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37669-Z
Town of Southold Annex 9/26/2013 P.O. Box 1179 54375 Main Road ~ Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36529 Date: 9/26/2013 THIS CERTIFIES that the building COMMERCIAL REPAIRS Location of Property: 61600 Route 25, Southold, SCTM 473889 Sec/Block/Lot: 56.-6-3.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofl9ced dated 11/14/2012 pursuant to which Building Permit No. 37669 dated 12/6/2012 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: Storm Related Damage Repairs to Existine Commercial Structure (11 Unit Hotel)' I~lacement (All Non-StructuraD of Sheetrock Insulation, Wall & Floor Coverines as applied for. The certificate is issued to C & L Realty Inc - - (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37669 2/6/13 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD w BUILDING DEPARTMENT ~ ~ TOWN CLERK'S OFFICE ~j~ SOUTHOLD, NY , BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 37669 Date: 12/6/2012 Permission is hereby granted to: C & L Realty Inc _ 61600 Route 25 _ _ _ Southold, NY 11971 To: Storm Related Damage Repairs to Existing Commercial Structure (11 Unit Hotel); Replacement (All Non-Structural) of Sheetrock, Insulation, Wall & Floor Coverings, as applied for. At premises located at: 61600 Route 25, Southold SCTM # 473889 Sec/Block/Lot # 56.-6-3.4 Pursuant to application dated 11/14/2012 and approved by the Building Inspector. To expire on 6/7/2014. Fees: CO -COMMERCIAL $0.00 NEW COMMERCIAL, ALTERATION OR ADDITIONS $0.00 Total: $0.00 n _~~Zk~` fir: Building Inspector Form No. G 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 DepaRment with the following: A. For new building or new use: I . 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 [he applicant (f a Certificate of Occupancy is denied, the Building Inspector shall state [he reasons therefor in writing to [he applicant. C. Fees I . Certificate ofOccupancy -New dwelling $50.00, Additions to dwelling $50 00, Alterations ro 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 S. Temporary Certificate of Occupancy -Residential $ 15.00, Commercial $ 15.00 Date. ~ Z~~z- New Construction: Old or Pre-existing Building: (check one) Location of Property: ~~l ~ti ~c orli? /!i ~/5 ~2T, z ~ _ ~Ollr~(~ ~ House No. / Street Hamlet Owner or Owners of Property: ~ y ~ ~ ~ Y~, ' Suffolk County Tax Map No 1000, Section 5 ~ „Block O~ Lot 3. 4' Subdivision Filed Map. ~~A Lot: /'~~iQ PermitNo.° ~~oC~q Date of Permit. 2 6~L Applicant: l ,l'r/tizzy by ~Y?N~i Health Dept. Approval: /rJ~r1 Underwriters Approval: Planning Board Approval: ~~/d / Request for: Temporary Certificate Final Certificate: ? (check one) Fee Submitted: $ pplicani ignature gt1FF0(,fc Town Hall Annex Telephone (631) 765-1802 54375 Main Road ~ ~ ~ Fax (631) 765-9502 P.O. Box 1179 G ' Southold, NY 11971-0959 ~r } ,~a0~'y~ roaecrichertCa~townsouthold.nv.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: C&L Realty Address: 61600 Main Rd City: Southold St: NY Zip: 11971 Building Permit 37669 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Custom Lighting of Suffolk License No: 38893-me SITE DETAILS Office Use Only Residential Indoor X Basement Service Only Commerical X Outdoor 1st Floor X Pod New Renovation 2nd Floor Hot Tub Add'Rion Survey Attic Garage INVENTORY Service 1 ph Hit Duplec Recpt 136 Ceiling Fixtures HID Fixtures Service 3 ph Hot W afar GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpl Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: REPAIR STORM DAMAGE-replace recpticles in units 1 through 6 and 14 through~~ trial number of recpticles replaced-136 Notes: Inspector Signature: ti ~y~-----~ Date: Feb 6 2013 ' Electrical Certificate.xls * ~~~r # 326~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]`FINAL [ ] FIREPLACE A CHIMNEY P~(J FlRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION ]`FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) RE~KS: ~ ~ ~~>~c~~ - ~ ~ ~~s ~~~s U U N.tc.v 3-i~-.3 - Z-l 3 INSPECTOR I DATE Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765-5490 January 25, 2013 Mr. Michael J. Verity Chief Building Inspector Town of Southold Main Road Southold, NY 11971 Re: C & L Realty Inc. Heron Harbor Suites Southold, New York Building Permit # 37669 Dear Mr. Verity; Please be advised that with regazd to the above referenced premises ,the Owner has completed the storm related repairs to the 11 first floor hotel units which were anon-structural cosmetic restoration. Based on personal observation during the restoration, to the best of my knowledge and belief it is my opinion that the work completed substantially meets or exceeds the requirements of the New York State Building Construction Code. If you have any questions, please feel free to contact my office. Very truly yours, Garrett A. Strang, ~ ~ - r--- -;~-1 i K Architect i ~ ~ i . - - _ ~ M ~ ~l ~ l r I! I~' I~ MAR 1013 _ F1Ei,D • N~ORT DATE CONIl~4ENfs ro J to FOUNDATION (1ST} 6 ~ d y FUUNDATIOPt czND) J 3~' ' z 0 6 ti ROUGH FRAMi1VCr & _ y PLUIVIBING W IN,3UL,ATION PER N. Y. STATE ENERGY CODE FINAL , ADDTTIONAL Co11?~NTS / _ ~ O ~z e taa 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 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 ~ survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees I ~ n Flood Permit Examined 20 D L~ ~ iS ~ 11/] Storm-Water Assessment Form 1 ~ , / ~ 14 D ontactMail to: Approved b 20 ~ ~ , 4 DisapprvoEd'~'c BI f7G. DCPi. Phone: Expiration ~ ~ , 20 ~ TCIN Of SOI;inOL Building Inspector APPLICATION FOR BUILDING PERMIT 77 Date /v~rJ~~is r<< /4,20 1 Z INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Petmit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. Signature of applicant or name, ~f a corporation ~d GGk lf7/z- ~ou~foLo .U> l19~~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~ ~ L' ~ (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. .yor lrc F~~ rr Plumbers License No. ~ ~ ~ Electricians License No. c' Other Trade's License No. /i 1. Location of land on which proposed work will be done: G? ~/~G'L' ~yS 2r, l~/,o(w. ~4~7U 7"~fCLO House Number Street Hamlet County Tax Map No. 1000 Section ~ ~ Block ~ Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occu~j~, cy of proposed construction: a. Existing use and occupancy f~~ Tr < yti ~ TS / b. Intended use and occupancy sA ~ 3. Nature of work heck which applicable): New Building Addition Alteration Repair ~ Removal Demolition Other Work~T,r„s G~~o /~rOosa. s ~v6rJST,r.,~T~','f- y/.rsT ~~n•T "Firs Coinrnc (Description) ~ksrj,~.., 4. Estimated Cost G~ GK'S Fee ' (To be paid on filing this application) 5. if dwelling, number of dwelling units Number of dwelling units on each floor- Ifgarage, number of cars our A ~ ~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. /!z~ ,L/ T~ ~ 7. Dimensions of existing structures, if any: Front Z Zb' Reaz 2 z.~ Depth 2 6 Height Number of Stories / rt' z Dimensions of same structure with alterations or additions: Front 5g ~r z Rear 9.0 ~ r Depth 3.orh ~ Height S~ ~ Number of Stories ra ~ 8. Dimensions of entire new construction: Front Reaz Depth Height Number of Stories 9. Size of lot: Front 2 Z Z Reaz ~ ~ 9}~ Depttt~"~'¢~ ~ ~ ~ 10. Date of Purchase dN~,.wa..-.~ Name of Former Owner ~ti Fre~i.v 11. Zone or use district in which premises are situated ti - 12. Does proposed construction violate any~g 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 premises C~L ~ r y Address Sir, y~~~ c o Phone No. fP3 17fO.'l Z 4 4 5 Name of Architect 5 ~~~~Q ~ Address SavT,~~y Phone No t3/-76~ = 5 4f~ Name of Contractor Address Phon/e No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES r~ NO * IF YES, SOUTHOLD TOWN TRUSTEES 8c D.E.C. PERMITS,pv1AY BE REQUIRED. 7'/co3T~~ giy/r..tFtir% b. Is this property within 300 feet of a tidal wetland? * YES NO ?t'R ~ i ~ /S sazv * 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 topogaphical 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 ) ~.e S ~ ic,o UCi being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~Ci lfiy7" - ~i~ <6liT~G (Contractor, A ant, Co rate Offi IMIES. oUt~18H g rPo c~0ot8Fy Public, State of New York No.016U6185050 c?.D~b of said owner or owners, and is duly authorized to perform or have PP~~i 3 ~~S~~~tRDto make and file this application; that all statements contained in this application are true to the best ofh°s ~~~~~li ~ite~'~that the work will be performed in the manner set forth in the application filed therewith. w m o before me this ~ _ day of N 201 Notary Public Signature of Applicant ~o~~®E aouF,~~ Town Ha0 Aotwc #1 Telephol6ne3 (163~16)~796s5u-1280E SP.o. eax 1 ~ ~ roaer.richer`wnlSOUtnola.nV.US - .Southold. NY 119X-0959 BUILDING DEPARTMENT TOWN OF $OUTSOILD APPLICATION FOR ELECTRICAL INSPECTION EQUESTED BY: `~~,N~~,~~SK ~ y~ y 6ygr Date: a2 / 3 Company Name: ~ - [r ~ r l- o (k Name: icense No.: ~ =j Address: H-l /l~tS~ Phone No.: ~ ~ , j ~ r~ JOBSITE INFORMATION: (pplndiEates requir~ed1 information) 'Name: L l~~ ~ &9 - ~ CGr ~S 'Address: 0 f r1 'Cross Street: J4.4 y ,w z . 'Phone No.: 7l~%aT}7- / Pertnft No.: 37 (p Qj~ ?ax Map District: 1000 Section: Bbck: Lo "Bf21EF DESCRIPTION OF WORK (Please Print Geariy) Qqp~ S - - /N~~eCf~ r~~.~T~ S7arnn ~.g.v1~~ {Please Circle Alf That Appiy) 2P~ *lajob readyforinspection: NO Rough In Inal *Do you need a Temp Certificate: YES Temp infertnatton (If needed} ' 'Service Size: 1 Phase 3Phase 100 150- 200 300 350 400 Other 'New SeMce: Re-connect Underground Number of Meters Change of Service Overhead Addftional Information: PAYMENT DUE WITH APPLICATION 82-Request for 6uupedion Form _ _ - r ~ ~ ~ 11n.•n 11x11. S]IIyS A1am • J'A'I'}"H T. T!?R12Y I~= - r.0. n~~~ 1174 C•", r 1'OVV1Y CLERK _ ~ q $uulhuld. Nc..~ furl; I t. I lt;c15ff7Af2 of VITN. Si'n77 SIlCS (C~ :~Oti- ~ Fox (51(.1 )h t.l F'_l - AInRRIAG f. OFFICISR - ' Tclc R6unc ISIl~I )fit-1 RECOnus MnranceMerrrorFlceR ~~l ~ 1'RE EDOM OF INFORMATION OFFICER OFrICE OE 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. regula[iorls of the Code of the Town of Southold: "Floodplain Development Permit Application" [FDP(93)I, /and "Certificate of Compliance for Development in Special Flood Hazard Area [C/C(93)I. i~~.l;L%r l_ _ _ J 1 B:.~V. Dcr TOWN OF SOtJT110LD `1~h T ~ T:e~~~~Cy Southold Town Clerk August 25, 1993 ' - APPLICATION s PAGE I of a TOWN OF SOU"[HOLD PLOODPLAIN DGtirGL0PMIJNT PERMIT APPLICATION 'Phis Corm is to be filled out in duplicate. SECTION I• GENERAL PROV1SfONS (APPLICANT to read and sipnY 1. No work may start until a permit L iuucd. 2 The permit may be revoked if any CaLse statements are made herein. 3. If revoked, all work must ceaze untt~ 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 ho work is commenced within six mouths of issuance. 6. Applicant it hereby informed that other permits may be required to fulfill local, state and federal regulatory ' rcqu'trcmenu. 7. AppBant hertby gives consent to the Lora! Adm'uautrator or his/her represcntative 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 Y ( ~VLEDGE, TRUE,~ND ACCURATE. j (APPLICANT'S SIGNATURE), DATE //z ~ ~ ~ / SECTION 2• PROPOSED DEVEIAPMENT TTo be comolctcd by APPLICAfi'I~ NAME ADDRESS TELEPHONE APPLICANT' i'' S~~NS /m / C>jAyZ ~ ~ ~ L~ ~6.t> I / ~Z ~6/J~~f /i 7 ~6 ~ ~ ~S BUILD EA ~ Nor" ~/2~LJZ C ~4 ° / ~fC T. V~1 /~//ll ~f ~r//QN~ PROJECT LOCAT10N: To avoid delay io processing the application, please provide cooueh information to easily identify the project IocaUOn. Provide the sweet address, lot number or Iegal description (attach) and, outside urban areas, lbe distance to the neareri intersecting road or well-known landmark A sketch attached to this application showing the projeU location would be helpful. 6~~~-~~ ~v plies • zs- S~rH~~ ~ y St'i/<~~" /mot ' Ste- - 3 4 FDP(93) ' ~ ~ APPUCAnon ~ _ PAGE 2 OF n DESCRIPTION OF WORK (Check all applic~blc boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ? New Structure O l~sidential (l~l Famiy) ? Addition Ruidcntial (Mort than 4 Family) - /f®% O Ahcratioo O No?-residential (Floodproofmg? O Ycs) ? Relocatio? O Combined Usc (Ruideotial & Commcrdal) ? Demtilitioo' P O Manufactured (Mobile) Home (In Manu- O replacement factured Home Park? O Ycs) [.J' L~I~Pa (25-~NVy~„ ESTIMATED COST OF PROJECT S ~ 5 ~ p7ri B. OTHER DEVELOPMENT ACTIVITIES: ? Fill O Mining O Drilling ~ Grading O Excavation (Except Cor Structural Development Checked Above) - ? Watercourse Alteratio? (Including Dredging and Channel Modifications) O Drainage Improvements (loduding Culvert Work) O Road, Street or Bridge Constrvdio? O Subdivision (New or Expatuio?) ? dual Water or Sewer System Cd Other (Please Specify) vt1CC ~i? T~~-/D~ ~~~a/fL S d~~i4 (5.~(=`S - . Alter completing SECTION Z APPLICANT should submit form to Local Administrator for resiew. SECTION 3~ FLOODPLACN DETERMINATION (To be wmolctcd by LOCAL ADRIINISTRATOR) _ The proposed devdopme?t iz located o? FIRM Panel No. Dated The Proposed Development O IS l~1 located in a Special Flood Huard Arw (Notify the applicant that the application review R complete and NO FLOODPLAW DEVELOPMENT PERMIT IS REQUIRED). O Is located i? a Spccal Flood Hazard Arca. FIRM zone designation ~ 100-Year Hood elevation at the site is: R. NGVD (MSL) ? U?availablc ? The proposed dcvclopmcnt is loralcd i? a floodway. FBFM Panel No. Dated O See Section 4 for additional i?struaioos. SIGNED DATE .r i ' ~ APPLICATION ~ PAGElOF4 SECTION 4~ ADDITIONAL INFORMATION REQUIRED (To he comnlctcd by LOCAL ADMiNISTRATORI The applicant must submit the documents chcckcd below before the apphcauon can be procesed: O A site plan showing the location of all c~dsting structures, water bodies, adjaeeot roads, lot dimeasioas and proposed development. O Development plans, drawn to scale, and specificatipns, iocludiog where appfirable: details for anchoring structure, proposed elevation of lowest floor (inrJuding bazcmen(), types o(water - resistant materials used below (he Cvsl floor, detaiLt of OoodprooCmg of utilities located below the fast Ooor and details of cndosures below the Cvst poor, Alto ? Subdivision or other development plaru (If the subdivision or other development exceeds SO lots or 5 aQe, whichever is the lesser, the applicant mus provide 1IX1-year Oood elevations if they arc not otherwise available). O Plans showing the extent of watercourse relocation and/or landform altcratioas_ O Top of ocw fill elevation Ft. NGVD (MSL). O floodproofmg protcuion Ievcl (non-reidculial only) Pt.' NGVD (MSL). For Boodproofed structure, applicant must attach rsrtiGwtion. from registered engineer or archi(cct. ~ ? Cc~catio? from a registered engineer [hat the propos d adiviry in a rcgtilalory floodway will not result in an increase in the height of the 100-year flood. A copy of all data and calculations supporting [his finding must also be submitted. O Olhcc SECTION 5: PERMIT DETERMINATION (To be con~lucd by LOCAL ADMINISTRATOR) I have dcterm Teed that the proposed activity. A. ? (s • B. d Is not in conformance with provisions of Local Law ~ , 19 The permit is issued subject to the cooditioru altacbed to and made pan of this permit. SIGNED ,DATE f B X A.i,~chccked, the focal Administrator may issue a Development Permit upon payment of designated fcc. I( BOX 8 is chcckcd, (he Local Administrator will provide a written summary of deGeiencies, Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from Ibe Board of Appeals. t, i . i ' ~ APPLICATION a _ PAGE a OF a APPEST.S. Appealed to board of Appeals? ?Ycs O No Hearing date: Appeals Board Decisiov Approved? ?Ycs O No Conditions SECTION 6• AS•BUfLT ELEVATIONS fTo be submitted by APPLICANT before Certificate of Comoliance ' ued The following information mast be provided for project swctures. This scuiov mass be completed by a regislcred profcssiogal evginccr or a Gccvscd land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevauoa of the top of [hc lowul poor, including basement (in Coas[al Hieh Haurd ea bottom of lowest swaural member of the lowut door, cztduding piling and columns) is: IT. NGVD (TvISL). J Z Auval (As-Butt) Elevation of Boodproofmg proteuiov a ~ FT. NGVD (MSL). i NOTE: Any work performed prior to submittal of the abuvc information u at the risk of the Applicant. J SECTION 7 COMPLIANCE AC-PION fro be comnlclcd by LOCAL ADMINISTRATORI The LOCAL ADMINISTRATOR will complete this seuio? as applicable based ov inspeuiov of the project to ensure compGanet with the communit}~s local law for flood damage prevevtiov. INSP1rCT10NS: DATE BY DEFICIENCIES? ? YES ? NO DATE_ BY DEFICIENCIES? OYES ? NO DATE BY DEFICIENCIES? ? YES ? NO eer-LION 8 CERTIFICATE OF COMPLIANCEfT'o be comnlclcd by LOCAL ADM[NTSTRATORI Certi[icatc of Compliance issued: DATE BY: Attachment B / BAMPLE j CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CI?RTIFICATI; OF COMPLIANCI; FOR DEVELOPMENT IN A SPECIAL FLOOD I-[A7_rIILD A_RLA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ~ NEW BUILDING OEXISTING BUILDING O VACANT LAND - THE LOCAL ADMINISTRATOR [S TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW 19 SIGNED: DATED: B. CO:`~IPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL I,AW # , 19_, AS MODIFIED BY VARLA.NCE # DATED SIGNED: DATED: crcc93~ Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765-5490 November 14, 2012 Southold Town Building Dept. Main Road Southold, New York 11971 Re: Storm flood repairs from "Sandy" C&L Realty Building, Southold SCTM # 1000-56-06-3.4 Dear Sir or Madame; Attached is an application for storm related repairs at the above referenced premises. The nature of the work is non-structural cosmetic restoration work to the existing I 1 first floor hotel units including but not limited to: Removal and replacement of flood damaged flooring materials Partial removal and replacement of flood damaged lower wall finishes including drywall, wall covering, paint and trim Partial removal and replacement of flood damaged lower wall cavity 'nl sulation to have an r-value equal to or grater than that which is being replaced. AlI work is non-structural and does not constitute a substantial repair to the building or a change in use. If you have any questions, please contact my office. Very truly yours, u z Garrett A. Strang, Architect Ke: Storm tood re airs from "Sandy" 2~j~ &L Realty Building, Southold ROAD ~s•R' SCTM # 1000-56-06-3.4 CAIN N68'31'00'E 89.68' ~D Dear Sir or Madame; 133.28 rE a, Jyae ce covcRerE a unu>; unu 8~31,pp•E ~ ~ ~nrs u r~F _j~ ~ ,scn, P«~, a 4+'M' P0`~ Attached is an application for storm related repairs at the above referenced premises. 3s. N5 -'unun'r, c~cKC row I I a~ e'0 The nature of the work isnon-structural cosmetic restoration work to the existing l 1 first A~Arr I I floor hotel units including but not limited to: ~ I ys.o I I Removal and replacement of flood damaged flooring materials ~/I/C I_ K D jN G 1 *+•o• I I ~ Partial removal and replacement of flood damaged lower 5 L ~0~ 'I v 1 _ ~ B OD. I A I " wall finishes including drywall, wall covering, paint and trim ~N K ~"T C ~ ~ g FR' ~ ~ I ~ " , Partial removal and replacement of flood damaged lower wall ~ B~ CEir;°T~ r ~ ~ ~ A/C VNITS ro ~ ~ u i ~ w>°K av ~ Pu r. cavity nsu~lation to have an r-value equal to or grater than that o ~ f I, which is bem re laced. ~y ~ sA.e' I i ~ r 'I i e.e. 1 i All work is non-structural and does not constitute a substantial repair to the building or a g~1JCNEAD Q, - Z 6.1'w x ~ ~ ~ sas co ~ ~ chap eg~in use. ~ ~ ~ ~a° ASP1/'u-T I I - a x o I ~ m ~ m co u,x, ~ ~ '~B~/ ,~,~„NO ~ FIRE INSPECTION ~ ' I i`'n ~ '""`i ~ ,we ! '~~Fh~ ELECTRICAL j iMJK I Q I r UnupY G~', o I I A/C UN/15 II~I:g+~Eti ~s'~~4 "-"l~;~R~a~© I Z ~ 1000-56-06-3.4 1 ~ I ~ a'°T ° rn x ;'A = I ~ _ COti'PLY V+/ITH ALL CODES OF ~ ~E~S ~'~lV~ -~uE"TO sr~'~''''l ~ ~ .r I i ~ NEW YOFK STAT"t & TOWN CODES ~.S~ND / Z~ ~ I I ~ I~ ~ AS REQUIRED / D ~ I y I~ UTH010TGWti D.17E:__~ ~to ~~~~F 76 " __~a~C~p- sou7h , ti P~.tiN,rv~c aoa~o E C.a. of .10 Y EU' c ~~..C -~r ,y7 ! ~ A/C UNgS I l T i CK oT/G d. i.2' ~ xF~ ~ i SG J_.. ~rJ ~ ~ Items 7FJ iii:/ ~ 71ic. ~ ~ ~ Aur. FC LO z I ~ ! S ~E, ~ ,~~,w ~ P.cr , I ~ I `y r F F V~ i' C f J i, p I 2 F~GU~~H Tn ~ i ~;P:u ~ ~ I ! OCCUPANCY OR 4. ; INF. T.: I~~, I~~57 I ; USE IS UNLAWFUL BE ~ ~ ~ ~P _ ALL COivo~R Gn ~ ! aiE~~ ~'E o x,e~ ~ry ~ ~ V~~~ SNOUT (~Er`~~~~IF!~ATE REQJf~EM ~ v1=TH~ ~ ~ .G"OF~J~W i es' YORK S7AiL-. NO7 R.ESFONSIBLE ~ 0^n o aa' ~ ~ ~ "'A'-'- Or OGCUPAN`=,,~ i~ DESIGN OR CO~.S7RUCTiON ERROtiS. O 2 S7Y, ~ 32.3' n i ~ s BLDG. ~ ~ ~ ~ g PLUMBER CERTIFICATION FLOOD ZONE ~ Z a~ ~ ~ ~ ~ ~ sa ON LEAD CONTENT BEFORE ~ ° ~ 4 COMPLY :KITH CHAPTER 14d ro 12£ ~ ~ ~ ~ ~ ~ CERTIFICATE DF OCCUPANCY FLOOD DAMAGE PREYEN110N w w ~ ~ ~ ~ ~ N ° SOLDER USED IN WATER SOUTHOLt3 TCkV'~Iw CODE iv ° ~ unun „ x - ONCE ~ e o,s ausnc e SUPPLY SYSTEM CANNOT cn °o , ~ ~ 57170 30 W ; ~ g ~ = ~ EXCEED 2/10 OF i % LEAD. PLUMBING 65.80 x~' rEn _ ~unun' ~ Rpp n ~~H~1o x % ~ ' Srr ~ ALL PLUMBING WASTE P~ e. 3ze~ & WATER LINES NEED I! . M ~ ~ ~ FR. ecoc. TI_STING BEFORE COVERING 5~ •1 ? z~OZ'Gw