PLUMBING CONTRACTOR SHALL PERFORM ALL PLUMBING WORK. V
5. ALL ELECTRICAL WORK SHALL CONFORM TO THE THE 2020 RE510ENTIAL CODE OF
NEW YORK STATE AND ALL LOCAL AND FEDERAL CODES AND RE2UIREMENTS w �"
\ L HAVING JURISDICTION. ONLY A LICENSED AND INSURED ELECTRICAL t�
- y =r - y CONTRACTOR SHALL PERFORM ALL ELECTRICAL WORK. CJ
3 u
J I Co. ALL CONSTRUCTION SHALL BE BASED ON THE DIMENSIONS AS INDICATED W
(n `Q IN THE DRAWINGS. VERIFY ALL WORK NOT DIMENSIONED WITH THE ARCHITECT z
V/ v cps O I I BEFORE THE START OF THE WORK. CIO NOT SCALE DRAWINGS FOR DIMENSIONS. U
7. THE CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFICATION OF ALL Q O Q
I/'�I CONDITIONS AND DIMENSIONS WITH THE ARCHITECT PRIOR TO THE START OF THE m 0
W `V / W WORK.
W � M"�'� "j Q
\� 5. THE CONTRACTOR SHALL MATCH ALL EXISTING CONDITIONS AS THEY ^ f••l••{
RELATE TO ALL MATERIALS, MECHANICAL, ELECTRICAL, PLUMBING FINISHES, Q
HEIGHTS ALIGNMENT AND DIMENSIONS UNLESS INDICATED OTHERWISE.
9. ALL MATERIALS AND PRODUCTS SHALL BE PROVIDED AS INDICATED IN N O�
THE DRAWINGS AND SPECIFICATIONS AND INSTALLED AS PER THE w
LINE OF MANUFACTURERS SPECIFICATIONS AND INDUSTRY STANDARD PRACTICE. ALL 0 kn
(� CLEAR MATERIAL AND PRODUCTS SHALL BE NEW AND FREE FROM DAMAGE. N
X SPACE O "'
l O 10. ALL CONSTRUCTION SHALL BE LEVEL, PLUMB AND TRUE UNLESS NOTED
Z OTHERWISE. ALL CONSTRUCTION SHALL BE TO THE LINES AND DIMENSIONS M
SHOWN UNLESS NOTED OTHERWISE.-1 L nI
11. 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 AL50 NOT RESPONSIBLE FOR
KOI-4 L E R I`1ORN I NGS 1 DE THE CONTRACTOR'S FAILURE TO PERFORM THE WORK IN ACCORDANCE WITH THE
WALL—I"IOUNTED ADA DRAWINGS AND SPECIFICATIONS. THE ARCHITECT IS NOT RESPONSIBLE FOR THE
BATNROOI`1 SINK K- 12GBG ACTS OF ERROR OR OMI55ION BY THE CONTRACTOR OR ANY OF THE
5UB-CONTRACTORS OR ANY PERSON PERFORMING THE WORK. M
EXISTING EXISTING EXISTING
NOTE :
3° V.T.R.
INSTALL PRODUCTS ROOF d,
�� O PLAN O T ACCORDINGLY TO HE L _ 2" _
' `' INSTALLATION INSTRUCTIONS �� ( � CEILING ��
TO INSURE ADA COMPLIANT I2° 2°
EX . CO�,T �OOI"f H . C . �3,�T� �OO1"
SCALD: %2" = 1 ' —O" LAV O H
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SCALD: j211 _ , I _O11 SCALD: %211 _ 1 1 _O11 3.
3° r fir✓
W
BASEMENT
G.O. TO EXISTING APPROVED
SANITARY SYSTEM
O
EXISTING TOP PORTION O O
OF WINDOW TO REI"IAIN,
BOTTOI—I TO BE FILLED ^
IN ON THE INSIDE,
SUSPENDED
EXTERIOR TO RE"AIN CLG.
All-
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PAINTED PAINTED /•���S�P�D ,Lj� cc�;��
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ElDISPENSER Q—o Q 0 0 Q IQ 1/30/25 REV15E
m Z tv m cv No. Date Title
m I
REVISIONS:
`1' Ir - ------- Drawn By:
RM1"1
TILE WALL
�u L, Date: 11/18/24
FE L EVAT ION II III ELEVATION " 2 " ELEVATION II 3 II ELEVATION I I 4 II � Drawing No.:
J A N 3 1 203 L .
SCALE: %211.1'-011 SCALE: %211=1'—011 SCALE: %211= 1'—011 SCALE: %211=1'-011
OF 1 SHEETS