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Home My WebLink About37975-Z � y�►FFpl,tcr Town of Southold Annex 10/7/2014 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37193 Date: 10/4/2014 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 2135 Bay Ave, East Marion, SCTM#: 473889 See/Block/Lot: 31.-17-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/17/2013 pursuant to which Building Permit No. 37975 dated 4/26/2013 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: storm damage repair to an existing seasonal one family dwelling as applied for. The certificate is issued to Mandaro, Stephen&Mandaro,Fortune (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37975 6/24/2014 PLUMBERS CERTIFICATION DATED 9/29/14 King Plumbin Aut ed gnature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE .//.., ft 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#: 37975 Date: 4/26/2013 Permission is hereby granted to: Mandaro, Stephen & Mandaro, Fortune 47 Beverly Rd Hawthorne, NJ 07506 To: Storm damage repair(non-substantial) as applied for, with required flood permit. At premises located at: 2135 Bay Ave, East Marion SCTM #473889 Sec/Block/Lot# 31.-17-4 Pursuant to application dated 4/17/2013 and approved by the Building Inspector. To expire on 10/26/2014. Fees: Flood Permit $0.00 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $0.00 CO -ALTERATION TO DWELLING $0.00 Lal: $0.00 q;/ Buil i 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$25.00, Additions to dwelling $25.00, Alterations to dwelling$25.00, Swimming pool $25.00, Accessory building$25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. 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. ,7:�/ /3 New Construction: Old or Pre-existingBuilding:g: (check one) Location of Property: c-,2135 ,�2 f'.�� s :� �� L� House No. Street '� /_ � 1J , Hamlet Owner or Owners of Property: Z) ��h e1y f TD��we- �tfWe69-2-O Suffolk County Tax lvlap No 1000, Section— Block 17 _Lot 7 Subdivision _ Filed N1ap. Lot: Permit No. J'7 (-( j `) Date of Permit. 'I-�o-/Applicant: Health Dept. Approval: — Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applican Signa pF SO(/TyQI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �Q roger.richert(aD-town.southold.ny.us Southold,NY 11971-0959 Q �yIrou BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Mandaro Address: 2135 Bay Ave City: East Marion St: NY Zip: 11939 Building Permit#: 37975 Section: 31 Block: 17 Lot: 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Jim Sage Electric License No: 3635-e SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 25 Ceiling Fixtures 6 HID Fixtures Service 3 ph Hot Water elec GFCI Recpt 5 Wall Fixtures 4 Smoke Detectors 2 Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 9 CO Detectors Sub Panel A/C Blower 1 Range Recpt elec Fluorescent Fixture Pumps Transformer Appliances DrHyer Recpt Emergency Fixture 11 Time Clocks Disconnect Switches 18 Twist Lock Exit Fixtures TVSS 11 Other Equipment: 1-combination smoke/co detector, 1-exhaust fan, special 60a recpticle Notes: Inspector Signature: Date: June 24 2014 81-Cert Electrical Compliance Form.xls ��oF so�Tyo Town Ha11 Annex Telephone(631).76-5.1902 54375 Main Road P.O.Box 1179 Fax(631).765-95-02 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 2014 QLD -CERTIFICATION Date: Building Permit No. 57q 7 Owner: Mt4,7 (Please print) Plumber: ( (Ple0 �J ase print) - I certify that the solder used in-the water Supplysystern contains less.than 2/10 of 1 lead. (Plumb -Signature) Swornto before me this 'rL day of�5� 2014 CO t BUNCH Notary ; Public, State of New Y1Erftc No.0 t 6U6185050 Qualifioel :)Suffolk County Commjes fjn , res April 14,2_01-C Notary Public, County TOWN. OF SOUTNOLD BUILDING DEPT. 765-1802 INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING /STRAPPING [ j FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ j ELECTRICAL (FINAL) REM RKS: DATE � �� J INSPECTOR Of SOI/1y06 � TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUND 1 ST [ ] ROUGH PLBG. [ ] F DATION 2ND ( ] INSULATION FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION"__ [ ] ELECTRICAL (ROUGH) [ ] ELECTRICA REM -� eI DATE 1�3 INSPECTOR /iA 77 ,SOF SO//Ty �Ovl► p6 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTI [ ] FOUNDATION 1ST [ ] GH PLEIG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR 37? 7, r4F sour G TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT" ( ] FOUNDATION 1 ST [ ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOL AT ON [ ] CAULKING REMARKS: DATE �� C INSPECTOR i OF SOUjyo� 0 1 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO N [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING /STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION C l FIRE RESISTANT COlISTRIJC'l10l1 [ ] FIRE RESISTANT PENETRATION C l ELECTRICAL (ROUGH) I 1 ELECTRICAL(FINAL) [ ] CODE VIOLATION ] CAULKING REMARKS: DATE �" INSPECTOR DONALD G. FEILER * ARCHITECT 11725 Main Rd-Box 1692-Moffituck,NY 11952-631-298-5453-Fax 298 1380 June 4, 2014 7 JUN 10 2014 L Mr. Michael Verity Southold Town Building Department Southold Town Hall Main Road, Southold, New York Re: Storm D-amaae Rev it at the Mandaro Residence Bay Avenue, East Marion, New York B.P. # 37975 Dear Mr. Verity: I have examined the above mentioned structure, and can certify that, to the best of my knowledge, the work done was not substantial. D 4 59 Do r llrerf3o.1j) ME INT �ROUGH �� • PLUt: t � W4 PWWWAVAM �u/w _zMAww- A r ADDITIONAL CMMNTS �IIIPZ_ Am"l MAL if+7.' \ ,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. J Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20 1:3 Storm-Water Assessment Form Contact: Approved Zb 20-L2 Mail to: Disapproved a/c Phone: Expira�� ,� ��2 � APR 1 P 2013 Building Inspector APPLICATION FOR BUILDING PERMIT 11 DEPT. Date , 20 13 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 Pen-nit 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, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If ap c t is a corporation, signature uf duly authorized officer 4YTbV2�c 'A, (Name and title of corporate officer) Builders License No. 6 -7 -72- f 4�_C Plumbers License No. Electricians License No. 7 Other Trade's License No. 1. Location of land on which pro osed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 31 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 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration__ Repair Removal Demolition Other Work (Description) 4. Estimated Cost �vFee (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 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? 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 Address Phone No. Name of Architect — Address Phone No Name of Contractor &13l c Ze;e7 Address Phone No._7J -7 J 2-- 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. 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 STATE OF NEW YORK) SS: C UNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public,State of New York No. B6 (S)He is the �Cl1� i Sflfolk County (Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14,2_-__ of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application tiled therewith. Sworn to before me this ' _--�` �—day of Y 20 Notary Public \ Signa t e of p icy �C) Town Hall Annex Telephone(631)765-1802 F: 54375 Main Road ,,aaxx 6 �gp2, P.O.Box 1179 G� @ foger.rlCilert( ioin sOU[hpld ny us Southold,NY 11971-0959 CDun i ti�," i. I• BUaDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION I REQUESTED BY: Date: Company Name: i.. Name: License No.: Address: k,�-_ Phone No.: 4 _ JOBSITE INFORMATION: (*Indicates required inf-brmation) *Name: *Address: *Cross Street: a *Phone No.: Permit No.: 7 Tax-Map District: - 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) Is job ready for inspection: YES NO. Rough In Final *Do-you need a Temp Certificate: YE / NO Temp Information(it'needed) *Service Size: 1 Phas 3Phase 100 15(C::20) 300 350 . 400 Other *New Service: Re-connect Underground Number of Mete Change of Se Overhead Additional Information: PAYMENT DUE WITH APPLICATION .82=Request for Inspection Form ® �✓ 0� TOWN OF SOUTHOLD pt�E'�P��l�TY I�E�t�� CARS OWNER STREET 2 VILLAGE DIST. SUB. LOT 6-f h-ow-Aa �idam AAy Ltety 141744 F RMER O�hINER . . N E-- , ACR. - - f �r!'GtS g stt Si= ..-- TYPE F BUILDING ;- AU C-Z-- , Q " , Al:?� - EPA kli�A v ow ku L )f — RES. SEAS. V� VL. FARM Comm. CB. AMSC Mkt. Value LAND IMP. TOTAL DATE REMARKS f Z' a Ira T-6 c. a L. t i of da �g rtw s -/r, }-a eras yja o-v �'�v ��D � �11�, t/ ' x� �� —` ►.e:�;•+:a�`1 ' 8vv.�,e�auu�« — t�e� C��t�.,��. /o es-o t f a-r o It —L 1193-3.a&3-7— L4filQS I 03 ►erc� f�c� i �! 2c�od �If.. " -- rrS &2E13, rs� 4a— BUILDING CPND n-► i`1E4V E. IN9R N. BELO - FARM Acre�,.j Value Per f olue 800 �1 ..-[ a ,/ 4 20 r Tillable I Tillable 2 Tillable 3 Woodland Swompland FRONTAGE ON WATER t e° -7csD 14 acc Brushland _ FRONTAGE ON ROAD House Plot DEPTH oa BULKHEAD Toto " '� DOCK t 4 . ° + i; ■l ■■i ■!!i■M■!E!!i■■■r��■ _ _;�;� - r .�- •• ■■!■!■!!i■■ilii!!■ii■■!!�� ,.:�.- . �� , Y� iii■■i�■■■■s■■■!l!■!�i■r■ i ! ■!■i� sil�i■Si■!i■! i■■ti■■■ 1 ' ■f■lliiNAi■■ li Sli■■!!r■! ME �. l � E _ ■■iii�l�i■■■ !i!!l■■■■MMEEMMENERE � llvii! l■liiiO!■■!■l■ !l■ lililiLli■l■lllii■t■ii■r!■ t * , ------------------ Foundation { 'BasementEllp;CCA •• ormer Driveway y�d o��OF SO�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G • Q Southold,NY 11971-0959 �Q UNV September 24, 2014 BUILDING DEPARTMENT TOWN OF SOUTHOLD Ron Morizzo Kitchens & Baths Inc PO Box 789 Southold NY 11971 Re: Mandaro,2135 Bay Ave, East Marion TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. APlumbers 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) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 37975 - Alteration r •-jt"-r-.-j4 T. T.CRRY 1 'ht , Tn+vn 1611. 331195 A•lvlll r P.O_ nwr 117() 1 O WN CLERK Suulhrtlrl. Nc++• Yiirt; i ILE clsrRnn or v1rti.srnTIsl7cs �✓�, ( �„ Fax (S 1hl 765- , I R_1 MARftIACf OFFICI%R - Tcicphonc (5 16 ECORus MnNAGEMEKT OFFICER '�Ol R FREEDOM OF INFORMATION 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 ,1 of the Code of the Town of Southold: "Floodplain Development Permit Application" (FDP(93) ] , /and "Certificate of Compliance for Development in Special Flood Hazard Area (C/C(93)] . D . J 1 TOWN OF SOIJINOLD /1. Judith T. Terry Southold Town Clerk August 25 , 1993 • APPLICATION ,y PAGE 1 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 sign): 1. No work may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re=issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if iio 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 THA ALL S ATEMENTS HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE,TO O KNOWLEDGE, TRUE AND ACCU/RATE. (APPLICANTS SIGNATURE) DATE SEC'T'ION 2: PROPOSED DEVELOPMENT (To be completed by APPLICAIr'n NAME ADDRESTELEPHONE APPLICANT "-E (��/I0aiZ �0 BUILDER ENGINEER PROJECT LOCATION_ To avoid delay in proocssing the application, please provide caough information to easily ideatify the project location- Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A skctcb attached to this application showing the project location would be helpful. 7 - FDP(93) APPLICATION PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE O New Structure Residential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) XP.lteration O Non-residential (Floodproofing? O Yes) O Relocation ❑ Combined Use (Residential & Commercial) ❑ DemdUtion' P O Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park?. O Yes) ESTIMATED COST OF PROJECTS B. OTHER DEVELOPMENT ACTIVITIES: O Full O Mining O Drilling O Grading ❑ Excavation (Except for Structural Development Checked Above) O Watercourse Alteration (Including Dredging and Channel Modifications) O Drainage Improvements (Including Culvert Work) O Road, Street or Bridge Construction O Subdivision (New or Expansion) O Individual Water or Scwcr System O Other (Please Specify) After compacting SECTION 2, APPLICANT should submit form to Local Administrator for review_ ,SECTION 3• FL.00DPLAfN DETERMINATION (To be completed by LOCAL ADMIMSTRATOR) The proposed dcvclopmcnt is located on FIRM Panel No. . Dated The Proposed Development- 0 IsEQ1 located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERNUT IS REQUIRED). O Ls located in a Special Flood Hazard Arca. FIRM zone designation is 100-Year flood elevation at lbc site is:' Ft. NGVD (MSL) O Uoavailabic O The proposed dcvclopmcnt is located to a noodway. FBFM Pancl No. Datcd O Scc Sccoon 4 for additional iastructioos. SIGNED DATE APPLICATION 4 PAGE l OF 4 SECTION 4 ADDITIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMINISTRATORI The applicant must submit the documents checked below before (be application can be processed: ❑ A site plan sbowing (be location of all casting structures, water bodies, adjacent roads, lot dimensions and proposed development. O Development plans,drawn to scale, and specificatipns,including where applicable:details for anchoring structures, proposed elevation of lowest floor(including basement), types of water resistant materials used below the first floor, details of ftoodproofing of utilities located below the first Qoor 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 arc not otherwise available). O Plans showing the extent of watercourse relocation and/or landform alterations_ O Top of new fill elevation Ft. NGVD (MSL). O Floodproofmg protection level (non-residential only) Ft:NGVD (MSL). For . floodproofed structures, applicant must attach certification, from registered engineer or architect. % O Certification from a registered engineer that the proposed activity in a regulatory floodway will not result inany increase in the, height of the 100-year flood. A copy of all data and calculations supporting this fw ng mull also be submitted. O Other. SECTIONS PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A- O Is B. O Is not in conformance with provisions of Local Law if , 19_. The permit is issued subject to the conditiorls attached to and made part of this permit. SIGNED DATE If BOX A is checked, the Local Administrator may issue a Devclopmcot Permi( upon payeneo( of designated fee. If BOX B is checked, (he Local Admirustrmor will provide a writteo summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from (be Board of Appeals. APPLICATION A+ PAGE a OF a APPEALS: Appealed to Board of Appeals? ❑ Ycs ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Condition-s SECTION 6• AS-BUTLT 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 Gccpsed land surveyor (or attach a certification to this application). Complete I or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement(in Coastal High Hazard Areas bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). a L Actual (As-Built) Elevation of floodprooFwg protection is FT. NGVD (MSL). NOTE: Any work performed prior to si6raittal of the above information is at the risk of the Applicant. j aECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADN11NISTRATOR will complete this section as appUcablc based on inspcctioo of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION 8• CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attactiment B f SAMPLE j CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area • TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: 0 NEW BUILDING O EXISTING BUILDING O VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_. SIGNED: DATED: B. COMPLL4NCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C /C (93) CGenerated by REScheck-Web Software �(J Compliance Certificate P:ECG � O � � Project Title:Title: MANDARO RESIDENCE Energy Code: 2010 Now York Energy Conservation Construction Code Location: Suffolk County,New York AL 31 Construction Type: Single Family Project TYPe: New 11111 Glazing Area Percentage: 996 Heating Degree Days: 5750 BLDG. DEPT. Climate Zone: 4 TOINN OF SOUTHOLD Construction Site: Owner/Agent: Designer/Contractor: � Passes using UA trade-off Compliance:2.6%Beller Then Code Ma>ornurn LYL 36 Your L ik 37 The%Bonner or worse Thea Code index reileGs how Gose to compliance the house is based on code trade-off rules. N DOES NOT provide an eshmale of energy use or coat relative to a mininwincode home. Gross Cavity Cont Glazing U A Perimeter • Calling: at or SciswTtm M 30.0 0.0 6 Wait:Wood Frame,16in.o.c. 219 15.0 0.0 14 Window:Wood Frame,2 Pane w/Low-E 20 0.320 6 Door:Solid 20 0.140 3 Floor:Ail-Wood Joist/Truss Over Outside Air 171 21.0 0.0 8 Conplfanae Stailement The Prapoaed, M g desig defsafthed inane its arisistent tfellr the buidarg Plam dons,aril other calculations submitted with the permit appfcatlon.The proposed building has been designed to meet the 2010 New York Energy Conservation Construction Code requirements in REScheck-Web and to comply with t atory requiremelisted in the REScheck Inspection Checidist. 0 - tl 7 2a 13 Name-Title Signature Date f: . RON MORIZZO KITCHENS & BATHS INC. . ' P.O. BOX 789 SOUTHOLD N.Y. 11971 Project Tide:MANDARO RESIDENCE _ F Report date.date:07/23/13 Data filename: Page 1 of 4 Complete Kitchen & Bath Remodeling RON MOR1 Z Z O SHOWROOM: North Road Commons, Unit 19 Kitchens & Baths 22355 Route 48, Cutchogue, New York 11935 • DESIGN • SALES • INSTALLATION P.O. Box 789 • Southold, New York 11971 Phone: 631-765-5772 Fax: 631-765-6196 A6(6 A AU cap.. LY _• FLOODSOUT1 ��` T ° CO-- VxM. April 17, 2013 70: Southold Building Department _r n „ J 0 Nc. .x �4 . E 2, nF swe : Mr. & Mrs. Steven Mandaro 2315 Bay Avenue, East Marion _. The following work to be done at the Mandaro Residence due to Super Storm Sandy: 1. Electric work: Wiring, Outlets and Switches z Insulation: R-15 walls—R-30 Ceiling 3. Sheetrock: Walls and Ceilings 4. Trim work AppDRn.k"ED S ,10TED DATE: 6 B.t P.r L S s e F r7 r.. s ^ a NOTIFY E,i..JILIT;:SENT AT 7135-1832 it FOR THE Rm FOLLG�,V it IG i, C• ,- , 3 R--•r , ` 2. R .D i! 3. 1N'S iL A f i0i` �..�` RE COS THE ALL CCS 37 REGI) R� iv% � YORK a I h'c. P!^i ��,iS(PLE FOR DESIGN Oi? C&w-�TRUCH1O'J ERRORS. F SURVEY OF PROPERTY � j SITUATE �Q EAST MARION o TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-31 - 17-04 o ire ��'' SCALE 1 "=10' r', c �o8� FN,S�R �o, JANUARY 14, 2013 `.� J oil " CaCi�G�r F��' fvNF SGGA" co. AREA 6,000 sq. ft. ��11 �g9 AGI o. 100 ,a 19/ 0.138 ac. $ ° / G4' 41 a0-- NOTES: x '0 JZB 1 . ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM ° 10° EXISTING ELEVATIONS ARE SHOWN THUS: FFL — FIRST FLOOR 29 x�u G.FL. — GARAGE FLOOR 2. THIS PROPERTY IS IN FLOOD ZONE AE (EL. 6) FLOOD INSURANCE RATE MAP No. 36103CO177H ZONE AE: BASE FLOOD ELEVATIONS DETERMINED Ilk 2J 00 X.:L9 Z9 00 .O �z x� x29cy.�R J / G � er�10 cAa x2_7 x� <� 4 xx X 2 e 2Z • a d . .a �O � � S d' e 29 9� G,'� 7c 1 e' 1 <�C 1yti 6y 0 o xe o x I� a •e a mac` 9 I d' �y� O °� .o O� x22 1� A lei a 4 ' 6,G 700, � ��G �� PREPARED IN ACCORDANCE WITH THE MINIMUM X c STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.I.A.L.S. AND APPROVED AND ADOPTED 1p" °o \ FOR SUCH USE BY THE NEW YORK STATE LAND .per +J'/` e o TITLE ASSOCIATION. of NEW • ea.� . . AL -,PST 4q.. O. e \ e '4 N.Y.S. Lic. No. 50467 a UNAUTHORIZED ALTERATION OR ADDITION I X d ` e TO THIS SURVEY IS A VIOLATION OF EDUCATION 72LAW.09 OF DUCA ONZLAWOF THE NEW YORK STATE Nathan Taft Corwin iii YY COPIES OF THIS SURVEY MAP NOT BEARING yy THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED Land Surveyor TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN CY) ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S. TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S. VW LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— Title Surveys Subdivisions Site Plans — Construction Layout TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. y PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. 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