HomeMy WebLinkAbout52629-Z TOWN of SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
AIM
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT CAN THE PREMISES
WITH ONE SET OFAPPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52629 Date: 01/27/2026
Permission is hereby granted to:
Faye L Reynolds
Po BOX 1074
Mattituck, NY 11952
To:
Construct interior alterations to an existing single-family dwelling to include a vaulted ceiling,
renovations,and new►windows and doors as applied for.
Premises Located at:
855 old :salt Rd, Mattituck, NY 11952
SCTM# 144.-5-16
Pursuant to application dated 11/26/2025 and approved by the Building Inspector.
To expire on 01/27/2028.
Contractors:
Rewired Inspections:
Fees:
Single Family Dwelling- Alteration $912.50
CO Single Family Dwelling-Addition /Alteration $100.00
Total 1012.50
Building Inspector
....
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' TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main.Road P. 0. Box 1179 Southold NY 11971-0959
Telephone 631) 765-1802 Fax (631)765-9502 bftsil
Date Received
AP'PtICATION
�FOR
PERMIT
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For Office Use Only
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PERMIT NO. Building Inspector.: �
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Applications and forms must be filled out in their entirety.Incomplete K
applications will not be accepted. Where the Applicant is not the owner,an `
Owner's Authorization form(Page 2)shall be completed. �
Date: Z s�
OWN ER(S)OF PROPERTY:
Name: 1 SCTM#1000-
Project Address <3 Z, I. 5
Phone#:
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Mailing Address:
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CONTACT PERSON.
Name:
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Mailing Address:
Phone#: 14 _ S-0 Email
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DESIGN PROFESSIONAL INFORMATION:
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Name: �1 a5 VC)
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Mailing Address:
Phone#: t Email: �
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION of PROPOSED CONSTRUCTION
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D New Structure ❑Addition Alteration n Repair ❑Demolition Estimated Cost of Project:
❑other $1, Z,6!0 (1,
Will the lot be re-graded? ❑Yes C(I No Will excess fill be removed from premises? ❑YesV" 'No
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PROPERTY INFORMATION
Existing use of property: intended use of property:
........................
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? DYes FlNo IF YES, PROVIDE A COPY.
El 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. APPLICAInON 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
Lpunishable.as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.� i!
[]Authorized Agent Owner
Application Submitted By(print name): kc, 010t>
Signature of Applicant: Date: 1� ��( �.
STATE OF NEW YORK)
SS:
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CO U NTY OF i
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the ow-of 9 1
(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
Rq "day of ................
o c Pub
lic
tary Public
Tr"'ACEY L. DWYEi3
PROPERTY OWNER AUTHORIZATION NOTARY PUBLIC)STATE OF NEW YORK
No.01 OW6306900
(Where the applicant is not the owner) IN��U`FQLK COUNTY
COMMI".S!ON E.- JUNE 3,0,2Q.�
residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
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VICINITY MAP SITE MAP ABBREVIATIONS
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ArcGIS Web Map ADJ. - Adjustable HT - Height
ALT. - Alternate IBC - International Building Code
ALUM - Aluminum IIC - Impact Isolation Class HEATHER LYNNE BENSKO
APPROX. - Approximate INCL - Including NY Lic. 037973-01
ARCH - Architect INSUL - Insulation
BITUM - Bituminous INT - Interior THERBEN LLC
BLDG - Building MANUF - Manufacturing 21 Carlin Street
AL
BLKG - Blocking MAX - Maximum Norwalk, CT 06851
B.O. - Bottom of MEMB - Membrane
CAB - Cabinet MIN - Minimum T 203.506.7851
C.I.P. - Cast in Place MISC - Miscellaneous heather@therben.com
CJ - Control Joint M.O. - Masonry Opening
CL - Centerline MULL - Mullion
CLO. or CLOS - Closet N - North
CLG - Ceiling NO - Number
CLR - Clear NIC - Not in Contract
CMU - Concrete Masonry Unit NOM - Nominal
COL - Column NR - Not Rated
CONC - Concrete NTS - Not to Scale
CONT - Continuous O.C. - On Center
DBL - Double O.D. - Overflow Drain
DIA - Diameter PERF - Perforated
DIM - Dimension PL - Property Line
DN - Down POS - Point of Sale!
DW - Dishwasher RCP - Reflected Ceiling Plan
DWR - Drawer R.D. - Roof Drain
E - East REF - Reference
1011912025,4:41:46 PM 1:638
0 0.01 0.01 0 02 mi ------- EA Each REV - Revision
Contour 5 feet Dredged Soill VE
Tidal Wetlands FEMA Flood Zones Tax Parcels 0 0.01 001 0.03 km — ELEC - Electrical R.O. - Rough Openling
Tidal Welland AE —————— EQUIP - Equipment ROW - Right of Way
EST - Estimate S - South
-------- EQ - Equal SIM - Similar W
EXT - Exterior SF - Square Feet
F.D. - Floor Drain STD - Standard
F.F. - Finish Floor STOR - Storage
AERIAL MAP Z
FIXT - Fixture STRUCT - Structure
FT - Foot/ Feet TBD - To Be Determined 0
FURN - Furniture T.O. - Top of
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GEN - General TYP. Typical
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GENERAL NOTES SCOPE OF WORK DRAWING INDEX — PERMIT CONTACTS
ISSUANCE
All new work shall comply with materials and methods requirements in the New York State Uniform Fire Prevention and The proposed work for this project is an interior renovation only, PERMIT SET ARCHITECT
Building Code and the 2020 NY State Energy Conservation Code based on 2018 International Building Code, 2018 to limited rooms on the main level No structural work is required FOR PERMIT
.
International Energy Conservation Code, as applicable and adopted by the Town of Southold, that specify material standards, G100 COVER SHEET Heather L. Bensko
detail of installation and connection, joints, penIetrations, and continuity of any element, component, or system in the building. for these renovations. THERBEN LLC
D100 EXISITNG / DEMOLITION PLAN 21 Carlin Street REVISION
All work must meet or exceed all local, state and national building codes and requirements. Contractor is responsible for A100 MAIN LEVEL FLOOR PLAN Norwalk,CT 06851 11.24.2025 PERMIT
securing a building permit and scheduling all required inspections. On the main level, three bathrooms will be renovated. Plurnbing D200 EXISTING / DEMOLITION EXTERIOR ELEVATIONS (203) 506-7851 tel
Any discrepancies, errors, or omissions in the drawings should be brought to the attention of the Architect before beginning fixtures will be relocated, but the overall fixture count will remain D210 EXISTING / DEMOLITION EXTERIOR ELEVATIONS heather@therben.com
construction. Any substitutions are deviations from the drawings shall first be submitted to the Architect. Architect does not the same. OWNER
take responsibility for any additional work that iis not expressly provided for within the scope of work of this project. A200 PROPOSED ELEVATIONS'
On these drawings, dimensions are to face of fframing, center of beam, top of concrete, or top of subfloor, unless otherwise Some interior partitions walls will be reconfigured to remove or A210 PROPOSED ELEVATIONS Nick Vercollone
noted. Written dimensions take precedence outerMattiuc
er scaled dimensions. relocate closets. 855 Old Salt Road NY 11952 DATE 11.24.2025
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The Architect has used reasonable professional effort and judgment in interpreting and advising the Owner as to the (781) 504-2956 tel SCALE NTS
necessary requirements to comply with applicable codes. The Town of Southold Building Department makes the final A smaller, replacement window will be supplied in Bathrooim #3. nick@highlineconstruction.com DRAWN BY
interpretations of these codes and the Architect does not warrant or guarantee that the project will fully comply as drawn with Larger windows will be supplied in Bedroom #4. At the Garage, BUILDING DATA HLB
the requirements of these regulatory agencies ,or judicial bodies. the side window will be replaced with an exterior door. CODE: New York State Uniform Fire Prevention and Building Code CHECKED By HLB
The Architect shall visit the site at regular intervals to become generally familiar with the progress of the project and to New York State Energy Conservation Code TITLE
determine if, in general, the work is consistent iwith the architectural documents. The Architect shall take no responsibility for
the quality of the construction, or the means, n-nethods, techniques, sequences of procedures, or safety precautions associated ADDRESS: 855 Old Salt Road
with the project. SCTM: 1000-144-5-16 (a/k/a 1000-144-00-05-00-016-000) COVER
ENERGY CODE COMPLIANCE —WINDOWS:
Per ECCCNYS 2020, Table R402.1.2 (Climate Zone 4A— Suffolk County), all new and replacement fenestration shall meet a ZONE: R-40 —Town of Southold Zonin
maximum U-factor of 0.32 (NFRC-certified). Skylights, where applicable, shall meet a maximum U-factor of 0.55. CONSTRUCTION: Type V, unsprinklered
SHGC is not prescriptively required for residential fenestration in Zone 4A unless following a performance/UA-tradeoff path.
All window installations to include continuous flashing, air sealing, and insulation around window per manufacturer's OCCUPANCY: RESIDENCE
instructions and ECCCNYS R402.4. G100
GENERAL DEMOLITION NOTES
1. WHEN UTILITY SYSTEMS NEED TO BE REMOVED, IPROVIDE CAP,VALVE, PLUG,OR
SEAL TO MEET CODE REQUIREMENTS AND MAINTAIN CONTINUUM OF THE
SYSTEM. HEATHER LYNNE BENSKO
2. PROVIDE TEMPORARY BARRICADES AND PROTECTION TO PREVENT INJURY TO
PEOPLE AND DAMAGE TO ADJACENT CONSTRUCTION TO REMAIN. NY Lie. 037973-01
3. DURING DEMOLITION ACTIVITIES, MAINTAIN BUILDING SO IT REMAINS WATER
TIGHT AND WEATHER TIGHT.
THERBEN LLC
4. UNLESS DEMOLISHED MATERIAL IS INDICATED TO REMAIN,OR TO BE TURNED
OVER TO THE OWNER, REMOVE MATERIAL FROM PROJECT SITE AND DISPOSE OF 21 Carlin Street
LEGALLY.
5. THE CONTRACTOR IS TO PROTECT THE EXISTING;BUILDING STRUCTURE AND Norwalk, CT 06851
FINISHES TO REMAIN.
6. THE CONTRACTOR IS TO CAP AND PROTECT ALL IUTILITES AS ENCOUNTERED.
T 203.506.7851
7. THE CONTRACTOR IS RESPONSIBLE FOR THE STP\BILITY AND STRUCTURAL
INTEGRITY OF THE EXISTING STRUCTURES WITH,AND ADJACENT TO THE WORKS. heather@therben.com
therben.com
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ENERGY CODE-FENESTRATION NOTES LIFE SAFETY NOTES(NYS RESIDENTIAL CODE 2020) f p
All new and replacement windows shall comply with ECCCNYS 202(0, 1. SMOKE ALARMS(R314)
Table R402.1.2 for Climate Zone 4A.Fenestration(windows and exterior Provide smoke alarms in each sleeping room,outside each sleeping area,and on every story,including basements.
glazed doors)shall have a maximum U-factor of U-0.32,NFRC-rated. Alarms shall be hardwired with battery backup and interconnected so all alarms sound together.
Skylights,if used,shall have a maximum U-factor of U-0.55.Windowvs shall Smoke alarms shall not be installed in garages,crawlspaces,or unconditioned attics.
be installed per manufacturer's instructions and flashed/sealed to maintain 2. CARBON MONOXIDE ALARMS(R315) HEATHER L
the continuity of the air and weather barrier. Provide CO alarms outside each separate sleeping area,on every level of the dwelling with a fuel-burning appliance, NY Lie. 037973-01
N BENSKO
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and on levels adjacent to an attached garage.
Alarms shall be hardwired,interconnected,and include battery backup where required.
Do not install CO alarms inside garages. THERBEN LLC
21 Carlin Street
ANDERSEN SERIES 400 OR MARVIN Norwalk, CT 06851
ELEVATE TEMPERED,CASEMENT
WINDOW. HEADER-UTILIZE
EXISTING HEADER AND PROVIDE T 203.506.7851
NEW DOUBLE 2X6 SILL \A heather a@therben.com
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GENERAL DEMOLITION NOTES
1. WHEN UTILITY SYSTEMS NEED TO BE REMOVED, PROVIDE CAP,VALVE, PLUG,OR
SEAL TO MEET CODE REQUIREMENTS AND MAINTAIN CONTINUUM OF THE
SYSTEM.
HEATHER LYNNE BENSKO
2. PROVIDE TEMPORARY BARRICADES AND PROTECTION TO PREVENT INJURY TO
NY Lic. 037973-01
PEOPLE AND DAMAGE TO ADJACENT CONSTRUCTION TO REMAIN.
3. DURING DEMOLITION ACTIVITIES, MAINTAIN BIUILDING SO IT REMAINS WATER
TIGHT AND WEATHER TIGHT. THERBEN LLC
4. UNLESS DEMOLISHED MATERIAL IS INDICATEID TO REMAIN, OR TO BE TURNED
OVER TO THE OWNER, REMOVE MATERIAL FROM PROJECT SITE AND DISPOSE OF 21 Carlin Street
LEGALLY.
Norwalk, CT 06851
5. THE CONTRACTOR IS TO PROTECT THE EXISTING BUILDING STRUCTURE AND �
FINISHES TO REMAIN.
6. THE CONTRACTOR IS TO CAP AND PROTECT ALL UTILITES AS ENCOUNTERED.
03.506.7851 heather@therben.com
7. THE CONTRACTOR IS RESPONSIBLE FOR THE STABILITY AND STRUCTURAL I I I
INTEGRITY OF THE EXISTING STRUCTURES WIITH AND ADJACENT TO THE WORKS. I I I I I
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TITLE
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ELEVATION
D200
0' 5' 10' 20'
I
i
GENERAL DEMOLITION NOTES
1. WHEN UTILITY SYSTEMS NEED TO BE REMOVED, PROVIDE CAP,VALVE, PLUG,OR
SEAL TO MEET CODE REQUIREMENTS AND MAINTAIN CONTINUUM OF THE
HEATHER LYNNE BENSKO
SYSTEM.
2. PROVIDE TEMPORARY BARRICADES AND PROTECTION TO PREVENT INJURY TO Y Lic. 037973-01
PEOPLE AND DAMAGE TO ADJACENT CONSTRUCTION TO REMAIN.
3. DURING DEMOLITION ACTIVITIES, MAINTAIN BUILDIING SO IT REMAINS WATER
TIGHT AND WEATHER TIGHT. THERBEN LLC
4. UNLESS DEMOLISHED MATERIAL IS INDICATED TOI REMAIN, OR TO BE TURNED
21 Carlin Street
OVER TO THE OWNER, REMOVE MATERIAL FROM (PROJECT SITE AND DISPOSE OF
LEGALLY.
Norwalk, CT 06851
5. THE CONTRACTOR IS TO PROTECT THE EXISTING BUILDING STRUCTURE AND
FINISHES TO REMAIN.
6, THE CONTRACTOR IS TO CAP AND PROTECT ALL UTILITES AS ENCOUNTERED. 'E T 203.506.7851
7. THE CONTRACTOR IS RESPONSIBLE FOR THE STABILITY AND STRUCTURAL rr 1r' 1' heather@therben.com
INTEGRITY OF THE EXISTING STRUCTURES WITH AND ADJACENT TO THE WORKS. I I I I I
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11.24.2025 PERMIT
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REMOVE WINDOW FOR REPLACEMENT I I I I
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01
1 20'-08' 1 34'-3" I I DATE
11.24.2025
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SCALE JJ 1/4" = 1'0"
EXISTING SIDE ELEVATION n DRAWN BY HLB
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CHECKED BY HLB
TITLE
DEMO
ELEVATION
2 10
0' 5' 10, 20'
I
IR F S i G iNl
HEATHER LYNNE BENSKO
NY Lic. 037973-01
THERBEN LLC
21 Carlin Street
Norwalk, CT 06851
T 203.506.7851
heather@therben.com
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ISSUANCE
FOR PERMIT
NO NEW WORK AT SIDE:ELEVATION I I I REVISION
11.24.2025 PERMIT
28'-0" DATE 11.24.2025
4� 4'-4"
3'-04-"' 9'-61" /5 9'-41'
2 4 '6:)
2 SCALE 1101111
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DRAWN BY HLB
PROPOSED SIDE ELEVATION
1/4"=V-0.1 CHECKED By HLB
TITLE
PROPOSED
ELEVATION
A200
of 51 10, 20'
ENERGY CODE-FENESTRATION NOTES
All new and replacement windows shall comply with ECCCNYS 2020,
Table R402.1.2 for Climate Zone 4A.Fenestration(windows and ex(terior
glazed doors)shall have a maximum U-factor of U-0.32,NFRC-rated. HEATHER LYNNE BENSKO
Skylights,if used,shall have a maximum U-factor of U-0.55.Windows shall
be installed per manufacturer's instructions and flashed/sealed to rnaintain NY Lic. 037973-01
the continuity of the air and weather barrier.
THERBEN LLC
21 Carlin Street
Norwalk, CT 06851
T 203.506.7851
heather@therben.com
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ISSUANCE
FOR PERMIT
REVISION
LUI
11.24.2025 PERMIT
NEW EXTERZIOR DOOR TO THE
GARAGE
Ioe 34'-3" op
20'-08-"'
10e 54'-3" DATE 11.24.2025
6 5J � 3� 2J SCALE 1/411 = 1 foil
PROPOSED SIDE ELEVATION DRAWN By HLB
1/4"=11-01,
CHECKED BY HLB
TITLE
PROPOSED
ELEVATION
A21 0
of 51 10, 20'