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HomeMy WebLinkAbout40612-Z spfFat ' c��� Town of Southold 12/19/2016 P.O.Box 1179 v' 53095 Main Rd e�r��► ��p� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38717 Date: 12/19/2016 THIS CERTIFIES that the building ACCESSORY Location of Property: 3780 Orchard St., Orient SCTM#: 473889 Sec/Block/Lot: 27.-3-3.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/14/2016 pursuant to which Building Permit No. 40612 dated 4/13/2016 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: ACCESSORY STORAGE SHED AS APPLIED FOR The certificate is issued to Mayer,Theodore of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40612 09-22-2016 PLUMBERS CERTIFICATION DATED OhoCr Signature FFnt� TOWN OF,SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE �y�• 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#: 40612 Date: 4/13/2016 Permission is hereby granted to: Mayer, Theodore 4 Pryer Manor Larchmont, NY 10538 To: construct accessory storage shed as applied for with flood permit. At premises located at: 3780 Orchard St., Orient SCTM # 473889 Sec/Block/Lot# 27.-3-3.5 Pursuant to application dated 3/14/2016 and approved by the Building Inspector. To expire on 10/13/2017. Fees: ACCESSORY $176.80 CO -ACCESSORY BUILDING $50.00 Flood Permit $100.00 Total: $326.80 B ilding In r Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN [-TALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or milt and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. C6py of-Certificate-of Occupancy-$ 23 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. Mai. /201 (0 New Construction: v Old or Pre-existing Building: (check one) Location of Property: 3 1 �D L9 rGY1�<� House No. , Street �p Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 2-7 Block Lot 3 • 5 Subdivision 1 2e a, � o 1? 5 Aa e 1, Filed Map. d:i_3 Lot: J Permit No. 40� Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) � Fee Submitted: $ ,2)� 8U o Applicant Signature SO�Ty®� 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road crs Fax(631)765-9502 P.O.Box 1179 ® aQ roger.riche rt(-town.southoId.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Mayer Address: 3780 Orchard Street City: Orient St: New York Zip: 11957 Building Permit#: 40612 &40306 Section: 27 Block. 3 Lot: 3.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: BJ Electric License No: 2670-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage - INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks Disconnect Switches Twist Lock Eat Fixtures TVSS Other Equipment. Inground Swimming Pool to Include; Bonding, Control Panel, 2- GFCI Circuit Breakers, Heat Pump, 8- Low Voltage Pool Lights, Cover Motor and Switch. Notes: Pool Shed - 1- Sub Panel, 1- Receptacle Inspector Signature: cW�- � Date: September 22, 2016 0-81-Cert Electrical Compliance Form.xls qbOy oF so�lyolo cou 1 N TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] VISULATION [ ] FRAMING / STRAPPING [Vf FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: l �n OYw\ pYAUINAJ tAah 1b IhS 1 DATE INSPECTOR cOUNi`i?�c� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RE ISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELE RICAL (FINAL) REMARKS: O KI Ov- 76� L) - LIA u DATE INSPECTOR ('y��^i� IW�'u `3�'�il' ' t� !: r o. . ! . r i s• 1_ MIMI r: t STATE nNEROY • ! �1��,off - ''� ► � ... "' , ��_ --mmi Mot • r 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 J Suryey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. ® Trustees � C.O.Application Flood Permit Examined ,20A�o Single&Separate BAR 2W6 0 -_ Storm-Water Assessment Form 2z Contact: 7 r Approved J ,20�j BiTII.DWG DEPT. leo: Disapproved a/c TOWNOB SOUMOLD Phone: Expiration 3 ,20 BuiNjag InsKeetor APPLICATION FOR BUILDING PERMIT Date &rC} , , 20 16 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the,work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations,for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ( 'gnature 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 L,N45CTP-e DeS 4,K,4V Name of owner of premises _VlAta�dYe- V�la�,e� 2ti� d��¢r� &y CN xf (As on the tax roll or lates 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. qtq a 3 — l 1. Location of land on which proposed work will be done: 31 SO OY(,Kc�'d Sfi►reef 0 iri errt - House Number Street ,r Pe 2 _ Hamlet County Tax Map No. 1000 Section Block,;<.r:nr �,:. Lot Subdivision 13 emo'&hiS Acle i Filed Map No. 6 7 3 Lot 5 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 1f _ zVe (Description) 4. Estimated Cost Z �`/0 € ea (T6jUe paid on filing this application) 5. If dwelling, number of dwelling units ' °' Nuta r of dw,Mlling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, spe4' -1C attire and e e j,o 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 Z Rear 1 2 Depth t6 Height If Number of Stories i 9. Size of lot: Front 5 6 . �!U Rear q �.551 Depth `56- 37 10. Date of Purchase 3 I Z D 12 Name of Former Owner d�1`C�r,e l Lo�eZ 11. Zone or use district in which premises are situated Res I j Acf a I 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 T6A�912#iaf IVIS WAddress 5130 0y4akid- it. Phone No. 00 N 550 56 y Name of Architect ', Address s 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 J NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF 5u 1k TO`� 1)I�d being duly sworn,deposes and says that(s)he is the applicant (Name of1idividual signing contract)above named, (S)He is the S C 6 —De S` ev' (Contracto ,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 t before me this day of I V IQLrCY 1 20 (p TRACEY L. DWYER Notary ublic NOTARY PUBLIC,STATE OF NEW YORK S n ture of Applicant NO.01DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30.2±!L TQ{ ' '2 Scott A. Mussell ��;�� '' STO]KM[WAT]E K SUPERVISOR % �; �� MANAGEMENT SOUTHOLD TOWN HALL-P.O.Box 1179 r 53095 Main Road-SOUTHOLD NEW YORK 11971 rN�� Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑C7] A. Clearing, grubbing, grading or stripping of land which affects more 11 than 5,000 square feet of ground surface. El[21 B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑1� C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑F� D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑Q E. Site'preparation within the one-hundred-year floodplain as depicted - - - -on FIRM- -M-a-p--of any-wat-e-r-course.----- ❑ 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 Department with your Building Permit Application. APPLICANT. (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date: 1( Dutnct r NAME Y O 11�I 1�C O� Z' -J �J• J0/1 7 31 (Pr'n'i Section Block Lot 'r,`\ \l FOR BUILDING DEP:�1�1'. -,NT USE ONLY "" Contact Information �+31 -"� `I-217,0 -r<i<vho.<w,nnxa Reviewed By: 14 Nqu / — — — — — — — — — — — — — — — — — — Date Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — - - -------- ---- --- -- -- - --- ------- - -------- - —Approved-for-processing-Building-P-er-mit----- Stormwater Management Control Plan Not Required — — — — — — — — — — — — — — — — — ❑ Stormwater Management Control Plan a Required (Forward to Engineering Department for Review.) FORM * SMCP-TOS MAY 2014 _ a-J(DU 0- ,t .�P43HT. TERRY I n -n 11��11. S 1Out Nlaitt N r� P O_ nox 1 17() ')'OWN CLERK �' � �: Southold Nc«• 1 urk .✓ Fax (S 1 6) 7fiS-1 R?x I�CIS("Rnfi Of STN.STnTIS11Cs •� O MARRIAGE. OFFICI'R Tcicphonc (S 16) 76S. 1 1 f RECORI)s MANAGEMENT OI- ICEII .1 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 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)] . o GC�[�OdC - - • I_ APR 13 2016 TOWN OF SO;J-PiOLD I • BUILDING DEPT. TOWN OF SOLIMOLD h T. Terr Y Southold Town Clerk August 25, 1993 APPLICATION f PAGE I of 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 sip—)- 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 C:ompGance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE,TO THE BEST OF MY KNOWLEDGE,TRUE AND ACCURATE. .f (APPLICANT'S SIGNATURE) DATE l Z® I 6 i SECTION 2• PROPOSED DEVELOPMENT (To be completed by APPLICANTI NAME E ADDRESS TELEPHONE - APPLICANT rJ ZMb S+• &Pear&/✓ N't 6131-IM-Z170 BUILDER ENGINEER PROJECT LOCATION, To avoid delay in processing the application, please provide enough information to easily idcuffy 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 yell-known landmark A sketch attached to this application showing the project location would be hclpful- ( -1 � Q 0r-60 S`F UIrieu� -5 C'T k it 17-5 'i�1''i Se e I t7'-Ic t. 2 -3- 3.5 FDP(93) I APPLICATION wy PAGE 2 OF d DESCRIPTION OF WORK (Check all applicable boxcs)- A STRUCTURAL DEVELOPMENT ,ACTIVITY STRUCTURE TYPE lJ ew Structure Residential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) -- —C3—Aleration— ❑ oo-resi en 'al (Ftoodp�ooFine—❑��sj— ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park?. ❑ Yes) ESTIMATED COST OF PROJECTS B. OTHER DEVELOPMENT ACTIVITIES: ❑/Fill O Mining ❑ Drilling M Grading fl Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ,s ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Sower System ❑ Other (Please Specify) After completing SECTION-2,-APPLICANT should-submit-form to-L-ocal-Admiaistrator for-rcview, SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposcd dcvclopmcnt is located on FIRM Pancl No. , Dated The, Proposed Development: ❑ Is NOT located in a Special Flood Hazard Arca (Notify the applicant that the application review is complete and NO FLOODPLALN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Arca. FIRM zone designation is 100-Year flood elevation at the site is` Ft. NGVD (MSL) ❑ Uaavailablc ❑ Tbc proposed dcvclopmcnt is located In a (loodway. FBFM Paocl No. Datcd ❑ Scc Scctlon 4 (or additional Instrucnoos. SIGNED DATE 0 APPLICATION ?V PAGE 3 OF 4 SECTION d ADQfTIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMINISTRATOR) 1 The applicant must submit the documents checked below before the application can be processed: ❑ A site plan sbowing the location of all cxuting structures, water bodies, adjacent roads,,lot dimensions and proposed development. ❑Development plans,drawn to scale, and specificatioru,including where applicable:details for anchorjng_s_truuura,_p RQs_�d�levalion of lowest floor(including basement), types of water resistant materials used below the first floor, details of floodproofing of utilities located below �tbe first floor and details of enclosures below the first floor. Also ❑Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑Top of new fill elevation Ft. NGVD (MSL). Ft:NGVD (MSL). For ❑ Floodproofmg protection level (non-residential oily) ( floodproofed structures, applicant must attach certificatio J from registered enginecc or - architect. ❑ Certification from a registered engineer that the-propo.aa d activity in a regulatory floodway will not result in any increase in the height of the 100-year-flood. A copy of alldata and ---- ----- --calculations-supporting-this ltnding must also be submitted. ❑ Other. SECTION S PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A. ❑ Is B.❑ Is not in conformance with provisions of Local Law if . 19 The permit is issued subject to clic conditions attached to and made part of this permit. SIGNED DATE If BOX A i5 checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Admirustrator vnll provide a written summary of dcficicnfrom the Board of Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from Appeals APPLICATION �+ PAGE 4 OF 4 APPEAIS. Appealed to Board of Appeals? ❑ Ycs ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No 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 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: Fr. NGVD (MSL). 2_ Actual (As-Built) Elevation of floodproofmg protection is - Fr. NGVD (MSL). NOTE: Any work performed prior to stY mitral of the above information is a( the risk of the Applicant. SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINTSTRATORI The LOCAL ADMINISTRATOR 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 ,SECTION 8' CERTIFICATE-OF COMPLIANCE(To be completed by LOCAL'kDNITNISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B I SAMPLE CERTIFICATE OF COMPLIANCE i 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: ❑ NEW BUILDING ❑ EXISTING BUILDING ❑ VACANT LAND s _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. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C /C ( 93) TOWN OF SOUTH®L® PROPERTY DECOR® CAR® OWNER STREET 3 so VILLAGE DIST. SUB. 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' " u ■iiiiiiiiiii�liiflf�iiia�■ NOOiiiii��i���iii��i, �iiiii . ■i■MEN iiiiiii�■�i������'-���iiii� ■iiiiiiiiiiiiii�ii�li�iiii ■iii�SON iiiiiii�iil ino MEN ME ■��iiMiOMEN ON ME ■iiiiiiiiiiimom OMEN ii ■iiiiiiiiiiiiiiNimom OMEN NONE MEN ONO MOON ENOS NOON __ ■��ii��ii���i�i�i��i LR_ • J , , D ■ • + pill • M ♦ r SCTM NO DISTRICT 1000 SECTION 27 BLOCK 3 LOT(S)3 5 vest. .9 LOT 4 $, LOT 5 O`bbP s+o nR�tmRY 'e '4 �r+ R:: s°"` O moi 4 F \ yea, 4�\ Ae e !ROOF UvERW.(N�Cr_ 0��Q���c �� V ♦�"V�� ,O(P ENCl1p OSEO'J LOT 6 sp SHOWER SiORnGE A� SJJ\ o'gFFRtiecrs r JPS\ KING ST�E�� 5 RESTRICTED AREA c„ THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL �y0,h SHOWNLOCA 77ONS FROU AS SHOWN ON AND OR DATA OBTAINEDFROM FIELD OBSERVATIONS FILED MAP AREA 72,650 SQ.FT. or 1.67 ACRES ELEVATION DATUM _________________________ \ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A"VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN ONLY" THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION PAS +"� LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE A lip THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES ADD177ONAL STRUCTURES OR AND 0774ER IMPROVEMENTS EASEMENTS CJr06 AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY G- SURVEY OF LOT 5 CERTIFIED TO THEODORE VH MAYER, MAP OF BEAUJOLAIS ACRES MARGERY MAYER, O� FILED APRIL 14, 1976 No 6373 OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY, SITUATED AT ORIENT TOWN OF SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC tD SUFFOLK COUNTY, NEW YORKJ Professional Land Surveying and Design ��"�J`/�t P.0 Box 153 Aquebogue, New York 11931 Z� FILE 12-87 SCALE 1„=50' DATE JULY 25, 2012 PHONE(831)298-1588 FAX(831)298-1588 N.YS LISC NO 050882 m,inwining Ne retard,or Robert J.Hennessy&Ren-th M woyehuk Y - 'JI T X _ i NIP a 3780 • St Google earth V c � 141 C 2016 Google Gjo Ie earth feet1 300 x meters 100 °` , A .. Yv 0 ,"- 00 O N 'AP ROVED AS NOTED DATE: 1 f 3A 6.P.it FEE: I BY: NOTIFY BUILDING DEPARTML AT RETAIN STORM WATER RUNOFF 765-1802 8 AM 1-0 4 PM FOR THE PURSUANT TO CHAPTER 236 FOLLOWING INSPECTIONS: OF THE TOWN CODE. 1. FOUNIDATION - T VV0 REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST ®®D zow- -AtE- BE COMPLETE F011 C.O. COM-PLY WI TO CHAPTER 1 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW FLOOD DAMAGE.E PRE` ELATION YORK STATE. NOT RESPONSIBLE FOR SOUTWXD TOVeWCOW— DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF �4141 X0T9 S8QTHUL-V I VM PLA ifll UM TS lvrl c� OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ELECTRICAL INSPECTION REOUIRED o� `-a- CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA AS PER NYS RESIDENTIAL CODE R 301.2.1.1 PRESCRIPTIVE DESIGN WIND LOAD—120 MPH FOR THREE SECOND GUST EXPOSURE ZONE "B" GROUND WIND SEISMIC ICE SHIELD SNOW SPEED DESIGN WEATHERING FROST LINE DEPTH TERMITE DECAY WINTER DESIGN TEMP. UNDERLAYMENT FLOOD HAZARDS LOAD (MPH) CATEGORY REQUIRED 20 120 B SEVERE 36" (TOP) M to H S to M 11 YES 1984/1988 D [E(gR0'v[E DD APR 1 2 2016 BUILDING DEPT. TOWN OF SOUTHOLD 110000ET I TIT-7- W ! , 4 I I ! 7 CEDAR 5BAKE5 5IVtNG.TYF F WOOD STEP 16,01, sI DE c-L-F-VA'T ION FRONT CtEVATtoN 510E ELEVATION RooFit4r,-ro MATCH HOMFe-` i)(% Ftr)Gr-l5f-AK CEDAR 5hAv,F;5 ON r-E-IDAr, T 2X 6 R.KA FT E.'K 5 r U; (z)Z)tIoHEADFK (L)7-X-1 TOP FLAITE MOt4OLITHIC �51—ATS-014-bi"DF— FOON bATION -ro TOP PLATF Hu"Ic A.IN CUVS EA Khf-Tr- r-oNV,jeCTVoN 'I"SLAbTHicKNES's oN 6v--I miambKANE. I ON 5AND f5ED AND COPI FACTrED 501 L I 12'0" 2X9-WALL 5TUP5,f7C?05E.'D No INSULATION FIXED 2K5 RIDGE SCAM I/x"TRT'D LUX SHEATHING 3; lXq CCA SILL TMMiTE5,IE.LDAND SILL SEALER R AT Wo"O.C. w#s Tulso,Hofuz CONT 1 Z,8n DF R--s6 It 2��/l 27zy�� V r.FOUNDATION WALL WITH C -�IN0005 WATERPROOF EXTERIOR ON OFFOi3t4VATtONVVALU5F-LOWGPAr'Dpr-7 7LOON PLAN :5'TOAA(7C 5"ED H y,16"'A F,C,FT(a.WITH ji 'N ?( t KEY AT CENTP-MILl N F- E-REDq FOUNDATION PLAN A - MAYER RESIDENCE . 4" POURED MONOLITHIC CONCRETE SLAP W1 6X6 10/10 WWM L R /( 3780 ORCHARD STREET, ORIENT, NY SECTION STRENGTH = 3000 PSI AT 2-8 DAY ASTM C-94 READY MIX CONCRETE. c-lA STORAGE SHED ALL FOOTINGS, FOUNDATIONS, ETC.,SHALL REST ON UNDISTURBED SOIL. ' FLOOR PLAN, SECTION, ELEVATIONS ALL FOOTINGS AND FOUNDATIONS SHALL BE FORMED. POLLY DIXON PATE: 1/12/2016 OPNEYVi SCALE: Y+" - V-O" Arb . . . . 9 ® 14 . f*) - . . . . . . . 4b rS4 E1 d� 1 � 10 �0' 1 lb"1 C� fo RAS. FENCE a a� RRICK WA 2 rTy. F RM- A t3780 c ") n b O� E Oil- 07 O coo b OUT ti E1W t 4 �S w t MAYER RESIDENCE HEDGE AN POOL- 3780 ORCHARD STREET, ORIENT, NY SITE PLAN POLLY PIXON, DESIGNER 4'clAAIN LINK �TaNE 5TEY3 DATE: 1/12/2016 f NCF , ._ P-tCEtvN)AL-5 -SCALE: , 1 - 1 -D I I � LAW N 0 ' SE.T'f3A�K ' ' �_ zo'x oto' GvNtTE PooL- - ST OMU r ' I SHOD 1. . • PRQPOSE� • , 11 - STORAGE. SH E ?,wESTONF- CAPING i a _ - - �y'6RRACF. i 1tAm P i . 1ttd���a i �M � � • ,