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Home My WebLink About40493-Z ��o�Og11PF0[�COo Town of Southold 3/4/2016 P.O.Box 1179 cm o _ 53095 Main Rd ��jol �aOt Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38129 Date: 3/4/2016 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 545 Beachwood Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 116.-4-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/26/2016 pursuant to which Building Permit No. 40493 dated 2/29/2016 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"deck addition to an existing one family dwelling as applied for per ZBA#6908, dated 1/21/2016. The certificate is issued to Suter,Donald&Suter,Lawrence of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED C 1 A ,VlrizedXignatWe ��guFrnt��vTOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 40493 Date: 2/29/2016 Permission is hereby granted to: Suter, Donald 1150 Dean Dr Cutchogue, NY 11935 To: As-built deck addition to existing single-family dwelling as applied for with flood permit, per ZBA & Trustees. Additional ceritification may be required. At premises located at: 545 Beachwood Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 116.4-22 Pursuant to application dated 2/26/2016 and approved by the Building Inspector. To expire on 8/30/2017. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $657.60 CO -ADDITION TO DWELLING $50.00 Flood Permit $100.00 Total: $807.60 Bui ing I s 'ctor S U T E R AND S U T E R DESIGN • ARCHITECTURE LAND SIC APE Town of Southold February 27, 2016 Building Department 53095 Main Road,Southold N.Y. 11971 Re.545 Beachwood Rd.,Cutchogue Dear Building Inspector, i The 14 foot x 23 foot deck at 545 Beachwood Rd. rebuilt after Superstorm Sandy was built to the Residential Code of New York State last updated in 2010. All work,fasteners, hurricane tie downs and framing details are to code. Sincerely, .%., fE Richard Suter RA �5�-�d�- ��"•'''��,��; j .,. � D FEB 29 2016 BMDING DEPT. TOWN OF BOUTHOLD P. O. BOX 1709 124 JESSUP AVENUE QUOGUE, NY 11959 631 . 653 .3877 www suterandsuter comm FAX 6 3 1 . 6 5 3 . 3 8 7 8 FIELD INSPEMON=OXT AAS C4I� S FOUND4,tlw(1ST F.0= ,TION(2ND) z ROUGH ERANr-4iQ& H PLUM31NG " -^-�---^- 1 C INSULATION PER N,Y. STATE ENERGY CODB , IAL __ .n 'per �'.... �p`i++.. t.�• 1y,: TOWN OF SOUTHOLD „' —�' BUILDING PERMIT APPLICATION CHECKLIST BUIIJT)ING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, P;Y 11971 4 sets of Building Plans TEL: (631)7654802 Planning Board approval FAX: (631) 765-9502 Suryey SoutholdTown.NorthFork.net PERMIT NO. _ � Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined—UAI '20 Single&Separate Storm-Water Assessment Form Contact: Approved ,20 Mail to: Disapproved a/c P one: Expiration �Q' � —_120, Building Inspector 4 r� APPLICATION FOR BUILDING PERMIT.NOV 1 7 2015 ,• - — ---J Date` `" I , 20 PI DG KEPT Tu�i,o; snrl ,o;D 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 demolitio as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code, d egulations, and to admit a authorized inspectors on premises and in building for necessary inspections. / (Signature df applicant or name, if a corporation) 0 6(3)� 7q C vT6lime-yr X (Mailing address of applicant) Rq.f5- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pliunber or builder 0tl*il�2 Name of owner of premises l.. a U11PS2 P, 'yr) ,"-7 v i1:---e-Zioor4e- V2- 5 v (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 proposed work will be done: House Number Street Hamlet yY$' q '> County Tax Map No. 1000 "Section 1 I G Block + Lot 7 i Subdivision Filed Map No. Lot r r 2.' State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ?.N&C A7 j I L I j'EW 05�sc.457 4^11e lv�G' b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition lteratio )_ Repair Removal Demolition Other Work (Description) 4., Estimated Cost �,Oct Q 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 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. � p f 7. Dimensions of existing structures, if any: Front `� Rear 2-," Depth &U Height 7-0 Number of Stories 2 Dimensions of same structure with alterations or additions: Front Z Rear 7-3- Depth SDepthZ Height 7'o . Number of Stories 7- 8. Dimensions of entire new construction: Front `Z Rear- _ Z-�' Depth Jc) Height Number of Stories Z 9. Size of lot: Front 4<:) Rear d Depth 10. Date of Purchase auo Name of Former Owner V)JZ ON)1-k Piro►L 5'v 7Fe— 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_�CWill excess fill be removed from premises? YES NO 14. Names of Owner of premises rl C lffi -O ,SisTIS-Address Ct/)ZII ANone No.6'31 4 Ti 7 877 Name'of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES > NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS 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 COPY. STATE OF NEW YORK) SS: COUNTY OF �''�►L Zl (jPhW being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the C.)M ` 1M T (Contractor,Agent, C rporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work an to make and file this application; that all statements contained in this application are true.to the best of his knowledge and belie and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of P 20_� r A,11� TIMOTHY D.BARNES Notary Public,State of New York Notary Public # oiB Suffolk 2s Si nature of Applicant Qualified in Suffolk County $ pp Term Expires June 16,2018 John M.Bredemeyer III,President Town Hall Annex� ��® Michael J.Domino,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G ,c► y Telephone(631) 765-1892 Charles J.Sanders ®lif'`+oU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8737A Date of Receipt of Application: October 30, 20.15 Applicant: Richard Suter �� I SCTM#: 1000-116-4-22 Project Location: 545 Beachwood Road, Cutchogue Date of Resolution/Issuance: February 17, 2016 I II FEB 22 2016 I Date of Expiration: February 17, 2018 L -- Reviewed by: Board of Trustees _ Project Description: As-built replacement of existing 14'x23' irregularly shaped deck with a 14'x23' deck on existing footings. Findings: The project meets all the requirements for issuance of an - -- -----Administrative-Permit-set-forth in-Chapter-275-of-the-Southold-T-own-Code:-The--- - - - - issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Richard M. Suter, Registered Architect, dated October 27, 2015, and stamped approved on February 17, 2016. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. John M. Bredemeyer III, President Board of Trustees John M. Bredemeyer III,President ®��rzs* so �®1 Town Hall Annex Michael J. Domino,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Charles J. Sanders ��yCOUNT`1 Fax(631) 765-6641 ` BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1204C Date: March 3, 2016 THIS CERTIFIES that the as built replacement of existing 14'x23' irregularly shaped deck with a 14'x23'deck on existing footings; At 545 Beachwood Road, Cutchogue Suffolk County Tax Map#1000-116-4-22 Conforms to the application for a Trustees Permit heretofore filed in this office Dated October 30, 2015 pursuant to which Trustees Administrative Permit#8737A Dated February 17, 2016,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 as-built replacement of existing 14'x23' irregularly shaped deck with a 14'x23'deck on existing_footings. The certificate is issued to RICHARD SUTER owner of the aforesaid property. all Authorized Signature FORM NO. 3 NOTICE OF DISAPPROVAL ' DATE:November 23, 2015 TO: Suter PO Box 79 Cutchogue,NY 11935 Please take notice that your application dated November 16, 2015 For permit to legalize an `as built"deck addition to an existing single family dwelling at Location of property 545 Beachwood Road, Cutcho u County Tax Map No. 1000 -Section 116 Block 4 Lot 22 Is returned herewith and disapproved on the following grounds:, The proposed construction on this non-conforming 7,875 square foot lot in the R-40 District, is not permitted pursuant to Article IV, Section 280-18, which states; "No building or premises shall be used and no building or part thereof shall be erected or altered in the Low-Density R-40 District unless the same conforms to the requirements of the Bulk Schedule and of the Parking Schedule with the same force and effect as if such regulations were set forth herein full." Bulk schedu coverage of 20%. Following the proposed construction total lot coverage w ,UH5e 25.7% ` Authorized Signatur CC: file, Z.B.A. Note to Applicant: Any change or deviation to the above referenced application may require additional review from the Southold Town Building Department. y BOARD MEMBERSSouthold Town Hall Leslie Kanes Weisman,Chairperson ti0��0� SQ(/rypl0 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Eric Dantes Office Location: Gerard P.Goehringer G Town Annex/First Floor,Capital One Bank ® �� 54375 Main Road at Youngs Avenue George Horning 'p ( g ) Kenneth Schneider CQUNT, Southold,NY 11971 http://southoldtown.northfork.net — ZONING BOARD OF APPEALS l + TOWN OF SOUTHOLD �1 JAN 27 2016 Tel.(631)765-1809•Fax(631)765-9064 _ 3L GDEFT FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF JANUARY 21,2016 ZBA FILE# 6908 NAME OF APPLICANT: L, D,A,R, Suter SCTM#1000-116-4-22 PROPERTY LOCATION: 545 Beachwood Road(adj.to Great Peconic Bay), Cutchogue,NY SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated December 10, 2015 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated December 18, 2015. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is INCONSISTENT with LWRP policy standards and therefore is INCONSISTENT with the LWRP. The LWRP coordinator was unable to determine if portions of the deck are located in a VE flood zone. However,the original deck was existing with a CO since 1978 and the applicant replaced it, squared it off and reduced the distance from the water. PROPERTY FACTS/DESCRIPTION: The parcel is a non-conforming 7,875 square foot waterfront parcel located in an R-40 zone. The parcel is a waterfront parcel with 60 feet of frontage on Great Peconic Bay. The property runs 40 feet along Beachwood Road. The property then runs +/-215 feet on the East side and +/-228 feet on the West side. The parcel is improved with a two story frame house with deck. All is shown on a survey by Roderick Van Tuyl, L.L.S. dated June 21, 1977 and a site plan by Richard Suter, Registered Architect dated November 16, 2015. BASIS OF APPLICATION: Request for Variance from Article XXIII Section 280-124 and the Building Inspector's November 23, 2015 Notice of Disapproval based on an application for building permit to legalize "as built" deck addition to existing single family dwelling, at; 1) more than the code maximum allowable lot coverage of 20%. RELIEF REQUESTED: The applicant requests a variance for an as built lot coverage of 25.7% where town code permits maximum lot coverage of 20%. .J Page 2 of 3—January 21,2016 ZBA#6908—Suter SCTM#1000-1164-22 ADDITIONAL INFORMATION: The applicant testified that the property's calculated lot coverage has increased since 1975 because of changes to the town code. When it was developed the property had conforming lot coverage. However, the town currently calculates lot coverage using buildable lot area instead of total lot area. Due to the applicant's parcel's proximity to the Great Peconic Bay and wetland, not all of the applicant's property is considered buildable. However, the entire square footage was used to calculate the total lot coverage when the house and deck were originally constructed in the 1978. The applicant testified that the deck was re-built after hurricane Sandy. The shape of the deck changed to a square and the total square footage of the deck remains the same as when it was originally constructed. The applicant further testified that the as-built deck is placed in an X flood zone and not a VE flood zone. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on January 7,2015 at which time written and oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law X267-b(3)(b)M. Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The neighborhood consists of single-family water front homes. The as-built structure has been on the property since 1978 at which time the deck conformed to town code. Re-building the existing deck will not change the character of the neighborhood. 2. Town Law &267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. Due to changes in town code the applicant has pre-existing non-conforming structures on his property. Any change to the structures, other than demolishing them,will require an area variance. 3. Town Law 4267-b(3)(b)(3). The variance granted herein is mathematically substantial,representing 28.5% relief from the code. However, the as-built structures are pre-existing and the applicant only re-built a legal deck. The deck is approximate 12" above grade and is not covered, the rear of the dwelling has two sliding doors and the deck allows safe exit. 4. Town Law 12267-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5. Town Law X267-b(3)(b)(5). The difficulty has not been self-created. The lot coverage on the parcel was conforming at the time the parcel was developed. The lot coverage became non-conforming when the town code changed the formula used to calculate lot coverage. 6. Town Law 12267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a deck while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-13, motion was offered by Member Dantes, seconded by Member Weisman (Chairperson), and duly carried, to GRANT the variance as applied for, and shown on the Architectural plans by David A. Suter dated October 27, 2015 labeled PLAN and the SITE PLAN dated 11-16-15. Page 3 of 3—January 21,2016 ZBA#6908—Suter SCTM#1000-1164-22 Any deviation from the survey, site plan andlor architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s) granted herein as shown on the architectural drawings, site plan andlor survey cited above, such as -alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimus in nature for an alteration that does not increase the degree of nonconformity. Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration, grant an extension not to exceed three (3) consecutive one (1)year terms. Vote of the Board: Ayes:Members Weisman (Chairperson), Schneider, Dantes, Horning. Member Goehringer was absent. This Resolution as duly adopted(4-0). LI—L, Leslie Kanes Weisman, Chairperson Approved for filing / `�6 /2016 Scott A. Fussell SUPERVISOR IM[Ax-ASG IEM IEN T SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORI< 11971 '�y Town of Southold CHAPTER 236 A ST®RMWATER MANAGEMENT WORK SHE ( TO BE COMPLETED BY THE APPLICANT) DOES 7[HES PROSECT INVOLVE, ANY OF ';<'HE IIOILILG)'Varl NG: Yes No (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. ®L4 C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. 0 D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E. Site preparation within the one-hundred-year floodplain 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 in-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 Debartment with your Building Permit Application. APPLICAy r (Property Owner,Design Professional,Agent,Contr or,O�er) S.C.T.M. #: 1000 Date. plat i ict p NAME- G V J 1 I Ct 4 z Z �r16 N Section /e'c[tiio(n' 7B'lock ) L},ot 1 't i �i3nnwrd ee-rt< )Til I3�111LDING DEPAR•)�NE �1 I I:-zfl r)"'-L. Contact Information, _idcMwnc Yuinfu Reviewed By: - - - - - - - - - - - - - - - - - — Date• Propel-ty Address/ Location of Construction Work: ft7t � ,p Approved for processing Building Permit. — 6 ---i4 Stormwater Management Control Plan Not Required. U _4 t Stormwater Management Control Plan Is Required.— (Forward to Engineering Department for Review.) FORM SMCP-TOS MAY 2014 Y APPLICANT S.C.T.M. #: 1000 s� CH"TER 236 (Property Owner,Design Professional,Agent,Contractor,Otter) 116 4 -z--z- oa Stormwater Management Control Plan CHECK LIST NAME. 31 GL'19'T►u,► -jV']�� ecUon Block Lot 4n z S M C P -Plan Requirements- Provide ONE copy of the Building Permit Application. vc.�<v.un p Date: .�,. � �k The applicant must provide a Complete Explanation and/or Reason for not providing 51C ?7/ 1 7 Z — -- ( all Information that has been Required by the following Checklist) 1. A Site Plan drawn to scale Not Less that 60' to the inch MUST YESNO NA If You answered No or NA to any Item, Please Provide Justification Here! show all of the following items: If you need additional room for explanations, Please Provide additional Paper. a. Location & Description of Property Boundaries b. Total Site Acreage. c. Existing-Natural & Man Made Features within 500 L.F. of the Site Boundary as required by§236-17(C)(2). d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. h F_cK 604--f e. Limits of Clearing & Area of Proposed Land Disturbance. j < 0 f. 'Existing & Proposed Contours of the Site (Minimum z intervals) Lj tz g. Location of all existing& proposed structures, roads, driveways, sidewalks, drainage improvements&utilities. h. Spot Grades& Finish Floor Elevations for all existing& proposed structures. 1. Location of proposed Swimming Pool and discharge ring. = T ` j. Location of-proposed Soil Stockpile Area(s). 0 _--- G__V - k. Location of proposed Construction Entrance/Staging Area(s). Inoa I. Location of proposed concrete washout area(s). M. Location of all proposed erosion&sediment control measures, F7= 2. Stormwater Management Control Plan must include Calculations showing that the stormwater improvements are sized to capture,store,and infiltrate on-site the run-off from all impervious surfaces generated by a two(21 inch rainfall/storm event. v- 3. Details&Sectional Drawings for stormwater practices are required for approval. Items requiring details shall include but not be limited to: - a. Erosion &Sediment Controls. b. Construction Entrance &Site Access. �0 c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.) d. Leaching Structures (e. . infiltration basins,swales,etc.) -" 1'()1z LV.,'INE'ERING DEP ;ItTIMEN"l' USE ONLY0 Additional Information is Required. - Reviewed& _ Stormwater Managetnent Control Plan 1s Not Complete. Approved By. — - - - - - - - - - - - - - - - - - - - - - - 1 Stormwater Management Control Plan is Complete. Date: g a,. 1 SMCP has been approved by the Engineering Department. 1 01 l FORM * SWCP Check List -TOS MAY 2014 ;.. ., . LA teI 3 r_ Alam ,vp-1"H T. TERRY ) —� P.O. nw, 1 174 r rOWN CLERK ' �''' Suwlinlrl Nc- .Y {� L; ax (S If,l 7fiS IFi�� I�cIsrRAR or VITALsTnTls"llCs F .., nInRRlnc- OFr•ICI'R _ b0� TcicRlr<rnc (s I lq )(rC. 1 RECORI)s MANAGEMENT OFFICER '�Ol .l FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERIC TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under We Flood Damage Prevent regulations of., the Code of the Town of Southold: "Floodplain Development. Permit /application" ( FDP(93) ) , and "'Certificate of Compliance fir Develcpment in r Special Flood Hazard Area (CIC(93)) . ---------- B:✓V. ()CPT T01A';,l OF SOU-i iOLD Judith T. Terry Southold Town Clerk August 25, 1993 APPLICATION # PACE I of n TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION I GENERAL PROVISIONS (APPLICANT to read and SiIM)7 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. S. 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 eonsont 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 W ATTACHMENTS TO _ THIS APPLICATION ARE,TO THE BEST OF MY KNONVLED GE,TRUE AND ACCURATE. ._ (APPLICANTS SIGNATURE) DATE 2j '- 11 SECT ION 2: PROPOSED DEYELOED PIr ENT �4 comylctcd by APPLICAiN NgI,Ig ADDRESS TELEPHONE APPLI t CIv�o i(mc - -- ----—BUILDER -- - ---- --- ---- — --- -- ENGINEER PROJECT LOCATION: To avoid delay i❑ processing the application, please provide enough information to easily identify the project location_ Provide the street address, lot aumbcr or Icgal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark A skctcb aaacbcd to this appbcation showing the proiccl location would be helpful. 4 S 'eaCNNuD - � � �� FDP(93) APPLICATION PAGE 2OFd DESCRIPTION OF WORK (Check all applicable boxes)- A- STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ❑ New Structure Residential (1-4 Family) O Addition Residential (Mort than 4 Family) ❑ Alteration ❑ Non-residential (Floodproofing? ❑ Yes) ❑ Relocation ❑ Combined Usc (Residential & Commer") O Demdlitioo' ' ❑ Manufactured (Mobile) Home (In Manu- ;I?,Replacement factured Home Park?. ❑ Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill D Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) O Drainage Improvements (Including Culvert Work) /J ❑ Roar, Street or Bridge Coauruction j / ❑ Svision (Now or Expansion) i O Ir dual Water or Scwcr System J ' ❑'Other (Please Specify) After completing SECTION 2, APPLICANT should submit form to Local Administrator for review- SEC'T'ION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMIMSTRATOR) The proposcd development is located oo FIRM Pancl No. . Dated The Proposed Development: ❑ Is NM located in a Special Flood Han d Arca (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Ls located in a Special Flood Hazard Arca. FIRM zone designation is 100-Year flood cicvatioo at the silt is: Ft. NGVD (MSL) O Uaavailablc O Tbc proposcd development is located to a floodway. FBFM Pancl No. Datcd ❑ Scc Sr_cuon 4 for additional instrucnons SIGNED DATE APPLICATION # PAGE J OF 4 SECTION 4: ADDITI NAI- INFORMATION REQUIRED To he com Ieted by L CALADMINIST•RATOR The appficam must submit the documents checked below before the appbcalion can be processed: ❑ A site plan showing the location of all casting structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑Development plans, drawn to scale, and spcciftcations,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 floodproofing of utilities located below the First floor and details of enclosures below the first floor. Also ❑Subdivision or other development plans(If the subdivision or other development exceeds So lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations if they arc not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations_ ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofing protection level (non-residential only) Ft:NGVD (MSL). For floodproofcru d stctures,applicant must attach certification from rf.gistered engineer or - architect_ ❑ Certification from a'registered engineer that the proposed acdvit' 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. ❑ Ocher- SECTION therSECTION 5 PERMIT DETERMINATION fro be completed by LQCL ADMINISTRATOR) I have determined that the proposed activity. A.O Is B. ❑ 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 BQX A is checked, the Local Administrator may issue a Development Pcrmlt upon paymco( of designated fee If BQX B is checked, the Local Admlrnistrator will provide, a written summary of defietenucs Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals 'r. APPLICATION ff PAGE 4 OF 4 APPF 415. Appealed to Board of Appeals? O Yes O No Hearing date: Appeals Board --- Conditions SECTION 6: AS BUILT 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 professioga] 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 Hitrh Hazard . Areas bottom of lowest structural member of the towest floor, excluding piling and columns) is: FT. NGVD (MSL). L Actual (As-Built) Elevation of floodproofing protection is Fr. NGVD (MSL). NOT' : Any work performed prior to submittal.of the above information is at the risk,of the Appl/:can L. /L f / ; SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL. ADMINISTRATOR will complete this section as applicable based oa inspection of the project to ___ __— cnsur_c_compliance vrith_the_communit}r._s_local_La�[or Qood_damagc prevention. 1NSPP-=ONS: DATE BY DEFICIENCIES? O YES O NO DATE BY DEFICIENCCES? O YES ❑ NO DATE BY DEFICIENCIES? O YES O NO SECTION 8' CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMiNISTRATORI Certificate of Compliance issued: DATE: BY: Attachment B ! BAMP,i,E / CERTIFj CATE /�F COMPLIANCE / II it ial Flood Hazard Area for Development! in a Spec r_ , i 1i TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA rnvcn.r�rz�rri�T rrrTatN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: D NEW BUILDING O EXISTING BUILDING 0 VACANT LAND .s f .1 THE LOCA-, ADMINISTRATOR IS-TO COMPLETE A. OR B. BELOW: --- --- A. C-O-MP-L-1-A.NCE-IS-HEREB_Y__CER-='-FD WITH THE REQUIREMENTS OF LOCAL 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 ) t4 rrte 4gr..... ,4:9WWI R • t. § T.F— vy vvw WWWWWums 4ja RIM ROM— qq 4,6$, m ja - .'Y Re-net,W.. MAP oi,=, PEn -4 HIS Who 'v 11,vv,w A FW 7— Aa If.q mot 1AA r. ........... _j U OrN' non W, 144"W? TANIv KD :4 Whav - I VOW- MAE is X.— "p, g "W V"i, dA[ A A ilk -0 /Z. 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JN C.1�p! V 0 h h h - -— _ COMPLY WITH ALL CODES OF - _� - R _E ;�; a a NEIN YORK STATE & TOWN CODES — # �Lj 2 AS REQUI ED AND CONDITIONS OF � - �.P. FEEDATE.: � U Y._SOUTHOLD TOWN zBR NOTIFY BUILDIN( , DF ARTM AT Cal M wvwiijOtB 765-1802 8 AM O A PM F AQuli3 _ E jk 1 TW0 R S POURED CONCRETE OUGH-. FRAMING & PLUNAIBING- 3. INSULATION FINA - Cv-4A' d n FINAL e CONSTRUCTION MUST e- � tt�� BE COMPLETE FOR C.O. r I L CONSTRUCTION SHALL MEET THE A '•OUIREMENTS OF THE CODES OF NEVI/ c RK STATE. NOT RESPONSIBLE FOR f ,.- SIGN OR CONSTRUCTION ERRORS. OCCUPANCY OR USEISUNLAWFUL WITHOUT CERTFICATE a t t . i - r ,Yi ;,,� 1rl c. t., Ik T _7r'S . 3