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HomeMy WebLinkAbout39781-Zr 11 7/9/2015 No: 37650 Date: 7/9/2015 THIS CERTIFIES that the building ALTERATION Location of Property: 60125 North Rd Unit 113, Greenport SCTM.#: 473889 Sec/Block/Lot: 44.1-1-1 Subdivision: Filed Map. No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/11/2015 pursuant to which Building Permit No. 39781 dated 5/19/2015 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" BASEMENT ALTERATION TO FINISHED SPACE AS APPLIED FOR (Unit 1D) The certificate is issued to Wasserman Crown LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL, CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 06/22/2015 39781 07-01-2015 Gerald Baldassarri u oriz d Si ature Town of Southold P.O. Box 1179 .�' 53095 Main Rel Southold, New York 11971 r 11 7/9/2015 No: 37650 Date: 7/9/2015 THIS CERTIFIES that the building ALTERATION Location of Property: 60125 North Rd Unit 113, Greenport SCTM.#: 473889 Sec/Block/Lot: 44.1-1-1 Subdivision: Filed Map. No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/11/2015 pursuant to which Building Permit No. 39781 dated 5/19/2015 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" BASEMENT ALTERATION TO FINISHED SPACE AS APPLIED FOR (Unit 1D) The certificate is issued to Wasserman Crown LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL, CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 06/22/2015 39781 07-01-2015 Gerald Baldassarri u oriz d Si ature (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 39781 Date: 5/19/2015 Permission is hereby granted to: Wasserman Crown LLC 352 7th Ave FI 11 New York, NY 10001 To: ®,as built" basement alteration as applied for, with flood permit. At premises located at: 60125 North Rd Unit 1D, Gree SCTM # 473889 Sec/Block/Lot # 44.1-1-1 Pursuant to application dated To expire on 11/17/2016. Fees: 5/11/2015 and approved by the Building Inspector. AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $940.80 tsuuuing 1115peutur TOWN OF SOUTHOLD ® �� G' 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 #: 39781 Date: 5/19/2015 Permission is hereby granted to: Wasserman Crown LLC 352 7th Ave FI 11 New York, NY 10001 To: ®,as built" basement alteration as applied for, with flood permit. At premises located at: 60125 North Rd Unit 1D, Gree SCTM # 473889 Sec/Block/Lot # 44.1-1-1 Pursuant to application dated To expire on 11/17/2016. Fees: 5/11/2015 and approved by the Building Inspector. AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $940.80 tsuuuing 1115peutur ,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 , ying that the solder used in 'system contains less than 2A0 of i% I ead 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 Appioval.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 thereffir in writing to the applicant. C.' Fees I 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 ate. New Construction: Old or Pre-existing Building: (check -one) Location of Property: &0 House No. Street Hamlet Owner or Owners ofPropertyt Suffolk County Tax Map No 1000, Section s 0 t ,' Block ' 671. Lot Of Subdivision Filed Map. Lot: Permit -No. Date of Permit. Applicant- -vo( Health Dept. Approval: Underwriters Approval: Planning Board Approval.: Request for: , Temporary Certificate Fee Submitted: $ Final Certificate: V (check one') V_ _V1 Applicant Slinature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roger. riche rt@town.southoId. ny. us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To- Wassserman Address: 60125 North Road, Apt. 1-D City: Greenport St: New York Zip: 11944 Building Permit #- 39781-39622-39576 Section: 44.1 Block: 1 Lot: 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Devaney Electric License No: 4144-E SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic X Garage INVENTORY Service 1 ph Heat GAS Duplec Recpt 45 Ceiling Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 8 Wall Fixtures 18 Smoke Detectors 5 Main Panel A/C Condenser 3 Single Recpt Recessed Fixtures 100 CO Detectors Sub Panel A/C Blower 3 Range Recpt Fluorescent Fixture Pumps Transformer AppliancesDW Dryer Recpt 1-30 Emergency Fixtures Time Clocks Disconnect F-1 Switches 64 Twist Lock Exit Fixtures F1 TVSS Other Equipment: 6- ARC Fault Circuit Breakers, 1-30A Oven, 5- Exhaust Fans, 1- Steam Generator with 60A Disconnect, Notes: 20KW Stand By Generater with 200A Disconnect Inspector Signature: Date: July 1, 2015 Electrical 81 Compliance Form(1).xls Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION �--� 7 1 Owner: A,Q, (Please print) n Plumbegep-Apaj -qai (Please—print) lead. Date: 12 Building Permit No. "''S Telephone (631) 765-1802 Fax (631) 765-9502 I certify that the solder used in the water supply system contains less than 2/10 of I% ✓(Plumbers Signature) Sworn to before me this day of 20j:fa_ a Notary Public, ��k-County LYNANE A. HOTINE Notary Public, State Of New York No. 4931641 Qualified onNassau County Commission Expires May 31, 20181-9 cou ING'DEPT. IN FOUNDATIOWIST FOUNDATION 2ND FRAMING/ STRAPPING FIREPLACE & CHIMNEY FIRE RESISTMT CONSTRUCTION ELECTRICAL (ROUGH) CODE VIOLATION REMARKS: ROUGH PLUMBING INSULATION FINAL FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION ELECTRICAL (FINAL) CAULKING 3 / - DATE - INSPECTOR L 37 -2:- fif SOpl�o! TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION IST ] FOUNDATION 2ND ] FRAMING / STRAPPING ] FIREPLACE A CHIMNEY ] FIRE RESISTANT CONSTRUCTION ] ELECTRICAL (ROUGH) 1 CODE VIOLATION [ ] ROUGH PLUMBING [ ] IN ATION [ FINAL [ ] FIRE SAFETY INSPECTION [ ] -FIRE RESISTANT PENETRATION [ ] ELECTRICAL (FINAL) r 1 CAULKING Frank Wolfgang Uellendahl - Architect 123 Central Ave POB 316 Greenport, -NY 11944 t: 631.477.8624 e: frank@frankuellendahl.com June 23, 2015, Submitted to: Building Department Town of Southold Owner: Paul Wasserman Wasserman Crown, LLC 352 7th Avenue, New York, NY 10001 Project: As -Built Permit Application for a Finished Basement Premises: Unit 1® Sea Breeze Village Condominium 60125 North 'Road in Greenport L.E- TAT -OAF jMT I F I CATI GI ' The building inspector passed the final inspection for the finished basement at the above referenced premises on June 23, 2015 as applied for. I herewith certify to the best -of my knowledge that all work - including insulation and plumbing work'!- was peiformed as per NYS code. Ia `erely, nk Uellendahl, I- f 1 JUN 2 3 211 BLDG. DEFT Tpjh ; OF SOUTHOLD TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502�y www. northfork.net/Southold/ PERMIT NO, c� Examined , 20� Approved , 20 Disappi Expirat BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans_ Planning Board approval Survey Check Septic Form_ N.Y.S.D.E.C. Trustees Contact: Mail to: 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 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 applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposedwork}will be done: 1<-1Pe9 2744 2ZD2��—W-J 69 House Number Street 14amle County Tax Map No. 1000 Subdivision (Name) Section --5-'7 J-. c9 Block Filed Map No._.L( _ ... ___._..S11.J+.. 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 A�_ Nature of work (check which applicable): New Building ' Addition Alteration Repair Removal Demolition Other Work, -60,(6r &�s�(�(�[ " (Description) 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee (To be paid on filingthis application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear. Height Number of Stories. Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Storie t4' - YA! Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: F 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 a7w111g law, ordinance or regulation? YES NO 9/ 13. Will lot be re -graded? YES NOl excess fill be removed from premises? YES NO V Clmlut /4G leael 14. Names of Owner of premises M1A WrUW Address �✓`�� -744&e_ O`� Phone No. 2l2- 2?q -,9f39Z Name of Architect I&Wtk ff/ Address l Phone No G 1 Name of Contractor Address Ph7NO o. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS )kAY BE REQUIRED. b. Is this property within 300 feet of,a tidal wetland? * YES 9NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF � / aglow&2� ( being duly, sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this l/ /k�e day of AlaO 2016 Notary Pu is °TRACEY L. DWYER NOTARY PUBLIC, STATE OF NEW YORK NO. 01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30, 2Qff Signature of Applicant Scott .,A. Russell SUPERVISOR SOUTHOLD TOWN HALL - P. O. Box 1179 53095 Main -Road - SOUTHOLD, NEW YORK 11971 ST 0>]Kl��J WAT]E]k MANAG]EMIENT Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) DOF,S- THIS (PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) A. Clearing, grubbing, grading or stripping of land which affects more ®than 5;000 square feet of ground surface. B.. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. C. Site preparation on slopes which exceed 10 feet vertical rise to -10.0 feet of horizontal distance. D: Site preparation within 100 feet of wetlands, beach, bluff or coastal ., erosion hazard area. E. Site, preparation within the one -hundred -year f loodplain as depicted on FIRM Map of any watercourse. F., Installation of new or resurfaced impervious surfaces of 1,.000 square feet or,more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes Jn-kind replacement of impervious surfaces. If, you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. * If you answered, YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to .the Building Department with your Building Permit Application. S.C.T.M. 1000 APPLICANT.' (Property w r. esign Professional, Agent, Contractor. Other) NA \9E:r I LAW Contact Information 7� / /J n-96 (�7J1 ! — O G Property Address / Location of Construction Work: 60 aZ _ S.C.T.M. 1000 nate: District Section Block Lot **** FOR BUILDING DEPARTMENT USE ONLY **** Reviewed By: Date: Approved for processing Building Permit. Stormwater Management Control Plan Not Required. Stormwater Management Control Plan is Required (Forward to Engineering Department for Review.) Tom Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 own 1 (63 1)o 7M-g5jj5 LogerAchert Hown-so nv.us BUIDING DUARTNEW TOWNOFSQUMOLD APPLICATION FOR ELE9TRICAL INSPLCTION REQUESTED BY- Date: Company Name: e" 4 re Name.- MIT bew Aqyuncv L License No.: Address': ------- T�q V-- 0 rB e— R&A--D hone No.: q 4 q — :t� r, 4-1 JOBSITE INFORMATI ON: (Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax. -Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK,I (Please- Print Clearly) Al 1) r -t---- L-0 Vir, r L-c,vtt- -e-[e-C+r1CA-t, (As (Please Circle All That Apply), *Is job ready for inspection: <0 NO Rough in Final *Do -you need a Temp Certificate: YES !0 Temp Information Of needed) 'Service Sim: I Phase 3Phase ' 100 150 20 300 35q 40 *Ne'w Service: Re-wrinect Underground Number of Meters - . I I. Chango,qfservi6e Additional Information-. PAYMENT DUE WITH APPLICATION 82z.Request far Inspection Form Other Overhead r T j 1.I..x T. TERRY 1 1tuk ;a `c TOWN CLERK lir:clsrnnr) or VITALsrnTlslics MARRIAOF OFFICER _ �b RECORI)S MnNAGEMENT OFFICER F=REEDOM OF INFORMA'nON OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Tnwn Ibll- 51()95 N -1Z1,11 P o. flux 117c) Southold. Nc%.• Turk I 1 Fax (S 1(1) 765.IR>Z Tcicphonc (5I6) 763.1 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 of. the Code of the Town of Southold: "Floodplain Development. Permit Application" (FDP(93)], and ;'Certificate of Compliance fair Develcfpment in Special Flood Hazard Area (C/C(93)) . 13 5G. DEP' TOW.4 OF S069MOLD i Judith T. T'e'rry Southold Town Clerk August 25, 1993 APPLICATION PAGE I oT 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION I 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 rcvokcd, 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 ®o 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 Admiaistrator•or his/her representative to make reasonable inspections required to verify complian 8. I, THE APPLICANT, CERTIFY TH� L STATEMENTS HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE, TO THE ,F 1' OVLEDGE, TRUE AND ACCURATE/. (APPLICANTS SIGNATURE) DATE /SECTION 2: PROPOSED DEYELOP'N ENT �c completed by APPL CANTI APPLICANT' � �U`� A 0 A � � � �c lr�r�� � p� BUILDER ENGINEER To avoid delay in prooz sing the appbcadoa, please provide enough information to easily identify the project location- Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark A sketch attached to this application sbowing the project location would be helpful. FDP(93) APPLICAT)ON PAGE 2OFa DESCRIPTION OF WORK (Check all applicable boxes)• A STRUCTURAL DEVELOPMENT ,ACTIVITY STRUCTURE TYPE ❑ New Structure Residential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) XAlteratioo ❑ Noo-residential (Floodproofing? ❑ Yes) ❑ Relocation ❑ Combined Usc (Residential & Commerci-al) ❑ DemdUdon- ' P ❑ Manufactured (Mobile) Home (In Manu - 0 Replacement factured Home Park?- ❑ Yes) ESTIMATED COST OF PROJECT S . , fJ,0® B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining O Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) j ❑ Roafr,, Street or Bridge Construction ❑ S4 vision (New or Expansion) i ❑ Ir ividmd Water or Scwc-r Systc(h Other (Please Specify)e(f After completing SECTION 2, APPL[CAJ T should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMIMSTRATO1k) The proposcd development is located on FIRM Pancl No. . Dat The Proposed Development.- C1 evelopment:❑ Is MI located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Arca. FIRM zone desipation is 100 -Year flood elevation at the silt is: Ft. NGVD (MSL) ❑ Uoavailablc ❑ Tbc proposed dcvclopmcnl is located to a noodway. FBFM Pancl No. Datcd ❑ Scc Srction 4 for additional instructions SIGNED DATE ' APPLICATION # PAGE J OF 4 SECTION 4 ADD(TIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMINISTRATOR) The appfican( must submit the documents checked below before the appGcalion can be processed: O A site plan showing the location of all c)aasting structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑ Development plans, drawn to scale, and specifications, including where applicable: details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the first floor, details of floodproofwg of utilities located below the first floor and details of enclosures below the first floor. 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 -yeas flood elevations if they are not otherwise available). O Plans showing the extent of watercourse relocation and/or landform alterations - 0 Top of new fill elevation Ft. NGVD (MSL). - Ft: NGVD (MSL). For � Floodproofnlg protection level (non-ruidenlial only) ( ) floodproofed structures, iipplicant must attach certification from registered engineer or - architect. ; O Certification from a'reg stered engineer that the proposed acdvtt� 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 Othcr: SECTION 5 PERMIT DETERMINATION (To be completed by LOt_AL ADMINISTRATOR) I have determined that the proposed activity. A. O Is B. O Is not La conformance with provisions of Local Law 9_. The permit is issued subject to the conditions 1 attached to and made part of this permit. SIGNED DATE if BOX A is checked, the Local Administrator may issue a Development Permit upon payment of desiLEnaled fcc. If BOX B is checked, the Local Administrator wdl provide a writtco summary of dcfietcncies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from (be Board of Appeals ' APPLICATION / PAGE 4OF4 APPEALS Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals -- Apps oved? El Yes 9 Ne - Coaditio SECTION 6• AS GUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As -Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard Areas bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). L Actual (As -Built) Elevation of floodproofing protection is FT. NGVD (MSL). NOT'': Any work performed prior to submittal/of the above information is at the risk of the Appl; cant. 7 f J J SECTION 7• COMPLLANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADAIINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO ,SEGTiON 8' CERTIFICATE OF COMPLIANCE(To be comolcted by LOCAL ADAIiNISTRATOR) , Certificate of Compliance issued: DATE: BY: Attachment B i 19AMP,LE / CERTIOCATE F'F COMPLIANCE for Development in a Special Flood Hazard Area . II ► + I / ' 1 I 1� TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECLkL FLOOD HAZARD AREA (()V,Wgp MT -IST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: OWNERS NAME AND ADDRESS: PERMIT NO. - PERMIT DATE CHECK ONE: 0 NEW BUILDING ❑ Ej(ISTING BUILDING O VACANT LAND ' THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY_ CERTIFIED WITB THE REQUIREMENTS OF LOCAL LAW # , 19_ SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH T11E REQUIREMENTS OF LOCAL LAW # , 19_1 AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C/C(93) Frank Wolfgang Uellendahl Architect 123 Central Ave POB 316 Greenport, NY 11944 t: 631.477.8624 e: frank@frankuellendahl.com May 8, 2015 Submitted to: Building Department Town of Southold Owner: Paul Wasserman Wasserman Crown, LLC 352 7th Avenue, New York, NY 10001 Re: As -Built Permit Application for a Finished Basement Premises: Unit 1D Sea Breeze Village Condominium 60125 North Road in Greenport Dear Michael Verity, Please accept the As -Built Permit Application for the finished basement at the above referenced condominium unit. An elevation certification from Peconic Surveyors is also attached with this letter. The surveyors were at the site on May 5, 2015 and determined that the elevations are as follows: Basement Floor EL 9.5 NGVD datum First Floor EL 18.5' NGVD datum Generator Pad EL 17.1 NGVD datum The condominium property is in a Special Flood Hazard Area - Flood Zone AE-EL.10, which requires that any proposed residential floor. area or proposed generator must be located at or above elevation 12. The generator (Permit #39622) is located above EL.12, the finished basement is not - at EL.9.5. Since the condominium complex was built before the community's first flood map was issued on 03/18/80 (known as pre -FIRM structure) and the non-structural improvements represent a non -substantial improvement - the owner's request to finish the basement can be permitted. The property card states that the building permit #10234-Z for unit 1D was issued on 05/22/79. The owner is grateful for your assistance in clarifying the above mentioned issues, and he is looking forward to receiving the permit for the finished basement as indicated on the attached application. B r gards, Fr nk Uellendahl, RA Compliance Certificate Project THE WASSERMAN APARTMENT Energy Code: 2010 New York Energy Conservation Location: Suffolk County, New York Construction Type: Single-family Project Type: Alteration Climate Zone: 4 Permit Date: 37 Permit Number. Construction Site: Owner/Agent: Designer/Contractor: 60125 NORTH ROAD PAUL WASSERMAN FRANK UELLENADHL GREENPORT, New York 11944 OWNER ARCHITECT Compliance: 7.6% Better Than Code Maximum UA: 250 Your UA: 231 The % Better or worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum -code home. Envelope Assemblies � _ Gross Area Ceiling: Flat or Scissor Truss Wall: Wood Frame, 16in. D.C. Wall: Solid Concrete or Masonry w/ Interior Insul Window: Wood Frame, 2 Pane w/ Low -E Door: Glass Floor: Unheated Slab -On -Grade Insulation depth: 0.5' Compliance Statement: The proposed building design described calculations submitted with the permit application. The propose( Conservation Construction Code requirements in REScheck Versi the.RE ec_ction Checklist. Name - Title Sic Z24 Ju.0 v.V 100 1360 0.0 0.082 8 972 13.0 13.0 0.040 37 36 0.290 10 16 0.260 4 134 0.0 1.042 140 the building plans, specifications, and other gned to meet the 2010 New York Energy with the mandatory requirements listed in � -6 - (e7 Date Project Title: THE WASSERMAN APARTMENT Report date: 0$/06/15 Data filename: Page 1 of 6 l�J a55check 5aftwai s Vvrsoon 50500 Inspection Checklist Energy Code: 2010 New York Energy Conservation Construction Code Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section # Pire-Onspection/Pian Reviewcompiies? pians Veriffied -VaQue FIe0d Verified value Comments/Assumptions & Req.i® 103.2 Construction drawings and, :: {❑Complies [PR111 documentation sufFciently�❑Does ` Not J ;demonstrates energy code- ,4 ; ,-1,, ; j❑Not Observable compliance for the building G ❑ Applicable (Not envelope. 103.2, :Construction drawings and '" M1❑Complies 403.7 ; documentation sufficiently. , .,.,.'; ,., ,. ❑Does Not [PR311 ;demonstrates energy code ❑Not Observable compliance for lighting and :; _ , ` Applicable. ( mechanical systems. Systems V f "' a❑Not serving multiple dwelling units must demonstrate compliance ' with the commercial code. ' 403.6 Heating and cooling, equipment is; Heating: Heating: ;❑Complies [PR2]2 sized per ACCA Manual S based Btu/hr Btu/hr ;❑Does Not on loads per ACCA Manual for Cooling: ; Cooling: ;❑Not Observable other approved methods. ; Btu/hr ; Btu/hr ; i❑Not Applicable Additional Comrhents/Assumptions". 1 High Impact (Tier 1) 12 1 Medium Impact (Tier 2) 13 1 Low Impact (Tier 3) Project Title: THE WASSERMAN APARTMENT Report date: 05/06/15 Data filename: - Page 2 of 6 2010 New York Energy Foundation Bnspection Complies?, comments/Assumptions: 303.2.1 Exposed foundation insulation ;❑Complies I [F011]2 protection.❑Does Not U ❑Not Observable ❑Not Applicable 403.8 Snow melt controls. ;❑Complies [F012]2 ❑Does Not lJ❑Not Observable ❑Not Applicable 1 Additional Comments/Assumptions: 111 High Impact (Tier 1) 12 1 Medium Impact (Tier 2) 3 1 Low Impact(Tier 3) Project Title: THE WASSERMAN APARTMENT Report date: 05/06/15 Data filename: Page 3 of 6 section # Framing / Rough-In'lnspection Plans Verified Value Field Verified Value compiles?, Comments/A mumptions & Regel® 402.4.4 Fenestration that is not site built •,. ;[]Complies [F1120]1 lis,listed and labeled as meeting t ❑Does Not iAAMA/WDMA/CSA 101/I.S.2/A440 !or has infiltration rates per NFRC Y 1, •❑Not Observable ¢ a 400 that do not exceed code ❑Not Applicable limits. 402.4.5 IC-rated recessed lighting fixtures 1, J❑Complies [FR16]2 sealed at housing/interior finish 1❑Does Not j and labeled to indicate &It;= 2.0 v I ,❑Not Observable ; cfm leakage at 75 Pa. ❑Not Applicable 403.2.2 ;All joints and seams of air ducts, j " �- �•' ,�• r '�- , , , , �• , j❑Complies ; [FR13]1 air handlers, filter boxes, and S❑Does Not ; building cavities used as return ducts are sealed. i❑Not Observable f -L ❑Not Applicable 403.2.3. I Building cavities are not used as T❑Complies I [FR15]3 I ducts or plenums.. „ , ❑Does Not tNot Observable I .f I UNot Applicable 403.3 HVAC piping conveying fluids ; R- R- ;❑Complies [FR17]2 above 105 °F or chilled fluids ❑Does Not U below 55 °F are insulated to R-3. ;❑Not Observable ❑Not Applicable 403.4 Circulating service hot water R- R- ;lComplies [FR18]2 pipes are insulated to R-2. !❑Does Not ❑Not Observable ❑Not Applicable 403.5 Automatic or gravity dampers are'. ;❑Complies [FR19]z installed on all outdoor air i❑Does Not j intakes and exhausts. 1❑Not Observable t❑Not Applicable Additional Comments/Assumptions: 1 I High Impact (Tier 1) 12 1 Medium Impact (Tier 2) 13 1 Low Impact (Tier 3) Project Title: THE WASSERMAN APARTMENT Report date: 05/06/15 Data filename: Page 4 of E 2010 New V®rbc Onsugation Ilnspection - �Compgles? Comments/Assumptions (:nerg 303.1 All installed insulation labeled or❑Complies [IN13]� installed R -values provided. 1❑Does Not U ;❑Not Observable 1❑Not Applicable Additional Comments/Assumptions: 1 I High Impact (Tier 1) 12 1 Medium 'Impact (Tier 2) 13 1 Low Impact (Tier 3) Project Title: THE WASSERMAN APARTMENT Report date: 05/06/15 Data filename: Page 5 of 6 section plans Verified Field Verified - # Final Inspection Provisions Value Value Corvepl'aes? Cornneents/Assaaanptions' & Reg,ID 402.4.2, Building envelope tightness ACH 50 = ACH 50 = ;❑Complies 402.4.2.1 !verified by blower door test result; i❑Does Not [FI17]1 ® 1 of &lt;7 ACH at 50 Pa. This ; requirement may instead be met ;❑Not Observable - '❑Not Applicable ;via visual inspection, in which ❑Not Applicable ; ., f❑Complies :case verification may, need to [FI10]2' on heat pumps. !occur during Insulation Not J # Inspection. ; 403.2.2 ; Duct tightness via post- cfm cfm ;❑Complies [F14]1 construction with maximum !❑Does Not Circulating service hot water leakage of 8 cfm to outdoors, or 12 For ;❑Not Observable [FI1112 cfm across systems. ;❑Not Applicable + J❑Does Not rough -in tests, verification may ; accessible manual controls. IjI ! need to occur during Framing ! ; ! Inspection, with maximum ; 401.3 :leakage of 6 cfm across systems n .#❑Complies and 4 cfm without air handler. 403.1.1 !Programmable thermostats "'-}❑Complies [FI9]2 installed on forced air furnaces. `j ,. ,1❑Does Not Additional Comments/Assumptions: 111 High Impact (Tier 1) 2 1 Medium Impact (Tier 2) 3 1 Low Impact (Tier 3) Project Title: THE WASSERMAN APARTMENT Report date: 05/06/15 Data filename: Page 6 of 6 ❑Not Observable ; - '❑Not Applicable 403.1.2 ' Heat pump thermostat installed ; ., f❑Complies ; [FI10]2' on heat pumps. ;,❑Does Not J # []Not Observable ❑Not Applicable ! 403.4 Circulating service hot water _ .1❑Complies ; [FI1112 systems have automatic or J❑Does Not J accessible manual controls. IjI J❑Not Observable k' ,❑Not Applicable ! 401.3 Compliance certificate posted. n .#❑Complies [FI7]2 - 1❑Does Not 1❑Not Observable `j " "EINot Applicable 303.3 ; Manufacturer manuals for i❑Complies [FI18]3 I mechanical and water heating T❑Does Not ! U equipment have been provided.❑Not Observable I❑Not Applicable ! Additional Comments/Assumptions: 111 High Impact (Tier 1) 2 1 Medium Impact (Tier 2) 3 1 Low Impact (Tier 3) Project Title: THE WASSERMAN APARTMENT Report date: 05/06/15 Data filename: Page 6 of 6 ©�1® M ww York Energy Conoorw000n Conaou000n Coo Energy Eoc'mcy C wtTcs�o AWNWROW Above -Grade Wall 26.00 Below -Grade Wall 0.00 Floor 0.00 Ceiling / Roof 30.00 Ductwork (unconditioned spaces): WIP Window 0.29 Door 0.26 xqgr t. Heating System: Cooling System: Water Heater: .q r y$'i;'�. � �z m_:. �„?r",q., �t,�� _ �„�r*`�s�p,, Irv, - � ,,� � #� � �_,•�- ..its { �,-, Name: Date: Comments APPROVED AS NOTE DAT B.P. #Lq'-rg17-- BY: 765-i 302 8 AM TO 4 PM FOR THE FOL WING INSPECTIONS: 1. F UNDATION - TWO REQUIRED , � R POURED CONCRETE 2. FOUGH - FRAMING & PLUMBING 3. INSULATION + > > 4. IAL - CONSTRUCTION MUST Ef COMPLETE FOR C.O. ALL CONSTRUCTION SHALL. MEET THE REOUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DE GN OR CONSTRUCTION ERRORS. 0- OO��, L°s r:plTH ALL D OF N NEW Y --AK STITE & TO(ODES AS REQ GRED SOUT�". STEES IIV W 12'-0" 4 ALL WALLS: R-13 INSULATION 4P w (2) 5/8" GYP.BD (TYP) c~n H2O 2668CLG.HGT:8'-0" EGRESS s D c0 RECREATION ROOM FITNESS ROOM 9� s ' 1 l ' zu ®1 CLG.HGT. r-0" �IMEM 10LlF i �;;�cE1►�' 10 �F 1 �.� L��L��. PLUM)BONG ALL PLUMBING WASTE 8,WATFUNES NEED TESTING BEFORE COVERING � H MECH�RM. �� -�- CONC. FLOOR S D CO 5068 V FCLG.HGT: 8'=0" 00 I� BASEMENT o - I WD FLOORING CIDC0 -� -, C0C=:)'+L STORAGE RM. (ELECTRICAL LEGEND 0.6 comp 1 .I AS -BUILT m FINISHED 0„ ja BASEMENT � W �y X FRANK UELLENDANL oy + zQ In o RESIDENCE P.O.BOX 316 C7 r GREENPORT, NY 60125 NORTH RD 0.6 comp 1 .I DUPLEX RECEPTACLE OUTLET FSEDI ARCHITECT w GR GROUND FAULT INTERRUPTOR 0 o FRANK UELLENDANL z + HIGH HAT FIXTURE m 123 CENTRAL AVENUE P.O.BOX 316 C7 r J m GREENPORT, NY 11944 �w- cry i TEL: 631-477 8624 o W o 05/08/2015 OWNER WASSERMAN CROWN, LLC SCALE: N AS -BUILT Z 352 7th AVENUE BASEMENT o NEW YORK, NY 10001 a DWG. NAME oa,A-1 TEL: 212-279-2392 DWG. NO 0.6 comp 1 .I FINISHED HEATED FLOOR AREA = 676 SF BASEMENT PLAN A-C.•B1 1111I1 T PERMIT APPS leATION DUPLEX RECEPTACLE OUTLET FSEDI SMOKE DETECTOR GR GROUND FAULT INTERRUPTOR OUTLET F50TI CO DETECTOR + HIGH HAT FIXTURE OF EXHAUST FAN w/ LIGHT FINISHED HEATED FLOOR AREA = 676 SF BASEMENT PLAN A-C.•B1 1111I1 T PERMIT APPS leATION I!� 0 s a Q F= w C7 r J m o v 0 o i o W DATE: 05/08/2015 SCALE: N AS -BUILT =o Q BASEMENT o FLOOR PLAN a DWG. NAME oa,A-1 ®� DWG. NO I!�