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HomeMy WebLinkAbout27948-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28258 Date: 03/08/02 THIS CERTIFIES that the building HEATING SYSTEM Location of Property: 13220 MAIN RD EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 14 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14, 2001 pursuant to which Building Permit No. 27948-Z dated DECEMBER 7, 2001 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 "AS BUILT" HEATING SYSTEM FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR WITH FLOOD PERMIT. The certificate is issued to HENRY H TRAENDLY & ANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 107695A 12/05/01 PLUMBERS CERTIFICATION DATED N/A Authorized S nature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27948 Z Date DECEMBER 7, 2001 Permission is hereby granted to: HENRY H TRAENDLY 13220 MAIN ROAD EAST MARION,NY 11939 for CONSTRUCTION OF AN "AS BUILT" HEATING SYSTEM AS APPLIED FOR WITH FLOOD PERMIT at premises located at 13220 MAIN RD EAST MARION County Tax Map No. 473889 Section 031 Block 0014 Lot No. 012 pursuant to application dated MARCH 14, 2001 and approved by the Building Inspector. Fee $ 175 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 ' 4 61 1 , " Q Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT' TOWN HALL 765-1802 TOuyBLOG OrPT U 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 I%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: I. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and a 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$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. )b 0 New Construction: V_ Old or Pre-existing Building: (check one) Location of Property: 3--?Q House No. Street Hamlet Owner or Owners of Property: ,, Suffolk County Tax Map No 1000, Section j Block (� Lot Z. Subdivision Filed Map. Lot: Permit No. q Lj 5F Date of Permit. i L -t Applicant: H cam, sj_ Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ , op Applicark Signature r-~--- --------' `-'-�- -~ --� '` (�` FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INFORMATION dor Ineuratna�! r gny Use: BUILDING OWNER'S NAME P Town of Southold BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. C3 tgdrhti Main Road CITY STATE ZIP CODE East Marion NY 11939 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 1000-31 -14-12 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: L_I GPS(Type): ( ##°-##'-##.##" or ##.#####0) I_I NAD 1927 IJ NAD 1983 L_l USGS Quad Map L_l Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2.COUNTY NAME B3.STATE Town of Southold I Suffolk I New York B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX B7.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) 36103CO064 G Mav 4 .1998 AE el. 9 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. LJ FIS Profile XJ FIRM 1J Community Determined U Other(Describe): B11. Indicate the elevation datum used for the BFE in B9:LKJ NGVD 1929 IJ NAVD 1988 LJ Other(Describe): B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? LJ Yes [X J No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: LJConstruction Drawings* LJBuilding Under Construction* IX (Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1430,V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2.State the datum used. If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the F Yes L XL No ❑ a)Top of bottom floor(including basement or enclosure) 5. 4 ft.(m) Ll b)Top of next higher floor 9 8 ft.(m) `� m c� d t.MFlj y�•p O c)Bottom of lowest horizontal structural member(V zones only) _ft.(m) QFp ❑ d)Attached garage(top of slab) _ft.(m) E g 13e)Lowest elevation of machinery and/or equipment u, ' fir- �:, servicing the building 9. ft.(m) 2 � ❑ 0 Lowest adjacent grade(LAG) 7. 5 ft.(m) 2:1.r9 L] g)Highest adjacent grade(HAG) 7. 7 ft.(m) y 496 $ ❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 8 FD AND $� ❑ i)Total area of all permanent openings(flood vents)in C31h sq.in.(sq.cm) 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 certify that the information in Sections A, B, and C on this certificate represents my best efforts to intefpfet the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. JohnETMetzger, L. S. LI 99TEf. dUMBER TITLE COMPANY NAME 44 yy bb t3 President Peconic Surveyors, P.C. ADDRESS CITY STATE ZIPC 7[�E P.O. B 9 Southold NY 1191 SIGNATUR / Dec. 4 2001 L P ON M51� 65-5020 FEMA Fi6rpii 81-31,AU6 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALLPREVIOUS EDITIONS -7 ? 765-1102 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: aa-cye�� A�z A4 DATE INSPECTOR 4� 765-1802 BUILDING DEPT. INSPECTION [ PLB] FOUNDATION IST [ ] ROUGH G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACES CHIMNEY REMARKS: rOV/ e 41;�r ae-e7La • DATE d2 INSPECTOR 6P Z7 9 t 8 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL 14- [ ] FIREPLACE A CHIMNEY REMARKS: Su / o,.i r.► S/7rt C K. ,proUl P/C C/c o ca / U 44 rl ✓Ge(JK � et o.J Ur•l Jr!! !t *J I�i� DATE 04/ 9/0.2- INSPECTOR/Zd-, �G�� re,--,y ce-74�0,-► saLuiNc DE". INSPECTION [ ] FOUNDATION IST [ J ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /fes [t�] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE h N8PECT0 ��4 ' 474 541f BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: lee DATE 3 � ?� INSPECTOR ®i I MM v N � MMK W Arg 015 ill.�/ � � � ��s���i�/ �//�/!.L .✓-�Z/i. 7� r �. ldwpl �. �. TOWN OF SOUTHOLD- BUILDING PERMIT APPLICATION CHECKLIST: BUILDING DEPARTMENT MAR 2. 6 Do you have or need the following,before applying TOWN HALL _ Board of Health SOUTHOLD, NY 11971 A_ 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees 31-- 9�9- 3 (,3 7 Examined /Z ,20� n Approved /Z ,20_,e/ PERMIT NO. of /�7�i / / 33 7— 0/// Disapproved a/c Building ItmpmTor APPLICATION FOR BUILDING PERMIT Date 3 z cP , 20 o l INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans,accurate plot plan to sale.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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws,Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) k (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricianplumber r builder Name of owner of premises Ly (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. 3> Y`l - P Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: :t House Number Street Hamlet 4 County Tax Map No. 1000 Section D -31 Block ' K Lot o Z Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Q4_5 ,_ &,L 5 R - 4i�As Ory e-r (Description) 4. Estimated Cost 4t 7 v. Fee (to be paid on filing this application) 5. If dwelling,number of dwelling units r 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 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: 13. Will lot be re-graded Will excess fill be removed from premises: YES NO 112- 14. Names of Owner of premises HG„rM i'R RFNOLy Address -b1&C4&0 '"'°'`�' AJ Phone No.(,P t,�rG 5Le-' °s- Name of Architect Address 5° phone No Name of Contractor Address Phone No. 15. Is this property within 300 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, indicate scope of project, to scale,with distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual siVning contract)above named, (S)He is the —it- (Contractor,Agent, Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this �� day of W/1 Q 20 O Notary Pu lic Signature of icant ELIZABETH A STATHIS NOTARY PUBLIC,State of Now YYol1lk No.Term Expires June 8 20a ` APPLICATION # PAGE I of 4 j 1 TOWN OF SOUTHOLD SFLOODPLAIN, DE` ELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION is 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 re-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. 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. 1,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 DEVELOPMENT (T-6 be completed by APPLICANT) J��'lSP�^� NAME ADDRESS , TELEPHONE APPLICANT / 2 1+ 3�vJ Fc.ry.. -,cNe 1e 168 ^ Se1 � ��oq. BUILDER ENGINEER PROJECT LOCATION: • To avoid delay in processing the application, 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. .7, -L z--0 M A, r, r�c� FDP(93) ' APPLICATION r =' PAGE 2 OF Q DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ❑ New Structure ❑ Residential (1-4 Family) O Addition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Floodproofmg? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition P ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVI'T'IES: ❑ Fill ❑ Mining ❑ Drilling O Grading O Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) O Drainage Improvements (Including Culvert Work) ❑ Road, Street orl�`ibge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or'Ser System O Other (Please Specify)' After completing SECTION 2, APPLICA14W. 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 Panel No. , Dated The Proposed Development: ❑ IsITT 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) O Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION �! .• PAGE 3 OF 4 • SECTION 4• ADDITIONAL INFORMATION REQUIRED fTo he completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: O A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. O 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 floodproof-mg of utilities located below the first floor and details of enclosures below the first floor. Also ❑Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they arc not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new [ill elevation . Ft. NGVD (MSL). O Floodproofrng protection level (non-residential only) Ft.'NGVD (MSL). For floodproofed 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 in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other. SECTION 5; PERMIT DETERMINATION (To be completed 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 the conditions attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator 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 a OF a APPEALS: Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No 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 Cin 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. SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADIII STRATOR will complete this section as applicable based ori-inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? OYES ❑ NO DATE BY DEFICIENCIES? OYES ❑ NO SECTION 8• CERTIFICATE OF COMPLIA.NCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OVN'NER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING Cl EXISTING BUILDING ❑ 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_, AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) 1. Two permanent openings, one commencing within 12 in. (30 cm)of Chimney or gas vent top,and one commencing within 12 in.(30 cm)of the bottom,of the enclosures be provided. The openings shall communicate directly, or by ducts, with the doors or spaces(crawl or attic)that freely communicate with the outdoors. a. Where directly communicating with the outdoors or where commun' �+ ing to the outdoors through vertical ducts,each opening shall have a minimum , area of 1 sq in. per 4000 Btu per hr(5.5 cm2 per kW) of total input rating of �0 equipment in the enclosure. (See Figures 2 and 3.) p s� t—Chimney or gas vent Ventilation louvers — (each end of attic) — Furnace Water heater Ll Figure 3. Equipment Located in Cor Outlet air Air from Outdoors through Ventilated At a9 Fumace Water heater Inlet air — e opening shall directly communicate with the outdoors or shall communicate Alternate rough a vertical or horizontal duct to the outdoors or spaces (crawl or attic)that air inlet ❑ ly communicate with the outdoors, and shall have a minimum free area of: a. 1 sq in.per 3000 Btu per hr(7 cm2 per kW)of the total input rating of all uipment located in the enclosure,and .TR Ventilation louvers for b. Not less than the sum of the areas of all vent connectors in the confined unheated crawl space ace. Figure 2. Equipment Located in Confined Spaces,All Air from Outdoors—Inlet Air from Ventilated Crawl Space and Outlet Air to Ventilated Attic.See 5.3.3(b). When all combustion and ventilation air is taken from outdoors, either ectly or by ducts, one of two methods is permitted. The first method b. Where communicating with the outdoors through horizontal ducts, quires two openings or two ducts,either vertical or horizontal,commenc- opening shall have a minimum free area of 1 sq in.per 2000 Btu per hr(11 c $within 12 in. (30 cm) of the ceiling and floor. The minimum dimension m2 f the opening or duct is limited to 3 in. (8 cm), and the ducts must be the kW)oftotal input rating of all equipment in the enclosure. (See Figure 4.) a area as the openings to which they connect.Vertical ducts or openings 2. One permanent opening, commencing within 12 in. (30 cm) of the top sized at a minimum free area of 1 sq in./4000 Btuh (5.5 cm2/kW) of the the enclosure, shall be permitted where the equipment has clearances of at le tai appliance input installed in the space. Horizontal ducts require a min- 1 in.(2.5 cm)from the sides and back and 6 in.(16 cm)from the front of the appli um free area of 1 sq in./2000 Btuh (11 cm2/kW) of the total appliance NATIONAL FUEL GAS CODE HANDBOOK NATIONAL FUEL GAS CODE HANDBOOK i loot, Nyy, r�Zoo A2� o / '7- .010,/10, 1+. 04 coot , qtr Boa, oODDo •"tom � ' �, .eP *ay v A Ay /`. 0 ,. `, � $ Off• =.L. -sem "� •' �++ �D.A P�8 �r 00+ (� P NOTE Dfs IMPROVEMENTS WITHIN TEMPORARY EASEMENT ARE NOT SHOWN HEREON SURVEY FOR HENRY TRAENOLY AT EAST MARION DATE; oEc u,1990 TOWN OF SOUTHO�LD SCALE 1'.40' SUFFOLK COUNTY, NEW YORK 140- 90-0909 M 1~1 TW01111E0 ALTERATION OR 4&0,fION TO THIS SURVEY 0 A YIhAT10P OF RECTION 7206 Of 104E NEW VOAN STATE EDUCATION LAZE R COPIES OF TIME SURVEY NOT OEARMO THE LARD �E,t�OF NtEr SURVE+ORIS 4NNE S SEK AM{ELN OSSEO MAL BHAaL ! t0 'AWARRAAt M7E[i IMOt4KD«i1CREai°aITiL�L�u°HPoTn.TO �i4 *', r �i• HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT TI[PERSON TOR WHO" INE fVH4CT/f PRLfAREO AND ON NIS SEHALF TO THE TITLE COMPANY.SOVERH- ■NEAA(f/WATp WAIM_al.: o SOVOCE OF NNfSA.Pat-Art_�PJKIt•� WTWYAL 94ERCY AHO VEPOHK IRSTTp1iSM LHSnO A SHAT CO.TANmM BIST I♦IQQ S[C THON o71 OWN OI+ of DIE HEHEOH,AND TO TWE AISISHEEf OF THE Lt""ll RTHEIR AHE NO OWELLMS WITHIN 100 R((T Of THIS PROPERTY MSII►Y}1004. OUMART(Ef N( HOT YPVPSFEHARLIE OiN(R TNAR�HOit $060" 04101004 TO AOSITIONeL WSTI7U7IONS OH fUSfEOVENT A Poll,ROVER JVPPLT AM fE+IBE 01lIblAL lfS TEW 4490/NIS 0©I4EMY OWNERT 7 ';,` WILL Comma_79 THE 1.TAnyROf OF TRE'SVt10LR'C ONR7T 0(PAOTN(NT 11DIfTAHCES SHOWN HEREON room PRO►ERTY UNE{ + OT HEALTH fpvlC(6, ►TO CEI{IR►OSE AND ARE NOT TO BE f TRIS STRUCTUN(S ME POO A SPECIFIC USED TO ESTABLISH �6 - APPLICANT PROPERTY LINES OR PON INE EHECfIOo OP PENCE% 'AOORESA TEL �. YOUNG El YOUNG 40 NE AVENUE ALDEN W.YVUNG,PROFESSIONAL ENGINEER 0•MONUY(NT !"BUND a400LAA10 SUY RVEYOR N .S tlt£AIS£NO,J20AS LI/IWAOTI W YM IM( I II Ai 11 CIIOVFY/1D Id WcIS0370 T00z 6T •JeW E098 LLh 9TS 'ON 3NOHd W 3 1HH : W0dA o��S�FFO�,�cOG s� N Town Hall,53095 Main Road 0-0 Fax(631)765-1823 P.O.Box 1179 1i `� Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT DATE: October 25, 2001 TOWN OF SOUTHOLD TO: Traendly, Henry 13220 Main Rd. East Marion,NY 11939 Please take notice that in review of the building permit for construction of a heating system at 13220 Main Road, East Marion, NY. County Tax Map No. 1000 - Section 31 Block 14 Lot 12 The following information is needed before we can issue your building permit: 1.) Exact elevation of the heating system you have installed. Because your dwelling is located in a flood zone, it is imperative that you furnish us with the above referenced information. If you have any questions, please feel free to contact this office at 631-765-1802. Res ectful Yo uthorized Signature (0a G � CC: file, Z.B.A. n / rL klcel FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INFORMATION For insurance Company Use: BUILDING OWNER'S NAME Policy Number Town of Southold BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number Main Road CITY STATE ZIP CODE East Marion NY 11939 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 1000-31 -14-12 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) LATITUDE/LONGITUDE y�(,OyP,,�TIO�,NAL) HORIZONTAL DATUM: SOURCE: L_I GPS(Type): AW-##.W or ##.ice#°) L_I NAD 1927 IJ NAD 1983 L_L USGS Quad Map L—I Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2.COUNTY NAME B3.STATE Town of Southold I Suffolk New York B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX B7.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) 36103CO064 G May 4 1998 AE el. 9 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. 1-1 FIS Profile I XI FIRM IJ Community Determined IJ Other(Describe): 1311. Indicate the elevation datum used for the BFE in B9:1_X1 NGVD 1929 IJ NAVD 1988 LJ Other(Describe): B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 1-1 Yes IKI No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: L_IConstruction Drawings* LJBuilding Under Construction* IX (Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2.State the datum used. If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the F Yes I No ❑ a)Top of bottom floor(including basement or enclosure) 5. 4 ft.(m) io 't� ❑ b)Top of next higher floor 9 8 ft.(m) �' `Qt.MBt y�'A Ell c)Bottom of lowest horizontal structural member N zones only) _ft.(m) o c' �0 z r0�4 ❑ d)Attached garage(top of slab) _ft.(m) g ` . ❑ e)Lowest elevation of machinery and/or equipment w ' * f"' �'~'< servicing the building 9. 8 ft.(m) S E ro ❑ 0 Lowest adjacent grade(LAG) 7. 5 ft.(m) i-IF r� o C] g)Highest adjacent grade(HAG) 7. 7 ft.(m) ti ❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade AFD CA ND S�� ❑ i)Total area of all permanent openings(flood vents)in C3h sq.in.(sq.cm) 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 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. JohnET. Metzger, L. S. LII;�N�E,.(dUMBER TITLE COMPANY NAME 4 66 1 tts� President Peconic Surveyors, P.C. ADDRESS CITY STATE ZIP CODE P.O. Box 909 Southold NY 11971 SIGNATUR / 4 DATE Dec. 4 2001 PON T6 1� 65-5020 FEMA 81-31,AU SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Policy Number CITY STATE ZIP CODE Company NAIC Number SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. COMMENTS Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed– see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is I—LI ft.(m)1_1—lin.(cm) Ll above or L_1 below (check one)the highest adjacent grade. E3. For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is 1-1-1 ft•(m)1—Llin.(cm)above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? I Yes I I No I Unknown. The local official must certify this information in Section G SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B,C(or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below. G1. 1_1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 1_I A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. . G3. Ll The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for: 1—1 New Construction 1-1 Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building is: _ft.(m)Datum: G9.BFE or(in Zone AO)depth of flooding at the building site is: _ft.(m)Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS I_I Check here if attachments FEMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS Item G6. Date Certificate of Compliance Issued. Enter the date that the Certificate of Compliance or Occupancy or similar written official documentation of as-built lowest floor elevation was issued by the community as evidence that all work authorized by the floodplain development permit has been completed in accordance with the community's floodplain management laws or ordinances. Item G7. New Construction or Substantial Improvement. Check the applicable box. "Substantial Improvement"means any reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds 50 percent of the market value of the building before the start of construction of the improvement. The term includes buildings that have incurred substantial damage,regardless of the actual repair work performed. Item G8. As-built lowest floor elevation. Enter the elevation of the lowest floor(including basement)when the construction of the building is completed and a final inspection has been made to confirm that the building is built in accordance with the permit, the approved plans, and the community's floodplain management laws or ordinances. Indicate the elevation datum used. Item G9. BFE. Using the appropriate FIRM panel, FIS, or other data source, locate the property and enter the BFE (or base flood depth)of the building site. Indicate the elevation datum used. Enter your name, title, and telephone number, and the name of the community. Sign and enter the date in the appropriate blanks. Instructions—Page 5 BUILDING DIAGRAMS The following eight diagrams illustrate various types of buildings. Compare the features of the building being certified with the features shown in the diagrams and select the diagram most applicable. Enter the diagram number in Item C2 and the elevations in Items C3a-C3g. In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for Section Q. DIAGRAM 1 DIAGRAM 2 All slab-on-grade single-and multiple-floor buildings All single-and multiple-floor buildings with basement (other than split-level)and high-rise buildings,either (other than split-level)and high-rise buildings with detached or row type(e.g.,townhouses);with or basement,either detached or row type(e.g., without attached garage. townhouses);with or without attached garage. Distinguishing Feature—The bottom floor is at or above ground level Distinguishing Feature—The bottom floor(basement or underground (grade)on at least one side.' garage)is below ground level(grade)on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram.' b a i NEXT HIGHER i a i FLOOR NEXT HIGHER b FLOOR GRADE BOTTOM FLOOR GRADE BOTTOM FLOOR (BASEMENT) ...:::...;::::.::..::.....::.::::.::•::i...;::.:::::i.•::::..;::.:;::::is•:::'...,.:::::::..:,:...:...::.:::.,..:.:.. f g (determined by existing grade) f g (determined by existing grade) DIAGRAM 3 DIAGRAM 4 All split-level buildings that are slab-on-grade,either All split-level buildings(other than slab-on-grade), detached or row type(e.g.,townhouses);with or either detached or row type(e.g.,townhouses);with or without attached garage. without attached garage. Distinguishing Feature—The bottom floor(excluding garage)is at or Distinguishing Feature—The bottom floor(basement or underground above ground level(grade)on at least one side.* garage)is below ground level(grade)on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram.' a HIGHER � b a b FLOORS HIGHER NEXT HIGHER GRADE FLOORS RADE FLOOR BOTTOM FLOOR NEXT HIGHER BOTTOM BASEMENT LOOR f (determined by existing grade) f g (determined by existing grade) * A floor that is below ground level(grade)on all sides is considered a basement even if the floor is used for living purposes,or as an office, garage,workshop,etc. Instructions—Page 6 F� s" u M. COP�C PL 9ASE FL000 ELEV PZ\ONS �,P.PPL`f ONL`l LP.NOW PRO OF O.O NOVO r mil 011 1 ZONE X ZZONE VE ONE X (EL 13) ZONE 7 xi. F ' ZONE ' X ZONE X &c S£ V „�' ZONE X 1 ZONE • P X ZONEAE \ •� \\ \ \\ \ (EL 10) ZONE • \ \ X • c Town of Southold �\ 360813 ZONE X \ \. •� � � �� •� ROAD \ \\ \ • MAIN \ • \ \ ZONE AE •\ • (EL s) ZONE X \ T • qG ZONE X ZONE X cF� FTF 9y 9p COASTAL BASE FLOOD ELEVATIONS APPLY ONLY LANDWARD OF 0.0 NGVD A� ZONE X ZONE AE ON (EL 8) OLD ORCHARD LANE dINS PANEL 0177 ZON -______..__ v P��25 DSa�ti Nay r�z o' A21 d AtN ���. �\02� pQ� ✓��` -O��'LD aa d CPO lol 1� 500 �Y �' ► �. �A yYy `gyp . . ► � , bR `�'.. /�. A '7 \` x.11 aL�aNL J.o°\ �. - Oy0►0 �1 dip 1r d°A 1+`�il� It --aa� ►o! \ J1O j �r FP0+ . 'moo ►f . IVA $. s^ O OP`s NOTE IMPROVEMENTS wITmN TEMPORARY EASEMENT ARE NOT'SHOWN HEREON_ SURVEY FOR HENRY TRAENDLY AT EAST MARION DATE; OEC.13,1990 TOWN OF SOUTHCLLD SCALE I"-40' SUFFOLK COUNTY, NEW YORK too. 90-0905 N uwv TMEA1110 ALTERATIeA AA 440NTmm 'm TNI$ f1�Mvty a A VIOLATION 0$11".*M TtOA OI THE ME7"at$Taf E ATUOM LAW A COPIES OF THIS s{RVET NOT O[RAOO TME LANA SE Ct Nf �MRVE+OMs�MI1E0 REAL-0R-EUeema,-SEAL AMALL lit A'k0 -wOtiE CON"EAE0 TO KA—VALID TAOE.CO►y .,P ISUARAMTEEO INDICATED MER[OM$IMLL RUN 0QNLv 10 too HEALTH DEPARTML ENT-DATA FOR A"0401i TO.COTmSTRUC T nm PERSON FOR 191,191,19" TM DE svwty Is PAA►AREO y0 AND 01 NMS KNALP TO THE TITLE COOPAMv,AOVEAN- x, R ST MRIq MaM_NN.: A AOVACR 00*Aft*-N111AIE_�POLIC IXENTAL Amor"ANDZ�RGML wsTTT9TION LITMO R. O�VAR AM►RT um 99 c TWN aaI. 01.0".20-4.01 l .NOKOII;YrO TO SME'"AESTONQI OF TME"Ctp""C MINERE PAK NO OWELLAR$ WITMIM 100 nET Of T101 PROPERTY WS/1TUTMW. OU&*&*Tt" 4ot NOV IRAMSPElgelt / OS OTMER TRAM TMOK two" N[IItao" TO ADDITIONAL WITITVTHWs ON 900KOVENV , 11 not svML+.A-Os[.RNE-0NROESI 4vs P(fFfOR iMIIAA+OEf� o>•MERE i SNIR'OOAORM-TO TME 7TWWOAPAO OT TRE"$901,4L I'COURTT Ot►ARTMERT MallvaNCis mme HEREON Fwcu PROPEMry UNE$ O►HEA►TN smvicts. To EXISTING STRVC Tuats ARE M A SPECIPIc w6 • 1 ' � APPuMT, no A06 ARE NOT To OE USED TA ESTAILgM PROPENTV LNNE$ ON PON TME ERECTIOM Or PERCES - 'ADDRES$ SU TEL �. . — YOUNG a YOUNG `°£�,0mEw DR E ••MONUMENT rouHD ALOEN W-MUNG,PROPESSIONAL ENGINEER ANDLJIMO SIJiOVEYDAN.Y.$LICENSE NO.lQ9a5 F%l1 YTIWAAA W VMIAM I AAM SIIOI/EY/TY Td WdSO:b0 TOW 6T 'aeW ?099 L.Zb 91S -ON 9NOHd W 9 1HH : WOdA PL UMBER CERTIFICAT/ON ON LEAD CONTENT BEFORE CEI?RFICAT,F O F OCCUPANCY APP AS 1101 SOL Dt R [,/LSE`s IN WATER DAT E•�' o B.P.#a SUPPLY SYSTEM CANNOT BY: EXCEEI3 2/10 Of 1% LEAD, NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING 3 INSULATION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. "���`F���. CERj�FOC��'E ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE NPYA OF OCCUPANCY STATE CONSTRUCTION A ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS N nop ZoMp 9 �W 11 Zola e0wy MTH CHAPTER M4r UNDERWRITERS CERTIFICATE FLOOD t?AINAO!PmE am REQUIRED 80trmt.O' TOWN COOK.