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HomeMy WebLinkAbout42170-z OSUFfQI Town of Southold i 0 u ooy 7/18/2021 ;,4o P.O.Box 1179 C4 ` � 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42164 Date: 7/18/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 375 N Parish Dr., Southold SCTM#: 473889 Sec/Block/Lot: 71.-1-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/13/2017 pursuant to which Building Permit No. 42170 dated 11/21/2017 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: addition and alterations. including kitchen renovations and bathroom/laundry room to existing single-family dwelling as applied for. The certificate is issued to Benic,Maureen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42170 1/16/2019 PLUMBERS CERTIFICATION DATED 1/9/2019 nBrad ecuch 0 Aut r e U ature �gaFFot,��oTOWN OF SOUTHOLD BUILDING DEPARTMENT - TOWN CLERK'S OFFICE oy • R SOUTHOLD, NY • .�j©1 � dao 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#: 42170 Date: 11/21/2017 Permission is hereby granted to: Benic, Maureen 277 Locust Ln Roslyn Heights, NY 11577 To: construct additions and alterations to existing single-family dwelling as applied for. At premises located at: 375 N Parish Dr., Southold SCTM # 473889 Sec/Block/Lot# 71.-1-4 Pursuant to application dated 11/13/2017 and approved by the Building Inspector. To expire on 5/23/2019. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $208.00 CO -ALTERATION TO DWELLING $50.00 Total: $258.00 i i nspector 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: ` �)W9b PDQRV Z `�,2 � House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �;ZI41 A7aj Signature pF SO!/j�,®! Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 C00- P.O.Box 1179 �Q roger.richerKD-town.southoId.ny.us Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Benic Address: 375 N. Parish Drive city:Southold st: New York zip: 11971 Building Permit#: 42170 Section- 71 Block: 1 Lot 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Promaster Electric License No: 59226-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 13 Ceiling Fixtures 2 HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 21 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances pW Dryer Recpt 30A Emergency Fixture Time Clocks Disconnect Switches 4 Twist Lock Exit Fixtures t] TVSS Other Equipment: 1- 40A Wall Oven, 1- 40A Cook Top, 1- Range Hood, 1- Bath Fan, 4- Combination GFCl/ARC Fault Circuit Breakers. Notes: Laundry and Bath on 1 st Floor, Kitchen on 2nd Floor. Inspector Signature: Date: January 16, 2019 1 0-Cert Electrical Compliance Form.xls 4W Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 , �"• � - '� � '•-� �-=-.����O� NOV 2 8 2018 BUILDING DEPARTMENT P TOWN OF SOUTHOLD _ TOWN WN OF SOlJTI[QLD i CERTIFICAT-I,O-Nf t 3 Date: _ J Building Permit No. 2 Owner: p ] " Please - - __—Plumber: - (Please print) I certify that the solder used in the water supply system contains Iess than 2/10 of 1% lead. (Plumbers Signature)-- - Sworn to before me this® �'PJ ` day ofvePA4 20 C®N�llF D.BUNCH Notary Public,State of Now York I No.01BU6185050 Qualified in Suffolk coun! Commission Expires April 14, Notary Public, unty i i I I s i o�*16 SO(/T�ol Town Hall Annex Telephone�(631)765-1802 _ 54375 Main Road Fax(6�1)765-9502 P.O.Box 1179 Southold,New York 11971-0959 coum,� t BUILDING DEPARTMENT TOWN OF SOUTHOLD t I J CERTIFICATION Date: Building Permit No. yt °]b Owner: brri s &niL (Please print) Plumber: B rad Pfte vJn (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of 20 /'j- NotaryPublic, �j �� County TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2jM a T�A erg so �o� opo N O i TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION [ FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: O*1 " p V�j rota. DATE INSPECTOR SO(/l�o� , n� # # oo/ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR soulyOlo # TOWN OF SOUTHOLD BUILDING DEPT. °`ycourm�f'' 765-1802 INSPECTION [ ] FOUNDATION 1ST ["r� GH PL13G. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [' ] CAULKING Ry .MARKS: � vw�b e svu ti DATE INSPECTOR �, �I I SOUL � v Wil, # # TOWN OF SOUTHOLD BUILDING DEPT. Coum, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] GH PLBG- [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] F SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] CTRICAL (FINAL) [ ] CODE VIOLATION [ CAULKING REMARKS: DATE INSPECTOR aoF soul TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] 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: ( &EAUC/ C&A- 15 VtI(A. Illycljl. �1 v S 4 S r�iP44 . DATE INSPECTORUle OE SOUTyo� # # TOWN OF SOUTHOLD BUILDING DEPT. courm, 765-1802 0 4V ' INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLSG. [ ] 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 INSPECTOR r _. �. t ,; /y ,. �; r �� 3 £ � � a 34 ,.;•, I �. __.:. ,�: ----:. �- ���---� 9/) r 1 ri ,�. :�:,.. - ... _ � ape. f ,. , .� � ��' . ��" , ' ... j , _ .`�.� ' � � " .. i,• moi• �7 :� r 4rnt dW U���,t C� 8eni� R.��encc a it was -ane last ��ts+d��dinc� teem loom 41- W, fKkc�w . FIELD INSPECTION REPORT7 DATE COMMENTS FOUNDATION (1ST) -------------------------------------- 'FOUNDATION (2ND) � � i ROUGH FRAMING& i4 6vire/ � y PLUMBINGslu n� v/D n 01 nvKi t3t LAA c1MAW INSULATION PER N.Y. STATE ENERGY CODE t � � 4 y FINAL ADDITIONAL COMMENTS / (-b Le, LI(N5 ?-0 11 k Xm t16 �y yVy '7 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 1.1971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 n Survey Southoldtownny.gov -.PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined '20 D ( 1 � Single&Separate D Truss Identification Form I NOV 1 3 2017 Storm-Water Assessment Form Contact: �. Approved 20j] f2 I`y'ai:._ r' �n-12. SIT' uyl in Disapproved a/c TOWN OF SOIJIROLD �. Phone: .SI(,/, Expiration ,20 Bui in s for APPLICATION FOR BUILDING PERMIT Date �, �j , 20 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 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. 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 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,hou ' c e, and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. ( ignatu pplicant or name,if a corporation) (Mailing address of applicant) State whether applic nt iso er, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land 00M which proposed work will be done: �9� ZL- House Number Street Hamlet County Tax Map No. 1000 Section Block Lot r Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 2 G(3( FE 1 XY CU) LL b. Intended use and occupancy �5( ( E—� 3. Nature of work(check which applicable):New Building Addition Alteration -L -� Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee '(Tolbe 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 o t Number of Stories 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 V 13. Will lot be re-graded? YES NO✓ Will excess fill be removed from premises? YES NO 14.Names of Owner of premises BfEm(c Address Phone No. '((,o (O50 ' V Z,, 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 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. 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 OF being duly sworn, deposes and says that(s)he is the applicant (Name of individual signi contract) above named, CONtdtE�.S11�1GH (S)He is the public,State of r Fork 50 (Contractor,Agent,Corporate Officer, ettcc.died in guffolk COW,MyJ-�0 rn. ion Expires Apr` ��' of said owner or owners,and is duly authorized to perform or have pcPWnegthe 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 thin r_ ^ �4 day of 41�� -�1� \20 n �3�t-g '�� 4a:a4 Notary Public gnature of Applicant ar Michael J. Domino, President QF soTown Hall Annex O�� y�l 54375 Route 25 John M.Bredemeyer III,Vice-President O P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski • Telephone(631) 765-1892 Greg Williams O YCOUN'f`1Fax(631) 765-6641 I, ��� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9175A Date of Receipt of Application: February 20, 2018 Applicant: Maureen Benic SCTM#: 1000-71-1-4 Project Location: 375 North Parish Drive, Southold Date of Resolution/issuance: March 23, 2018 Date of Expiration: March 23, 2020 Reviewed by: Board of Trustees Project Description: To increase by 38sq.ft. a first floor bathroom within the existing building envelope, to be constructed under existing overhang. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Eileen Wingate, received on February 20, 2018, and stamped approved on March 23, 2018. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Michael J. Domino, President Board of Trustees Glenn Goldsmith,President *QF SO(/r Town Hall Annex A.Nicholas Krupski,Vice President �Q� y�lO 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III J [ [ Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 o�yOWN% BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1809C Date: April 23,2021 THIS CERTIFIES that the increase by 38sq.ft. of a first floor bathroom within the existing building envelope,to be constructed under existing overhang;- At 375 North Parish Drive, Southold Suffolk County Tax Map#1000-71-1-4 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 20, 2018 pursuant to which Trustees Administrative Permit'#9175A Dated March 23, 2018,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the increase by 38sq.ft..of a first floor bathroom within the existing building envelope, to be constructed under existing overhand The certificate is issued to Maureen Benic owners of the a_foresaid'property. 49"— Authorized Signature ' r APPLICATION � PAGE- 1 0( Q ^ - TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1• GENERAL PROVISIONS (APPLICANT 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 rc-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. b. Applicant is hereby informed that other permits may be required to fulfil local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO EST OF MY KNOWLEDGE, TRUE AND ACCURATE. (APPLICANTS SfG7 fq'ATURE DATE S_ECTION 2• PROPOSED DFALOPMENT(Tb be completed by APPLICANTI �� �T l� NAME .� �,�z ADDRESS �_ s TELEPHONE APPLICANT BUILDER ENGINEER PROJECT LOCATION: To avoid delay in processing the appScatioa. please provide enough information to easily identify the project location.. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. FDP(93) APPLICATION PAGE 2 OF ,' ---- DESCRIPTION OF WORK (Check ail applicable boxes) A STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYP>✓ ❑ New Structure Residential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) %A.ltcration ❑ Non-residcubal (Floodproofing? O Yes) ❑ Relocation ❑ Combined Use (Residenual & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Maou- ❑ Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT 5 B. OTHER DEVELOPMENT ACTIVITIES. ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifica(ions) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Witer or Ser System ❑ Other (Please SpectTy)" After completing SECTION 2, APPLICANT should submit form to Local Administrator for review- SECT 3: FLOODPlArN DETERMTNATI N o be com let d by IACAL ADMINISTRATOR) The proposed development is located on FIRM Panel Dated The Proposed Development: ❑ Is NQJ located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a floodway. FBFM Pancl No. Dated C1 Sec Section 4 (or additional iastructious SIGNED DATE APPLICATION PAGE 3 OF a SECTION 4 ADDITIONAL INFORMATION REQUIRED (To be completed by LOCAL ADMINISTRAIDR) The appbcant must submit the documents checked below before the application can be processed- 0 A site plana sbowmg the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑ Development plans, drawn to scale, and specifications,including where applicable:details for anchoring structures,proposed elevation of lowest floor(including basement), types of water resistant materials used below the fust floor, detwis of floodproofu,g of utilities located below the fust 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 awes, whichever is the lesser, the applicant trust provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). O Floodproofing protection level (non-residential only) Ft.'NGVD (MSL). For floW'15ioofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase to the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other: ,SECTION S PERMIT DETERMINATION (To be competed by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A.O Is B. O Is not in conformance with provisions of Local Law # , 19 The permit is issued subject to thr conditions attached to and made part of this permit. SIGNED DATE If BOX &4s checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOY B is checked, the Local Administrator will provide a written summary of deftctencies. Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals APPLICATION a PAGE40FO APPEA1S Appealed to Board of Appeals? ❑ Yes ❑ No Hearmg date. Appeals Board Decti_siou --- Approved) ❑ Yes ❑ No Conditions SECTION G: AS-BUILT 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 I or 2 below. I. Actual (As-Built) Elevation of the top of the lowest floor, including basement in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofng protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. .t'; 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 easure compliance with the community s local law for flood damage prevention. INSPP-CI-IONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION 8• CERTIFICATE OF COMPLIANCE(To be cQmnleted by LOCAL ADN41NISTRATOR) Cert.iCcate of Compliance 'issued: DATE: BY: • TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO, PERMIT DATE OWNS S NA21iE AN ADDRESS: CHECK ONE: 0 NEW BUILDING XEXI$TING 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 THE REQUIREMENTS OF LOCAL LAW # , 19____1 AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) • pF SO(�j�® �� to Town ��, � Telephone(631)763-1802 q0 54375 "'=; '' FF (631)765-995o2� P.O. 179 Q roger.richert(a�town.southolc9.ny.us sourhola, 1 71-or?B 2 6 2018 :`•}'''' C'� " °:�: BUILDING DEPARTMENT TOWN OF SOUTHO�%yN OF SOU THOLD APPLICATION FOR ELECTRICAL INSPECTION EQUESTED BY- A610ma5lef Date: 02— 2G-- ompany Name: ProxqS&I - ame: Fhws fo 9 fe 2. cense No.: i'V 2 2 6' — /`7- 45 9dress: 0 804 y2S dceno0r i lone No.: phone. 63/ 33:1-- SO.Sg. s c--/ q�3 S83 q-x-i4- DBSITE INFORMATION: (*Indicates required information) lame: tddress: 3 S /U. par)'Sh Or. s®rr o - 'ross Street: 'hone No.: :rmit No.. q21 -7D 3x-Map District: 1000 Section: Block: Lot: IRIEF DESCRIPTION qOF WORK(Please Print Clearly) kf dennv��i on 2,1� Floor 'lease Circle All That Apply) s job ready for inspection: YES/ NO ough In Final )o you need a Temp Certificate: YES/ �O ?mp Information (If needed) service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other lew Service: Re-connect Underground Number of Meters Change of Service Overhead iditional Information: PAYMENT DUE WITH APPLICATION A G.41 1�1� 82-Request for Inspection Forth I MAP OF PROPERTY AT SOUTHOLD TOWN! OF SOUTHOLD SUFFOLK COUNTY N.Y. `sod, 1000SCALE - 0140 04' \�� Ty0 O JUNE 30, 1997 nJ c V - O O v I 0 0 D o O �i f' > o = CERTIFIED TO, �ORTy /Op 00, �� MAUREEN P. BENIC P'9 'Sy Ef f F AREA =31,771 sq. ft. C - { I F • �ZEOF hE{y y I MET0 f ANY ALTERATION OR ADD/TION TO THIS SURVEY IS A VIOLATION .jt ''"y OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, s Ire_ - LIC. NO. 49616 HER ON ARE PER FOR TIUS MAPS DIXCOPIES THER OF ON Y IF V . - SAID MAP OR COPIES BEAR THE APPRESSED SEAL OF THE SURVEYOR C.(5/6) WHOSE SIGNA TUR£APPEARS HEREOM E . F. O. B ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY' 1230 TRAVELER STREET MUST BE USED BY ANY AND ALL SURVEYORS UT#P1NG A COPY SOUTHOLD, N.Y. 119711 "BRTANOTHER SURVEY016 MAP TERMS SUCH AS'NSPECTED'AMD OUIHT-TO-DATE'ARE NOT IN COMPLIANCE WITH THE LAN. Table 3.1 Naffing Schedule(Wood Framed Construction Manual 2015,Pages 149 and 193) Number of Number of P(oTbp t Description Common Nails Box Naffs Nail Spacing ROOF NAILING (Toe-nailed) 3-8d 3-8d parrafter Plate(foe-nailed) 3-8d 3-8d perjoist llel Rafter(Face-nailed) 5-16d 5-16d each tap Ceiling Joist Laps Over Partitions(Face-nailed) 5-16d 5-16d each lap Collar Tie to Rafter(roe-nailed) 2-10d 240d per Ue am�E Blocking to Rafter(Toe nailed) 2-8d 2-10d each end SAT:r RIM Board to Rafter End Nailed 2-16d 3-16d each end • WALL FRAMING - Top Plate to Top Plate(Face-nailed) 2-16d(1) 2-i6d(1) par foot Top Plates at Intersections(Face-nailed) 4-16d 5-16d joists-each side g�RAFTERIRIDGPJRAFfER Stud to Stud(Face-nail 2-16d 2-16d 24'o.c. w,ae PIfTFA Header to Header(Face-nailed) 16d 16d 16"o.c.along edges PN,m :Tw Top or Bottom Plate to Stud(End Nailed) 3-16d 2-40d per stud �APrED IAP11T1E00.L,IRii TOpR TOPPUrE ""O°' USP IASSCAT31 usPgf] - usvanE usPPassAr rr - , USPL5a1TW USPRSrSOAT K' WNLSND Y/.W.SiUp IDP rAUMfMN �sTuos " v"ma• Asx - ,&,n, "'a"e °r•�^* Bottom Plate to Floor Joist,Band Joist,End joist or Blocking(Face-Naled) 2-16d(1,2) 2-16d(1,2)' -perfbot FLOOR FRAMING t RAFTER/RIDGEIRAFfER ane LR—\RAFTER/PLATE/STUD (_6\RAFTER/PLATE PIATE/STUD (a)_HEADERISTUD HEADEMACK p sno Joist to Sill,Top Plate or Girder(foe-nailed) 4-8d 4-10d perl0tsl E Bridging to Joist(roe-nailed) 2-8d 2-10d each end >�u r r Blocking to Joist(roe-nailed) 2-8d 2-10d each end mus u - D rArarnarn¢Ro P.D..a<. Blocking to Sill or Top Plate(Toe-nailed) 3-16d 4-16d each block AWOtEQImvFAEDPdmES mESFMES Ledger Strip to Beam(Face-willed) 3-16d 4-16d each joist Joist on Ledger to Beam(foe-nailed) 3-8d 3-10d per joist Band Joist to Joist(End-wiled) 3-16d 4-16d per joist P=T Band Joist to Sill or Top Plate(roe-naled) 2-16d(1) 3-164 (1) per foot ROOF SHEATHING Structural Panels(See Notes 4,5 and 6) P"'°°'"° Interior Zone 8d 10d 6'edge/12'field Perimeter Edge Zone 8d i0d 6'edge/6'field Gable End Rake with up to 1'Rake Overhang 8d 10d /6'field 10d 6'edge II1D.fi0011HA1E a1p•nOOwP+'rTE 1 \POSTANCHOR ra,re.E.cerwor. CEILING SHEATHING - weo.w ,m.eawu suEnoo" suar,aoa - usP DSPR AT"• ""R"°"T'r Gypsum Wallboard 5d coolers 5(I coolers 7'-edge/10'field RLilO01110PgATES ISLit00AlOPP1ATES "P'5O "O1°°"1D DoLq snmTE - DO E=P'"TE WALL SHEATHING umuPEr 1f100R GIS D 'STTE°°""""° WPM Structural Panels(See Notes 1,2,and 3) 8d 10d 6'edge 112*field - P.CEOOTEJC - 5d coolers 5d coolers T edge/10'field � � �� �� � G sum Wallboard -eu \FLOOR TO FLOOR /-o =ORTOFLOOR ( E�STUDIPLAIVSILL �STUD/PLM PLATEBILL i G\)POSTANCHORS.a°g— FLOOR SHEATHING Slnrclural Panels 1'or less 8d 10d 6'edge/12'field (1)Nailingrequirements are based on wall sheathing nailed 6"on-center at the panel edge.Alternate bailing schadules shall be used where wall sheathing nailing Is reduced. For example,if wall sheathing Is nailed 3 Inches on•center at the panel edge to obtain higher shear capacities,nailing requirements for structural members shall be doubled,or alternate connectors shall be used to maintain load path. (2)For wall sheathing within 4 feet of the comers,the four foot edge zone attachment requirements shall be used. (3)Tabulated 12 Inch o.c.nail spacing assumes wall sheathing attached to stud framing members with 0.42<G<0.49. (4) For roof sheathing within 4 feel of the perimeter edge of the roof,Including 4 feet an each side of the roof peak,the 4 foot pedmelerzene attachment requirements shall be used. ( (5)Tabulated 12 inch o c.nail spacing assumes roof sheathing attached to rafter/buss framing members with G>0.49.For Gaming members with<0.42<G<0.49,the nal spacing shall be reduced to 6 inches o.c. -tel (6)Forwind speeds greater than 130 mph,blocking is required which transfers shear load to two additional rafters(3 rafters in (ONO. . 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LLI r` VU i � _►��- lel f ,�r�;. , - - -- - �'� . . mvi 71p- Table 3.1 Nailing Schedule(Wood Framed Construction Manual 2015,Pages 149 and 193) Number of Num%11' Nail of Joint Desai tion Common Nails Box ROOF NAILING Rafter to Top Plate(toe-nailed) 3:id 3-8d per rafter ' Ceiling Joist:to Top Plate(foe-nailed) 3-8d 3-8d per joist Ceiling Joist to Parallel Rafter(Face-nailed) 5-16d 5-16d each tap Ceiling Joist Lops Over Partitions(Face-nailed) 5-16d 5-16d each lap RIFE Collar Tie to Rafter(roe-nailed) 240d 2 40d per fie Blocking to Rafter(Toe nailed) 2-8d 2-10d each end aAT=, Rim Board to Rafter End Nailed 2-16d 3-16d each end WALL FRAMING Top Plate to Top Plate(Face-nailed) 2-16d(1) 2-16d(1) per foot Top Plates at Intersections(Face-nailed) 4-16d 5'-i6d joists-each side Stud to Stud Face-nail 2-16d 2-16d 24"o.c. �1RAFrewRIOGE/RAFTER..n.a Header to Header(Fac:-nailed) 16d 16d 16'o.c.along edges • RrFFTFn SM To or Bottom Plate to Stud End Nailed 3-16d 2-40d I15PRT,Etl1(llRil P ( ) perstlld BARTER R�,p IaPRATE laPnAlE IAPRSRSa"iii USPpi] ' VFPRTaI a5PRR32AT IF - IaPIS-W ,aPR ATW WALLS,Ua WALLSNa M,dn• Rum].• '� �2r—A Bottom Plate to Floor Joist,Band JoisL End joist orBlocking(Face-Nailed) 2-16d(1,2) 2-16d(1,2) -perfbot FLOOR FRAMING At RAFTERIRIDGE/RAFMR wocr io�P) AT RAFrERIPIFISTUD nRAFTERIPLATE PIATEISTUD ©HEADEMTUD HEADERNACIC snv Asm m Joist to Sul,Top Plate or Girder(foo-nailed) - 4-8d 4-10d per joist >= Bridging to Joist(foe-nailed) 2-8d 2-10d each end Blotting to Joist(roe-nailed) 2-8d 2-10d each end f[6LL Ritlr F saa IL Blocking to Sill or Top Plate(Toe-nailed) 3-16d 4-16d each block A1(]OifCimlGRDPO✓oCS OESEAES Ledger Strip to Beam(Face-nailed) 3-16d 4-16d each joist Joist on Ledger to Beam(w-n.aged) 3-8d 3-10d per joist Band Joist to Joist(End-nailed) 3-16d 4-16d per joist ,an Band Joist to Sill or Top Plate(Toe-nailed) 2-16d(1) 3-16d (1) per foot ROOF SHEATHING Structural Panels(See Notes 4,5 and 6) PG0016 Interior Zone 8d 10d 6'edge 112'field aAAnoaawuR.snro - amRwoonnrw>.s,w Irmo" sw /sr.FlaaRWutsTao Perimeter Edge Zone Bit 10d 6'edgeg ' ld ,POST ANCHO Gable End Rake with up to 1'Rake Overhang /6fiel a1a.FiaaRRUTE ala-swmtvtATE R ra,mrTaoraRocR Foam suanom Y CEILING SHEATHING wRA usPRsaSAT36 —°AT3I I "�""°"T" Gypsum Wallboard 5d coolers aLn5d coolers 7'edge/10"field LO mpU TE4 ISLnaaRTOPMTFS RW RaRRa raw Baum aalm SUS TE WALL SHEATHING 'n"°°R"M""° R« ^� 1 nu Structural Panels(See Notes 1,2,and 3) 8d 10d Eedge/Wfleld ld P.0 FOOISIa , 5d coolers 5d coolers �� �� G sum Wallboard / u 1FLOORTOFLOOR �1FLOOR TO FLOOR E STUDIPLATEISILL �STUDIPLATE PLATEISILL 4aPOST ANCHORSra a, _ FLOOR SHEATHING - Structural Panels 1'or less 8d 10d 6"edge/12'field (1)Nailing requirements are based on wag sheathing nailed 6"on-center at the panel edge.Alternate nailing schedules shall be used where wall sheathing nailing Is reduced. For example,If wall sheathing Is nailed 3 inches on-center at the panel edge to obtain tdgher shear capacities,nailing requirements for shuctural members shall be doubled,or alternate connectors shall be used to maintain load path. (2)For wall sheathing within 4 feet of the comers,the four foot edge zone attachment requirements shag be used. (3)Tabulated 12 inch o.e.nail spacing assumes wall sheathing attached to stud framing members with 0.42<G<0.49. (4) For roof sheathing within 4 feet of the perimeter edge of the roof,including 4 feet on each side of the roof peak,the 4 foot perimelerzone(5)Tabulated 12 attachment ox.nail requirements pat gassumes roof osheathing attached to rafter/buss framing members with G>0.49.For framing members with<0.42<G<0.49,the nail spacing shag be reduced to 6 inches o.c. 1 (6)Forwind speeds greater than 130 mph,blocking is required which transfers shear load to two additional rafters(3 rafters in tom. (7)For exterior panel siding,galvanized box nails shall be permitted to be substituted for common nails.