HomeMy WebLinkAbout43372-Z FF Town of Southold 8/20/2019
P.O.Box 1179
53095 Main Rd
y.1j01 �oo� f Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40639 Date: 8/20/2019
THIS CERTIFIES that the building ALTERATION
Location of Property: 2820 Shipyard Ln Unit 3H, East Marion
SCTM#: 473889 Sec/Block/Lot: 38.2-1-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/28/2018 pursuant to which Building Permit No. 43372 dated 1/4/2019
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:
ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING (UNIT 311)AS APPLIED FOR
The certificate is issued to Gerazounis,Peter&Christine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43372 05-14-2019
PLUMBERS CERTIFICATION DATED 08-08-2019 G rge J Beff Jr
A th d Signature
TOWN OF SOUTHOLD
o�SUFFnt�-�o _ BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 43372 Date: 1/4/2019
Permission is hereby granted to:
Gerazounis, Peter & Christine
30 Crescent Dr
Albertson, NY 11507
To: construct interior alterations to existing dwelling unit as applied for with flood permit.
At premises located at:
2820 Shipyard Ln Unit 3H, East Marion
SCTM # 473889
Sec/Block/Lot# 38.2-1-29
Pursuant to application dated 12/28/2018 and approved by the Building Inspector.
To expire on - 7/5/2020.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Flood Permit $100.00
Total: $350.00
Building Inspector
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. 11-h-8/16
New Construction: Old or Pre-existing Building: (check one)
Location of Property: zsso unr "544 smlltyA+?aD l.A. F AST—MA12tDIN
House No. Street Hamlet
Owner or Owners of Property: MJZ 11112S Perft &E#Z-+2BVN#t
Suffolk County Tax Map No 1000, Section 'Ns 0'., Block 1.017 Lot Z9
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary?rrtificate Final Certificate: (check one)
Fee Submitted: $ `hJV
V Lica t ignature
pF S®U��®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
,�. ® yo roger.riche rt(&-town.south old.ny.us
Southold,NY 11971-0959 ® c®UPON 9�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Gerazounis
Address: 2820 Shipyard Ln unit-3-H City: East Marion St: New York Zip. 11939
Building Permit#: 43372 Section- 38.2 Block. 1 Lot: 29
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA- RJ Corazzini Electric License No: 33419-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey Attic X Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 13 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 3 Smoke Detectors
Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures 36 CO Detectors
Sub Panel A/C Blower Range Recpt 50a Fluorescent Fixture Pumps
Transformer Appliances dw Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 11 Twist Lock Exit Fixtures TVSS
Other Equipment: 1-bath fan, 3ft lighting track
Notes.
Inspector Signature: Date: May 14 2019
81-Cert Electrical Compliance Form.xls
-
�'•'r.
Town Dail,53095 Main Rood k+ ; Fay(631)765-9502
P.O.Box 1179 Telephone(631)765-1802
Southold,New York 11971-0954
-,: B=IN(Y DEPARTMENT
TOWDT OF BOUT,HOID
AUG - 9 2019
_ CERT C T IQl'I
Date:
Building Permit-To. L LI-Y�)`1'a
Owner. Pe-VIZ-JE VS
(please print)
Plumber: geo epw
Tease print)
I cel r Haat the solder used in fe water supply sydam contains less than 2/10 of I°lo
lead..
Sworn to before me this
day of - ® 20�
A; IILIER
Pubic,Sia4 of MeN" ✓."
NOIBE46S463-9
-
Notary Pubic, coil "' .
ho��OE SOUlyolo -
°� # TOWN OF SOUTHOLD BUILDING DEPT.
u765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. I,
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTORO /02�
Of SOUI'yo�
* TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm��' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
FL-erIC(& Lcc,r
DATE �� �� INSPECTOR�t
OF SOUTyo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPEC ION
[ ] FOUNDATION 1ST [ RROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REM KS:
wnw
p�� Z
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
b
FOUNDATION (1ST)
...................................
'FOUNDATION (2ND)
IV p
� clo
ROUGH FRAMING&
PLUMBING y
INSULATION PER N.Y: y
STATE ENERGY CODE k
111A 14 Vj&*V n
14
FINAL
ADDITIONAL COMMENTS
)-1 _ 0 00 D
cL
� z
d
,H
T01j,N 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 . ;: , ., 7.,b-•• 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthForkxet PERMIT NO. v312 Check
Septic Form
N.Y.S.D.E,C.
Trustees
C.O.Application
.:. ',Flood-Permit
Examined ,20 Single&Separate
Storm-Water Assessment Form
Contact:
Approved 20 Mail to:
Disapproved a/c ,,S I N4 SAS- CD 14 S
Phone: E3-_�P1 -Li - )`i L
Expiration ,-20
® F.) ^OVE Bu' spector
D
DEC 2-8 2018 APPLICATION FOR BUILDING PERMIT
a
i
m 1J ,D i°r , {.� Date `Z. ' , 20 19
`� M' �i T, INSTRUCTIONS
TOWN 011+SO Dy,
a. This application-,M,!J.$.jbq completely filled in by typewriter or in ink and submitted to tho 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
shall 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.
T.Ivery building permit shall expire if the work authorized has not°commenced.w'ithin 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;kav&be0n,6nacted in thetii�erjm;'the,BuildiPng;Inspector may authorize,,in,writirig,3the;extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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, or 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 for necessary inspections,
JA5—i44st C_0r4 rZ JCT1DH CO aA
(Signature of applicant or name,if a corporation)
PO 5011 Lts% 53„tK OLO a H4 R11
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer general contractor, lectrician,plumber or builder
Name of owner of premises 'FIETM esZ19tAt+at3
(As on the tax roll or latest deed)
If a cant is r n, signature of duly authorized officer
A-+ �IKte'3 C®s MAO IfceLi s Pee&
(N and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No. 35.H 19 M E
Other Trade's License No.
1. Location of land on which proposed work will be done:
Isco UNff N4 SH•PyA-Rd Lr► EAST P44aiOW
House Number Street Hamlet
County Tax Map No. 1000 Section 3Qb.07- Block t•o® Lot 29
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of`proposeci c nstruction:
a. Existing use and occupancy SI t &Le FA-tA&4.y CoNO®Kuµl u M
b. Intended use and occupancy SIK&LE 1=OMIL4 C0400 Mla$4)94
3. Nature of work(check which applicable): New Building Addition Alteration_X
Repair Removal Demolition Other Work Z t rnE @ o4- rLiemo. am
(Description)
4. Estimated Cost if G®,000 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
Depth Height Number of Stoj�ies t"—'
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. 'Size of lot: Front Rear, Depth
10. Date of Purchase td tol 1018 Name of Former Owner It%.(MC.14 Sow
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 4�
13. Will lot be re-graded? YES NO K Will excess fill be removed from premises? YES NO—V,
14. Names of Owner of premises G*t.0,20y*4%s Address Phone No. M6 101- 695"I
Name of Architect Address Phone No
Name of Contractor :Y^S~4. Goksr Address F0601-8161 SaAWhone No. bil '41013-2146
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
,'Ab.-P'ovide,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.
..'�& �•k'i .. ., ?' i.= !;is .�4, fi,y�, ; b
18. Are there any covenants and restrictions with respect to this property? * YES NO_ CX
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
:i 1,n1" T. y a , tia
being duly sworn, deposes and says that(s)he is the applicant
-=" (Name of individual"sigriing=contract)above-named;
(S)He is the com-mk.-roIL
(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 knowledge'and belief, and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
day of
Notary-Public ;.,, a; ,64nature of Applicant
� p�XC BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
DRDSouthold, New York 11971-0959
RTelephone (631) 765-1802 - FAX (631) 765-9502
FEB 2019 roger.richertP-town.southold.ny.us
,r - \
�' DAF4 r T a1-v- IMPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: �'or�►z2 � E�cc �,�
Name:
License No.: 33�I R - /�G- email: RSC�� p >i��) :,.P nz�
Address: zo Ic 4M0� �� • <<n✓`�
Phone No.: 6 31 " 2-&
JOB SITE INFORMATION: (All Information Required)
Name: �l�y��s �• �o��� (Jnr`
Address: 2„$2= u�� �- s �-•��'°^
Cross Street:
Phone No.: •
Bldg.Permit#: y-3 3-2 2�, email:
Tax Map District: 1000 , Section: 6. a Block: j- Lot: 2 9'
BRIEF DESCRIPTION OF WORK(Please Print Clearly) oN•s
lJ l�.fs
Circle All That Apply: ..
Is job ready for inspection?: / NO Rou Final
Do you need a Temp Certificate?: YES / kV% Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service- Fire Reconnect-Flood Reconnect- Service Reconnected - Underground-Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION ^
82-Request for Inspection Form.xls !J
I 11.111. 5.1005 J•iuj1
jt I•II T. TERRY 1 � Y_ 44ri1 �.� P.O_ flax 1 17<1
YOWN CLERK ~ ' 1' rll; soulhohl. Nc�� Turk 1
1 �:
It:G15rRAR OF VITAL.STAT151IC-S (Ob 1 Fax (5 10) 765.1 Fig
MARRIAOF orrICr.R _ bO TLIcRIuOnC (51(x) 7(IC_ 1
RECORDS MANAGEMENT 01-FICE:II
1
FREEDOM OF INFOR1ATlON OFFICER
OFFICE OF THE TOWN CLERIC
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE
SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993 :
RESOLVED that the Town Board of the Town of Southold hereby adopts
two (2) new forms to be used under the Flood Damage Prevent regulations
of the Code of the Town of Southold: "Floodplain Development. Permit
/rcpplication" (FDP(93) ) , and Certificate of Compliance frJr Devel%-pment in
Special Flood Hazard Area (C/C(93)) . `
-
Biu. . CjCFr
TO%A';J OF SOtIPIOLD
/�h T . Terr
Y
Southold Town Clerk
--- -- — August 25 , 1993 --- - -- ——---
• APPLICATION
f PAGE I of 4
TOWN OF SOUTHOLD
FLOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be Filled out in duplicate.
SECTION I GENERAL PROVISIONS (,kPPLICANT to read and sign)-
1. No work may start until a permit is issued.
2 The permit may be revoked if any false statements are made herein_
3. If revoked, all work must cease until permit is re-issued. ,
4. Development shall not be used or occupied until a Certificate of Compliance is issued.
S. The permit will expire if oo work is commenced within six months of issuance.
6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory
requirements.
7. Applicant hereby gives consent to the Local Administrator or his/her representative to make caasonable
inspections required to verify compliance.
8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMEN'T'S TO
_ THIS APPLICATION ARE,TO THE BEST OF MY IQ�IONVLEDGE,TRUE AND ACCURATE. ,
(APPLICANTS SIGNATURE) DATE
-
jSECTION 2: PROPOSED DEYEI.OF��fENT (T�be completed by APPLiCANTI
NAME ADDRESS TELEPHO 1l`E
AP P LI CANT
BUILDER
ENGINEER
PROJECT LOCATION:
To avoid delay in processing the application, please provide caou¢.h information to easily identify the project
location- Provide the street address, lot number or Icgal description (attach) and, outside urban areas, the
distance to the nearest intersecting road or well-known landmark A sketcb attached to this application sbowing
the project location would be hclpful.
FDP(93)
t
u t
APPLICATION
PAGE 2OF4
DESCRIPTION OF WORK (Check all applicable boxes)
A. STRUCTURAL DEVELOPMENT
ACTIVTTY STRUCTURE TYPE
❑ New Structure ❑ Residential (1-4 Family)
❑ Addition ❑ Residential (More than 4 Family)
❑ Alteration ❑ NOn-residential (FloodprooFLug? ❑ Yes)
❑ Relocation ❑ Combined Use (Residential & Commercial)
❑ Demdlitioa ' P ❑ Manufactured (Mobile) Home (In Manu-
❑ Replacement factured Home Park? ❑ Yes)
ESTIMATED COST OF PROJECT S
B. OTHER DEVELOPMENT ACTIVITIES.
❑ Fill ❑ Mining ❑ Drilling ❑ Grading
❑ Excavation (Except for Structural Development Checked Above)
❑ Watercourse Alteration (Including. Dredging and Channel Modifications) ,
O Drainage Improvements (Including Culvert Work)
j ❑ Roaf, Street or Bridge Construction 1
❑ Sul vision (New or Expansion) /
( C3 Inxlrvidual Water or Sewer System f
❑ Other (Please Specify)
After completing SECTION 2, APPLICANT should submit form to Local Administrator for review-
SEG'I'ION 3• FL.00DPLACN DETERMINATION (To be completed by LOCAL AWIMSTRATOR)
The proposed development is located o❑ FER-M Pancl No- , Dated
The Proposed Development:
❑ Ls MOT located in a Special Flood Hazard Arca (Notify the applicant that the application
review is complete and NO FLOODPLALN DEVELOPMENT PERMIT IS REQUIRED).
❑ Ls located in a Sp,-dal Flood Hazard Arca
FIRM zone designation is
100-Year flood elevation at the site is:" Ft. NGVD (MSL)
❑ UoavaAablc
❑ The proposed development is located to a floodway
FBFM Pa_ocl No. Datcd
❑ Scc Sccuon 4 (or additional instrucuoos
SIGNED DATE
f
APPLICATION -4
PAGE ] OF 4
SECTION 4 AQDITIONAI, INFORMATION REQUIRED (To be completed by LOCAL ADMTNIST'RATOR)
The applicant must submit the documents checked below before the appbcation can be processed.
O_A sitc.plan_showing the_loca[ion_of all cxistin_g structures, water bodies, adjacent roads, lot
dimensions and proposed devclopmcnt.
O Development plans,drawn to scale, and specifications,including where applicable: details for
anchoring structures, proposed elevation of lowest floor(ineludi.og basement), types of water
resistant materials used below the Cirst floor, detaiLs of floodproofung of utilities located below
the first floor and details of enclosures below the first floor.
Also
❑Subdivision or other development plans (If the subdivision or other development exceeds 50
lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations
if they are, not otherwise, available).
0 Plans showing the extent of watercourse relocation and/or landform alterations-
0 Top of new fill elevation Ft. NGVD (MSL).
NGVD MSL . For
❑ I=loodprooCing protection level (non-residential only) Ft. (MSL).
floodproofed swctures,/AppUcant must attach certification from registered cngincec,or
architect. '
❑ Certification from a'registercd engineer that the proposed acdvit�in a regulatory noodway
will not result in any increase in the height of the 100-year flood. A copy of all data and
calculations supporting this finding must also be submitted.
❑ Other-
SECTION
thccSECTION 5 PERMIT DETERMINATION (To be completed by LQc'AL ADMIN[STRATOR)
I have determined that the proposed activity. A_ O Is
B. O Is not
in conformance with provisions of Local Law i , 19_. The permit is issued subject to the conditions
attached to and made part of this permit.
SIGNED DATE
If BOX A is chccked, lbc Local Administrator may issue a Development Permit upon paynncnt of designated
fee.
If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may
revise and resubmit an appbcanon to the Local Administrator or may request a bearing from the Board of
Appeals
• APPLICATION h'
PAGE I OF a
APPEALS- Appcalcd to Board of Appeals'7 O Ycs ❑ No
Hearing date:
Appeals ---
Conditions
SECTION 6 AS DUTLT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance
is issued
The following information must be provided for project structures. This section must be completed by a
registered professional engineer or a licensed land surveyor (or attach a certification to this application).
Complete 1 or 2 below.
1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal Hi¢h Hazard
Areas• bottom of lowest structural member of the lowest Ooor, excluding piling and columns) is:
FI'. NGVD (MSL).
L Actual (As-Built) Elevation of floodproofmg protection is FT" NGVD (MSL).
NOT' : Any work performed prior to submittaJ/of the above information is at the riskpf the Applicant_
SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR)
The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to
ensure compliance with the communitys local law for flood damage prcventiou-
INSPECTIONS: DATE BY DEFICIENCIES? O YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? O YES ❑ NO
,SECTION 8: CERTTFICATE OF COMPLIANCE(To be completed by LOCAL kDNITNISTRATQR1
Certificate of Compliance issued: DATE: BY:
Attachment B
�• /� BA1QP,iE
CERTIF2CATE 'F COMPLIANCE
for Development in a Special Flood Hazard Area
• TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA
(01AWNR MUST RETAIN THIS CERTIFICATE)
PREMISES LOCATED AT: PERMIT NO.
PERMIT DATE
OWNERS NAME AND ADDRESS: CHECK ONE:
O NEW BUILDING
O EXISTING BUILDING
O VACANT LAND '
THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW:
A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 19_
SIGNED: DATED:
B. COMPLIANCE IS HEREBY CERTIFIED WITH T'IiE REQUIREMENTS OF
LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE #
DATED
SIGNED: DATED:
C/C ( 93)
AOAPP ,VED
AS NOTED
DATE: B.P:#
{ FEE: BY:
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE RETAIN STORM WATER RUNOFF
FOLLOWING INSPECTIONS: PURSUANT TO CHAPTER 236
1. FOUNDATION - TWO REQUIRED OF THE TOWN CODE.
. FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING -
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR CO.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL
INSPECTION REQUIRED
COMPLY WITH ALL CODES v
NEW YORK STATE & TOWN COG
AS REQUIRED AND CONDITIONS C ;PLUMBING
=4f111TH0�D TOWN ZBA ;ALL•PLUMBING WASTE
-)&WATER LINES NEED
`TING BEFORE COVERING
v�S
.Y.S-DEC
PLUMBER
CERTIFICA , ,,_ERF� EOFA
..OCCUPANCY OR T a OCCUPI
USE IS UNLAWFUL SOLDER USED IN WATFn
WITHOUT CERTIFICATE SUPPLYSYSTEM CANN(
EXCEED 2/10 OF 10' 1
OF OCCUPANCY
- i
E _ _ E .�- 4' GENERAL NOTES
E r� _ — — —— — — — 1. The Contractor shall assume full responsibility for the protection and
E_ 30"x88" safekeeping of products and equipment to be-used for this construction contract
RR I LOW COUNTER I DNI while stored on the Project premises.
_ _ _ _ _ _ _ J J 2. The Contractor shall be familiar with and responsible for adherence to
T I governing regulations of authorities having jurisdiction.
I I REMOVE ALL CABINETS I15,I N T N 3. All construction shall conform to the applicable Building codes of New York
{ " (URPER&LOWER) 4�� 4' State effective December 2018.
nn 4. The Contractor is to provide and maintain constant dust and debris control
REM@VE GYP BD CEILING, bW I during all operations in the provision of temporary interior and exterior
,_ { I REPLACE WITH NEW. _ 3'- " 2'-6" – 3'-3" proection barriers to safeguard building occupants,pedestrians,adjacent
EXIST. I " �I E T 33 I N E T automobile parking, building equipment,and existing and new appliances.
WINDOW I I I I r — I I I ; 5. The Contractor shall keep the construction site as clean as possible and
_jI I EXISTING remove demolition and construction debris from the site at the end of each day
I I ELECTRIC and legally dispose of same.
_ I N I I PANEL 6. The Contractor shall restore to satisfactory condition all new and existing
R I L — JT, O I 30"x90"
18 construction work and other improvements that are damaged as a result of
E I i ISLANDI E contract operations. p 9
I I I \ Oen► r _ 7. Do not scale the draings,written dimension supersede scaled dimensions.
I I I 0" 8. The Contractor shall verify dimensions on the drawings and measurements at
the site and be responsible for the correctness of them. No.extra charges or
Ok I I I I compensation will be allowed on account of differences between actual field
I I 12" — J dimensions and those indicated on the drawings. Any differences found shall
I I REF be reported to the Architect at once, insufficient time for the Architect's
I RI 33„ N N consideration and direction before the Contractor proceeds with the work
0VR
=_IJ REF involved.
9. If any discrepancy or conflict should appear in the drawings,the Contractor
shall, before proceeding with the work in question, notify the Architect and
request an interpretation. In no case shall the Contractor proceed with the
UP E UP affected work until advised by the Architect.
REXIST. ALL NON-LOAD R0
WINDOW BEARING PARTITIONS N N N LEGEND T
WALLS&CLOSETS. - 2"
EXISTING WALL CONNECT TO EXISTING — �� 7
VENT AT CEILING OF FWM
N = _ = WALL TO BE 1 ST FLOOR.
O REMOVED
R
EgJ N N E NEW WALL I 2"
- RECEPTACLE
NEW N -LOAD
BEARIN PARTITION $ SWITCH J-
AND CLO ET DOO i CONNECT TO EXISTING
E EXISTING SAN AT CEILING OF
ENOTES E 1ST FLOOR.
E N iE R REMOVE
1. EXISTING PLUMBING TO WM
EXIST. REMAIN.' N NEW
SLIDING DOOR E 2. PROVIDE-NEW HIGH HATS. E PLUMBING RISER DIAGRAM
REPLACE EXISTING NTS_
RECEPTACLES WITH G.F.I.'S r
OE AS PER CODE. E
3. TILE EASTSET ON
DEMOLITION. PLAN FLOOR PLAN
. MOISTURETURF RESISTANT GYP. - - _
BOARD. "=1'-0" FLOOR PLAN
2820 SHIPYARD LANE, UNIT 3H
EAST MARION, N.Y.
12/14/18 1/4"=1'-0" FP-1
E E GENERAL NOTES
E 1. The Contractor shall assume full responsibility for the protection an
safekeeping of products and equipment to be used for this construction contract
3030"x8 V NN T while stored on the Project premises.
R EI.OW COL NTER DNI 2. The Contractor shall be familiar with and responsible for adherence to
governing regulations of authorities having jurisdiction.
REMOVE ALL CABINETS 15" 3. All construction shall conform to the applicable Building codes of New York
(LWPER&LOWER) N N State effective December 2018.
n =10,24" 4' ' 4. The Contractor is to provide and maintain constant dust and debris control
41 REMOVE GYP BD CEILING, W during all operations including the provision of temporary interior and exterior
REPLACE WITH NEW. 3'- " 2'-6" 3'-3" proection barriers to safeguard building occupants, pedestrians,adjacent
EXIST. E T 33 N E T automobile parking, building equipment, and existing and new appliances.
WINDOW 1 11 5. The Contractor shall keep the construction site as clean as possible and
EXISTING remove demolition and construction debris from the site at the end of each day
ELECTRIC and legally dispose of same.
N
R O N PANEL 6. The Contractor shall restore to satisfactory condition all new and existing
18" 30"x90" construction work and other improvements that are damaged as a result of
O E ISLAND I E contract operations.
0 7. Do not scale the draings,written dimension supersede scaled dimensions.
01. 8. The Contractor shall verify dimensions on the drawings and measurements at
0 the site and be responsible for the correctness of them. No extra charges or
compensation will be allowed on account of differences between actual field
12" dimensions and those indicated on the drawings. Any differences found shall
be reported to the Architect at once, insufficient time for the Architect's
R 33" N N consideration and direction before the Contractor proceeds with the work
0 REF involved.
9. If any discrepancy or conflict should appear in the drawings,the Contractor
shall, before proceeding with the work in question, notify the Architect and
UP UP request an interpretation. In no case shall the Contractor proceed with the
E $$ E affected work until advised by the Architect.
I
R R RD i
EXIST. REMOVE ALL NON-LOAD N N N LEGEND
WINDOW BEARING PARTITIONS
WALLS&CLOSETS.
EXISTING WALL
N WALL TO BE
0 REMOVED
R
E N E NEW WALL
qp RECEPTACLE
SWITCH
N N I; E EXISTING
E E NOTES E R REMOVE \2�_Vi%vom TL
EXIST. 1 G PLUMBING TO
REMAINi N NEWZ-
SLIDING DOOR E 2. PROVIDE NEW HIGH HATS. E
REPLACE EXISTING
RECEPTACLES WITH G.F.L'S
OE E
AS PER CODE. I
DEMOLITION PLAN 3 MIO SBACKSPLASH SET ON TARERESISTANT GYP. FLOOR PLAN 6/17/19 REV.TO ELIMINATE W/D CLOSET
1'=1'-0" BOARD. a°=1'-0" FLOOR PLAN
i 2820 SHIPYARD LANE, UNIT 3H
EAST MARION, N.Y.
12/14/18 1/4"=1'-0" FP-1
,. f