HomeMy WebLinkAbout43674-Z �o�OSUFFBt�y�OG� Town of Southold 8/25/2021
P.O.Box 1179
0
o _ 53095 Main Rd
y� dao ¢ Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42283 Date: 8/25/2021
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 65490 Route 25, Greenport
SCTM#: 473889 Sec/Block/Lot: 53.-5-12.6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/3/2019 pursuant to which Building Permit No. 43674 dated 4/25/2019
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 and additions, including front entry landing and outdoor shower stall,to existing seasonal cottage 024)as
applied for per ZBA#7223 issued 12/20/2018.
The certificate is issued to Breezy Shores Comnty Inc
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43674 7/28/2021
PLUMBERS CERTIFICATION DATED 10/19/2020 All Poi East P�uqibing&Ypting
It
Aut r ed ig ature
1 -
guFFn��c TOWN OF SOUTHOLD
�o� day BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • ;� SOUTHOLD, NY
?!pl + 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#: 43674 Date: 4/25/2019
Permission is hereby granted to:
Breezy Shores Comnty Inc
PO BOX 925
Mattituck, NY 11952
To: construct additions and alterations to existing seasonal cottage (#24) as applied for per
ZBA and Trustee approvals with flood permit.
At premises located at:
65490 Route 25, Greenport
SCTM #473889
Sec/Block/Lot# 53.-5-12.6
Pursuant to application dated 4/3/2019 and approved by the Building Inspector.
To expire on 10/24/2020.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $415.60
CO -RESIDENTIAL $50.00
Flood Permit $100.00
Total: $565.60
Bui ctor
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. r+r Dd
New Construction: Old or Pre-existing Building: V (check one)
Location of Property:
.-4,90 (2-0 U 25 stttv� cco--�& ( '
House No. Street (� iL9�p12� Hamlet
Owner or Owners of Property: V t)-U C 0 t e01, IU(:
Suffolk County Tax Map No 1000, Section C�;G Block J Lot 2-
Subdivision Filed Map. Lot: /
Permit No. Date of Permit. Applicant: ! uw< ue I(eto d a 61
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: , /
Request for: Temporary Certificate Final Certificate: v (chec� one)
CV0
Fee Submitted: $
NpplicanfNgnature
Ursa
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 c • a� sean.deviinC�town.southold.ny.us
Southold,NY 11971-0959
®lac®UNTr,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Breezy Shores Comnty Inc
Address: 65490 Route 25 city.Greenport st: NY zip: 11944
Building Permit#• 43674 Section. 53 Block- 5 Lot: 12.6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Promaster Electric License No: 59226ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 23 Ceiling Fixtures Bath Exhaust Fan 1
Service 3 ph Hot Water Gas GFCI Recpt 2 Wall Fixtures 8 Smoke Detectors 2
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures 4 CO2 Detectors
Sub Panel A/C Blower Range Recpt Gas Ceiling Fan 4 Combo Smoke/CO 1
Transformer UC Lights 2' Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment, Fridge, Gas Oven, W/D
Notes, " AS BUILT NO VISUAL DEFECTS " Cottage Renovation
Inspector Signature: ' Date: July 28, 2021
S Devlin-Cert Electrical Compliance Form
tig S0
o
Town Hall Amex Telephone-(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
i7 BUILDING DEPARTMENT
j r�`, -R;�j+ `'�/ TOWN OF SOUTH01-D
h NOV 4 2020
CERTIFICATION
Date: Q11q22020
Building Permit No.
Owner--, Welsay,
(Please print)
Plumber:
411 PAS n+c F—q%T Plumb f n5 1- Yra (n)
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(PI tubers Signaf re)
Sworn to before me this
day of 0 c,4-o b c r 20_Zo
.4
SUSAN A.RIZZO
Notary Public, County 140tary Public,State of New York
No.01 R16183459
Qualified in Suffolk County
Commission Expires March 17,20
/ ��OP SOUIyO lei - --
# # TOWN OF SOUTHOMB.UILDING DEPT.
°`y�ourme�' 765-1802
INSPECTION
I ],/,FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[--]`FIREPLACE & CHIMNEY . j ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ]' ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
kA 4Uvl x
DATE f IM9 INSPECTOR
SOdTyo - --
# # TOWN OF SOUTHOLD BUILDING DEPT.
�ycnuNr+ ' 765-1802
NSPECT 10 N
[ ] FOUNDATION 1ST [ -] ROUGH PLBG.
[ ] OUNDATION 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
REMARKS:
DATE �y✓ �� INSPECTOR
L
�aOF SOUTyO
TOWN OF SOUTHOLD BUILDING. DEPT.
cou765-1802
INSPECTION",
[ ] FOUNDATION 1ST [XROUH PLBG.
FOUNDATION 2ND [ ATION/CAULKING
FRAMING /STRAPPING [
[ ] 'FIREPLACE &CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
4A�a
GU of, •
DATE 10111INSPECTOR
O�'AOF SO//lhol4
# TOWN OF S UTHOLD ILD N D`EPT.
°`ycourm��' 765-1802
y --- 1 N S PECT I O N
[ ] FOUNDATION 1ST [ ] 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
REMARKS: ,
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U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015
SECTION A-PROPERTY INFORMATION
Al. Building Owner's Name DAVID NELSON
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P_O.Route and Box No.
BREEZY SHORES SAGE BLVD,U141T 24
City GREENPORT State NY ZIP Code 11944
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
1000-53-05-12.6
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude.Lat.41 DEG 04MIN 44SEC Long.72DEG 22MIN 54.6SEC Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 5
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawispace or enclosure(s) 528 sq ft a) Square footage of attached garage sq It
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s)within 1.0 foot above adjacent grade _ within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.bI sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ❑ No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number 62.County Name 83.State
SOUTHOLD,TOWN OF SUFFOLK NEW YORK
B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
63103CO159 H Effective/Revised Date Zone(s) AO,use base flood depth)
09/25/2009 AE' ELT
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item Bg.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in item B9: ❑NGVD 1929 ® NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No
Designation Date: ❑ CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction
'A new Elevation Ceit'dicate will be required when construction of the building is complete.
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1 V30,V(with BFE),AR,ARIA,ARIAE,AR/A1--A30,AR/AH,AR/AO.Complete Items C2.a-h
below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters.
Benchmark Utilized: Vertical Datum: NAVD 88
Indicate elevation datum used for the elevations in items a)through h)below. ❑NGVD 1929 ®NAVD 1988 ❑Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a)Top of bottom floor(includibg basement,crawlspace,or enclosure floor) 7-a ®feet ❑meters
W Top 4f the next higher floor
_ ❑feet El meters
c) Bottom of the lowest horizontal structural member(V Zones only) ❑feet ❑meters
d)Attached garage(top of slab) ❑feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building 7.0 ®feet ❑meters
(Describe type of equipment and location in Comments)
Q Lowest adjacent(finished)grade next to building(LAG) 4.5 ®feet ❑meters
g)Highest adjacent(finished)grade next to building(HAG) 5.5 ®feet ❑meters
h)Lowest adjacent grade at lowest elevation of deck or stairs,including structural support __ ❑feet ❑meters
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
information.I certiry that the information on this Certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001.
❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No
Certifiers Name JOHN T METZGER License Number 49618 ='_
Title OWNERWRESIDENT Company Name PECONIC SURVEYORS
Address 12 LER STREET City SOUTHOLD State NY ZIP Code 11971
Signature, Date 12/1612013 Telephone 631765-5020
Vu
FEMA Form 086-0-33(7112) See reverse side for continuation. Replaces all previous editions.
FIELD INSPECTION REPORT —.DATE COMMENTS
FOUNDATION (1ST)
'FOU c�
'FOUNDATION (2ND) �
ye� r
• ® f/1
a
ROUGH FRAMING& y D
PLUMBING
INSULATION PER N.Y; y
STATE ENERGY CODE
1100
8
1011)
FINAL
ADDITIONAL C MMENTS
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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 11971 s • , 4.sets of Building Plans
TEL: (631) 765-1802 -Planning Board approval
FAX: (631)765-9502 Survey
Southold_ townny.gov_ PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Fn� Trustees' C.O.'Application
/Jl I l Flood Permit
Examined 20 1 7 A P R = - 2019 _,--_�J Single&Separate
�f Truss Identification Foran
Storm-Water Assessment Form' l "
TOWN O)'SOur Contact: -
Approved 20 Mail'to:
Disapproved a/c - / 4
f 7_16-
9 hone: 1,A], , 411 —9,!U
Expiration 20
I specto
i
APPLICATION FOR BUILDING PERMIT
A 2018 C N''
Date 20�
-INSTRUCTIONS -
a. is app icS ona 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-adjoinhig 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 aftef 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-lnspector'may authorize,-in writing,the extension of the permit for iif
addition six months. Thereafter,a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building'DepaAmerit`for'the issuance of a Building'P&rnit pursuant to,the•
Building Zone Ordinance of thelow i of Southold;"SuffolkCounty,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.
(Signature of applicant or name,if a corporation),
(Mailing address of applicant)
State whether applicant is owner, lessee, agent,architect,engineer, general contractor, electrician,plumber or builder
Name of owner of premises O)A Uf
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer T
+
(Name and title of'corporate officer) .
Builders License No'.
Plumbers License No.
Electricians License No. '
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000' Section. Block d Lot ° l2
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 Reisjo, 7�
b. Intended use and occupancy /Z<Ev
3. Nature of work(check which applicable):.New-Building:; r : "; �' +*Addition ✓ Alteration ✓
Repair Removalm~ t
r' •� emolition ` Other Work
n (Description)
4. Estimated Cost 1�� �D o Fee ✓(J �' 0l'!5A 8? x/4L
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, nu'mber'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—_-MRear 4w Depth 90,6V
Height Number of Stories
Dimensions of same structure with alterations or additions:_ Front Z .? Rear 23)
Depth e 0.43` Height / .� ( Number of
a �.-_.� '-, � • _: is��.� 1
8. Dimensions of entire new construction: Front -.Rear `.E., i Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
,pas i Y
10. Date of Purchase X20/. �3 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
13. Will lot be re-graded? YES NO Will excess fill be removed from p'remise's?YES NO
14.Names of Owner of premises Address 422 R17S41uaC,4Le Phone No.,lt4-m2-:5L 3
Name,of Architects�C E, _)V,9 tAddress 6 Phone No k9 -4-77
Name of,Contractor -� �' Address Gov f/3 honeNo.�3!-7(� /22�
15 a, Is this property,within 100 feet of a tidal wetland or a freshwater,wetland? AYES V 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 MAYBE 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
�Fn" being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
CONNIE D.BUNCH
Notary Public,State of New York
(S)He is the GGt/ I No 01 RU6185NO
(Contractor,Agent,Corporate Officer,etc.) Qualified In Suffolk County
Commission Expires April 14,2�
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 thi
'mac day of ii7 20a"TS
1
_(
Notary Public ' .: Signature of Applicant ,
x
M1Os --
MOM
qe
BOARD OF SOUTHOLD TOWN TRUSTEES
- - SOUTHOLD,NEW YORK
I
PERMIT NO.9407 DATE: MARCH 20,2019
ISSUED TO: DAVID&DIANE NELSON
PROPERTY ADDRESS: 65490 ROUTE 25,BREEZY SHORES COTTAGE#24,
GREENPORT
SCTM# 1000-53-5-12.6
AUTHORIZATION
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in
accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 20,2019,and in
1` consideration of application fee in the sum of$250.00 paid by David&Diane Nelson and subject to the Terms _
and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the
following:
Wetland Permit to for the existing 2814"x 18'7"one-story cottage;existine attached 4.6'x5.6' '
enclosed outdoor shower to be temporarily removed and replaced in-place; remove and replace
existing locust and concrete footing with as per code minimum 3' deep,+/-18-12"diameter
concrete footings; raise cottage up+/-2' to code compliant FEMA requirements; construct roof
alteration with dormer; replace existing windows;and replace existing entrance steps with new
3'x8.4' entry platform with 4'wide steps to ground; and as depicted on the site plan prepared
by Frank W.Uellendahl,Registered Architect received on January 10,2019,and stamped a
approved on March 20,2019. ( k
IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,
and these presents to be subscribed by a majority of the said Board as of the 20'hday of March,2019.
ca
s
�ti
(316mi4Goldsmith,President "�',.ti USO
i?fi• Town Hall Annex
r Iitichael J.Domino '`� 54375 Route 25
P.0 Box 1179
Solis Mi B edemeyei III Southold,New York 17971
` zi Meholas$nipski'-, K ate' `
To (631)765=1892
' ,�,Greg,Williams `i` cif; - Fax(631)'765-6641 _
2 coo
BOARD,OF TOWN TRUSTEES „
OSYN`OF SOUT,110I,1)
'CEBTIFICATE�OFCOMPLIANCE
`41768G •_ ; ' Dafe:.Octhber 19:2024`
ISIS„CEtiTTIIES that`tlie'existi 1 28'4"z I8'7"one story coitoge;eati tin attachedk','"z",,,?
r;4 6'YS We neIosed`outdoor 9ho ier to,tie iemporariW remobed-anii ieplaced'in=plac`e�remove arid`;;
'^ rw ace e tistiia locust and eonereto foo Ling vui#Is as i3er coda iuiii muni 3',dePp: f=18=92
dia'metei`concrete"toctin¢s•raise catia`�p+l-2'ttfcode compliant-VB`MA requireirients'a;'
''„<" x : 'a`e=-”coiistntct i{sof alteiatiori with don11er''r'egta-ce existing winiloivs aiid ie"lap ce'ex9sting`entr nice `'<r,- -f <^
stenszwith i1ew.3'x8:4'entry platform wi(h 4''i 3iSa st lis to irrroiind G" %`
", �„ i"`Af�'6549111ionte425t Bred 'Shores Cotta a v#2d.°Greeuiwrt„ z:;
Y 'x.
rSuffoWCouimty,Ta��iVfapk#1001-53-5-13:6=` " ::°
Conforms,ta tIt pLcatiop,fojr.iTr istces Permit heretoforefiled
-oJfr -Dated"Janivarv4 ,2019,pursuant'towhichTrustcei'Wetlanil,Pertnii#9467
:sV, ' ' ''�n. .,Yd.:4 ,.�,`4" - �$ �
e �1 �" �� �' x 3 x<„ ".�.�txF�r„-,-,,.xV ,+,. r i^ -'e a.�``- ^ _
'_ xs `, " a,;'' Dated-Match<24:'202Q,wai�is"sued and conforms to "" ;h
77
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;w : `allxtlie requirements daconditions of the applicable provisions of law.'The project;
z< a ��' ;
Hi for>w'hich tliisc6r ificato°is being,ygs�ie8`is.fo"r`�the�existing�8�}"rXI°8 7"ons-store
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dl
i
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: June 25, 2018
TO: Frank Uellendahl
PO Box 316
Greenport, NY 11944
Please take notice that your application dated June 14, 2018
For addition and alterations to an existing seasonal cottage at
Location of property: 65490 Route 25, Greenport,NY (Breezy Shores Cottage#24)
County Tax Map No. 1000- Section 53 Block 5 Lot 12.6
Is returned herewith and disapproved on the following grounds:
The proposed additions and alterations are not permitted pursuant to Article XXIII, Section 280-123
A., which states;
"A nonconforming building containing a nonconforming use shall not be enlarged,
structurally altered or moved, except as set forth below, unless the use of such building is
changed to a conforming use."
i
Aut ignaturk
Note to Applicant: Any change or deviation to the above referenced application, may require
further review by the Southold Town Building Department.
CC: file, Z.B.A.
I,
-i
4 BOARD MEMBERS Southold Town Hall
VLeslie k+ nes Weisman,Chairperson ���� $U(/ry0 53095 Main Road•P.O.Box 1179
Southold,NY 11971-0959
Patricia Acampora Office Location:
Eric Dantes �, Town Annex/First Floor,
Robert Lehnert,Jr. • COQ 54375 Main Road(at Youngs Avenue)
Nicholas Planamento �lifCOU?M Southold,NY 11971
RECEIVE®
http://southoldtownny.gov ;3�•
ZONING BOARD OF APPEALS DEC 2 4 201
TOWN OF SOUTHOLD nn
DEC 2 6 2018 l�. Tel.(631) 765-1809•Fax(631)765-9064
FINDINGS,DELIBERATIONS AND DETERMINATION Sou hold Town Clerk
;-A+• pry MEETING OF DECEMBER 20,2018
ZBA FILE: 7223 �J
NAME OF APPLICANT: David & Diane Nelson
PROPERTY LOCATION: 65490 Route 25, (Breezy Shores Cottage#24) Greenport,NY
SCTM No. 1000-53-5-12.6.
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration
in this application and determines that this review falls under the Type II category of the State's List of
Actions,without further steps under SEQRA.
SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the
Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of
Planning issued its reply dated August 24, 2018 stating that this application is considered a matter for
local determination as there appears to be no significant county-wide or inter-community impact.
LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency
review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy
Standards. The LWRP Coordinator issued his recommendation dated November 26, 2018. Based upon the
information provided on the LWRP Consistency Assessment Form submitted, as well as the records available, it is
recommended that the proposed action is CONSISTENT with LWRP policy standards and therefore is
CONSISTENT with the LWRP.
PROPERTY FACTS/DESCRIPTION: Subject parcel is located in the R-80 Zoning District and contains 82.6
acres. It is improved with three dwellings, a brick building, two garages, 28 seasonal cottages and 20 sheds.
Access to the property is via Sage Boulevard, which is a private road, and the property is adjacent on the south to
Shelter Island Sound. The Breezy Shores community is a unique property deeply rooted in the history of the
Town. The multiple cottages on the property are pre-existing non-conforming use that was established prior to
zoning by the Sage family in the early 1900's. The cottages previously housed employees of the Sage family brick
factory, and after the brickyard closed, they were rented as seasonal cottages. In 2000, a real estate cooperative,
Breezy Shores Community Inc. was established, and shares were offered as an ownership interest in the
Cooperative. The cottage at issue, in this application is known as Cottage # 24 and is owned by David & Diane
Nelson. The cottage, with proposed improvements, is shown on the Survey of Breezy Shores, prepared by Frank
Uellendahl, dated June 14,2018.
t
Page 2,December 20,2018
#7223,Nelson
SCTM No. 1000-53-5-12.6
BASIS OF APPLICATION: Request for a Variance from Article XXIII, Section 280-123 and the Building
Inspector's June 25, 2018, Notice of Disapproval based on an application for a building permit to make additions
and alterations to an existing seasonal cottage, at; 1)a non-conforming building containing a non-conforming use
shall not be enlarged, reconstructed, structurally altered or moved,unless such building is changed to a conforming
use; at: 65490 Route 25, (aka Sage Boulevard, Breezy Shores Cottage #24, Adj. to Shelter Island Sound)
Greenport,NY. SCTM#1000-53-5-12.6.
RELIEF REQUESTED: The applicant_requests a variance to construct additions and alterations to an existing
nonconforming seasonal cottage by adding 13 sq. ft. addition, resulting in 2.4% increase in size, when such
changes to a nonconforming structure containing a,nonconforming use are not allowed by Town Code.,
ADDITIONAL INFORMATION: The file contains a memo submitted by the Board of Breezy Shores Inc., dated
June 11, 2018, stating their approval of the applicants proposed cottage renovation. Included in the application
packet, the applicant submitted eight prior decisions which granted variances for various cottages in the Breezy
Shores Community. These decisions consisted of an interpretation and a use variance issued in 2011 and six
decisions for area variances granting the applicants the ability to alter and construct less than 3.1% in increases to
the size of their cottages. Email correspondence was received from a neighbor expressing support for the planned
renovations. In addition to the proposed improvements, the cottage will be raised in order to comply with FEMA
Flood Zone regulations.
FINDINGS OF FACT/REASONS FOR BOARD ACTION:
The Zoning Board of Appeals held a public hearing on this application on December 6,2018, at which time written
and oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property
and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and
relevant and makes the following findings:
1. Town Law §267-b(3)(b)(U Grant of the variance will not produce an undesirable change in the character of
the neighborhood or a detriment to nearby properties. This unique property having been in existence since the
early 1900's represents its own neighborhood of 82.6 acres with substantial buffer of wetlands along the northern
boundary of the property. Furthermore, the enclave of cottages is sufficiently removed from other adjacent
neighborhood properties so that property owners will not be impacted by the proposal.
2. Town Law §267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible
for the applicant to pursue, other than an area variance. The existing seasonal cottage is a pre-existing non-
conforming building with a,pre-existing non-conforming use. As a consequence of the non-conforming status', any
proposed additions and alterations will require relief from the code.
3. Town Law X267-b(3)(b)(3). The variance(s) granted herein granted herein for the alterations and additions is
mathematically substantial, representing 100% relief from the code because Section 280-123 prohibits the
enlargement of non-conforming buildings with non-conforming uses. However,the proposed addition of 13 square
feet to the existing structure represents 2.42 % increase in the size of the pre-existing cottage footprint. The Board
in prior decisions related to other Breezy Shore applications involving proposed increases of structure less than 3%,
has deemed such increases, to be de minimus in nature. This applicants' proposed increase in structure size is
minor and is just squaring off the building that is being lifted to conform to FEMA regulations.
4. Town Law §267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential
community will have an adverse impact on the physical or environmental conditions in the neighborhood. The
applicant must comply with Chapter 236 of the Town's Storm Water Management Code. The cottage will be also
t
/ Page 3,December 20,2018
#7223,Nelson
SCTM No. 1000-53-5-12.6
be raised to comply with current FEMA requirements to provide,additional protection from potential'storm surge
flooding.
5. Town Law 4267-b(3)(b)(5). The difficulty has been self-created since the applicant purchased the parcel after
the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the
limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. However,to
the extent that a seasonal structure such as this that periodically requires some degree of reconstruction and/or
alterations in order to continue the_safe use of the structure, the need for variance relief is not self-created, but.is
created by Zoning Code that now prohibits an existing use and activities that at one time were not prohibited.
6.. Town Law 4267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of renovations and an addition to the cottage while preserving and protecting the
character of the neighborhood and the health, safety and welfare of the community.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under
New York Town Law 267-13, motion was offered by Member Lehnert, seconded by Member Dantes, and duly
carried,to
GRANT the variance as applied for, and shown on the site plan of Breezy Shores, Cottage #24,' prepared by
Frank Uellendahl,R.A. dated June 14, 2018.
SUBJECT TO THE FOLLOWINGCONDITIONS:
1. The cottage use will continue in its current status as an unheated seasonally occupied'dwelling.
2. No other alterations or additions may be undertaken without review by the ZBA, except for necessary
minor repairs as determined by the Town Building Department.
That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued.
Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays
and/or a possible denial by the Building Department of a building permit, and may require a new application and
public hearing before the Zoning Board of Appeals.
Any deviation from the variance(s) granted herein as shown on the architectural drawings, site plan and/or survey '
cited above, such as alterations, extensions, or demolitions, are not authorized under this application when
involving nonconformities under the zoning code. This action does not authorize or condone any current or future
use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses,
setbacks and other features as are expressly addressed in this action. In the event that this is an approval subject
to conditions, the approval shall not be deemed effective until such time that the foregoing conditions are met; and
failure to comply therewith will render this approval null and void.
The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does
not increase the degree of nonconformity:
Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the
Board of Appeals shall become null and void where a Certificate of Occupancy has not been
procured, and/or a subdivision map has not been filed with the Suffolk,County Clerk,within three
.y
Page 4,December 20,2018
#7223,Ne)son .
SCTM No. 1000-53-5-12.6
(3)years from the date such variance was granted. The Board of Appeals may, upon written
request prior to the date of expiration,grant an extension not to exceed three (3) consecutive one
(1)year,terms.
Vote of the Board: Ayes: Members Dantes (Vice Chair),Acampora,Planamento and Lehnert. This Resolution
was duly adopted (4-0). (Chairperson Weisman absent)
Eric L. Dantes
Vice Chair
Approved for filing �-/ 2 1 /2018
e
, t"j-t-1 T TERRY I I ~G,� y Irl n fl lll. S-1Il�S X1111,
J l/rill CLERK t' O- n1,r 117()
on
Southold
Il! G15FRnliOf V1TN,STnT1S11CS (Cb Fox 0 101 765.19 1
MARRIAOF OFFICER "14 TLIcRII(inc (51(o
RECO ROS "AGEMENT OF f ICE It 01
FREEDOM OF INFORMATION 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
l/pplication" (FDP(93) 1-,, and ;'Certificate of Compliance fyir Development in
Special Flood Hazard Area (C/C(93)) .
6 �3. Or-r!-
TOW4 OF SOU-MOLD
Ah T . Terr
Y
Southold Town Clerk
August 25 , 1993
APPLICATION +�
f PAGE 1 of 4
TOWN OF SOUTHOLD
FLOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be filled out in duplicate.
SECTTON 1• GENERAL PROVISIONS (APPLICANT to read and siznl:
1. No work may start until a permit L issued.
2 The permit may be revoked if any false statements are made hercin-
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 i',o 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 reasonable
inspections required to verify compliance.
8. I, THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO
_ THIS APPLICATION ARE,TO THE BEST OF MY KNOWLEDGE,TRUE AND ACCURATE.
(APPLICANT'S SIGNATURE) DATE
/SECTION 2: PROPOSED DEYEI.oP.I//LENT fl be completed by APPLICANTI ��A �7�`
L TELEPHONE
NAME ADDR�EVSS
AP �r�� a y�
PLIG 4/iJdL �ELC 1�71� ` A�'k&L�I , �U / r
T3ClILDIJR
J
ENGINEER
PROJECT LOCATION.
• To avoid delay in processing the applicauoo, please provide enough 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 attacbcd to this application showing
the project location would be helpful_
ZS
FDP(93)
t'I • I I
APPLICATION
PAGE 2OFd
DESCRIPTION OF WORK (Check all appbcable boxes)
A STR URAL DEVELOPMENT
ACTIVITY STRUCTURE TYPE
O New Structure XResidential (1-4 Family)
Addiction O Residential (More than 4 Family)
)(Aheration O NOD-residential (Floodproofing? ❑ Yes)
O Relocation O Combined Usc (Residential & Commercial)
Cl Dem(Atioo P ❑ Manufactured (Mobile) Home (In Ma-nu-
0 Replacement factured Home Park? O Yes)
ESTIMATED COST OF PROJECT S
B. OTHER DEVELOPMENT ACTIVITIES:
D Fill O Mining O Drilling O Grading
O Excavation (Except for Structural Development Checked Above)
O Watercourse Alteration (Including Dredging and Channel Modifications) ,
Drainage Improvements (Including Culvert Work) P^1 Lc��LL
j ❑ Roaf)L, Street or Bridge Construction j
❑ SuF;Uivision (New or Expansion)
1 ❑ In'dual Water or Scwcr Systcm
G other (Please Specify) 1214t,5E 4f'o� 7® ' R-ap0 Re%&E
Aftcr completing SECTION 2, APPL[CANC should submit form to Local Administrator for review.
SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR)
The proposed development is located on FIRM Pancl No. . Dated
The Proposed Development:
❑ Is hKa located in a Special Flood Hazard Area (Notify the applicant that the application
review is complete and NO FLOODPLAIN DEVEWPMENT PERMIT IS REQUIRED).
❑ Is located in a Special Flood Hazard Arca
FIRM zone designation is
100-Year (load elevation at the sttc is: Ft. NGVD (MSL)
❑ Uoavailablc
O The proposed development Is localcd to a floodway
FBFM Pa-ocl No Datcd
O Scc Srcuon 4 (or additional iostrucnons
SIGNED DATE
APPLICATION 4
PAGE 3 OF 4
SECTION 4 ADDITIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMINIS`rRATORI
The apphcant must submit the documents checked below before the application can be processed:
❑ A site plan showing the location of aJl existing structures, water bodies, adjacent roads, lot
dimensions and proposed devclopmcnt.
❑ 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 first floor, details of floodproofwg of utilities located below
the first floor and details of enclosures below the Clrst floor_
Also
❑Subdivision or o(hcr development plans (If the subdivision or other development axceeds 50
lots or 5 aces,whichever is the lesser, the applicant must provide 100-year flood elevations
if they arc not otherwise available).
❑ Plans showing the extent of watercourse relocation and/or landform alterations_
❑ Top of new Ctll elevation Ft. NGVD (MSL).
❑ Floodproofuig protection Ievcl (non-residential only) Ft:NGVD (MSL). For
floodproofed structures, Applicant must attach certification from registered engineer or
- arcbitect. 'i/ '
tifi
❑ Cercation from a'registcrcd engineer that the proposed acdvit�in a regulatory floodway
will not result in any increase in the heig-h( of the 100-year flood. A copy of all data and
calculations supporting this finding must also be submitted.
❑ Othcr:
SECTION 5 PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRA.TM
I have de(crmined that the proposed activity. A- ❑ Is
B. El Is not
in conformance with provisions of Local Law i , 19_. The permit is issued subject to the CO
odilioru
attached to and made part of this permit.
SIGNED DATE
If BOX A is checked, the Local Admiaistrator may issue a Devclopmcot Permit upon payment of designated
(cc.
If BOX B is checked, the Local Adrninistrawr will provide a written summary of deficiencies. Applicant may
revise and resubmit an application to the Local Administrator or may request a bearing from the Board of
Appeals
" APPLICATION �+
PAGE 4 OF 4
APPEALS Appealed to Board,of Appeals? ❑ Ycs ❑ No
Hcarwg date:
ppe a ---
Conditions
SECTION 6: 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 1 or 2 below.
1. 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:
Fr. NGVD (MSL).
L Actual (As-Built) Elevation of floodproofing protection is FT. NGVD (MSL)_
NO-I Any work performed prior to submittal/of the above information is at the risk,& the Appl;cant_
SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR)
The LOCAL ADMINISTRATOR will complete this section as applicable based oa inspection of the project to
ensure compliance with the communitys local law for flood damage prevention.
INSPECTIONS: DATE BY 'DEFICIENCIES? O YES- ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
SECTION 8: .CERTIFICATE OF OMPLIANCE(To be completed by LOCAL ADMINISTRATOR)
Certificate of Compliance'Issued: DATE: BY:
Attachment B
// BAMP,LE
CERTIFICATE 'F COMPLIANCE
for Development in a Special Flood Hazard Area
R.r
TOWN OF SOUTHOLD
CERTIFICA.TE Or COMPLIANCE
FOR DEVELOPMENT IN A SPECIAL FLOOD HAJARD ARCA
WNE-. M=UST RETAIN THIS CERTIFICATE)
PREMISES LOCATED-AT: PERMIT NO.
PERMIT DATE
OWNERS NAME AND ADDRESS: CHECK ONE:
0 NEW BUILDING
O EXISTING BUILDING
O VACANT LAND ,-F
1
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. COMPLLANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE #
DATED '
SIGNED: DATED:
C /C ( 93)
FFQ
Scott A. Russell ,�d°s" 'r STORMWATER
SUPERVISOR MANAGEMENT
SOUINO1r61 TOWk HALL-P.O.Boot 1179
MM Main Road-SOU HOLD,NEWYORK 11971 �p Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
(TO BE COMPLETED BY THE APPLICANT)
DOES UYS PROJECT INVOLVE AM OF THE FOLMWING:
Yes NO (CHECK ALL THAT APKY)
A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
El M�B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
(� Site preparation on slopes which exceed 10 feet vertical rise-to
100 feet of horizontal distance.
D. Site preparation within 100 feet, of wetlands, beach, bluff or coastal
erosion hazard area.
E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
® F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
- -- - - - ---Control Plan was received by the Town-and the-proposal includes- --
in-kind replacement of impervious surfaces.
' N you answered NO to all of the questis above, STOP! Complete the Applimt sectio i below with your Name,
Signature,contact Infcras um,late & County Toa Map Nu"a! Ct►apter an does not appliy to yew p vjed-
If you answered YES to=or mare of the above,please submit Two eapim of a Stoamwaux Manap+e tmt Con M Plan
and a completed geek List rmm to the Buildi>ag t wW_yy=1ildina Pemk Application.
APPLICANT: A Design Professional Agent,ContmNer.Diner) S.C.T.M. : 1000 Daae
//
NAME �lrL- �L�f�l�' L.
Section Block Lot
p FOR BUILDING DEPARTMENT USE ONLY
Contact 1-f—tom
Reviewed By:- - -- - - - - - - - - - - - - - - -
Property Address/Location of Construction Work:_ — — — — — — — — — — — — — — — —
�-49® V— u — Approved f .Processing Building Permit.
Sto er Management Control Plan Not Required.
ree�-P S�areSt 2� ormwater Management Control Plan is Required.
(Forward to Engineering Department for Review)
FORM * SMCP-TOS MAY 2014
APPLICANT: S.C.T.M.*: 1000
(rey omat)
, .dyi f'eof�imul,Ay�nt,Contradar,ah.r) —� Q,O��i' C ER 236
�
Stormwater Management Control Plan CHECK LIST
N' �a(4f/- Ud1j k( Section Block Lot � S M C P -Plan Requirements: Provide ONE copy of the Building Permit Application.
"� `"� ��� P62 Date: * The applicant must provide a Complete Explanation and/or Reason for not providing
) tl r all Information that has been Required by the following Checklist!
na
1.1A Site Plan drawn to scale Not Less that 60'to the inch MUST NO I NA If You answered No or NA to any Item, Please Provide Justification Here!
show all of the following items: If you need additional room for explanations, Please Provide additional Paper.
a. Location& Description of Property Boundaries
b. Total Site Acreage.
c. Existing-Natural& Man Made Features within 500 L.F.
of the Site Boundary as required by$a36-mcm.
d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water.
e. Limits of Clearing& Area of Proposed Land Disturbance. Go 7Z)8E � [TS -7-0 PSA
f. Existing& Proposed Contours of the Site (Minimum z Intervaisl
g. Location of all existing& proposed structures, roads, +
driveways,sidewalks,drainage improvements&utilities. EROSION
h. Spot Grades& inish loor Elevations for all existingShall inrhirip hilt ont be limited to-
proposed structures. XUQI M11 _
I. Location of proposed Swimming Pool and discharge ring.
J. Location of proposed Soil Stockpile Area(s). Seeding of exposed a, - -
k. Location of proposed Construction Entrance/Staging Area(s). j
5
1. Location of proposed concrete washout area(s). APR 2 4
M. Location of all proposed erosion&sediment control measures.
2. Stormwater Management Control Plan must include Calculations showing DRAINAGEINSPECTIONS
that the stormwater improvements are sized to capture,store,and Infiltrate Contact TOS En ine
on-site the run-off from all impervious surfaces generated by a two(21 inch ac i I, OR Provi aT'D
rainfall/storm event, that the dr ai C-0 tiRcation jen
3. Details&Sectional Drawings for stormwater practices are required for approval, o o e.
Items requiring details shall include but not be limited to:
a. Erosion&Sediment Controls.
b. Construction Entrance&Site Access.
i
c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.)
d. Leach Ing Structures (e. .infiltration basins.swales.etc.)
**** FOR ENGINEERING EPARTMENT SE ONLY**** Additional Information is Required.
Reviewed& Stormwater Management Control Plan is Not Complete.
Approved By: — — — — — — — — — — — — — — — — — — — — — — —
Stormwater Management Control Plan is Complete.
Dater
orf I ® SMCP has been approved by the Engineering Department.
FORM Y SWCP Check List-TOS MAY 2014
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
N Town Hall Annex - 54375 Main Road - PO Box 1179
o Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631)*765-9502
rogerr(cr-southoldtownny.gov seandasoutholdtownnv.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: '7Zf41-4. r c1 12,? I
Name:
License No.: sg��� Rte email:
Phone No: y qfr,1p request an email copy of Certificate 6f Compliance
Address.: J?
JOB SITE INFORMATION (All Information Required)
Name: _-0Qd sA ai14 sD,t,
Address: 2 VA
0 aaQ 2�
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: j Lot . (A
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
r0"- / —_?�s0C 4rl,,9e✓
Check All That Apply:
Is job ready forinspeciion2: ES ❑IVO F-1 Rough In P211Final
Do you need a Temp Certificate?: ❑YES [—]NO Issued,On
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead
# Underground Laterals ❑1 ❑2 ❑H Frame ❑Pole Work done oracr❑y, ❑N
Additional Information.-
IG unr
PAYMENT DUE WITH APPLICATION'
7-7-Z
�
Electrical Inspection Form 2020 xlsx �4r
PERMIT# Address:
Switches
Outlets
GFI's '
Surface
Sconces 1
1
H H's
UC Lts v�
Fans C Fridge HW
Exhaust 1 Oven Dryer
Smokes DW Service '
Carbon Micro Generator
- ----- - ---- ---=---- -- - ---- - - - - - --- -- - - --- --- ----- --- - -
Combo Cooktop Transfer
AC AH Mini
Special:
Comments
C - (' �
®�*rif SO(/r�Ol
Town Hall Annex ~ O Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • �O
Own
BUILDING DEPARTMENT
June 7, 2021 TOWN OF SOUTHOLD
Odel Daly
P.O. Box 343
Southold, New York 11971
RE: Breezy Shores. Cottage #24, Greenport, D. Nelson
TO WHOM IT MAY CONCERN:
The items marked below are required to obtain your Certificate of Occupancy
Chapter 236, Soil stabilization required.
X Electrical Underwriters Certificate. (Electric inspection form on website)
Final Health Department survey.
Plumbers Solder Certificate or Pex Affidavit
k_X_
Trustees Certificate of Compliance. (Town Trustees # 765-1892)
Final Planning Board Approval. (Planning # 765-1938)
Final Fire Inspection from Fire Marshall. (631-765-1802)
Storm Shutters required for all glazing
Energy Test Results and Manuals required
Final elevation certificate from surveyor.
Spray Foam Insulation Certification from a NYS licensed architect or
Engineer
BUILDING PERMIT: 43674-Z Addition/Alteration
r
BREEZY SHORES COMMUNITY INC
Sage Blvd.
Greenport, NY 11944
June 11, 2018
The Board of Directors of Breezy Shores Community Inc. (BSCI) 2017/2018, consisting of
Dominie Mahl, President, Tom Charette,VP; Jimmy Costello,VP; Richard Wehrman,Treasurer;
and Lena Beug,Secretary, hereby affirm that we have reviewed the repair and renovation
proposal sent by Diane and Dave Nelson. Plans were submitted on May 16th with an
additonal drawing sent on June 4th for cottage 24. Plans were prepared by:
Frank Uellendahl
P.O. Box 316
Greenport, NY 11944
(631) 477-8624
frank.uellendahl@gmail.com
The Board has no objections thereto.
Thank you,
4-hz
Dominie Mahl
President, on behalf of the Board of Directors
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C.OTTAGE 24 TO BE RAISED 24" TO EL, 9.0 m 123 CENPOBOX 316
TO MEET FEMA FLOOD PLAIN REQUIREMENTS GRTENPORT, NY 18624
m C_ 5 TEL 631-477 8624
N . • 1, .I
� OWNERS
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DAVID AND DIANE NELSON
0 422 RUSHMORE AVE.
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. . .' 91.7 cu ft 9�
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11111 ' = 1000-53-05-12.6 cc
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ZONING BOARD OF APPEALS Date: GREENPORT, NY
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24 BREEZY SHORES
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FRANK UELLENDAHL
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/C-20 o P.O.BOX 316
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TELP631-47719624
OWNERS
Q a a a
DAVID AND DIANE NELSON
a a a a
+ + a + 422 RUSHMORE AVE.
a a a a a a MA.MARONECK, NY 11543
+ + a a TEL: 914-282-5693
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EL 5.5 ' ' DRYWELL
+ i a _ �
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0 2 CAMERA LOCATION FOR PHOTO VIEW
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13 SF ADDITION r ,
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• •` •• • • • AS PER ELEVATION
• `• - CERTIFICATE 12/16/13 • `•`-' -; ;•,•, `•` :-:•` RUN-OFF CALCULATION: _
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. . . . SCALE: 1/16" = 1'-0"
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14'-4 1/2' 4'-4'
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MCI
APPROV D AS NOT D� ELECTRICAL
DATE: ff56
B-P.# 3 7 INSPECTION REQUIRED
FEE: BY:
NOTIFY BUILDING DEPARTMENT AT .
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED rv'
FOR POURED CONCRETE PLUMBER CERTIFICATro
2. ROUGH - FRAMING & PLUMBING ON LEAD CONTENT BEFOP
3. INSULATION CERTIFICATE,OF OCCUPAN-
4. FINAL - CONSTRUCTION MUST SOLDJFR USED IN WATER
BE COMPLETE FOR C.O. SUP LY SYSTEM CANNOT
ALL CONSTRUCTION SHALL MEET THE L�
REQUIREMENTS OF THE CODES OF NEW EXCEED 2110 OF 1% LEAD
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
RA�`
,'A -f LUMBING'WASTE.
r'.&-�ATER,LINES NEED
COMPLY WITH ALL CODES OF T� tF,,FQRE COVERING
NEW YORK STATE & TOWN CODES-
AS
ODESAS RrED AND CONDITIONS OF
SOUTHOLD TOWN ZBA
TON PLANNING BGARP,
SOUTHOLD TOWN TRUSTEES
-** .tEC-- FLOOD ��� ;
,Y PTER 148
FLOWD evehim
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFf CAT hting
lled,�replor aced
or
OF-OCCUPANCY repaired shall conform
to Chapter 172
of the Town Code
DRAINAGE INSPECTIONS ARE REQUIRED
Contact TOS Engineering at 765-1560 before
Backfill,OR Provide Engineer's certification
that the drainage has been installed to Code.
C-26 PROPOSED
W
❑ALTERATIONS
ao icom iu reoo�a p �
0
0
C- 19 0
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COTTAGE
LLJ GREENPORT, NY
c 24 BREEZY SHORES
Q 65490 ROUTE 25
r O.S. cn F5 ARCHITECT
1233CENTRALLENL
AVENNUUE
C-20 COTTAGE 24 TO BE RAISED 24" TO EL. 9.0 P.O.BOX 316
CD m TO MEET FEMA FLOOD PLAIN REQUIREMENTS GREENPORT, NY 11944
(!7 i + +
C-25
2 W TEL 631-417 8624
OWNERS
DAVID AND DIANE NELSON
422 RUSHMORE AVE.
MAMARONECK, NY 11543
+ + + + TEL 914-282-5693
O.S. 3
o EL 5.5 ' i + + DRYWELL
0 8'X3'
&CAMERA LOCATION FOR PHOTO VIEW
Y PROPOSED C-24
C-21 RENOVATION & EXT'G FLOOR EL. 7.0 EXTG FOOTPRINT OF COTTAGE 535 SF
`o 13 SF ADDITION PROPOSED FOOTPRINT C-24 548 SF
O.S.
z
117 INCREASED COVERAGE 2.42 % = 13 SF -
W + EL 4.5
— — — — — — — •:- • • �•� ,-•� �•'•� �••• •' :- :•:••• ® PROPOSED 13 SF ADDITION
�• :•: .•:•� : FLOOD ZONE AE •:•: •:•1•:•'• -:•:-:•:•.•`-:•:•:•:•:•'•:-:• EXISTING STRUCTURES
t- T5
. . . . . AS PER ELEVATION . . . . . . . . . . . . . . . . . .
• •'•`• •'-`• CERTIFICATE 12/16/13 - •` -' `•`•`•'•`-' ` `•' `.`• . •` RUN-OFF CALCULATION:
. .`.`. .`. .'.'.' . .`. .' BY PECONIC SURVEYORS .o ` . .:.:.: ` •.`.:.: .:.
. . . . . . . . . . . . •. .• / •, FOR 2 OF RAIN TO BE CONTAINED ON SITE
.'.:.:.: '.: : : `. .�RASS. . .' ?/.`. . .'.`.'.'.'.'. .•. . . . • COTTAGE 548 SF:100% run—off coefficient= lE
. . . . . . . . . . . . . . .•. .'. . . . . . . . . . . . . 91.7 cu ft• .`. .` `. . '• . • . ... • ..... . ..a`. . . . ./ .` . . . . .... • .` ` _` ' LINE OF HAY BALES PROPOSED 8'x3' deep DRYWELL 126.7 Cu.Ft. 8
.:` :' : �. :. Y.�_ - - •'�`_�'�:. .:.: .'•`� AND SILT FENCE WITH GUTTER LEADERS FOR ROOF RUN—OFF
. . . . . .
` .,•• DATE; 06/14/2018
SCALE; 1/16"
x PROPOSED
PEBBLE BEACH , \ SCTM# = 1000-53-05-12.6 SITE PLAN
'l TOWN OF SOUTHOLD DING. NAME
SHELTER ISLAND SOUND PHRAGMITIES SUFFOLK COUNTY, NEW YORK A-0
®jo MG. NO
SITE PLAN
GENERAL NOTES El PROPOSED
ALTERATIONS
iF
1. ALL WORK MATERIAL, AND EQUIPMENT SHALL BE IN J o Z
ACCORDANCE WITH THE 2015 INTERNATIONAL BUILDING O
CODE IBC AND THE 2015 INTERNATIONAL ENERGY IA
COHSE VA ION CODE (IECC) AND LOCAL AUTHORITIES. a
2. ALL CONCRETE SHALL BE STONE AGGREGATE WITH A
MINIMUM 28 DAY STRENGTH OF 3000 PSI y Z
3. ALL LUMBER SHALL BE GRADE STAMPED DOUGLAS FIR- J 28'-3 1/2" COTIAGE
LARCH STRUCTURAL GRADE #2 OR BETTER. 9'-7° ° 15-8° 3'-11 1/2°
4. PROVIDE DOUBLE HEADERS AND TRIMMERS AT ALL GAS GREENPORT, NY
STAIR AND FLOOR OPENINGS, POSTS AND PARALLEL24 BREEZY SHORES
PARTITIONS, EXCEPT AS NOTED ON DRAWING. 65490 ROUTE 25
i
W
5. BRIDGING TO BE PROVIDED FOR ALL JOISTS AND O ARCHITECT
FLOOR BEAMS. SPACING NOT TO EXCEED 8.0 FT. =HEIGHT WALL: 5'-11" `i' o FRANK UELLENDAHL
° N 123 CENTRAL AVENUE
6. ALL DIMENSIONS AND GRADE CONDITIONS TO BE � o P.O.BOX 316
VERIFIED BY CONTRACTOR(S) PRIOR TO START OF KITCHEN GRTEL:PORT631-47711944 8624
CONSTRUCTION AND ORDERING OF MATERIALS. THIS
FOUNDATION HAS BEEN DESIGNED FOR A SOIL — — — — — — — — REF' _ _ _ _ _ _ o _ _ _ _ OWNERS
BEARING CAPACITY OF TWO (2) TSF AND GRADESo BEDROOM 2 1 DAVID AND DIANE NELSON
LESS THAN 5%. CONTRACTOR SHALL VERIFY THATN 422 RUSHMORE AVE.
THESE CONDITIONS ARE MET, o MAMARONECK, NY 11543
O TEL- 914-282-5693
7. DO NOT SCALE DRAWINGS. EIN Y
o �
8. DESIGN CONSULTANTS OR RECORD ARCHITECT- Oo 0
ENGINEER ARE NOT RESPONSIBLE FOR THE
OHOWER
INSPECTION, SUPERVISION, OR ADMINISTRATION OF PROPOSED o ��\
THIS CONSTRUCTION PROJECT. FEDERAL, STATE N
AND LOCAL ZONING AND BUILDING CODE COMPLIANCE ADDITION9�
SHALL BE THE RESPONSIBILITY OF THE 15 -11 9 -7
CONTRACTOR. 16 SF - 3% o
ENCLOSED PORCH BEDROOM 1
9. THIS DRAWING IS AN INSTRUMENT PREPARED TOco
0
FACILITATE CONSTRUCTION AND SHALL NOT BE = 96 �
CONSTRUED AS A CONTRACT BETWEEN BUILDER AND o, a N,E
OWNER,
10. ENGINEER TO BE NOTIFIED IN WRITING OF ALL
CHANGES PRIOR TO AND DURING CONSTRUCTION. 13 SF = o
HEIGHT OF WALL: 5—11
11. ELECTRICAL AND MECHANICAL COMPONENTS TO BE
DESIGNED AND SPECIFIED BY OTHERS. N 535 SF
12. CONTRACTOR SHALL OBTAIN ALL PERMITS AND d 2'-0" °°
INSURANCE NECESSARY TO PROTECT THE ENGINEER N
AND OWNER.
1'F 1�" 16'-511 .I 101
-311 .I a o
13. ALL MULTIPLE LVL PRODUCTS TO HAVE 2 ROWS OF 1/2" DIA. N 26'-8" .1 w DATE: 06/14/2018
GALVANIZED MACHINE BOLTS @ 12 O.C.. SCALE: 1/4" = 1'-0°
3¢ EXISTING
Y
FLOOR PLAN
°� GENERAL NOTES
12° 12° 12° 12° s N
OR: TRUSSLOK CONNECTORS BY 'FastenMaster' ® 16" O.C. DWG. NAMECOTTAGE 24
EXISTING FLOOR PLAN ®� DWG. NO A-1
16° 1s° SCALE: 1/4" = 1'-0"
aPROPOSED
ALTERATIONS
PEZ
J o
N
JJ
ZW
W
28'-3 1/2" ar
'
DESIGN IN ACCORDANCE WITH AMERICAN FOREST 14'-4 1/2" 4-4" 8'-3" w
PRODUCTS WOOD FRAME CONSTRUCTION MANUAL
FOR 1&2- FAMILY HOUSE - PRESCRIPTIVE DESIGN METHOD
GREENPORT, NY
AW 251 GAS AW 251 AN 251 WDH2O42 WDH2O42 24 BREEZY SHORES
WINDBORNE 65490 ROUTE 25
DEBRIS PROTECTION SCHEDULE
smeg o L — — — ARCHITECT
PRECUT WOOD STRUCTURAL PANELS WITH A THICKNESS 00 C) FRANK UELLENDAHL
OF MIN 7/16 INCH ARE TO BE PROVIDED TO COVER m 123 CENTRAL AVENUE
THE GLAZED OPENINGS OF THE PROJECT: "' o P.O.BOX 316
FASTENER TYPE: 1/4" LAG SCREW BASED ANCHOR WITH KITCHEN `� C31 GRTELP631-47711944 8624
2-INCH EMBEDMENT LENGTH, SCREW SPACING: 16 INCHES, En
OWNERS
WINDOW SCHEDULE DAVID AND DIANE NELSON
�o 422 RUSHMORE AVE.
N
PROPOSED REPLACEMENT WINDOWS AND DOOR ARE CUSTOM I 3
TEL MAMARONECKECK, N 2-55Y 115443
MADE BY LOEWEN - NORTH SHORE WINDOW INC. I BR 2
GLASS TO BE HIGH PERFORMANCE LOW-E GLASS o ,� o "
SCREENS TO BE PROVIDED FOR PROP'D WINDOWS & DOOR , I 7'-0" CLG.HGT. N
ALL PANES TO BE TEMPERED oo
Mark Size Description Quantity c� BR 1 d N r E ( X/ r,
U �{
A WDH2O42 DOUBLE-HUNG WINDOWS - LR BRs 14 LIUIN RM. vral B AW251 AWNING WINDOW - KITCHEN 2 N x o
C AN251 AWNING WINDOW - BATH 1 N CATHED AL CLG. N U, W
D AW21 AWNING WINDOW - LOFT 3 0 W/D w N �' ��,'
E A21 AWNING WINDOW - GABLE ENDS 2 oo 0 TDOOR ( f}._
NI cmSHOWER
C ti`s / •{_
S`,
DESIGN CRITERIA; z o
STORAGE m
GROUND SNOW LOAD - 45 PSF.
LIVING AREAS AND DECKS - 40 PSF.
SLEEPING AREA - N/A (4) WDH2O42 =
WIND SPEED - 130 MPH o00
SEISMIC DESIGN CATEGORY - B "' K,
WEATHERING - SEVERE
FROST LINE DEPTH - 36" WDH2O42 WDH2O42 o s
Q N N
TERMITE - MODERATE TO HEAVY M
DECAY - SLIGHT
00
ICE SHIELD UNDERLAYMENT REQUIRED - N/A N CD
a GATE: 08/31/2018
SCALE: 1/4" = 1'-O"
Si 14'-4 1/2" X 3'-0" ,t1;i 9'-7" 41;'1 c� PROPOSED
o FLOOR PLAN
548 SF N�
DWG, NAME
COTTAGE
24 A-2
PROPOSED FLOOR PLAN DWG. NO
SCALE: 1/4" = 1'-0"
J
E PROPOSED
W ALTERATIONS
o Z
� Q
U
O
U W
U
J 28'-31/2' N
J
30 11'-2" J 11'-2" J 3'-0" J COTTAGE
GREENPORT, NY
24 BREEZY SHORES
65490 ROUTE 25
_ z
5.25" x 11-7/8" TRT'D GLULAM BEAM ARCHITECT
z
STRAPPED TO EACH FLOOR JOIST CD FRANK UELLENDAHL
123 CENTRAL AVENUE
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422 RUSHMORE AVE.
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TEL: 914-282-5693
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