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HomeMy WebLinkAbout33697-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 12/13/2011 No: 35337 Date: 12/13/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ADDITION/ALTERATION 245 PINE PL EAST MARION, Sec/Block/Lot: 37.-4-13 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in tins officed dated 3/11/2008 pursuant to winch Building Permit No. 33697 dated 3/11/2008 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: mudroom and covered porch addition and alteration to an existing one family dwelling as applied for. The certificate is issued to Wirtz, David (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUiVIBERS CERTIFICATION DATED 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. 33697 Z Date MARCH 11, 2008 Permission is hereby granted to: DAVID M WIRTZ 60 SUTTON PLACE SOUTH NEW YORK,NY 10022 for : ADDITIONS/ALTERATIONS TO EXISTING ONE FAMILY DWELLING PER DEC & TRUSTEES WITH FLOOD PERMIT AS APPLIED FOR. THIS PERMIT REPLACES BP 31117. at pr~m~ses located at 245 PINE PL EAST MARION County Tax Map No. 473889 Section 037 Block 0004 Lot No. 013 pursuant to application dated MARCH 11, 2008 and approved by the FeeBUilding$ Inspector300.00to expire on SEPTE~/tu~~i~/na ~' ' ORIGINAL Rev. 5/8/O2 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. 31117 Z Date MAY 9, 2005 Permission is hereby granted to: DAVID M WIRTZ 60 SUTTON PLACE SOUTH NEW YORK,NY 10022 for : ADDITIONS AND ALTER3tTIONS TO AN EXISTING SINGLE FAMILY DWELLING PER DEC & TRUSTEES WITH FLOOD PERMIT AS APPLIED FOR at premises located at 245 PINE PL County Tax Map NO. 473889 Section 037 pursuant to application dated MAY Building Inspector to expire on NOVEMBER Fee $ 150.00 EAST MARION Block 0004 Lot No. 013 5, 2005 and approved by the 9, 2006. Rev. 5/8/02 ORIGINAL Form No. 6 ~1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOVvqN HALL r 765-1802 i .... APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and subinitted to the Building Department with the lbllowing: A. For new building or new use: l. 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 fora0. 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accesso~j building $25.00, 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 Ncw Construction: Old or Pre-existing Building: Location of Property: House No. Street (check one) Hmnlet Owner or Owners of Property: Suflblk County Tax Map No 1000, Section Subdixision rD ~'~ Block ,CSO~q Lot Filed Map. Lot: Date ofPcrmit..~_..~ t ~¢~ Applicant: '~'t~l ~ Underwriters Approval: l'crmit No.S SC° q 3 Health Dept. Approval: Plarming Board Approval: Request lbr: Tcmporary Certificate Fee Suhmitted: $ ~'1~ ~-~. Final Certificate: ___ V (check one) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ~)~ FOUNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION RE.MARKS: /~~ DATE INSPECTOR__~ ~~- TOWN OF SOUTHOLD BUILDING DEPT. 765-t802 INSPECTION ~FOUNDATION 2ND [ [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION REMARKS: DATE ~ ' INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTOR JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To: Town of Southold Building Dept. Date: November 15, 2006 Re: Insulation Inspection Brancatto 245 Pine Place East Marion, NY Permit #31117 To Whom It May Concern: After an Insulation inspection was performed on the above property, it is deemed that all Insulation was installed correctly, and meets all building codes. Any other questions please call. SinCerely es J ski JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattimck, N.Y. 11952 (631) 298-7116 Date: October 18, 2006 To: Town of Southold Building Dept. Re: Framing / Strapping Inspections Brancatto 245 Pine Place East Marion, NY Permit 3 t-M 7 To Whom It May Concern: After a Framing, and Strapping inspection was preformed on the above house, it is deemed that all work performed was completed to plans and meets all state and local codes. Any other questions please call. )~al~es~J. rkoski March 4, 2008 Southold Town Building Annex P.O. Box 1179 Southold, NY 11971 As per conversation on Tuesday March 4 with Terry I am enclosing a check for $200.00 so that ! could get my job( Building Permit #3117) signed off and I was told it had expired and that sending this check will open it up again so that I could get job signed off ~x~ ~and ele~ieted~ '~___~ / Building Permit # 3117 Address 245 Pine Place TOWN OF SOUTHOLD BUILDING DEPT. 765-11~02 INSPECTION FOUNDATION 1ST [ ] BOUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING ~'~/FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR ~" *~ L*d h!O;d,-I blV95: E S66 !. TOWN OF SOUTHOLD BUILDING D~PARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. Examined ~/ Approved Disapproved a/c / Expiration ,20 5 ,20 '> BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health , 4 sets of Building Plans ~,/~,' ~ ~' planmng Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~ ~ ~ Phone: .l_----- ~B'0~nsp ecto~ ~l .!i - ?LICATION FOR BUILDING PERMIT ~ *r : e~pr ~STRUCTIONS T~~ "~ a. ~s application MUST be completely filled in by t~ewfiter or in i~ ~d sub~tted to the Building hspector with 3 sets of plans, accmte plot pl~ to scale. Fee according to sch~ule. b. Plot pl~ show~g location of lot ~d of buil~ngs on presses, relationshp to adjoi~ng presses or public streets or areas, and wate~ays. c. ~e work covered by this application may not be co~enced before issu~ce of Building Prat. d. Upon approval of t~s application, the B~Iding ~spector will issue a Building Pemt to the applic~t. Such a pe~t shall be kept on the presses available for inspection t~oughout the work. e. No buil~ng shall be occupied or used in whole or ~ p~ for any p~ose what so ever ~til the Building ~spector issues a Ce~ificate of Occupancy. f. EveW building pemt shall expire if the work authorized has not co~enced wit~n 12 months a~er the date of iss~nce or has not been completed within 18 months ~om such date. If no zoning men~ents or other re~lations affecting the prop~y have been enacted in the interim, the Building hspector may authorize, in writing, the extension of the pe~t for an addition six months. Threader, a new prat shall be requked. ~PLICATION IS HE,BY M~E to the Building D~aament for the issu~ce of a Building Pe~t p~suant to the Building Zone Ordin~ce of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin~ces or Regulations, for the construction of buildings, additiom, or alterations or for removal or demolition as here~ described. The applic~t a~ees to comply with all applicable laws, ordinances, building code, housing code, and re~lations, and to ad~t authohzed inspectors on presses and in building for necessaw inspections. ( 'g nt or name, ifa co~oration) (Ma~mg ad.ess of ap~lic~t) ,20 05 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises b~Ov/lJ'') ~ /~ ].1~]'~ (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 LicenseNo. Plumbers LicenseNo. 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 3~f Block 4 Lot [3 Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended us..e and occupancy of proposed const~u~ion: a. Existing use and occupancy ~',/P46/~1~. J~'~ . ~--: q b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~. 10 j (0'0 ~ 5. If dwelling, number of dwelling units [ If garage, number of cars Addition Other Work Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of/~ex~ting stmctures, if any: Front (~ 4 Rear ,.('"t9 5 Depth Height. 'd-~/ Number of Stories ~ ' -' Dimensi°ns °f same structure with alterati°ns °r additi°ns: F~untm CSt e~s Depth Height ber 8. Dimensions of entire new construction: Front ~-~'Rear Depth Height Number of Stories ~ Rear 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO ~ 13. Will lot be re-graded? YES __ NO -"~Will excess fill be removed from premises? YES NO__ 14. Names of Owner of. pt'emise~ ~.~J ~ {Q[ ~4[]~/4kddress __ _ Phone No~ _ Name of Architect ~t~... ~,~.~ Address~~2~j~:~ ~(~'~t"-~)~2-~(.~' Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~"/NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS,~IAY BE REQUIRED. b. Is this property within 300 feet ora tidal weiiand? * YES ~ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED.""' 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) ~/~.~-~ ~ ~-- ~~eing duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 P~ c~' 20 0 d~ Not~ry-~ublic - 'x~/~ignht:are ~f Applicant ~ State of NewY0d~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southald, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6088a Date of Receipt of Application: March 8, 2005 Applicant: Joanne Brancato SCTM#: 37-4-13 Project Location: 245 Pine Place, East Marion Date of Resolution/issuance: March 23, 2005 Date of Expiration: March 23, 2007 Reviewed by: Board of Trustees Project Description: Construct a covered porch and mudroom on the landward side of the dwelling and all as per plans surveyed by John Ehlers and revised 2-28-05, with the condition of a drywell to contain roof runoff. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code. The issuance of the Administrative Permit allows for the operations as indicated in the project description. Special Conditions: Dry well to contain roof runoff. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Albert J. Krupski, Jr., President Board of Trustees James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE it 0312C Date: May 13, 2008 THIS CERTIFIES that the construction of a covered porch and mudroom At 245 Pine Place, East Marion, New York Suffolk Count)' Tax Map # 37-4-13 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 3/8/05 pursuant to which Trustees Permit it 6088A Dated 3/23/05. Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a covered porch and mudroom The certificate is issued to JOANNE BRANCATO owner of the aforesaid property. Authorized Signature New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) 44-4-0365 FAX: (631) 444-0360 John P. Cahill Commissioner LETTER OF NO JURISDICTION David Wirtz PO Box 351 East Marion, NY l 193 %0351 March 12, 2001 Re: 1-4738-02819/00001 245 Pine Place, East Marion 1000-374- l-, $CTM · '~ Dear Mr Wirtz, Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The portion of the parcel located landward of the bulkhead ( as shown on the survey by Roderick Van Tuyl, dated March 2, 1992) is not within NYSDEC jurisdiction as shown of the NYSDEC Tidal Wetland Map # 722-554 and infra-red photographs. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no constrm:tion, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility o f obtaining any necessary permits or approvals fi.om other agencies. cc: file .;~ry tru~y~¥ours, Deputy Regional Permit Administrator Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631 ) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 19, 2008 MR. DAVID WIRTZ 60 SUTTON PLACE SOUTH- APT. 14J NEW YORK, N.Y. 10022 To Whom It May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) J No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) )- Certificate of Compliance from Southold Town Trustees. Approval of the Zoning Board of Appeals Final Planning Board Approval. BP #33697-Z (ADD/ALT TO DWELLING ~ 245 PINE PL. EAST MARION, NY) No Electrical Certificate on file. '"/The Check is not on file -$25.00 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold~ NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 November 29, 2011 BUILDING DEPARTMENT TOWN OF SOUTHOLD David Wirtz 60 Sutton Place South -Apt 14J New York, NY 10022 Re: 245 Pine Place, East Marion TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: __ Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. ~fee of $25.00. (Outdated check enclosed) __ Final Health Department Approval. ~TPru~be~rsScS~)lrlil~a~ee~i~i~tr~i~lnPi~itT~iv~O~ii~e~lsU,~ii51119~ir 4/1/84) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. - Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 33697- Addition/Alterations to Dwelling t606-,] 7-~/-/~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET FORMER OWNER N E ACR. S W ~PE OF BUILDING RES. ~ I~ S~S. VL FARM COMM. CB. MISC. Mkt. Value ..... j ' , FARM *cre Vol~e Pe~/ VaJue ' Tillo~J~ I~,~ I~,~e/ ,ol~,i~, Tillable Tillable ~oodland Swomplond FRONTAGE ON WATER 7 House ~mot DEPTH ~ ~ Fotol ~ DOCK ~-~. Extension Extension Porch Porch Breezeway C~arage Patio O.B. Total COLOR TRIM Foundation ~ement Fire Type Roof Dormer Drivew~ / ,Io ',ecreation Room Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floo~ Dinette K. LR. · · u"'~TH T. T.E;ILRY OFFICE OF THE TOWN CLERK 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 tt~e Flood Damage Prevent regulations of the Code of the To~'n of Southold: "Floodplain Developmen~t Permit Application" [FOP(93)]_/,~nd "Certificate or Compliance for Development in Special Flood Hazard Area [C/C(93)]. B~DG. OF. PT TOWN 0 F, S 0 Lri~ ,~Q~LD.._ j Southold Town Cler-k August 25, 1993 TOWN OF SOUTHOLD APPLICATION PAGE I of 4 FLOODPLAIN DE~rELOPMENT PERMIT APPLICATION This form is to be tilled out in duplicate. SECTION 1: GENERAL PROVISIONS (APPLICAJhrT to rcad and siKm): I.. Ho work may start until a permit is issued. 2. The permit may be revoked if any false statements are made hereto. 3. If revoked, all work must cede until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expir~ if tm work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fufftll local, state and federal regulatory requirements. 7. Applicant hereby give~ consent to the Local Administrator or hg/her repre~entadv~ to make iea~onable inspections required to verify compliance. 8. I, THE APPLICANT, CERTIFY THAT ALL STATEMEHTS HEREIH AND I.N ATTACHMENTS TO , , ,., .... -/' ,! SECTIQH 2: PROPOSED DEVELOPMENT (To be completed by APPLICA/~'T) NAME ADDRESS TELEFHOHE PROJECT LOCATIOiN: To avoid delay in proce~ing the appllca6oa, please provide caou~v.h informatioa to easily idcadiy the project Iocatiom Provide the street address, lot Dumber or legal description (auach) tnd, outside urban are-ms, the dista~ace to thc nearest intexsectLng road or well-known [zadmazk. A sketch attached to this applJcatiott sbow~ng thc projccl location would be bclp(a~l. FDP(93) A~PLICATIO N ~ PAOE 2 OF 4 DESCRIPTION OF WORK (Check aJI applicable boxes): A STRUCTURA_L DEVELOPMENT p, CTIVITY -.STRUCTU R E TYPE ~'Residendal (1-4 Family) [] Residential (More than 4 Fanaily) [] Nee-residential (Floodproofmg? [] Yes) [] Combined Use (Residential & Commercial) [] Manu(actured (Mobile) Home (In Manu- factured Home Park? U] Yes) [] New Structure ,,i~Addltioo [] Ahcratioa [] Relocation 0 Demdlltion ~ [] Replacement S'm ,V D COST OF PROSECr B. OTHER DEVELOPMENT AC'FIVITIE. S: O F'dl O Mining O Drilling O Grading O Excavation (Except for Structural Development Checked Above) -- [] Watercourse Alteration (Indudlng Dredging and Channel Modifications) O Drainage Improvements (Including Culvert Work) UI Road, Street or Bridge Construclion U1 Subdivision (New or Farpanxiou) U1 Individual Water or Sewer System [] Other (Please Specify) After completing SECTION 2, APPLICANT should submit form to L~cal Admbxistrator for revie~v. ~;ECTFION 3: FLOODPLAIN DETERMINATION (To be completed bY LOCAL ADMINISTRATOR) The proposed development is located on FII:/M Pa~c[ No. , Dated The Proposed Development: UI 1~ blOT located b I Special Hood Hazard Area (Notify the applic~xnt that the application review b complete and NO FLOODPLAIN DEVELOPMENT PER/YflT IS REQUIRED). ~ii~ l~ located in a Special Flood Hazard Area. FII:/.M zone deslgnalion Lq .. 100-Yea~ flood elevation at the site is: Ft. NGVD (MSL) C] Uuava/lablc [] The proposed devclopmem is located in a floodway. Pq3FM Panel No Dated C] .Sec~ection 4 (or additional instructions . DATE / ~ APPLIC^TION n pAGE 3 OF 4 ADDITIONAL INFORMATION REOU1 RED fT0 hc co_mplctcd by bO_CAi, ADMINISTRATOR) Thc applicant must submit thc documents checked below before Ibc application ~ bc processed: [] A site plan shoving Ibc Iocatio. of ail c;asdng slrucmzcs, water bodies, adjpccal roads, dimensions and proposed dev¢lopmem. [] Development plans, drawn to scale, and spedficadons, iacludig§ where applicablc: details for anchoring structurex, proposed elevation of lowest floor (indudbg basement), type.s of water resistant materials used below thc First floor, details of floodproo£mg of uLLlkies Ioca ted below the la'st floor and details of enclos~es below the l-u-st floor. [] Subdivision or other development plans (I[ thc subdivbioo or other development exceeds .50 lots or $ am'ex, whichever is the lesser, the applicant must provide 100-yeas flood elevations if they axe oot otherwise available). O Pla.~ showing the extent of watercourse relocation aad/gr [aa&form alterations. Top of new ftll elevation Ft. NGVD (MSL). E3 Floodproo£mg protection level (non-residential only) Ft.: NGVD (MSL). For floodproofed structures, applicant must attach eertificatio, from registered engineer or [] Certification from a registered engineer that the propos~/d activity in a regulatory lloodwa¥ will not result in ~ increase in the height of the 100-year flood. A copy of all data and caJcuJatiorts supporting this Finding must also be submitted. [] Other: ~E(TI'ION 5: PERMIT DE'I~RMINATION (To be completed DY LOCAL ADM1NI~I'R~TQR} I have determined that the proposed activity:. A. [] is B. [] Is not in conforraaace with provbious of Local Law # , 19 . The permit is issued subject to the conditions attached to and made part of this permit. SI O i'/ED , DATE Fk~B_OX A i~, thc Local Administrator may issue a Development Permit upon paymeUl of designated ~ BOX. B i~ checked, thc Local Administrator wall provide a wriltcn summary of deficicncic-~. Applicant ma), revise and resubmit an appticati0n to Ihe Local Adminislrator or may requcsl a bearing from thc Boazd of AppeaJs APPEALS: Appealed to Boazd of Appeals? (Z] Yes O No Hea.r mg date: Appeals Board Decbioo -- A. pproved? C] Yes Co~dJtions [] No APPLICATION # PAGE 4 OF 4 ~E(TI'ION 6: AS-BUILT ELEVATIONS (To be submill¢d bv APPLICAHT before Cerdlical¢ of Comoliance issued) The fotlowlng b. formatiou mnst be provided for project structures. Thk section mnst bc completed bY a registered professional engineer or a licensed la.nd surveyor (or attach a c~rtLficafion to this application). Complete I or 2 below. Actual (As-Built) Elevadoo of thc top of ~h¢ lowest lloor, bduding basement (in Coastal Hieh Hazard Areas. bottom of lowest structural member of the lowest floor, exdudlng piling and cohmaus) FT. NOVD 0viSL). Actual (A&BuiJt) Elevation of floodproo£mg protection FT. NOVD (MSL). NOTE: Any work performed prior to s?mittal of thc above iMormation ix at the risk of the Applicant. SECTION 7: COMPLIANCE ACTI01~ (To be completed bY LQcAL ADMINISTRATQWI The LOCAL ADM[NISIT, ATOR will complete this section ns applicable based on inspection of the project to ensure compliance ~th the community's local law for flood damage prevention. INSPIECTIONS: DATE BY DEFICIENCIES? [] YES [] NO DATE BY DEFICIENCIES? CI YES [] NO DATE BY DEFICLENCIES? [] YES ~ NO SECTION [1: ~ER'FIFICATE OF COMPLIANq?E(To be completed bY LOCAL ADMINI~;TRATQR'I Certificate of Compliance issued: DATE: BY: Attachment B 8AMPLE CERTIFICATE OF COMPLI~ZNCE for Development in a Special Flood Hazard Area DRAWING LIST SHEET NO LOCATION MAP l SITE PLAN 1 DRAWING TITLE SITE DATA TITLE PAGE WITH SITE PL~ ~ODE SHEET PLANS AND SECTION DETAILS DATE SCrM# APRIL 28,2005 APRIL 28,2005 APRIL 28,2005 4 ELEVATIONS APRIL 28.2005 PROPERTYADDRESS OWNER LOTCOVERAGE 245 PINE PLACE, EAST MARION, NY DAVID M. W~RTZ ZONING R-40 NON-CONFORMING SURVEYOR JOHN C. EFiLERS LAND SURVEYOR 6 EAST MAIN ST. RIVERHEAD, NY, 11903. 369-8288 BUILDING HEIGHT ALLOWABLE - 35 FEET ACTUAL- 20'-0" ENERGY CODE BUILDING .EXCEEDS MIN. REQUIREMENTS SET FORTH BY N,Y. STATE RFSIDENTIAL BUILDING CODE · SEE ATTACHED REPORq' DESIGN CRITERIA TYPE OF CONSTRUCTION - WOOD PLATFORM FRAMING - DOUGU~ FIR #2 SNOW LOAD- 45 PSF. FIRST FLOOR- LL 40 PSF. SECOND FLOOR - LL 30 PSF. WIND SPEED - 120 MPH. FROST LINE DEPTH - 36" SEISMIC ZONE- B WEATHERING - SEVERE TERMITE DAMAGE- MODERATE/HEAVY DECAY - M OD/H~/Y ICE SHIELD UNDERLAYMENT REQUIRED LEGEND SYMBOL ABBREVIATION DESCRIPTION SECTION SYMBOL SECTION NUMBER SHEET NUMBER ELEVATION SYMBOL ELEVATION NUMBER SHEET NUMBER DETAIL FLAG SYMBOL DETAIL NUMBER SHEET NUMBER COLUMN LINE ELEVATION MARK EQUIPMENT NUMBER REVISION SYMBOL WINDOW SYMBOL IXl DOORNUMBER PARTITION TYPE GYPSUM WALL BOARD METAL CONCRETE (SECTION) ROUGH WOOD BLOCKING SECTION) WOOD BLOCKING SECTION) FINISH WOOD )LYWOOD (LARGE SCALE) NEW WALL EXISTING WALL DEMOLISH WALL INSULATED WALL AMP, AHCH. A,SME ASlM BB. BLIP. BM. R,O, UUI, UIU. DAB. [;LU [;ER. [;L.r L UUNU. [;UNSh [;UN I. [;uv'G CU FI GU IN CO YU B DBL gN° L CODES_O_F_ _ " )APPROVED AS NOTED NOTIFY BUILDING D.PARTMENT AT A/lA SOUTHOLDTOWNPL.~NNINGBOARD 765-1802 DAM TO 4PM FOR THE . ~/~.,¢'~JfiA/.~'~LC~f/~'O U T H 0 L D TOW N T R U ST E ES FOLLOWING INSPECTIONS: -- 1. FOUNDATION - TWO REQUIRED ~'~2./~ /V.//~ N.Y.S. DEC FOR POURED CONCRETE % 2. ROUGH- FRAMING & PLUMBING 3. iNSULATION 4.FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ~ ALL CONSTRUCTION SHALL MEET THE APRmL2a 200S REQUIREMENTS OF HE CODES OF NEW YORK STATE. NOT {ESPONSIBLE FOR DE8IGN OR CONS' {UCTION ERRORS. O* COMPLY WITH CHAeTEh-"46" FLOOD DAMAGE PREVENTION SOUTHOLD TOWN CODE. OCCUPANCY OR US.E NLAWFUL "--WIT 'CERTIFICATE iCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF STORM WATER ! CODES OF NEW YORK STATE. RSUANT TO SECT ON 45-10C CE I-HE ~ oWN OODE, NAILING & CONNECTIONS UNOERWBI~RS CERTIFICA1E! REQUIRED Above Finished Cetlin~ A~ove tinisnee Hoor American InstCwte of Ammtects American Instrtute ct uectncal Engineers American InSatute of uteel Construction Aluminum Alternate DEFI'. Department DH., DTL Detail DIA, ,(~ Diameter DIAG. Dia~onal DIM.. DIMEN Bimension DH Down DR(SI Doorfs) urw~., UWU Urawct~ FLbV. Uevation INT. Interior KW Kilowatt L LenR~h LAV. Lavatory Pound Linear LT, Lil~t MANUF. Manufacture ~AT'L Material Pair ~ual~y adius I SPEC.iS) Soaeifie~tian SO. ' ' S~uare STD. Rtandard STL Steel STRUC Structure Am re Arc~ect Arr~rican ~ociety at Heating, HefriKeratJee Air Condmoning Engineers American Uoclsty nt Mechanical bnglneers AUIM American 3OClatytor lestlnI[MaterlalS uoam UlOCK Beam uy umem uattom 8BtiStl Thermal URn CobJnat Co,lng ~ersmlc [;UBIC Peet Per Minute [;enterllne ClOSat clear Column Continuous bLb[;, EleCtrical EN{J. Engineer P, Eqmoment UC'c(nc water Cooler EXH ~xnauat bRIUI. ~stlng ~xP ~pese~ FIN, Hnmsn hE, ~, FlOOr PP, P~repmor h~m GAL 6allOn ~V. ~al~nlz~ UC General ~ntm~or GWB G~um Wall Boara HUWH amware H.M. HOllOW M~I HURI~ HOrlzon~l MAX. Maximum MECH. Mechanical Covering Center CUbiC Peat [;uOic Inca [;uDic Yard Deptl~ Double HH Hour HW HOt water I.U. Inside Diameter IN. Inch INCL Ioolube/lncluding INFO. Information INSUL Minimum Meml Norm National EleCtrical COOe Notlncontrsct Numoer Not To 6came uverall Overall Dimension Pemendicular Phase Plate POliShed Founds peruquare FOOt PoundsperSquarelnch Painted Width. Wide With ' Water Cl~nt WD Wood Zl.![ a IJJ. to loint DescriptionNail Sizes I Nail Spacing ROOF FRAMING 3- 8d per rafter Rafter to Ted Plate (Toe-nalked) 3 - 8d per joist Ceiling Joist to Top Plate (Toe-nailed) 3 - 1stl each lap COliIn8 Joist to Parallel Rafter (Face-nailed} 4 - 16d each lap Ceiling Joist Laps over paftlUons (Face-nailed) 2 - Bd per Ue Collar Tie to Rafter (Face-nailed) 2 - 8d each end Blockln¢ to Rafter (Tee-nailed) 2 - 16d each end Rim Board to Rafter (End.ailed) ALL FRAMING Top Plate to Top Plate (Face-nailed) 2-16d per foot Top Plates at Intersections (Face-nailed) 4 - 16d ]olnts-each side Stud to Stud (Face-nailed) 2 - lsd 24' o~ Header to Header (Facealalled) ~.6d 16' C.C. along edges TOp er Sottam Plate to Stud (End-nailed) 2 - 3.6d per 2x4 stud 2 - 1Ed per 2xS stud 2 - 16d per 2x8 stud Bottom Plate to Floor Jolst,Bandlolst. EndJo[st or Blcckln8 2 - d6d per foot (Face-nailed) FLOOR FRAMING Joist to SIIh Top Plate or Girder (Tee-nailed) 4 - 8d per Bfidgin¢ to Joist (To.nailed) 2 - Bd each end BlocHng 'co Joist (Toe-nailed) 2 - 8d each end Blocking to Sill or Tofi Plate ( Toe-nailed) 3 - 16d each bloCk Ledger Stdp to Beam (Fac~-nalled) 3 - [6d each Joist Joist on Ledger to Beam (Toe-nailed) 3 - Bd per Joist Band JoiSt to Joist (End-nailed) 3 - 16d per Joist Send Joist to Sill or Top filate (T~e-nalled) 2 - 3.6d ~ per foot ROOF SHEATHING Structural Panels 8d 4' c.c. eddmeter zone other 6" C.c. edges of panel, 12' c.c. Interior of psnel Dla~onal Board Sheathing 1' x S' or 1' x S' 2 - 8d per suppsrt 1' x 10' or wider 3 - 8d der suppsrt CEILING SHEATHI Gypsum Wallboard 5d 7' edge / 3.0' field WALL SHEATHING Structural Panels 8d (see table 3.9) Frberbeard Paners 25 / 32" 8d 3" edge / 6" field Gypsum Wallboard 5d 7' edge/10" field Hardboard 8d (see table 3.9) Pa~clebeard Panels 8d (see table 3.9) Diagonal Beard Sheathing 1" x 6" or 1" x 8" 2 - 8d per suppsrt 1' x 10" or wider 3 - Bd per suppoft FLOOR SHEATHING Structural Panels 1" or less Bd 6" edge / ~2" field greater than 1" J~stl 6" edge / 6" field Diagonal Beard Sheathlns 3.' x 6" or 1" x 8' 2 - 8d per support GENERAL NOTES 3.. ALL WORK MATERIAL, AND EQUIfiMENT SHALL BE IN ACCORDANCE WITH THE NEWYORK STATE UNIFORM BUILDING CODE, AND THE NEW YORK STATE ENERGY CONSERVATION CODE, AND LOCAL ALffHORTIIES. 2. ALL CONCRETE SHALL BE STONE AGGREGATE WITH A MINIMUM 28 DAY STRENGTH OF 3000 RSI 3. ALL LUMBER SHALL BS GHADB STAMPED DOUGLAS RR' LARCH STRUCTURAL GRADE #2 OR BETTER. 4. PROVIDE DOUBLEHEADERSANDTRIMMERS AT ALL STAIR AND FLOOR OPENINGS, POSTS AND PARALLEL PARTITIONS, EXCEPT AS NOTED ON DRAWING, 5. BRIDGING TOBEPROVIDEDFORALL JOISTS AND FLOOR BEAMS. SPADING NOT TO EXCEED B.O Pr, 6. ALL DIMENSIONS ANDGRADECONDITIONS TO BE VERIFIED BY CONTRACTOR(S) PRIOR TO START OF CONSTRUCTION AND ORDERING OF MATERIALS. THIS FOUNDATION H~S BEEN DESIGNED FOR A SOIL BEARING CASACFlY OF IWO (2) TSF AND GRADES LESS THAN 5%. CONTRACTOR SHALLVERIFY THAT THESE CONDITIONS ARE MET. ALL FILL BENEATH CONCRETE SLABS TO BE COMPACTED TO 95% RELATNE DENSITY, 7. ALL HEADERS 6.0 FT IN LENGTH AND OVER TO BE SUPPORTED BY DOUBLE UPRIGHTS, 9.0 FT AND OVER BY TRIPLE UPRIGHTS. ALL HEADERS TO BE MINIMUM OF 2-2X8 OR AS SHOWN ON DRAWING. 8. PROVIDE FIRESTOPPINS AT ALL LEVEL PENETSAllONS 9. PROVIDE FLASHING AT ALL ROOF BREAKS, CHIMNETS. SKYLIGHTS, EXTERIOR DOORS~ WINDOWS AND DECKS ETC.. 10. DO NOT SCALE DRAWrNGS. 3.1, DESIGN CONSULTANTS OR RECORD ARCHITECT- ENGINEER ARE NOT RESPONSIBLE FOR THE INSPECTION, SUPERVISION, OR ADMIN!STRAIION OF THIS CONSTRUCTION PROJECT. FEDERAl. STATE AND LOCAL ZONING AND BUILDINS CODE SOMPEANCE SHALL BE THE RBSPONSIBIUTY OF THE CONTRACTOR. 12. THIS DRAWING lEAN INSTRUMENT PREPARED TO FAClUTATE CONSTRUCTION AND SHALL NOT BE CONSTRUED AS A BON1TIACT BE3%VEEN BUILDER AND OWNER. 13. SEWAGE DISFOSAL STSTEM AND FRESH WATER SUPPLY SHALL BE DESIGNED AND BUILT IN ACCORDANCE WITH THE SUFFOLK COUNTY DEPARTMENT OF HFIALTH. 14. THIS STRUCTURE HAS BEEN DESIGNED IN ACCORDANCE WITH THE NEWYORK STATE ENERGY CONSERVATI0N CODE. 15. ARCHITECT TO BE NOTIFIEDINWRITING OF ALL CHANGES PRIOR TO AN D DURING CONSTRUCTION. 3.6, ALL BTRUCTdRALSTEELTOSEASTMAS6WITHONE COAT EpoxY PNNT. ALL FASTENERS TO BE ~STM A~325 BOLTS, 3/4' DIAMETER. 17. CONTRACTOR SHALL OBTAIN ALL PERMITS AND INSURANCE NECEDEARYTO PROTECTTHE ENGINEER AND OWNER. 18. DO NOT BACKFILL AGAINST FOUNDATtON WALLS UNTIL FLOOR SYSTEM INSTALLATION IS COMPLETE. 3.9. PROVIDE CARBON MONOXIDE ALARMS ON EACH LEVEL AND tN BASEMENT ( IF APPLICABLE ). po~ftiON NEAR ENTRY FROM HOUSE TO AI'rACSED GARAGE AREA. 20. SMOKE DETECTORS REQUIRED IN EACH BEDPOOM AND ON EACH LEVEL OF DWELLING AS REQUIRED BY NEW YORK STATE BUILDING CODF- 23.. ANY ALTSHATION~ REPAIR, ADOmON OR CONVERSION TO AN EXISTING DWELLING REQUIRING A BUIL~NS PERMIT NOW REQUIRES THAT ALL SLEEPING ROOMS IN THE HOUSE BE UPGRADED WITH HARD W~RBD & INTERCONNECTED SMOKE ALARMS. 22. THE NYE CODES ALSO APPLY TO ACCESSORY STRUCTURE DESIGN. 23. GARAGE DOORS TO BE RATED FOR ~TO MPH. WIND LOAD FRAMING NOTES ALL FRAMING LUMBER SHALL BE GRADE STAMPED DOUGLAS RR-LARCH STRUCTURAL GHADE No. 2 OR NNL PLYWOOD BUBFLOOR TO FLOOR JOISTS. ICE SHIELD UNDERLAYMENT REQUIRED - 24' FROM EDGE IMESON H2.5 A HURRICANE CLIP · 18" O.C. HURRICANE CUP TYPICAL EXYENDTOTOPOFTOP s'nJDS EXTERIOR EDGE OFALL SHEATHING. 7 METAL S~P 0 JACK POST MST27 0 STUDS w/4 - 8d NAILS 048" O.C. EACH END - TYP. PLYWOOD SHEATHING TO OVER LU= BOX BEAM -TOP + BoTroM. ----FLOOR JOIST HEADER ' METAL STRAP 0 JACK POST W/4 - SU NAILS 048' EACH END -TYP. SIMPSON MST27 1 1/2" WIDE - 20 GAGE WRAP (4~4d NAILS) AROUND SILL PLATE AT ANCHOR BOLT SIMPSON MSTZ7 1 1/2" WIDE - 20 GAGE METAL STRAP 048' OC, 2 - #5 REBAR SE~ DWGS. FOR DESIGN. TO SILL PLATE 8d NAILS 0 4" O.C. SECTION ELEVATION 'OP OF ESUNDAT]ON HOLD DOWN + SHEAR CONNECTION CRITICAL PATH ROOF PLAN PROVIDE 8d COMMON NNLS 0 4' O.C, AT HIGH PRESSURE ZONE - 6" O.C AT ALL OTHER POET~ONS OF ROOF TYRCAL PROVIDE 8d NAILS · 4" O.C. AT PERIMBI~R INIERIOR EDR~ONS OF PANELS IN HIGH PRESSURE ZONES. O( 10' GABLE ROOFS O~ 10° COMPONENT AND CLADDING PRESSURE ZONES WINDOWS - GLAZED OPENING PROTECTION IS REQUIRED FOR ALL GLAZED AREAS IN ACCORDANCE WITH LARGE MISSILE TEST OF ASTM E 1996 AND ASTM 1888. CONTRACTOR MAY USE WOOD STRUCTURAL PAN ELS IN LIEU OF THE ABOVE MEN110NED WINDOWS. PANEL DETNLS SHALL BE AS FOLLOWS MAX. /2" WOOD SCREWSO12" O,C. SET I1~ PANEL * LARGER PANELS TO BE CUSTOM DESIGNED, PAN ElS TO BE PRECUT TO FIT OVER WINDOWS WITH HARDWARE PROVIDED FASTENERS TO BE DESIGNED TO ALIGN WiTH WINDOW JACK POSTS, HEADER + SILL PLATE, PANELS TO BE MAINTAINED ON SITE, LABES LOCATIONS ON EACH PANEL l.d / KffCHEN EL 3.2" EXIST. LIVING ROOM EXIST. KITCHEN 4Ro PLAN 1/4"=1'-0" :q ~EY ON TOP OF EXIST. ROOF SHEATHING EXIST. MASONRY OPENING FURR OUT WALL TW2104~ EXIST, DOOR TO EL 8' COVERED PORCH HB+G 12" DIA. ROUNDTUSCAN COLUMNS FIRST FLOOR PLAN 1/4"='1'-0" GIRDER UP 8" EL 0 5c7' 5'-7' SKYLIGHT A~OVE EXIST. GARAGE KNEE WALL OVER EXIST. WALL FRAMING BY OWNER EXIST. DORMER FLUSHING SKYLIGHTFOR SHALLOW SLOPED ROOF (45 ~"x30~ MUDROOM / / EL. O" COMPACTED BACKFILL SECTION DETAIL 3/8"=1'-0" MEMBRANE ROOFING ON ICE AND WATER SHIELD ON CONT. SOFRT VENT W/INSECT SCREEN ON 30# BLDG. FELT ON 5/8 PLYWD. SHEATHING ON 2x6RR~IB' O.C. W/R-30 BAST. INBULAffON FORCONCRETE FUUNO. WALL -NEW KNEE WALL OVER EXIST. WAU. FRAMING BEYOND AND INSTALL N TYP. EXTERIOR WALL CONSTRUCTION: CEDAR SI PAPER ON 6/8 PLYWD. SHEATHING ON 2x6 WD.STUD~ 16' O.C. W/R-21 RAST. ~NSUL 5/8 DRYWALL TAPED AND SANDED ~EWALL BITUMINOUS DAMP PROOFrNG :5 BARS CONT. B'x16" P.C. FOOTING NOTE: ALL FLOOR FRAMING TO BE ACQ TREATED mAI'rING SIDING ~VER EXIST. ~RICK WALL ~IRDER BEYOND SECTION DETAIL LEVEL DOWN GRADE +/- 6" TO PLACE GIRDER CONSTRUCTION TO REMAIN 6 SECT~ION DETAIL 1"-1'-0" FLUSHING ~ 4' P.C W/Bx6 ~ ~--- SLAB (')N GRADE ~ HB+G WOOD ~2." ~ ROUND TUSCAN COLUMN SIMPSON # STRR//2 HOLLOW COLUMN UPLIFT CONNECTOR-SET IN BONO'lUBE UNE OF DECK ~2" SONSTUBES MIN. 3'-0" BELOW GRADE SET ON UNDISTURBED SOIL, 'rfP, 61~4" 6c7" 6'-4" WALL ON 8X 16 PS FOOTING MIN. 36" 11,.4,PEEP NOTE: ALL FRAMING TO BE ACQ TREATED FOUNDATION PLAN NOTE: ALL FLOOR FRAMING TO BE ACQ 'HREATED LEGEND EXISTING WALL DEMOLISH WALL IEDRST. DORMER - EXIST, ROOF BEYOND SKYLIGHT NEW BOARD & BATON ~ HB+G :[2" DIA. ROUND 11JBCAN COLUMNS MATCH EXIST. WOOD BHINGLES - DOORS AND GABLE MATCH EXIST. 'I~IM WEST ELEVATION HB+G ROUND WOOD TUSCAN COLUMN NEW BOARD & BATRNG BIDING IOOD DECK SHINGLES MATCH EXIST. TRIM NORTH ELEVATION APRIL 282005 PE~Mlnr ELE'~ATIONS 4