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HomeMy WebLinkAbout38272-Z Town of Southold Annex 6/3/2014 P.O. Box 1179 54375 Main Road 10 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36950 Date: 6/3/2014 THIS CERTIFIES that the building COMMERCIAL REPAIRS Location of Property: 400 Old Main Rd, Southold, SCTM#: 473889 Sec/Block/Lot: 56.-6-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/12/2013 pursuant to which Building Permit No. 38272 dated 8/20/2013 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"concrete deck addition and interior alterations, including hood and fire suppression system, as applied for. The certificate is issued to Wji Holding Corp (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38272 10/24/13 PLUMBERS CERTIFICATION DATED Aut ed S gnatur TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 38272 Date: 8/20/2013 Permission is hereby granted to: Wji Holding Corp 222-02 Jamaica Ave Queens Village, NY 11428 To: As Built deck resconstruction and interior alterations, incluiding hood and fire supression system, as applied for per Southold Town Trustees with flood permit as applied for. At premises located at: 400 Old Main Rd, Southold SCTM # 473889 Sec/Block/Lot# 56.-6-7 Pursuant to application dated 8/12/2013 and approved by the Building Inspector. To expire on 2/19/2015. Fees: AS BUILT-COMMERCIAL ADDITIONS/ALTERATIONS $1,340.00 OMMERCIAL $50.00 ood Permit $100.00 To $1,490.00 .w Bu' Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00, Additions to accessory building$50.00, Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy -$.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. ' t I 1 3 New Construction: Old or Pre-existing Building: (check one) Location of Property: L400 o 141- House 4 -House No. t, treet Hamlet Owner or Owners of Property: Vv ` 1 � �� t Suffolk County Tax Map No 1000, Section Sqo Block Lot Subdivision Filed Map. Lot:_ Permit No. ���--' Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: r rti icate Final Certificate: 4plri one effRor y�' ) ti �1 I,.�_ -II _ �� I� 1 4 Ebro t 9 � NOV 1 R 2013 _ -- natu I SO(/ryol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O. Box 1179 CA roper.richert(aD-town.southold.ny.us Southold,NY 11971-0959 �IyCOUNTY,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Pepis Address: 400 Old Main Rd City: Southold St: NY Zip: 11971 Building Permit#: 38272 Section: 56 Block: 6 Lot: 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: East County Electric License No: 1005-e SITE DETAILS Office Use Only Residential Indoor X Basement Service Only Commerical X Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 3 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 3 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture 2 Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 1 Twist Lock Exit Fixtures TVSS Other Equipment: flood damage repair, replace 60a feed to walk in box deviceses only were replaced as required-20 recpticles&6 switches Notes: Inspector Signature: Date: Oct 24 2013 81-Cert Electrical Compliance Form.xls 2_� �o��Of SO�r�o� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] �ILATION [ ] FRAMING /STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Lell 66 33 L 72-- .- lope, Z— � DATEINSPECTOR pF SOUIyo<o TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) tpqELECTRICAL (FINAL) REMARKS: DATE /� 2``/ 3 INSPECTOR INOU"TION Psk N.Y. STATE ENERGY c • , : ILMI r ice. - AMMAR t • ��/�!/?1�..'1,,-'�!��.��►���� .�-ice ---- ADDrrioNAL commNTSr gnu�.r�v..r�.o.....Y......��.. MIL', .��1'.��`sT�L!'��•rS►1L.� M�M- 7'014r� Xh' r z rol 1 : '- TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST RULING 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 //�� n Survey SoutholdTown.NorthFork.net PERMIT NO.tJ8070 Z Check Septic Form N.Y.S.D.E.C. Trustees C.O.Flood Permit Application J3Examined �0 20 Single& Separate g p Storm-Water Assessment Form �� Contact: Approved ,20� Mail to: Disapproved a/c Phone: Expiration 20J5 Building Inspec or APPLICATION FOR BUILDING PERMIT Date , 20 -:� INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all a s, ordinances, building code, housing code, and regulations, and to admit authorized ins rs es r my n i for necessary inspections. It� — 013 L. (Signatu e f pplic or name, if a corporation), AUG 8 2 TO"� IIS ('Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 L1�7 ^J EY\—,. Name of owner of premises Lo A, ��' I &A �✓G (As on the tax roll or latest deed) If applicant is corporation, signature of duly authorized officer A (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. _ Other Trade's License No. 1. Lo ation of land on which proqgsed work will be done: ro Aa House Number Street Hamlet County Tax Map No. 1000 Section �� _Block l' Lot- Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy '4- M APL/ A-9 6 5 t AJE SS b. Intended use and occupancy 3. Nature:��nemoval which applicable): New BuildingAddition Alteration Repair Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 4=1` 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 3 S a O'er 7. Dimensions of existing structures, if any: Front Rear De pth Height 1 L '� a Number of Stories 1 Dimensions of same structure with alterations or additions: Front 37 r'�" Rear Depth `�S '"o" Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front 100 2 Rear 5 E' a\% Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated MAA)A A eo-&I IVC—YS 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 1/ 13. Will lot be re-graded? YES NO /Will excess fill be removed from premises? YES NO—Z 35 wAAR�nr S7'f)S[a 14. Names of Owner odo-st'N remisesWA��� 1 t��S Address 2A(-O w�ti til Phone No. 4A 3v� Name of Architect Address Oc,,A aEAj hone No Name of Contractor Address Phone No. 15 a. Is thisro ert within 100 feet of a tidal wetland or a freshwater wetland? *YES iNO p P Y * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE QUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property.lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) rn S. COUNTY OF Q ILL) qhSCbeing duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) b ve named, (S)He is the btu�-1f—�— (Contractor, Agent, Corporate Officer, etc.) Owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; +atements contained in this application are true to the best of his knowledge and belief; and that the work will be ' in the manner set forth in the application filed therewith. )re me this lay of MIL F.0A,111SON n S >of New YDIP02 8 2 ar ,tary Public r .� ya3 Si at e of A icant s BOARD OF SOUTHOLD:TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 8200 DATE: JUNE 19,2013 ISSUED TO: WJI HOLDING CORP. C/O WALTER ILLIGASCH PROPERTY ADDRESS: 400 OLD MAIN ROAD,SOUTHOLD SCTM#56-6-7 r AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 19,2013,and in consideration of application fee in the sum of$250.00 paid by Formulal Motorsports, Inca and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for repairs to the existing restaurant; remove the existing 1,215sq.ft.wood deck on southerly and easterly side,and construct in its place a new raised concrete platform with steps to grade and railings with no increase in size; replace handrail on existing handicap ramp; and replace existing outdoor walk-in- freezer box in-place; with the condition of the installation of gutters to leaders to drywells and in accordance with Chapter 236 of the Town Code-Stormwater Management; and as depicted on the site plan prepared by Joseph Michael Gratzer, f' Architect, received on May 8,2013,and stamped approved on June 19,2013. IN WITNESS WHEREOF;the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. eF �i- o�gtlF�tl�,�co _ y�1►pl � �a� _ y James F. King, President ��OF SoUjyO Town Hall Annex Bob Ghosio,Jr.,Vice-President h0 l0 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer G '�► • �O Telephone(631) Michael J.Domino OILY Fax(631) 765-664 ' I WV BOARD OF TOWN TRUSTEES , $ 2013 �..1 TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0929C Date: November 14, 2013 THIS CERTIFIES that the repairs to the existing restaurant; removal of the existing 1,215 sq. ft. deck on southern and easterly side and constructed in its place a raised concrete platform with steps to grade and railings with no increase in size; replacement of handrail on existing handicap ramp; replacement of existing outdoor walk-in-freezer box in-place; installation of gutters, leaders and drywells At 400 Old Main Road, Southold,New York Suffolk County Tax Map # 56-6-7 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 8, 2013 pursuant to which Trustees Wetland Permit#8200 Dated June 19, 2013,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 repairs to the existing restaurant,• removal of the existing 1,215 sq. ft. deck on southerly and easterly side and constructed in its place a raised concrete platform with steps to grade and railings with no increase in size; replacement of handrail on existing handicap ramp; replacement of existing outdoor walk-in-freezer box in-place; installation of gutters, leaders and drywells. The certificate is issued to WJI HOLDING CORP. owner of the aforesaid property. C;?e"�5r Authorized Signature U.S.DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY ELEVATION CERTIFICATE OMB No. 1660-0008 National Flied Insumma Program IMPORTANT:Follow the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name MR. WALTER ILLIGASCH Policy Number: A2. Building0 tOLD Address ROnp_Apt.,Unit,Suite,and/or Bldg.No.)or PO.Route and Box No. Company NAIC Number: City SOUTHOLD A!� State NY ZIP Code 11971 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) SCTM DISTRICT 1000 SECTION 056 BLOCK 06 LOT 07 A4, Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) NON-RESIDENTIAL A5, Latitude/Longitude: Lat. 41 04'34 74"N Long. 72 24'03 30"W Horizontal Datum: ❑NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 B A8. For a building with a crawlspace or enclosure(s): A9.For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 232 sq ft a) Square footage of attached garage sq ft b) Number of permanent flood openings in the crawlspace 1 b) Number of permanent flood openings in the attached garage or endosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 596 sq in c) Total net area of flood openings in A9.b - sq in d) Engineered flood openings? ❑Yes ®No d) Engineered food openings? ❑Yes ❑No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number B2.County Name B3.State SOUTHOLD TOWN OF 360813 SUFFOLK I NY B4. Map/Panel Number B5.Suffix 96.FIRM Index Date B7. FIRM Panel Effective/ I B8. Flood Zone(s) B9. Base Flood Elevation(s)(Zone Revised Date AO,use base flood depth) 36103CO159 H 05/04/1998 09/25/2009 AE 6 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: ❑FIS Profile ®FIRM ❑Community Determined ❑Other/Source: Bll.Indicate elevation datum used for BFE in Item 139: ❑NGVD 1929 ®NAVD 1988 ❑Other/Source: B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes k No Designation Date: / / ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑Construction Drawings* ❑Building Under Construction* ®Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/A0.Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: NGS BENCH MARK B-326 RESET 1984 Vertical Datum: NGVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑NGVD 1929 ®NAVD 1988 ❑Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 2 . 3 ®feet ❑meters b) Top of the next higher floor 4 . 26 ®feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) ❑feet ❑meters d) Attached garage(top of slab) ❑feet ❑meters e) Lowest elevation of machinery or equipment servicing the building 4 . 6 ❑feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 2 . 3 ®feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) 3 . 7 ®feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including 2 . 7 ®feet ❑meters structural support SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by lave to certify elevation information.l certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any False statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001_ �F NE� FXJ Check here if comments re provided on back of form. Were lland surveyortitude and ? SectYes ion❑A provided by a �P � A. GRO F-1 Check here if attachments. licensede�Q� Certifier's Name License Number PETER A.GROBEN NYPLS 50869 Title Company Name (,y PROFESSIONAL LAND SURVEYOR G&A LAND SURVEYING INC. p Add city state ZIP Code z P. 704 RIDGE NY 11961 50868 Sim re Date Telephone �-- 08/04/2013 631 849-4750 S� FEMA Form 086-0-33(Revised 7112) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE,page 2 IMPORTMNT:In these spaces,copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE BVilding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P0.Route and Box No. Policy umber: 400 OLD TOWN ROAD City State ZIP Code Company NAIL Number: SOUTHOLD NY 11971 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 1) BUILDING IS UNDERGOING REMODELING. 2)TOTAL BUILDING= 1,363 SF 3)1,130 SF OF BLDG. IS CONC. SLAB ON STEM WALL GRADE (SIMILAR TO DIAG. C) 4)233 SF OF BLDG. HAS A CRAWL SPACE WITH ONE INCH OPENING. 5)THE LOWEST EQUIPMENT IS ELEVATION 4.7 Signature Date 08/04/2013 SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,and C. For Items E1-E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters. E1.Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2.For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3.Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4.Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5.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?❑Yes ❑No ❑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.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner 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.Check the measurement used in Items G"10.In Puerto Rico only,enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information.(Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ 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. ❑ The following information(Items G4-G10)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: ❑New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet Elmeters Datum G 10.Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments. FEMA Form 086-0-33(Revised 7/12) Replaces all previous editions. �2 Y � I�i~ �-� � Tr1•n 11,111. S.11W5 1�•1J11 jT. TERRY• r 14 T T N � •r,. r.o. n„r 1174► 'TOWN CLERK CI`•' , Sr,ulluilrl. Nc • 1'�/r1; 1 ItEc,srRA R OF VITA.STATIS11CS ✓�^ cG�`" Fax (S 1(11 765.l fi�l MARRIAGE orFICI:R - 1�0Tdcphonc (5 16) M.S. 1 pLCORI)S MANAGEMENT OFFICER ��01 FREEDOM OF INFORMAAT10H OFFICER 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 the Flood Damage Prevent regulations ,s of. the Code of the Town of Southold: "Floodplain Development Permit !(pplication" (FDP(93) J , and ',Certificate of Compliance Wr Develc-pment in Special Flood Hazard Area (C/C(93)) . J TOW"I OF SO'LMIOLD i Judith T. Terry Southold Town Clerk August 25, 1993 I I � 1 • 1 APPLICATION ad PAGE I of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1 GENERAL PROVISIONS (APPLICANT to read and sitTn)- 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. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE,TO THE BEST OF MY KNOWLEDGE,TRUE AND ACCURATE. (APPLICANTS SIGNATURE) ly-c DATE i /SECTION 2: PROPOSED DEYELOP.Ir/1ENT (T��c completed by APPLICAJr'Tl �� NAME ADDRESS TELEPHONE APPLICANT IS 1� BUILDER 94, Gb, PROJECT LOCATION: W.7 Fy� • To avoid delay io processing the application, please provide cuou¢h informa(iou to easily identify the project location_ Provide the street address, lot number or Iegal description (attach) and, outside urban areas, the distance (o the uearest intcrsecting road or well-known Landmark A sketch attached to this app cation showing the proica location would be helpful. M Ao1 a:> -- b 5'6 - rn -7 SOOT 4 6� �ARe FDP(93) APPLICATION. PAGE 2OF4 DESCRIPTION OF WORK (Check all applicable boxes)_ A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE O New Structure O Residential (1-4 Family) O Addition O Residential (More Chan 4 Family) O Alteration O Non-residential (Floodproofing? O Yes) O Relocation O Combined Use (Residential & Commercial) O Demdlitioo' P O Manufactured (Mobile) Home (In Manu- AReplacement factured Home Park?- O Yes) ESTIMATED COST OF PROJECT S 15 B. OTHER DEVELOPMENT ACTIVITIES: O Fill O Mining O Drilling O Grading O Excavation (Except for Structural Development Checked Above) O Watercourse Alteration (Including Dredging and Channel Modifications) O Drainage Improvements (Including Culvert Work) j O Roa,li, Street or Bridge Constructioa O SUFAvision (New or Expansion) / O fydMdual Water or Sewer System VV G Other (Please Specify) hip CTS After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3. FLOODPLAIN DETERMINATION (To be completed by LOCAL AWINTSTRATOIZ) The proposed development is located on FIRM Panel No. • Dated The Proposed Development: O Is UTQT located in a Special Flood Hazard Arca (Notify the appbcant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). O Is located in a Special Flood Hazard Arca. FIRM Toric dtsignalion is 100-Year flood elevation at the site is: Ft. NGVD (MSL) O Uoavailablc O The proposed development is located to a floodway. FBFM Panel No. Dated ❑ See Section 4 for additional instructions SIGNED DATE APPLICATION # PAGE J OF 4 SECTION 4 ADDITIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMINIST'RATOR) The applicant must submit the documents checked below before the application can be processed: O A site plan showing the location of aJl cxisling structures, water bodies, adJ. 'aceot roads, lot dimensions and proposcd development. O Dcvclopmcn( plans,drawn to scale, and specifications,including where applicable: details for anchoring structures,proposed elevation of lowest floor(including basement), types of water resistant materials used below the fust floor,details of floodproofing of utilities located below the first floor and details of enclosures below the first floor. Also O 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 are not otherwise available). O Ptags showing the extent of watercourse relocation and/or landform alterations- 0 Top of new fill elevation Ft. NGVD (MSL). Ft:NGVD MSL . For , O Floodproofulg protection Ievcl (non-residential only) (MSL). floodproofed structures, "IppUcant must attach certification from registered engineer or - architect. / O Certification from a-registercd engineer that the proposcd 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. O Other. SEa10N S PERMIT DETERMINATION (To be completed by LO 'AL ADMINISTRATORI I have determined that the proposed activity. A- O Is B. O Is not in conformance with provisions of Local Law if , 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 payoneot of designated (cc. If BOX B is chcckcd, 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 W PAGE 4OF4 APPEALS: Appealed to Board of Appeals? O Ycs ❑ No Healing date: Appeals --- Approved! 81 Yes 9 Ne Conditions SECTION 6• AS-QUILT 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 ccrufication to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement(in Coastal Hash Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: • Fr. NGVD (MSL). Q / � L Actual (As-Built) Elevation of floodproofmg protection is C 2 b FT. NGVD (MSL)- NOT/T4,--: MSL).NOT : Any work performed prior to submittal bf the above information is at the ris of Lbc Applcant. SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRAT R The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the communiVs local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? O YES ❑ NO DATE BY DEFICIENC[ES7 ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION 8• CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Ccrffiirate of Compliance issued: DATE BY: Attachment B i BAMP,LE CERTIFICATE.11 PF COMPLIANCE al Flood Hazard Area 1 for Development in a Speci i i ,t s i TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD A-REA (OWNER MIST RETAIN THIS CERTIFICATE) _ PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: 0 NEW BUILDING O EjGSTING BUILDING O VACANT LAND - ' THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY_ CERTIFIED WITH THE REQUIREMENTS OF LO CAL 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) Town of Southold - Chapter 236 - Stormwater Management s�g SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) APPLICANT NAME: Owner-Agent-Consultant-Contractor or Other (Circle One) Property OWNER:(if Different th Applicant)) L-n„r 6 L Tt / ! �N i�si L L t A N Address: 3S ,",'tt�l/t^j,G45� q N a) ^t�o Address: �pa Tehone#: gFax#: -�J Telep on Fax#: �'9 E-Mall: E-Mail: Property Address: Brief Description of Construction Activity,Proposed Structural BMFs,Soil S.C.T.M.#: 'v Stabalization BMPs,Project Scope and/or Sequence of Construction Activity 1000 Dh s Bbdr Loe (Provide AddtonW Pages as Needed) Name of Contractor and/or Contact Person Responsible for Implementation of SWPPP: Address: Telephone#: Fax#: --•+"�- ''•C # 3-•__..�,. r 5 .../�T.;v e;`Ca.�C) ___- i r E-Mail: - ____..__. ____ -------------- __ n I. a S_t ati � --_Q1�►al _ Name of Pers//o��n Responsible for Inastaallation 8 Maintenance /of Erosion Control Practice: _ m l L Address: t (� r- ` � ^ Ni•//' <�Q.___ T Phone : I Fax# E-Mail: , Total Area of Al Total Area of Land Clearing / Project Parcels: andfor Ground Disturbance: ` ____.__ - ..!A¢rs) (S.F.f A—) Project uration: Start End _...._,_._ ,.,.„:.._._...,._..__.__--_._._... ....._:.__. ....._.,._.__... (Anticipated) b Date: Date: (rArmber d CalenderOnys) Will this Project Disturbe five(5)or More Acres at Any One Time During the Proposed Development? Yes No If YES:Please Answer the Followingf _.,..____,_ __ __ .----------- a. -_W____---a. Does the Applicant have a Qualified Inspector On Q Staff To Conduct the Required Inspections? Yeso b. Does the SWPPP Indicate How Frequently the Site O List the NAMES or description of all Potentially Impacted Waterbodies and/or Wetlands: Inspections will Occur and for What Period of Time? Yes No 1 c. Does the SWPPP Adequately Identify All Temporary ___________ and/or Permanent Soil Stabalization Measures? Yes No I d- Does the SWPPP Adequately Identify a Complete Project Phasing Plan? Yes r�—N�o�. Status of Impacted Waterbody:(eg.TMDL,303(4)Listed,Impaired...) e. Does the SWPPP Indicate Additional Site Specific =�.'_n I Practices that Will be Utilized to Protect Water Quality? Yes No f. Has the Applicant Submitted a Completed DEC Notice Type of Impacted Walerbody:(eg.Lake,Creek Bay,Pond Sound,Freshwater Wetland..) Of Intent and SWPPP Acceptance Form for Review Q by the Town of Southold? Yes No �Oln9 STA'TF.OF NF.W YORK, COUNTY OF...........................................SS rr � /j That I,....:��” ��' � I... S �.......being drily sworn,deposes and says that he/she is the applicant for Pefmit, (Name of individual signing Document) - i And that he/she is the ?.C.f- /U......1.G�..................................................................... i. ............................................................... (Owner,Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of the 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 die best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ................I..........I...................day of............................................,20..... f NotaryPublic: .............I....................................... ............................... ............................................ (Signature of Applicant) SWPPP Assessment FORM: 03-12 US T.O.S. "SWPPP" Preparation - Chapter 236 For Department Use Only: Storm Water Pollution Prevention Plan 10 0S: �o Property ed��): M ..t,c �Review Checklist Checklist # 1 District section ebck `T REQUIRED PLAN INFORMATION AND IMPLEMENTATION DETAILS: + i Plan Sheet (Does the SWPPP AdequatelyProvide for and/or Indicate the Following:} S NO ;N.A.;Explanation for NO or N_A. (pg #) Location 1, Drainage Calculations&Stormwater BMPs Designed to contain a Two Inch Rain all On-Site. Q` 2. Construction Phasing Plan Indicating Sequence of Proposed Construction ActivrtiIas ? Q 3 General,Location ..Map i Q i Q �n 4 Draianga Site Plan Drawn to Scale at Sixty(fi0)feet to the Inch or larger indicating the Following: a Location and Description of Property Boundaries ;Q b. Site Acreage F ;O _. _ c. All Existing Natural and/or Man Made Features on and within 50'of the Property Boundary � - � •Q � IJJ d Test Hole Data Indicating Soil Characteristics&Depth to Seasonal High.Water Table R . . _ e Contours Indicating Property Elevations(Min.2) , , ,Q3 . . . .. 1M� f. Spot Grade&Finish Floor Elevations for Existing and Proposed Structures; g Location of Wooded Areas&Isolated Trees with a Mlrm num ension o Dimf 18 Diameter; Q h Soil Conservation DistncfSoil$uniey _ 5. Background Information about the Scope of the Project,Location&Description of Ehe Site, Proposed Changes to the Site and,All Existing Development on the site Including the Followin a, .Ap(m.provements including TotaLArea of,t.ancj Di$turbance&_Total Stte Area,.... ., ;QQ b. All Excavation Filling Stripping&Grading Proposed and Identified as to depth Volume Eo:E= & Nature of Materials Involved;.. c, All Areas Requiring Clearing andlor Grubbing Q °Q J� d. All Areas Where Topsoil is to be Removed,Stockpiled and where Topsoil will ultimately a be lced, !Q p... 4Q.A../..A,. .... e. All Temporar &Permanent Vegetation to be Placed on Site i Y 9 f. All Tem_porary&Permanent Storm Water Runoff BMP Control Measures Proposed F ;Q g. The Anticipated Pattern of Surface Drainage During Periods of Peak Runoff Q` 1 J�P h. The Location of all Roads,Driveways Sidewalks Patios Structures Utilifies&'OtherIll.. - 'Other i fff` y i c Improvements,Including Temporary Access&Construction Staging Areas i sg I. The Exisbng&Final Contours and or Spot Elevations of the site: ;Q 6. A Schedule of the Sequence for the Installation of All Planned 5011 Erosion,Sedimentation &Stormwater Runoff Control Measures Q 7 „Descnption of Pollution Prevention_Measures that will beImplemented B. A Description of the Minimum Erosion&Sediment Control Practices to be Installed and&' im lamented for Each Construction Activi that will result in Soil Disturbance. 0 9 Descri tion of Construction&Waste materials Expected to be Stored On-Site. ; 10. Temporary&Permanent Soil Stabilization Plan that meets the Current Version of the Q C New York State Storm Water Design Manual Technical Standard �l 11 General Site Pian and Construction Drawings for the Protect iQ _., _._-....__. . _... .., ..._..._ . _ - 12 Dimensions Material Specifications 8 Installation Details for At Erosion&Sediment Control Practices. 13 TemporaryPractices that will be Converted to Permanent control Measures. Q 14 Implementation Schedule for Staging Temporary Erosion Control Practice or BMP Q 15, Maintenance Schedule to Ensure Continuous&Effective Operation of Erosion& Sediment Control Practices. Q, 16. Names of Potential Surface Waters of the State of New York and/or MS4 that may be Impacted by Development. ,_______.___....__....._.._v_.__.____..._........_...__..._____a ____ _... ....... . ....... _ . _ 17. Delineation of Storm Water Control Plan Implementation Responsibilities for Each part of the __., Q ------ _........_....__._...._...... - .._ ....... . Project Construction Site. 18. All other Existing Data that Describes Storm Water Runoff and/or Natural Drainage Swales ;Q, 19. Identification of All Contractor(s)/Sub-Contractors) Responsible for Installing,Constructing, ; Repairing,Replacing,Inspecting and Maintaining the Erosion&Sediment Control Practices. Storm Water Management Control Plan Checklist#1 : 03-72 US sDEC "SWPPP" Preparation - Chapter 236-19 For Department Use Only: Storm Water Pollution Prevention Plan S.C.T.M.M Property Address; Review Checklist Checklist # 2 1000 sz, 6 (Additional Items to be included with Checklist#1 when Article III is trigered.) District section stook 6. REQUIRED PLAN INFORMATION AND IMPLEMENTATION DETAILS: i € i Plan Sheet Y NO ,N.A.,Explanation for NO or N.A.Must be Approved by SMO (Does the SWPPP Adequately Provide for and/or Indicate the Following:) Location(pg.#) 1. Does the Plan Indicate and/or Show all Items Required by Checklist #..I in this Packet? 2. Does the Plan Indicate and/or Show a Description of Each Post-Construction Stormwater € Q€ 46 Management Practice? € 3. Does the Site Plan/Construction Drawing(s)Indicate and/or Show the Location&Size of ( Ii _ Each Post Construction Stormwater Management Practice,.?_ _ .. t _.. 4. Does the Site Plan/Construction Drawing(s)Indicate and/or Show Hydrologic&Hydraulic Analyst ;Q For All Structural Components of the Stormwater Management System for Applicable Storms? 5. Does the Site Plan/Construction Drawing(s)Indicate and/or Provide a Comparison of Post- i i Development Stormwater Runoff Conditions with Pre-Development Conditions? ©' 6. Does the Site Plan/Construction Drawing(s)Indicate and/or Show All Dimensions,Material Specifications&Installation Details for Each Post Construction Stormwater Practice? 7. Does the Site Plan/Construction Drawings)indicate a Maintenance Schedule Provided by V tis the Constractor(s)to Ensure Continuous&Effective Operation of Each Post-Construction i Stormwater Management Practice I.. .. _ - ....._ . ._.. ..... . __. i i i .. � , '_..'AD-0 8. Does the Site Plan/Construction Drawing(s)Indicate and/or Show Maintenance Easements to Ensure Access to All Stormwater Management Practices at the Site for the Purpose of Inspection and Repair i € i i 3 3 �� 9. Does the Site Plan/Construction Drawmg(s)Indicate and/or Show'Inspectionand Maintenance Agreement(s) that are Binding on All Subsequent Landowners? 0; ° € 10. For All Activities meeting the Threshold in 236-19(B)(1),the SWPPP shall be Prepared&Signed ` By a Professional in the Principles and Practices of Stormwater Management&Treatment Who Who Shall Certify thatt he Design Meets the Requirements of Chapter 236. 11. Does the Plan Indicate and/or Identify Afl Potential Sources of Pollution which may affect the E Quality ofStormwater Discharges? _.---_-._--------__»_....._...,___,.; E ��� _._._•_. .»,_ _-__.__-__--_. ,_... 12. Does the Plan Provide Documentation Supporting the Determination of Approval with Regard i Q€ i _ �-A to Historic Maces or Archeological Resources that Includes the Following. a. Information whether the stormwater discharge or land development activities would have i € / AJ �N 'I an effect on a property that is listed or eligible for listing or eligible for listing on the >� yr State or National Regs Register of Historic Place b The ResuNs of Historic Resources Screening Determinations that have been Conducted; __. _---_------__------___. _»_--_--------_________________ c. Description of Measures Necessary to Avoid or Minimize Adverse Impacts on Places Listed, E Q 0 E _or Eligible for Listing,on the State or National Register of Historic Places;and d. Where Adverse Effects May Occur,Any Written Agreements in Place with the NYS Office of Parks,Recreation and Historic Places(OPRHP)or other Governmental Agency to Mitigate Those Effects. .,-,f"t-'-----__-W...-_ _ _-____._. -,____--__-.__-"f,t"h_""",_.._ 13. A Description of the Soils)Present at the Site,Including an Identification of the HydraulicSoil Group. - .. m_.__.__._.__... .M_._._.._....__.,,.._...___ ..,.,,...__.__,__-....._. 14. Identift€cation of Any Elements of the Design that are not in Conformance with the Design manual,Including Reasons for the Deviation or Alternative Design and a Description Q Qj of the Equivalency with technical Standards. ----..__ _.____._-____.. __._-_..___._ .._.__.__ _.._._..._.._ ._w..__....._____...._......._.....,.._._.__ _ ., 15. A Hydrologic and Hydraulic Analysis for All Structural Components of the Stormwater Management Control S stem;_ 16. A Detailed Summary,wish Calculations,of the Sizing Criteria that was Used to Design All Post-Construction Stormwater Management Practices. E , 17. An Operations and Maintenance Plan that Includes Inspection and Maintenance Schedules and Action to Ensure Continuous and Effective Operation of Each Post-Construction Storm Water management Practice. i Storm Water Management Control Plan Checklist#2.- 03-12 Town of Southold - Chapter 236 - Stormwater Management 16 CONTRACTOR CERTIFICATION STATEMENT Prior to the commencement of construction activity,the owner or operator must identify ALL contractor(s)and sub-contractor(s)that will be responsible for installing,constructing,repairing,replacing,inspecting and maintaining the erosion and sediment control practices included in the SWPPP;and the contractor(s)and sub-contractor(s)that will be responsible for constructing the post-construction stormwater management practices included in the SWPPP. The owner and/or operator shall have each of the contractors and/or sub-contractors identify at least one person from their company that will be responsible for implementation of the SWPPP.This person shall be known as the trained contractor.The owner and/or operator shall ensure that at least one trained contractor is on site on a daily basis when soil disturbance activities are being performed. The owner and/or operator shall have each of the contractors and subcontractors identified above sign a copy of the following certification statement below before they commence any construction activity: CERTIFICATION "I hereby certify that I understand and agree to comply with the terms and conditions of the SWPPP and agree to implement any corrective actions identified by the qualified inspector during a site inspection.I also understand that the owner or operator must comply with the terms and conditions of the most current version of the New York State Pollutant Discharge Elimination System("SPDES")general permit for stormwater discharges from construction activities and that it is unlawful for any person to cause or contribute to a violation of water quality standards.Furthermore,I understand that certifying false,incorrect or inaccurate information is a violation of the referenced permit and the laws of the State of New York and could subject me to criminal,civil and/or administrative proceedings." NAME: Title: Date-- In ate:In addition to providing the certification statement above,this page must also identify the specific elements of the SWPPP that each contractor and/or sub-contractor will be responsible for: Specific SWPPP Element: (Please Describe Here) NAME and TITLE of the Trained Contractor(s) responsible for SWPPP implementation; NAME: Title: Date: NAME,address and telephone number of the Contracting Firm; Property Address and bd U L_ Suffolk County Tax Map Number of the site; S.C.T.M.M 1000 District Section Block Lot The owner and/or operator shall attach All certification statement(s)to the copy of the SWPPP that is maintained at the construction site.If new or additional contractors are hired to implement measures identified in the SWPPP after construction has commenced,they must also sign the certification statement and provide the information listed above. For projects where the Department of Environmental Conservation requests a copy of the SWPPP or inspection reports,the owner and/or operator shall submit the documents in both electronic(PDF only)and paper format within five(5)business days,unless otherwise notified by the Department. SWPPP Certification Statement FORM: 03-12 July 16,2013 Southold Building Department Town Hall Annex 54375 Rt. 25 p.PO. Box 1179 Southold,New York 11971 Re: Pepi's Restaurant 400 Old Main Road Southold,New York 11971 Tax Map#56-06-07 In regard to the above mentioned address,the building owner will be performing minimal repair on the building in order to repair storm damage from hurricane Sandy. The scope of work involves cosmetic repair of finishes such as replacing sheetrock flooring,plumbing fixtures, rear deck, as well as bringing the facility up to current code as far as the handicap ramp and life safety items (ansul fire supression system,strobes, smoke detectors,remote annunciator) for the fire marshall's approval. The repair is not a substantial improvement to the building. If you should have any questions concerning this matter,please feel free to contact my office at your convenience.I would be pleased to offer my assistance in any way possible. Sincerely, Joseph Michael Gratzer Architect AIA,CDT, CSI,ACI `> J OF y` . r TOWN OF SOUTHOLD it I BUILDING DEPARTMENT f 53095 ROUTE 25 P.O. BOX 179 ; NOV - 7 2013 ,m SOUTHOLD,NEW YORK 11971 RE:ARCHITECTS CERTIFICATION „� REPAIR STORM DAMAGE PEPI'S RESTAURANT 400 OLD MAIN ROAD SOUTHOLD,NEW YORK 11971 IN REGARD TO THE ABOVE REFERENCED PROPERTY,I HAVE VISITED THE JOB SITE AND OBSERVED THE CONSTRUCTION: 1.THE CONTRACTOR HAS RE-BUILT THE EXISTING REAR DECK TO THE SAME DIMENSIONS AS THE PREVIOUS STORM DAMAGED DECK.ADDITIONALLY,A HANDICAP RAMP HAS BEEN BUILT IN CONFORMANCE WITH MY APPROVED PLANS,THUS ALLOWING WHEEL CHAIR PATRONS TO ACCESS THE REAR DECK AND BUILDING FROM EITHER THE FRONT OR REAR DOORS.THIS WAS NOT POSSIBLE BEFORE. 2.THE CONTRACTOR HAS INSTALLED OUTDOOR SEATING AT THE FRONT OF THE BUILDING COMPLETE WITH A HANDRAIL/BARRIER TO PREVENT PATRONS FROM FALLING OFF THE DECK.THE PREVIOUS OUTDOOR WAITING AREA IN THE FRONT HAD NO SUCH SAFETY BARRIER. 3.THE OWNER/CONTRACTOR HAS INSTALLED 3 DRAINAGE RINGS IN THE FRONT PARKING LOT AS DIRECTED BY THE BOARD OF TRUSTEES TO HANDLE THE RAINFALL BECAUSE OF THE PAVED,IMPERVIOUS SURFACE OF THE PARKING LOT. 4.THE CONTRACTOR HAS COMPLETED THE COSMETIC REPAIR OF THE INTERIOR OF THE RESTAURANT WHICH CONSISTS OF REMOVAL AND REPLACEMENT OF FLOOD DAMAGED GYP. BD.,FLOOR COVERINGS, AS WELL AS WOOD PANELING. 5.THE CONTRACTOR HAS INSTALLED THE NEW SLIDING GLASS DOORS ON THE REAR OF THE BUILDING,LEADING OUT TO THE REAR DECK AS PER MY APPROVED PLANS. 6.THE BATHROOMS HAVE BEEN UPDATED WITH NEW GYP. BD,PAINT,FLOOR TILE AND BATHROOM FIXTURES.HOWEVER; I HAVE INFORMED THE OWNER/ CONTRACTOR THAT THE HANDICAP GRAB BARS THAT I HAVE INCLUDED ON MY APPROVED PLANS HAVE NOT YET BEEN INSTALLED.THE GRAB BARS SHALL BE INSTALLED IN ORDER FOR THE BATHROOMS TO BE IN COMPLIANCE WITH ANSI 117.1 OF THE ADA CODE. 7.A NEW HOT WATER HEATER HAS BEEN INSTALLED THUS,REPLACING THE FLOOD DAMAGED OLD HOT WATER HEATER. 8.A NEW ICE,WALK-IN BOX HAS BEEN INSTALLED OUTSIDE ON THE WEST SIDE OF THE BUILDING IN THE SAME LOCATION AS THE OLD FLOOD DAMAGED BOX. 9. INSULATION/GYP. BD. HAS BEEN INSTALLED IN CEILING AND WALLS AS PER MY APPROVED PLANS AND COM CHECK CERTIFICATE. IF YOU SHOULD HAVE ANY QUESTIONS CONCERNING THIS MATTER,PLEASE FEEL FREE TO CONTACT MY OFFICE AT YOUR EARLIEST CONVENIENCE. I WOULD BE PLEASED TO OFFER MY SERVICES IN ANY WAY POSSIBLE. SINCERELY, JOSEPH MICHAEL GRATZER ARCHITECT AIA, CDT, CSI,ACID• - 8A GLENWOOD ROAD SOUND BEACH,NEW YORK 11789 . 631-657-6151 A .r� L1/Ir7 131 DG DEPT. TMYN OE SOUTHO!0 SO�lyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O. Box 1179 Southold,NY 11971-0959 COUNVI BUILDING DEPARTMENT TOWN OF SOUTHOLD November 18, 2013 WJI Holding 222-02 Jamaica Ave Queens Village, NY 11428 Re: 400 Old Main Rd, Southold TO WHOM IT MAY CONCERN: TheF o ng Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: f Applicationor Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (Contact your electrician) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) 6�017inal Fire Inspection from Fire Marshall.--- Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 38272 —Alterations 3;-65,802x5028 SOUTHOLD TOWN FIRE INSPECTOR robert.fisher@town.southold.ny.us Gage �. NOTES ESTABLISHMENTfes-- DATE COMMENT i — le� kZ 2-A S7 AzainFi-Ta an �� � N► � Ore ,�xv FireNotes { COMcheck Software Version 3.9.2 Envelope Compliance Certificate 2010 New York Energy Conservation Construction Code Section 1: Project Information Project Type: New Construction Project Title: PROPOSED RE-BUILD FLOOD DAMAGE TO PEPI'S RESTAURANT Construction Site: Owner/Agent: Designer/Contractor: 400 OLD MAIN ROAD WALTER ILLIGASCH JOSEPH GRATZER SOUTHOLD,NY 11971 635 WARREN STREET JOSEPH GRATZER ARCHITECT BALDWIN,NY 11510 8A GLENWOOD ROAD 631-833-4904 SOUND BEACH,NY 11789 631-657-6151 Section 2: General Information Building Location(for weather data): Suffolk,New York Climate Zone: 4a * ,` Building Space Conditioning Type(s): Nonresidential Vertical Glazing/Wall Area Pct.: 11% Activity Type(s) Floor Area 665(Dining:Bar Lounge/Leisure) 665 '1 .02 QP`e . Section 3: Requirements Checklist Envelopode Climate-Specific - Climate-Specific Requirements: Component Name/Description Gross Cavity Cont Proposed Budget Area or R-Value R-Value U-Factor U-Factor(a) Perimeter Roof 1:Attic Roof with Wood Joists 768 30.0 0.0 0.034 0.027 Exterior Wall 1:Wood-Framed,16"o.c. 1593 15.0 0.0 0.083 0.089 Door 1:Glass(>50%glazing):Nonmetal Frame,Entrance Door, 170 -- -- 0.300 0.400 SHGC 0.19 (a)Budget U-factors are used for software baseline calculations ONLY,and are not code requirements. Air Leakage,Component Certification, and Vapor Retarder Requirements: L1 1. All joints and penetrations are caulked,gasketed or covered with a moisture vapor-permeable wrapping material installed in accordance with the manufacturer's installation instructions. Lj 2. Windows,doors,and skylights certified as meeting leakage requirements. F1 3. Component R-values&U-factors labeled as certified. Li 4. No roof insulation is installed on a suspended ceiling with removable ceiling panels. Lj 5. 'Other'components have supporting documentation for proposed U-Factors. ❑ 6. Insulation installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. ❑ 7. Stair,elevator shaft vents,and other outdoor air intake and exhaust openings in the building envelope are equipped with motorized dampers. Ll 8. Cargo doors and loading dock doors are weather sealed. Ll 9. Recessed lighting fixtures installed in the building envelope are Type IC rated as meeting ASTM E283,are sealed with gasket or caulk. Lj 10.Building entrance doors have a vestibule equipped with self-closing devices. Project Title:PROPOSED RE-BUILD FLOOD DAMAGE TO PEPI'S RESTAURANT Report date:07/30/13 Data filename: Untitled.cck Page 1 of 7 Exceptions: L)Building entrances with revolving doors. J Doors not intended to be used as a building entrance. ❑Doors that open directly from a space less than 3000 sq.ft.in area. L) Doors used primarily to facilitate vehicular movement or materials handling and adjacent personnel doors. LJ Doors opening directly from a sleeping/dwelling unit. Section 4: Compliance Statement Comp/ ince Statement: The proposed envelope design represented in is consistent with the building plans,specifications and otl er calculations submitted with this permit application.The pro sed envelope syste s been designed to meet the 2010 New York Energ Conservation Construction Code requirements in COMcheck a 3.9.2 an comply 'th the mandatory requirements in the Requir ments Checklist. ` When Registered n Profession has stamped and sig thi re tte ting that t e best of his/her knowledge,belief,and p fes onal judgme t such plans or s cifications ar 'n com ce with this de. " z.� 2 13 Nam Title Sig re Date Project Notes: PROPOSED RE-BUILD FLOOD DAMAGE TO REAR DINING AREA Project Title:PROPOSED RE-BUILD FLOOD DAMAGE TO PEPI'S RESTAURANT Report date:07/30/13 Data filename: Untitled.cck Page 2 of 7 COMcheck Software Version 3.9.2 Interior Lighting Compliance Certificate 2010 New York Energy Conservation Construction Code Section 1: Project Information Project Type: New Construction Project Title: PROPOSED RE-BUILD FLOOD DAMAGE TO PEPI'S RESTAURANT Construction Site: Owner/Agent: Designer/Contractor: 400 OLD MAIN ROAD WALTER ILLIGASCH JOSEPH GRATZER SOUTHOLD,NY 11971 635 WARREN STREET JOSEPH GRATZER ARCHITECT BALDWIN,NY 11510 8A GLENWOOD ROAD 631-833-4904 SOUND BEACH,NY 11789 631-657-6151 Section 2: Interior Lighting and Power Calculation A B C D Area Category Floor Area Allowed Allowed Watts (ft2) Watts/ft2 Is x C) 665(Dining:Bar Lounge/Leisure) 665 1.3 865 �.. Total Allowed Watts= 865 s.. Section 3: Interior Lighting Fixture Schedule i A &� B C D E Fixture ID:Description/Lamp I Wattage Per Lamp I Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt 665(Dining:Bar Lounge/Leisure 665 sq.ft.) r Total Proposed Watts= 0 i s Section 4: Requirements Checklist w Lighting Wattage: E Lj 1. Total proposed watts must be less than or equal to total allowed watts. t Allowed Watts Proposed Watts Complies 865 0 YES Controls, Switching,and Wiring: L1 2. Daylight zones under skylights more than 15 feet from the perimeter have lighting controls separate from daylight zones adjacent to vertical fenestration. L1 3. Daylight zones have individual lighting controls independent from that of the general area lighting. Exceptions: U Contiguous daylight zones spanning no more than two orientations are allowed to be controlled by a single controlling device. L]Daylight spaces enclosed by walls or ceiling height partitions and containing two or fewer light fixtures are not required to have a separate switch for general area lighting. Lj 4. Independent controls for each space(switch/occupancy sensor). Exceptions: LJ Areas designated as security or emergency areas that must be continuously illuminated. Project Title:PROPOSED RE-BUILD FLOOD DAMAGE TO PEPI'S RESTAURANT Report date:07/30/13 Data filename: Untitled.cck Page 3 of 7 Lighting in stairways or corridors that are elements of the means of egress. 5. Master switch at entry to hotel/motel guest room. 6. Individual dwelling units separately metered. 1-17. Medical task lighting or art/history display lighting claimed to be exempt from compliance has a control device independent of the control of the nonexempt lighting. d lighting load by at least 50 percent by either � 8. Each space required to have a manual control also allows for reducing the connecte controlling all luminaires,dual switching of alternate rows of luminaires,alternate luminaires,or alternate lamps,switching the middle lamp luminaires independently of other lamps,or switching each luminaire or each lamp. Exceptions: L]Only one luminaire in space. LJ An occupant-sensing device controls the area. LJ The area is a corridor,storeroom,restroom,public lobby or sleeping unit. L)Areas that use less than 0.6 Watts/sq.ft. L3 9. Automatic lighting shutoff control in buildings larger than 5,000 sq A. Exceptions: LJ Sleeping units,patient care areas;and spaces where automatic shutoff would endanger safety or security. u 10.Photocell/astronomical time switch on exterior lights. Exceptions: Ll Lighting intended for 24 hour use. u 11.Tandem wired one-lamp and three-lamp ballasted luminaires(No single-lamp ballasts). Exceptions: LJ Electronic high-frequency ballasts;Luminaires on emergency circuits or with no available pair. Report date:07/30/13 Project Title:PROPOSED RE-BUILD FLOOD DAMAGE TO PEPI'S RESTAURANT Page 4 of 7 Data filename: Untitled.cck COMcheck Software Version 3.9.2 Exterior Lighting Compliance Certificate 2010 New York Energy Conservation Construction Code Section 1: Project Information Project Type: New Construction Project Title: PROPOSED RE-BUILD FLOOD DAMAGE TO PEPI'S RESTAURANT Exterior Lighting Zone: 3(Other) Construction Site: Owner/Agent: Designer/Contractor: 400 OLD MAIN ROAD WALTER ILLIGASCH JOSEPH GRATZER SOUTHOLD,NY 11971 635 WARREN STREET JOSEPH GRATZER ARCHITECT BALDWIN,NY 11510 8A GLENWOOD ROAD 631-833-4904 SOUND BEACH,NY 11789 631-657-6151 Section 2: Exterior Lighting Area/Surface Power Calculation A B C D E F Exterior Area/Surface Quantity Allowed Tradable Allowed Proposed Watts Wattage Watts Watts /Unit (B x C) Illuminated area of facade wall or surface 6 ft2 0.15 No 1 0 Total Tradable Watts*= 0 0 Total Allowed Watts= 1 Total Allowed Supplemental Watts**= 750 *Wattage tradeoffs are only allowed between tradable areas/surfaces. **A supplemental allowance equal to 750 watts may be applied toward compliance of both non-tradable and tradable areas/surfaces. Section 3: Exterior Lighting Fixture Schedule A B C D E Fixture ID:Description I Lamp/Wattage Per Lamp/Ballast Lamps/ 0 of Fixture (C X D) Fixture Fixtures Watt Illuminated area of facade wall or surface(6 ft2):Non-tradable Wattage Total Tradable Proposed Watts= 0 Section 4: Requirements Checklist Lighting Wattage: Li 1. Within each non-tradable area/surface,total proposed watts must be less than or equal to total allowed watts.Across all tradable areas/surfaces,total proposed watts must be less than or equal to total allowed watts. Compliance:No exterior fixtures are defined. Controls,Switching,and Wiring: Ll 2. All exemption claims are associated with fixtures that have a control device independent of the control of the nonexempt lighting. Ll 3. Lighting not designated for dusk-to-dawn operation is controlled by either a a photosensor(with time switch),or an astronomical time switch. L)4. Lighting designated for dusk-to-dawn operation is controlled by an astronomical time switch or photosensor. Li 5. All time switches are capable of retaining programming and the time setting during loss of power for a period of at least 10 hours. Exterior Lighting Efficacy: Project Title:PROPOSED RE-BUILD FLOOD DAMAGE TO PEPI'S RESTAURANT Report date:07/30/13 Data filename: Untitled.cck Page 5 of 7 6. All exterior building grounds luminaires that operate at greater than 100W have minimum efficacy of 60 lumen/watt. Exceptions. ❑ Lighting that has been claimed as exempt and is identified as such in Section 3 table above. Lighting that is specifically designated as required by a health or life safety statue,ordinance,or regulation. Emergency lighting that is automatically off during normal building operation. LJ Lighting that is controlled by motion sensor. Project Title:PROPOSED RE-BUILD FLOOD DAMAGE TO PEPI'S RESTAURANT Report date:07/30/13 Data filename: Untitled.cck Page 6 of 7 { COMcheck Software Version 3.9.2 Mechanical Compliance Certificate 2010 New York Energy Conservation Construction Code Section 1: Project Information Project Type: New Construction Project Title: PROPOSED RE-BUILD FLOOD DAMAGE TO PEPI'S RESTAURANT Construction Site: Owner/Agent: Designer/Contractor: 400 OLD MAIN ROAD WALTER ILLIGASCH JOSEPH GRATZER SOUTHOLD,NY 11971 635 WARREN STREET JOSEPH GRATZER ARCHITECT BALDWIN,NY 11510 8A GLENWOOD ROAD 631-833-4904 SOUND BEACH,NY 11789 631-657-6151 Section 2: General Information Building Location(for weather data): Suffolk,New York Climate Zone: 4a Section 3: Mechanical Systems List u n' System Type&Description Section 4: Requirements Checklist Section 5: Compliance Statement Compliance Statement The proposed mechanical design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2010 New York Energy Conservation Construction Code requirements in COMcheck Version 3.9.2 and to comply with the mandatory requirements in the Requirements Checklist. Name-Title Signature Date Section 6: Post Construction Compliance Statement F1 HVAC record drawings of the actual installation,system capacities,calibration information,and performance data for each equipment provided to the owner. Lj HVAC O&M documents for all mechanical equipment and system provided to the owner by the mechanical contractor. L) Written HVAC balancing and operations report provided to the owner. The above post construction requirements have been completed. Principal Mechanical Designer-Name Signature Date Project Title:PROPOSED RE-BUILD FLOOD DAMAGE TO PEPI'S RESTAURANT Report date:07/30/13 Data filename: Untitled.cck Page 7 of 7 _. � � -—`-. Yi9Y5Cbyeby .-- --._ __ ._ - - _ __-- COMPLY WITH ALL CODES OF -- - -- NEW YORK STATE & TOWN CODES �'l�i sU®�E�crs/ - - AS REQUIRED-AISM-C IONDITIONS OF in blol'p (90^ . - _ : __� _._, _ _:, . '__. �_ . APP ��E�D I,, -- - (��'� B.P. $tB�61�fW-Z$A - � i PE - DATE: _ SO� RD I I'll f 11 f Q�� B � � - FEE: Y: ! r. r .r _'.> � - _ r F N071FY BUILDING GE? -_ . _ r_. 1�.�.: _ .��� ..:. _ �- -, .. - :J.' - ARTMEt`T AT SOUTNOLD TOWN TRUSTEES n. .:-..^ _. .. J r ( 172, ) I. .: : I -- -- - - THE 76�-1802 8 AM TO 4 PM F ,. _- _ FOLLOWING INSPECTIONS: =f ,' . 1� PROPOSED REPAIR FLOOD DAMAGE 1 �at :` �`�. 1. FOUNDATION - TWO REQUIRED I' `.' TO PI RESTAURANT _ -- FOR POURED CON RETE FLOOD ZONA 6 U�7 IS UNLAWFUL 2. ROUGH - FRAMING & PLUMBING w PE S RE T .: o. IVING I INSULATION '. I 1 , : tai p*eba) ? I rraa,�, , MUST v WITH CHAPTER 146 , , _ V �"► t i3. .t ' 1. ,f- '--__- �_-,�, .._ s INS COMPLY �EI�TIFI t �1.�. ( t .�T ay.t✓2'p QCT � T :,y CONSTRUCTION E P , 6 . _- __w_� �._ .. � -n m- ,� . ..' - -4-...,. i W 4. FINAL CO FLOOD I I. _-_ - -_::�--r,,._- - --7 - * ` - _ - BE COMPLETE FOR C.O. REV I t ..� �. ' DAMAGE �+r� iQ�p� 353 ( t ,�. ,.. __ _ .__ CONSTRUCTION SHALL MEET THE ©dITH®LD'�OJlfl'� �� L/VV! titY � -,1 — � . ^: ;� - 1- -- �# *- - ' - ALL �' " (+��? 1 .:;- ij - - P. _ i <, REQUIREMENTS OF THE CODES OF NEW 2 L;__ `Y � ,.�, � R NSIBLE FOR - - -- . ,:_� ,., ^.. P YORK STATE. NOT RESPO I �.,. \ to _� _IB i,a r ETA1N STORM WATER RUNS F SIGN OR CONSTRUCTION ERRORS. I ' ; ,., F - _ - _ ,.. - _ - p URSUANT TO CHAPTER 2 { _ 1 i ''�,-, I ' w, _ I i i I �'? E x� g. i c , ra ELECTRICAL THE TOWN CODE. �V" �{ 4 M - r Y, rn:,` ' ,h rl.�3 I 1 r. «� R .a � , 1 M : F i. ( _. � -� ` rr _____. f _. N 11L.j /f 1 l _ ,_._ -..,_.. f PC7L rI�S, '� w -- f -- i $. '�'Y I: _ '- r 1 i1 ' _ � �I' ,� ,. '* `°�, � �; ;lid. � - . .% , � � 1. J _ .: i J. '; • a .' :-r` . . �, '` o0 .'• 4�� < ',, + ' , �u �' r :' , ` k j� e f. k �C % n'' t }fir i 1. THE HOUSE IS LOCATED IN A HIGH WIND-BORNE �.�: r•. :r , ' A. R - " e' _ r ' u. VE • THE HOMEOWNE c� ,,: �^} ,. r .�`'' IrLBRIS REGION. HOWEVER;R, f �, 1 E . .". I W tit �r +�.=- ; ., ., : _ c CONFORMING/� Pr3 +1Pr .; 9 f . ,;. " TALL STRUCTURAL SHUTTERS CONFO I ., _ 4 SMALL INS �,r �x - N f ;A ,. 10. THEREFORE; THE N 1609 OF THE ICC 20 -) {., :9 �0 ��� 1 �. ' . "..� = ,. �' ; � 'O SECTIO F'e� O ��; t.- n - ,; .' : : ' � - ; '' . a �D TO HAVE COASTAL ,. w i#,I - '.�. ,� I _ �'r�INDOWS SHALL NOT BI. REQL�IRI' 4D r� ., ,. :.,,C IGHTS SHALL BE WIRED FOR EMERGENCY USE W O W .' � - ;; � 7 4 4 L EXIT L _. Il �X r �t�r DON , .I::.._ � ERE INDICATED E _ II INSTALLED WH r y EXIT LIGHTS SHALL INS r - - # "_" ;�' = �- --.- 1 c _ , - r I, r-1 =h M� t wb' !+-1 j O r' s a Y � - 1. S ;: .-f ING ,.,... A I RAW . - k _ , �. ,, V _ ;. Th l - �1, _. -. - -Y - 1 y .,4j�A r .� z =i •r+sF v Y O ,< -, ,. ._...,., .. '/ _ I G -Y:" T N ,�/1 :�-' L6 T7�T �V •e V 1\ , LL MO �.-� r' , . # F7/VERS FOR W , ,2-2 C 1 C DE P � IT ES MO # B .� • "HIGH s• �' "bof, H W �'.. ,• G W !� EI LIN .;� R C _ F R O 7/VE S : , : ' -2CF N PC3 i� M( # C,B _ ND HIGH LITES )DEL t - _ _. t : . E.., "`i . _ _ MOUNTED. A-+ �o . - _ . 1. a ��� 7 W x. W 'S: •S' F , 1 Y- k l I' Y c i n r' l 441 r t. •1 r [{ k l 1 '. RE �, . I." -y T RZ O � NG ISN PRIN V �' h BUIL ►=7 z k !. Y,M ' <<,' s- 304 �' M r 5 r �' �. k ; i l' Y ti' O s 'c �wri- �, - :� ,r A.' t J' i' `..f.. {- 1 r; i is .,:s ,. <; ,. •. 9'' :"•,:, ,:k / I '�in-�-c, •_ .. - r'tj`` a-� . ,;: _ ` ''p^ FRAME NIt:W OPENING �� _ ` INSTALL NEW DOOR 3070n /' PLOT PLAN ZONE PdIII E II - _- I---------- -- -- -� FRAME NEW OPENING - INSTALL NEW DOOR 3070 � _ . —�_ _ �� i 6 SCALE: 1" _ (� - _ ---- - _ -- - - -Y `' "r ;� _ _.. ---- �. �� td) -- — .._____l �_., __.� y - a ------ ` i r ; R` FIRE EXTINGUISHE' --- _-_. _ -- - . REBUILD EXISTING REAP: DECK I - ---- ______._._.. L , .,_. ,,. , j -- ------- -- i _ __ _ ---- - �_ r SIZE NO LARGER= 1 215 FT.2 - �___-__�-- - SAME S � _ L_-1 � L - 0 �4 v --.--- - -- - - - � L / �_* I EXISTING SQ. FOOTAGE RESTAURANT = 1,419 FT.2 " REMOVE FLOOD DAMAGED OUTLETS AND "WIRING ; y - OUTLETS i - / � O � INSTALL NEW WIRING TO CODE & REPLACE - W W O PROPOSED REPAIR FLOOD DAMAGE = 665 FT.2 (BATHROOMSBA IV DINING AREA) , STROBE Fin Io CONSTRUCTION = 5B WOOD FEAME ` I OCCUPANCY=A2 1 PERSON/15 FT.2 : , -` - -. I I _ — PEOPLE . j L j 1,419 FT.2/15 FT.2 /PERSON 94.6 =95 i , � � _Q &_ 95 < 100 PEOPLE.THEREFORE; THE BUILDING IS - i - FIRE EXTINGUISHER D TO BE SPRINKLERED `�-- --'' Y C. I \ NOT REQUIRE y i _ THE FLOOD DAMAGE REPAIR IS UNDER 50 % OF THE TOTAL SQ. FOOTAGE I ! , - - - F I I I I . FACILITY. 665/1 419 ==46 % < 50% If : OF THE A �4I � � ;___l . %vo - NOT BE REQUIRED _ el THEREFORE; THE BATHROOMS SHALLQ �9 ( . I C I I e TO COMPLY WITH AN ANSI UPGRADE i --- _ ---. - ! °k-, I " - - - - "1 --- >) I � ' � 4.1 REPLACE FLOOD DAMAGED (��— —��`f - _ NEW __ _ _ .1 ji LIGHTING FIXTURES WITH N ) �_ iGHT SWITCHES / ! 1, .� � - __'`-- REPLACE L STROBE _ iwo FIRE EXTINGUISHER _ IF .. ! a i I i •' aj - � i 1� ( 71 � "4y .a Lel = AD = 20 LBS 1 - y - - - ROUND 0 9 j SNOW LO I � - SMOKE G � _.. _cc jDETECTOR = 120 MPH _.. `9 *"' SEC GUST �. � WIND SPEED (MPH) 3 i Q �l� SEISMIC DESIGN CAT. "B" C *4 � O SMOKE ----�_ DETECTOR rn TYPE I HOOD SHALL BE INSTALLED *0 04 � I WEATHERING = SEVERE AT KITCHEN W/ EXISTING ANSUL SYSTEM �ti FIRE EXTINGUISHER E O - , " � W FROST LINE DEPTH = 3�'-0" l FIFE EXTINGUISHER w 4 4 � I �" * E"� �" kyr I 4 err _ � * - _- - I TO HEAVY b ,a _ _�v - -- • TERMITE PROBABILITY = MODERATE - - - 1. DECAY PROBABILITY == SLIGHT TO MODERATE I ----�, - � 1N- * I da 1 z . j � . � P 1 mmm z ' I O *,,� _ I STROBE°�"` FIRE EXTINGUISHER i ' (� (* � i ! REMOTE ANNUNCIATOR -�� t TABLE N1101.2) ' ' = 110 �''� % ��' , I WINTER DESIGN T EMP. NT REQUIRED Y ES .�{ �-, e ICE SHIELD UNDERLA 'MEI I j � ­ 130- � - - I � � I ___ L . FLOOD HAZARD = �'�,� - I � I � � j � � � . I I -_ - - =-- - 0 � -I � I - --- . � � AIR.FREEZING INDEX 0 0 BANE FLOOD ELEV. = 6 ZONE AE �] ❑ _ MAPIPANEL#36103CO159-H -- INSTALL NEW SAFETY % INDEX DATE = 05/4/19981 - E WIRED FOR EMERGENCY USE RAILIN11 G IN HTS SHALL B _ �Q , *k: REVISED DATE = 9/25/09 ALL EXIT LIG - -- EXIT LIGHTS SHALL BE IN WHERE INDICATED ON j!f REMOVE ANDS REPLACE EXISTING _m DRAWINGS - -- FLOOD DAMAGED ANSUL FIRE LIFE SAFETY PLAN ' #CBP-C2-2-CF7/VERS FOR WALL MOUNTING ELECTRIC PLAN - - - - -- - �� TES MODEL SUPPRESSIONf SYSTEM HIGH LI - 02 � F7/VERS FOR CEILING _ " = 1'-0" ODEL # CBP C 3 2C SCALE: '/4 HIGH LITES M --- -- ,;, ' AND , _ MOUNTED. SCALE: /4 1 -0 NKLERED. - f THE BUILDIN(- IS NOT SPRI - l .&fe - YYIYW.Yeeee +v_-_ � - 1,.. .•urrurmy,..w .rsrrrw r, Y W! FRAME NEW OPENING INSTALL NEW DOOR 3070 _ It STEPS DOWN t - � TO GRADE '� —_�-_-__._-�___::� 2 RISERS AT 8" 1 �, - ATO" 0�0 r-IT5�2 - '� - 1 TREAD ? .` .,,,a' �n I �a•ri,snwnn+• •.Ir.. All � • "—'— ✓ . �-- J-,a.._ .e. 10 1'",/' i I�f ,r� '� �"""^"^•^... 1J1 ,9o-y p,f { Ory Y � � � y� 7 • O L 1 I y�9 J1 Vo""'�a"kA:i i � � ? IX •� ISI �) ►� } 11I ----- ,-i ! �"` 1 STEPS DOWN C.5?0 =Ar « - _ -- r . TO G ^ GRADE } 2 RISERS AT 8 rxl D . # ,. � jr4 ��` I , ! 1 TREAD ATREMOVE FLOOD DAMAGED DECKING - �.. p1D5 - � ,� AND REPLACE W/NEW RAISED CONCRETE W PLATFORM SAME SIZE-NO LARGER W A - AT DINING ROOM REMOVE V C� 1 ; 1/" RAPPING ' ' 1 i ' �IELEVATION ` AND REPLACE FLOOD DAMAGED a+ 1 x 20 GA. GALV. ST QI' NAILING SHALL CONFORM ; ' 1 REAR DOORS AND WINDiJWS SLIDING GL. DOOR 0-: 04 �.► { s BLE 3.4B f { I '""''� _ .,, ..:- �, ...• ��� rF., _ -u., FRAME NEW OPENINGS T _B + FWG 6068APLR TO TA - l ` GALE 1/a" = 1'-0" INSTALL NEW SLIDING GLASS DOORS _µ - Il ), S _ "`�- 7 SHEARWALL HOLD DOWN �( y ANCHOR SIMPSON #HDU2-SDS2.5 Q EXTEND GALV. STRAPPING UP SHEARWALL HOLD DOWN _ - DIRECT LOAD PATH 2 2" X 10" HDR. 2 -2" X 10" HDR. STUD FACE 12" MIN. ANCHOR SIM17SON [I #HDU2-SDS2.5 TO GROUND WRAP 1 " X 20 GA. GALV. ---� --^--^ v -Y - - REPLACE FLOOD DAMAGED 1/< FRAME NEW OPENING t AT DINING ROOM-REMOVE GYP.BD. 48" A.F.F. STRAPPING UNDER SILL PLATE 1 v� � -INSTALL NEW DOOR 3070 .---'"'•� AND REPLACE FLOOD DAMAGED .^--- REPLACE FLOOD DAMAGED "' DOORS AND WINDOWS NEW OPENINGS INSULATION IN WALL _ _•_-__-- -. -.... N -�` a p FRAME A a INSTALL NEW SLIDING GLASS DOORS #FWG8068 � o a ; u c AT DINING ROOM EXISTING BAR REMOVE AND REPLACE �, A FLOOD DAMAGED FLOOR TILE 1 ......... ... - - REMOVE AND REPLACE FLOOD _ JJ i __ _ � '' , , _ .- � � ., .• `'-" DAMAGED WALK IN BOX/FOOD STORAGE - a EXISTING DINING ROOM fir- '• � ,..._--r- A A a, a _ --- -. --- INSTALL NEW RAILING ICO CODE AT EXISTING#-y u �o HANDICAP RAMP NEW RAMP -,__ - z - - MAX. GRADE = 1:12 = 8%AS ---------- �."""""""'...r"...."'" - �� � cv : : � w REPLACE FLOOD DAMAGED PER ANSI CODE -- ----"•- r r�..wrlrWrrlr...Irr:iNuiW r.. .rn.•. ,..W+•�-•+ , --- EXISTING RAMP AT BATHRO _ OMS -REMOVE REPL E FLOOD MAGED: INSULATION IN WALL TOILETS REPLACE FLOOD DAMAGED LOCATED IN A HIGH WIND-BORNE LEFT SIDE ELEVATION VANITIES -- GYP.BD. 48" A.F.F. THE HOUSE ISL FLOOR TILE DEBRIS REGION. HOWEVER; THE HOMEOWNER GYP, WALL BD.48" A.F.F_ . HALL INSTALL STRUCTURAL SHUTTERS CONFORMING SCALE • 1/a" = 1'-0" S DOORS \ TO SECTION 1609 OF THE ICC 2010. THEREFORE; THE ; Y WINDOWS SMALL NOT BE RECIUIRED TO HAVE COASTAL EXISTING HANDICAP RAMP TO REMAIN GLASS INSTALL NEW RAILING t TO CONFORM TO R312 RCNY 2010 - -- z EXISTING -- �� BATHROOMS WIPE DOWN AND DISINFECT EXISTING STAINLESS STEEL FOOD KITCHEN -'REP TABLES IN a-a s, . .r.....�r...z - -- - l J N . TYPE 1 HOOD SHALL BE INSTALL ED C L SYSTEM. AT KITCHEN W/EXISTING ANSU EXISTING EXISTING FOOD P 11',P I - -- FRONT PORCH WIPE DOWN AND DISINFECT FRP WALL PANELS REMOVE AND REPLACE FLOOD - - -----�-y- -_ - DAMAGE OT W H GA ATER HEAT SYS REMOVE DAMAGED ANSUL TEM D FIRE SUPPRESSION SYSTEM • - -- -- - - AND REPLACE W/NEW IN KIND �r KITCHEN -- REMOVE AND REPLACE FL ""MAGED --! FIRST FLOOR ItLAN '' 1i -- _ FRONT h;LEVATION NK' INSTALL NEW RAILING TO CODE AT EXISTING 2 -3 COMPARTMENT SI Im ug N� YCAP RAMP CONFORM TOR 312 GUARDS STOVE/COOKING UNIT SCALE: '/a" . . 1 oa = FLOOR TILE SCALE . /a 1�_0 n �.+�.:' +...,+ ......-.. —+-.,.--..+r_.....+w+.w,wa.n..ur......:.•_-.—...,_....,.wr.+n-.,.._...u.. Muas, .r.••.«Y.w:.ex...w.....u. .x:zr.a..w.,.....z ww•w.-..... �yz.... auo+w .a�uwawawn'+w�.mc..�..V+.buuewwt.et 'W:�iV.MKP"' - _ _ ",we•,o-u:+ilu;'44W4M�iY.fd..}CF•fs FIRE ALARM SYSTEM LIFE SAFET-"Yw� 4'1 CONCRETE SLAB W/ 6„ X 6" —10/10 W.W.M. THIS INSTALLATION IS IN ACCORDANCE WIT]1 NFPA 72 (2002) r A SPECIFICALLY NOTED O N THE EDITION) EXCEPT S S CIFIC r INSTALLATION PLANS. 't .,.... ,. MI— NO WORK IS TO BE STARTED PRIOR TO THE ISSUANCE OFA BUILDING PERMIT AND APPROVED PLANS FROM THE town fire marshall. 7 J. u . } F ANY DISCREPANCIES FOUND IN THE NOTIFY THE ARCHITECT O ; �. . ... ANSION JOINT FIELD '/Z" EXP FIRE ALARM PANEL SHALL INCORPORATE CENTRAL STATION 17, MONITORING FOR FIRE, TROUBLE AND 24 HOUR DIALER TEST. t CENTRAL STATION SHALL BE U.L. LISTED. TRANSMITTER DEVICES SHALL BE INSTALLED IN STRICT COMPLIANCE WITH 8 THICK CONCRETE ~ NFPA 72. SEPARATE PRIMARY TELEPHONE LINE MUST BE i f a x CHEEK WALL FOR a ~ ; REMOVE FLOOD DAMAGED WOOD DECK W DEDICATED TO FIRE ALARM. UPON WRITTEN AUTHORIZATION r" RAISED PLATFORM REPLACE WITH NEW RAISED CONCRETE N FROM THE town fire marshall, THE SECONDARY PHONE LINE MAY O D-PHONE LINE WITH A BURGLAR SYSTEM OR AN PLATFORM SAME SIZE BE A SHARE s •� A APPROVED CELLULAR PHONE. { W WtYZ JA Ax DETAIL AT RAISED CONCRETE Er` PLATFORM NTSOMD 00 a a A o — j z REPLACE DAMAGED - _._ v_- . CONCRETE BLOCK THIS TIE NEW FOUNDATION TO EXISTING FOUNDATION i " AREA 8" X 8" X 16" USE#5 REBAR AT 12" O.C. VERTICALLY IN NON- - SHRINK GROUT - --- a ` u O C — EXISTINGACE - _ . A. .....�... - ,,.s�.,. -. - - EXISTING 3—2" X S" GIRDER RIGHT SIDE ELEVATION - REMOVE FLOOD DAMAGED WOOD DECK REPLACE WITH NEW RAISED CONCRETE SCALE : 1/4" = 1'-0" PLATFORM SAME SIZE, _ INSTALL NEW FLOOD OPENING SYSTEM SHALL HAVE ADEQUATE, POWER SUPPLY AND BATTERY .1i M 8312.2 RCNY 2010 INSTALL NEW RAILING . C4 36WIDE X 16 HIGH BACK-UP IN ACCORDANCE WITH NFPA 72 CHAPTER 4-4. NEW RAMP — o ,NIUST NOT ALLOW PASSAGE OF A_r CONFORM TO 8311.5.6 HANDRAIL DIAMETER MAX. GRADE = 1:12 — 8%AS .._ ALL FIRE ALARM PANELS SHALL BE CLEARLY LABELED 4" R OBJECT 8312 GUARDS RCNY PER ANSI CODE - SHOWING ZONE DESCRII'TIONS/LOCATIONS. NEW 1" X 6" P.T. TOP RAIL EACH FIRE ALARM PANEL AND ANNUNCIATOR SHALL HAVE THE FOLLOWING WARNING PLACED ON OR ADJACENT TO THE PANEL: NEW 2" X 4"' P.T. SIDE RAIL "WARNING: DO NOT RESET FIRE .ALARM PRIOR TO ARRIVAL OF " TIE NEW FOUNDATION TO EXISTING FOUNDATION NEW 2 X 2 P.T. MLDRAILS FIRE DEPARTMENT BY ORDER OF town fire marshall." ALARM USE #5 REBAR AT 12" O.C. VERTICALLY IN NON- DELAY OR PRE-SIGNAL IS NOT PERMITTED UNLESS AUTHORIZED SHRINK GROUT •W BY THE town fire marshall. EXISTING CRAWL SPACE CT NOTIFICATION OF FIRE SIGNAL SHALL BE TO THE FIRE DEPARTMENT FIRST. FOLLOWING FIRE DEPARTMENT e O NOTIFICATION, THE CENTRAL STATION MAY CALL THE NEW DECKING EXISTING FLOOD OPENING ? INSTALL NEW FLOOD OPENING , PREMISES FOR ADDITIONAL INFORMATION AND/OR NOTIFY 5/499 X 6" P.T. 24" WIDE X 16" HIGH EMERGENCY CONTACT LIST FOR PREMISES. --' � ✓ � � � � '� O t NEW DECK JOISTS . ALL WIRING SHALL BE U.L. LISTED AND APPROVED FOR USE WITH FIRE ALARM SYSTEMS. 2" X 6" AT 16" O.C. NEW POST BASE _ LEDGER BD. 21' SIV[PSON #ABE44E ...�-_..._.-....___. .-__..___..�.�.-__._..�:.._.._... •�--=- „ " i " K- 2 X 6 W/ /s DIA. A325 JOIST HANGERS ._ THRU BOLTS AT 16" O.C. „ EXISTING CRAWLSPACE 4 LONG SIMPSON #U26 r go- O NEW GIRDER _---_ 2 2" X 619 W/ CONCRETE SONOTUBE 2- %" DIA. THRU _ ,.� ------- _:_.__ B ElOLTS PER POST / ,�,r PIERS 12" DIA. X . �. : 7°' LONG ,!'FRED_. 3'-0" BELOW GRADE DETAIL AT PLATFORM FOUNDATION- PLAN NTS SCALE : 1/4" = 1'-0" ©r: ,v. j 7 77T, 17; A,� 7_ 7, 4 Pl- 7 d dn �\\GK V .K .1w. 6,tlio No-yor 4f 4" r Si VjM114? , -aring rn,��not b 2 -,as of lWs Bur, --a I 6r t�,,6 land sur—y—- id red i�,, &n6ossed seal rhall not be cone j to be a valid true copy run CAN GuarahleOs indicated hereon S11 OM the Sur�oy only to the person for wh if to the d and on his beha are fs prep enry 9nd rnmental ag till,Company,90va A enj�g institution listed here 51,,n,es of the lending insti Ic tho transferable tution. waran4eas are not ions or subsecluel"A to addbonsl insthut owneft -SNO-Tf- 2.W. T 4L 7 F 4 fro 11 5 1414 14' I A r� lteA Ta jv 19 j,