HomeMy WebLinkAbout41014-Z guFFnt�o Town of Southold 12/28/2016
C3P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38730 Date: 12/28/2016
THIS CERTIFIES that the building DECK
Location of Property: 60125 North Rd Unit 4C, Greenport
SCTM#: 473889 Sec/Block/Lot: 44.1-1-15
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/16/2016 pursuant to which Building Permit No. 41014 dated 9/26/2016
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:
DECK ADDITION TO AN EXISTING CONDO (UNIT 4C)AS APPLIED FOR
The certificate is issued to Michel,Robert
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
OhorU Signature
FEoly, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
P��,• SOUTHOLD, NY
.sol
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#: 41014 Date: 9/26/2016
Permission is(hereby granted to:
Michel, Robert
5 Island Ct
Port Washington, NY 11050
To: replace existing deck addition as applied for with flood permit per Trustees.
F
At premises located at:
60125 North Rd Unit 4C, Greenport
SCTM # 473889
Sec/Block/Lot# 44.1-1-15
Pursuant to application dated 9/16/2016 and approved by the Building Inspector.
To expire on 3/28/2018.
Fees:
Flood Permit $100.00
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $261.20
CO -ADDITION TO DWELLING $50.00
Total: $411.20
Bui pector
Fo<<n No 6
TOWN 0 SOU-rR0f-0
BUILDING DEPARTMENT
TO WN RAL,L
765-1802
APPLICATION FOR CER'T'IFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A- For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form)-
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead-
5. Commercial building, industrial building, multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
im
Swming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy oTCirtr fey ofDcciipancy=$:2 - �- --
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. Swrapafia, �
New Construction:` Old or Pre-existing Building: 4� (check one)
Location of Property: Go lag 4C C(k Lt5( Do f T
House No. Street Hamlet
Owner or Owners of Property: C—k+
GIC
Suffolk County Tax Map No 1000, Section l;&, Block. 1 Lot
Subdivision l Filed Map. Lot:
Permit No. 1 �I Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
--- -- - - - ---------------------–--
------ ----- --- ---------- ----- ---- - - -- ----- --- --
Fee Submitted:
p licant Signature
lID�� pE SOUly�lo
coutom,N
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] I ULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: fl"teg IrPViDins
,VV-f JJ
DATE WE INSPECTOR
FIELD INSFE=QN ICEVOR'r D= COty S
FOTJN?ArftoN (IM
Fo'cTND�TxON'(2N1�) '�
5
OUGH & �,
R �'RA�I1�t71`i�
�LUMBIN'G •--,
1NSTTLATSON PEA N.Y.
STATE ENE G. Y CODE
A.
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1 1FiNAL
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1
W1k OF SOU THOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. a Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
6— Flood Permit
Examined ,20 Single&Separate
Storm-Water Assessment Form
Contact:
Approved q 20 Mail to: JO&J- 010�615
Disapproved a/c
Phone:
Expiration 0 20
D Bu pector
U ,
A CATION FOR BUILDING PERMIT
SEP 16 2016 �
Date S¢n-1~r m6f 7- , 20 _
BUILDING DEPT- INSTRUCTIONS
�
19WVJHOLD
a. This ap i a completely filled in by typewriter or in ink and submitted to the Bn"ng.4nspector*ithA
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. ,, 1, _• ;;,,. ;14. ,,, "',,,
e.No building shall be occupied or used in whole or in part for any purpose what so everi•,until the Building inspector-
issues a Certificate of Occupancy. t =
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,ofa 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.
WAjg�����
(Sign re of applicant or name, if a corporation)
(Mailiti ,address of applicant)
State whether applicant is owner, lessee, agent, architect, engineers general contractor, electrician,plumber or builder
Name of owner of premises RObeft M r Cka
(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. Lt t C
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
�I11s C a(M GLft"drl-
House Number Street Hamlet
County Tax Map No. 1000 Section (*4.0 Block t
Lot 5
Sur,division SCQ 6 r�Qt6 �r has �'o nd o m n ar,ns Filed Map No. Lot 4 C
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy COndo W r-r h b ad c k
b. Intended use and occupancy Condo Wilk' R-q laced ncc Ih
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition 1/ Other Work Reface, Qrrd-, it, K;Ad
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor A17AA
If garage, number of cars A//A-
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front_U t-3') Rear 1G t-3' Depth 10'
Height Sr' - q '/ " Number of Stories 41/4
Dimensions of same structure with alterations or additions: Front 161-Lith.1 Rear 16ii lhll
Depth 5'- 11 '/,4" Height �'-5'/,'-' Number of Stories WA
8. Dimensions of entire new construction: Front W-11`/sRear l r.'-lI /�,�I Depth 01 '-10/4"
Height �'- 5 '/z" Number of Stories MIA
9. Size of lot: Front ULG$ 1 Rearms 4S.Sr 01 ' Depth !=t 3S ,poo
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated dC�n$►moi G51 Jenna 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 Rdg rr Mickel AddressGb11S C111t1G«raLrt Phone No. C51G) Lgc a�
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__V-
* 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 V/ NO
* IF YES, PROVIDE A COPY.
CONNIE D.BUNCH
STATE OF NEW YORK
Notary Public,state of New York
SS: No.01 BU6185050
COUNTY OF SL)F UC— Qualified In Suffolk County
Commission Expires April 14, 0
JDA10 CttAM Be(Z5 being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the / I-er" _3
(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.
S orn to before me this n
(p ` day o f- /r 20) ,
Notary Public S gnature of Applicant
. Mx
Scott A. Russell , � `r�; 5TO IR IM[WAT]EIK
r
SUPERVISOR I��l[A\NA��Gt1EI�\I1EN`]F
SOUTHOLDTOWN HALL-P.O.Box 1179 �^.� outhold
53095 Main Road-SOUTHOLD,NEW YORK 11971 ��fO �Ja Town ofSouthold
CRAFTER 236 e STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
(CHECK ALL THAT APPLY)
` Yes No .
A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑Ed'B. Excavation or f illing involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑12/C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
i ❑dD. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑ted" E. Site preparation within the one-hundred-year floodplain as depicted
- -t
-on-FIRM-M- ap--of any waw--eeurse:
❑b�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
District
NAME Jfin n cKam ('f S Section Block Lot
FOR Bti1LD1NG DEPAR-rM1;NT DSL' ONLY
Contact Information: �� �• y' ��
•rin,noM vo,,,x,r
Reviewed By:
— — — — — — — — — — — — — — — — — —
Property Address/ Location of Construction Work: — — — — —Date: — — —
Approved for processing Building Permit.
ca1{' C Stormwater Management Control Plan Not Required.
G, ftrrn %a r'1 Af El
Stormwater Management Control Plan is Required^
(Forward to Engineering Department for Review)
FORM " SMCP-TOS MAY 2014
SO NA-
Town Hall Annexf�� Gym Telephone(631-1802
54375 Main Road c s Fax(631)734-9502
P. O. Box 1179 C Z
Southold, NY 11971-0959
BUILDING DEPARTMENT
NOTICE OF UTILIZATION OF TRUSS TYPE_ CONSTRUCTION, PRE-ENGINEERED
WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION
Date: 5Qet em ban I TLh ki
Owner. Pr
berr M;crtir I
Location of Property:G0(a ai- (R Tit GCeTorr
Please take notice that the (check applicable line):
New residential structure
Addition to existing residential struc(ure s
Rehabilitation to an existing residential structure
' 4
to be constructed or.performed at the,subject property.reference above will utilize,
(check applicable line):
Truss type construction (TT)
Pre-engineered wood construction-(PW)
Timber construction (TC)
in the following location(s) (check applicable line):
Der - Floor framing, including girders and beams (F)
Roof framing (R)
Floor and roof framing (FR)
Signature: 1404�
-
Name (person submitting this form): _'/qohef- (i✓;Is"
Capacity(check applicable line):
Owner
e/ Owner representative
TrussResReg15.d0cx Effective 1112015
John M.Bredemeyer III,President �' 3°� Town Hall Annex
Michael J.Domino,Vice-President ' 54375 Route 25
5 � " P.O.Box 1179
Glenn Goldsmith ` y=;:; Viz*;_ °�
Southold New York 11971
A.Nicholas Krupski
`"• �° ,yam Telephone(631) 765-1892
Charles J.Sanders �� COMM Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 8846A
Date of Receipt of Application: June 17, 2016
Applicant: Sea Breeze Village Condominiums c/o Edmund John Tiedemann
SCTM#: 1000-44.1-1 (Lots 1 — 16)
Project Location: 60125 Route 48, Greenport
Date of Resolution/issuance: July 20, 2016
Date of Expiration: July 20, 2018
Reviewed by: Board of Trustees
Project Description: Replace the existing seaside decks on all 16 condominium
units;,for Units 1A; 1 B, 1C, 2A, 213, 2C, 3A, 313, 3C, 4A, 413, and 4C construct a
proposed 139sq.ft. upper deck with a 13.7sq.ft. stair landing, and 41.69sq.ft.
staircase to ground; Unit 1 D construct a proposed 240sq.ft. upper deck, a
13.7sq.ft. stair landing and a 41.69sq.ft. staircase to ground; Units 21), 31) and
4D construct a proposed 205.8sq.ft. upper deck, a 13.7sq.ft. stair landing, and a
41'.69sq.ft. staircase to ground.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
project plan submitted by Joan Chambers, received June 17, 2016, and stamped
approved on Ju9y 20, 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.
r -
John M. Bredemeyer, III
President Board of Trustees
John M.Bredemeyer III,President j Qq Sorry Town Hall Annex
Michael J.Domino,Vice-President ��� Olo 54375 Route 25
Glenn Goldsmith t P.O.Box 1179
Southold,New York 11971
A.Nicholas Krapski
® O Telephone(631) 765-1892
Charles J.Sanders Y Fax(631)765-6641
leou
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 1297C Date: December 14,2016
THIS CERTIFIES that replacement of the existing seaside decks on all 15 condominium units;
for Units lA 1B 1C 2A,2B 2C 3A, 3B 3C 4A,4B, and 4C,constmci a proposed 139sa.ft.
_,upper deck with a 13 7sq ft stair landing,and 41 69sq ftstaircase to ground;Units 2D,.3D_and
4D construct a prop6sed 205.8sq ft upper deck_ a 13 7sq ftstair landing and a 41.6 MI.
staircase to ground,unit 1D SCT M•#441-1-1 (no construction performed that was-applied for);
At 60125 Route 48, Greenport
Suffolk County Tax Map#1000-44.1-1-2-16
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated June 17,2016 pursuant to which Trustees Administrative Permit#8846A
Dated July 20,2016, 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 replacement of the existing seaside deeks.on all 13 condominiumtunits;for Units
1 A, 1 B 1 C,2A,2B, 2C,3A;A 3 C,4A 4B and 4C construct a proposed]32%.ft.upper deep
with a 0.7s ft stair landing, and 41 69sq fl staircase to around• Units 2D;3D-and 41),construct_
a proposed M.8sa Aft rigperdeck, a 13 As ft stair landing,and a41.69sq f.:Aalicas do ground,;f,;
Unit 1D SCTMV44 1=1-1 (no construction performed that was yapplied�f6!J�
The certificate is issued to SEA BREIIZE VILLAGE CONDOMINIUM'twngrs,of the
aforesaid property.
.
78
Authorized Signature
APPLICATION w
PAGE i of 11
TOWN OF SOUTHOLD
I1LOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be filled out in duplicate-
SECTION 1 GENERAL PROVISIONS (APPLICANT to read and silm):
1. No work may start until a permit is issued.
2- The permit may be revoked if any false statements are made herein_
3. If revoked, all work must cease until permit is re-issued.
4. Development shall not be used or occupied until a Certificate of Compliance is issued.
5. The permit will expire if no work is commenced within six months of issuance.
b. 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.
$. i,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO
THIS APPLICATION ARE,TO THE BEST OF MY KNOWLEDGE,TRUE AND ACCURATE.
(APPLICANTS Sfb*ATURE) DATE
-
SEQ110N 2: PROPOSED DAPMENT be completed by APPLICM
NAME DRES TEL PH NE
APPLICANT T61%.)
GfB � ��SI3t21 C�N08�- (/O3�Z2 `��
BUILDER cJsJ�Qvt✓.. J aS000deck Sun igk.2z .CdM
ENGINEER
Dt✓� _ NM-C(VCK-
ei2
,PROJECT LOCATION:
• To avoid delay in processing the application, 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 showing
the project location would be helpful.
FDP(93)
APPLICATION �
PAGE 2OF4
DESCRIPTION OF WORK (Check all applicable boxes):
A. STRUCTURAL DEVELOPMENT
ACTIVITY STRUCTURE_ TYPE
❑ New Structure ❑ Residential (1-4 Family)
--- — ---- ❑ Addition O-Rcstacntial-(Nlt�re-tftan-4-Family) -- –.---_--
❑ Alteration Q Non-residential (Floodprooftng' ❑ Yes)
0 Relocation ❑ Combined Use (Residential & Commercial)
❑ Demolition ❑ Manufactured (Mobile) Home (1n Manu-
�KReplacemcat factured Home Park? ❑ Yes)
TA5U/_.S
ESTIMATED COST OF PROJECT S
B. OTHER DEVELOPMENT ACTIVITIES:
0 Fill ❑ Mining O Drilling 0 Grading
❑ Excavation (Except for Structural Development Checked Above)
0 Watercourse Alteration (Including Dredging and Channel Modifications)
O Drainage Improvements.(Including Culvert Work)
❑ Road.Street or`Brtdge Construction
❑ Subdivision (New or Expansion)
❑ Individual Water or Scr System Q -
❑ Other (Please Specify)`
ON 2, APPLICANT X should submit form to Local Administrator for review.
After completing SECTI
E ION 3: DPLAIN DETERMINATION o e Com lei d v CAL ADMINI RATOR
The proposed development is located on FIRM Paas No-. Dated
The Proposed Development:
O Is +hM located in a Spccial Flood Hazard Area (Notify the applicant that the appscation
review is complete and NO FLOODP/I.AIN DEVELOPMENT PERMIT IS REQUMED)-
❑ Is located in a Special flood Hazard Arca.
FIRM zone de-cignation is Ft NGVD (MSL)
100-Year flood elevation at the site is:
O Unavailable
O The proposed development is located in a floodway.
FBFM Panel No. Dated
❑ See Section 4 for additional instructions.
SIGNED DATE
APPLICATION a
PAGE 3 OF a
SECTION 4 ADDITIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMINISTRATOR)
The applicant must submit the documents checked below before the application can be processed:
Q A site plan showing the location of all existing structures, water bodies, adjacent roads, lol
dimensions and proposcd development.
- ---aDevciopment-plans,—drawn-toscalc,—and-speeiticatiotu;including ere-applicablc:_details r
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 endosmes below the first floor.
Also
❑Subdivision or other development plans(If the subdivision or other development exceeds 50
lots or S 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).
❑ Floodproofing protection level (non-residential only) Ft:NGVD (MSL). For
floUol oofed structures, applicant must attach certification from registered engineer or
architect.
❑ Certificad'o from a registered engineer that the proposed activity in a regulatory floodway
will not result in Any increase in the. height of the 100-year flood. A copy of all data and
calculations supporting4tris finding must also be submitted.
❑ Other:
SECTION- : EERM 11 RMINATI N completed by LDCAL AIMINIUMAID-R-1
I have determined that the proposed activity.A.❑ Is
B.❑ Is not
in conformance with provisions of Local Law # , 19 The permit is issued subject to the conditions
attached to and made part of this permit.
SIGNED , DATE
j(f BOX A is checked, the Local Administrator clay 'issue a Development Permit upon payment of designated
fee.
If BOX B is chgckcd, tht Local Administrator will provide a written summary of deficiencies. Applicant may
revise and resubmit an application to the Local Administrator or may request a bearing from the Board of
Appeals-
APPLICATION a _
PAGE 4 OF 4
APPEALS Appealed to Board of Appeals') ❑ Yes ❑ No
Hearing date:
Appeals Boas d Decision --- Approved? ❑ Yes O No
Conditions
SECTION G_ -BUILT ELEVATION o 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 professioual engineer or a licensed land surveyor (or attach a certification to this application).
Complete I or 2 below.
I_ Actual (As-Built) Elevation of the top of the lowest floor, including basement(in Coastal High Hazard
ca , bottom o[lowest structural member of the lowest floor, excluding piling and columns) is:
Fr. NGVD (MSL).
? Actual (As-Built) Elevation of floodproofng protection is FT. NGVD (MSL).
<ISi
NOTE: Any work performcd prior to submittal of the above information is at the risk of the Applicant.
SECTION 7 COMPLIANCE ACTION (To be completed by LOCAL ADMITII TRAT R
The LOCAL ADMINISTRATOR will complete this section as applicable based on-iuspectiou of the project to
ensure compliance with the community's local law for flood damage prevention.
INSPTEM IONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? O YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
SECTION CERTIFICATE QF MPLIAN E e c m leted by LQCAL ADMINTS—TRAMBRA
Certificate of Compliance issued: DATE: BY:
Attachment B
SAMPLE
CERTIFICATE OF COMPLIANCE
for Development in a Special Flood Hazard Area
• TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA
(OWNER MUST RETAIN THIS CERTIFICATE)
PREMISES LOCATED AT: PERMIT NO.
PERMIT DATE
OWNERS -NAME AND ADDRESS: CHECK ONE:
El NEW BUILDING
❑EXISTING BUILDING
❑ VACANrr LAND
THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW:
A. COMPLIANCE IS HE, CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , i9
SIGNED: DATED:
B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 19e7 AS MODIFIED BY VARIANCE # ,
DATED
SIGNED: DATED:
C/C(93)
OCCUPANCY OR
SEABREEZE VILLAGE
USE IS UNLAWFUL 60126 ROUTE 48
APOR®V ® ASt,1071" D WITHOUT CERTIFICATE �a
aye , ` SOUTHOLD N .Y.
DATE: P # OF OCCUPANCY I I a
FEE: E"''
NOTIFY BUILDING GF'�',RT���:��,- AT .. °
UNIT 4 C
765-1802 8 AM 10 4 r M FOR THE RETAIN STORfJI WATER RUNOFF E �`
FOLLOV'dING INS' PURSUANT TO CHAPTER 236 `
1. FOUNDATICN - T',% ' F-TC?U'RED OF THE TOWN CODE. — — — — 1000 - 44 . 01 - 1 - 15
FOR POUR-D CC'.,'RE-TE M. g,oE.P `" �.".
2. ROUGH - F"AI P. PLUM''IiNG
3. INSULATION FLOOD ZOIC" �...... ._.� SITE KEY ROBERT M I C H E L
4. FINAL CO�+S'" 'ICIv MUST C0��r?�.��1'�t'9 ��'�1�'°�C�e�� � � � 6�� _ .� �_O��
6E COMPLE e E �.(,. a �;`."�r� EMAGE PR� '' �i — — I.
ALL CONSTRUC7i�'h. SU{ALL MEET THE � EXISTING
REQUIREMENTS 0;THE CODES OF NEW �;�+ T��''��.:' ���:0i Cr)rfl� �p-,-
YORI< STATE. NOT RESPONSIBLE FOR 138 . 3 SQ.FT. UPPER DECK
DESIGN OR CONSTRUCTION ERRORS. `
a�a 9 . 4 SQ.FT. STAIR LANDING
COMPLY WITH ALL CODES OF I .%4� 26 . 8 SQ.FT. STAIRCASE
NEW YORK STATE & TOWN CODES DECKR «o PROPOSED REPLACEMENT
AS REQUIRED AND CONDITIONS OF
fSOT 139 SQ.FT. UPPER DECK
6 RD
13 . 7 SQ.FT. STAIR LANDING
SOPOLD TOWN TRUSTEES 41 . 69 SQ.FT. STAIRCASE
I" _ _ _ _ _ — _ — _ °_ r GENERAL NOTES
• EXIST. POURED CONCRETE FOUNDATION WALL. � `. , '` EXIST. POURED CONCRETE FOUNDATION WALL °
�__ --- L 2x10 LEDGER = — —
REPLACE Ex1ST. 2x10 LEDGER w/ NEW 2x10 LEDGER ��' 1. All work shall conform to the requirements of the Residental Code of New York
FASTEN w/ 2-1/2" HILTI HIT-Z BOLTS & HIT-HY-200a EPDXY 16'-3" State, County and Town Department Regulations, Utility Company requirements and
STAGGERED @ 16" OC MIfJ. I best trade practises.
!! N x111 NEW 6X6 POST ON `'
2. Before commencing work the Contractor shall file all documents required by the
NEW PIER & FTG. I,
zx1z 1 -� co
o Building Department, pay all fees required by local agencies and obtain all required
II ~ I o w permits.
= o a o 3. The Contractor shall visit the site and verify all dimensions and the existing
W o o r o 0 o f `` conditions affecting the work prior to construction. Any discrepancies which would
_ Q °Y! v U �; interfere with the satisfactory completetion of the work described herein shall be
II °° w
J)
TREX "GRAVEL PATH" DECKING
x X ; reported to the designer or property owner. Do not start work until such conditions
LU W/ HIDDEN FASTENERS N t have been examined and a course of action mutually agreed upon. Failure to notify
U)
w @� o cr
Z z o the owner or designer of unsatisfactory conditions will be construed as an acceptance
Jj
!! TREX TRANSCEND WHITE 1 m N Lu of the conditions to properly perform the required work.
0 0 COMPOSITE POSTS & RAIL r O a 4. All work is to conform to the drawings and specifications of the designer and
2-2X10 GIRDER engineer consultants.
-_- — 5. The Contractor is to n-�aintain a complete and up to date set of plans or, the
J NEW 3-2X12 GIRDER L 9 6x6 POST ON 12" DIA. Job site at all times
POUR. CONI. PIER TYP. 6. The drawings are not to be scaled under any circumstances.
NEW 6X6 POST ON
—12'-2-"
NEW PIER & FTG. 2 I 7. It shall be the Contractor's responsibility to ascertain all prevailing procedures
13'-2"-
2-z} including storage and toilet facilities,protection of existing work to remain,access to
z-1o" I work area, hours of permitted work,avai lability of water and electric power and all
1 L other conditions and restrictions for this particular location in order to execute the
LINE of EXIST. GRADE LEVEL wooD DECK BELo work in a careful and orderly manner with the least possible disturbance to the public.
8. The Contractor shall make the neccesary arrangements to utilities and services
L-3'-93'-gtemporarily disconnected while performing the work as required.
2" PROPOSED DECK PLAN EXISTING DECK PLAN g. The Contractor shall provide all dimensions and cut-outs for other trades.
NOTE: ALL LEDGER BOLTS TO BE 1/2" x 4-1/2" 10. The Contractor shall provide proper shoring and bracing for all remaining structure
2 HILTI HIT-Z W/HIT-HY-200a EPDXY
NOTE: ALL FOOTINGS TO BE NEW prior t0 removal of existing structure.
24" X 24" x 8" POUR. CONC. FTG. 11. Plumbing, electrical, HVAC and similar work shall be performed by licensed
W/ 10" DIA. CONC. PIERS persons who shall arrange for and obtain all required inspections.
Contractor shall be responsible for scheduling all other inspections as required.
12. The Contractor is solely responsible for construction safety and shall hold the
owner and designer harmless from litigation arising out of the Contractor's failure to
provide construction safety means and methods.
TREX TRANSCEND WHITE
COMPOSITE POSTS & RAIL
CONSTRUCTION NOTES
1. All footings shall rest on undisturbed soil at a minimum of 36" below fin. grade
TREX TRANSCEND WHITE
COMPOSITE POSTS & RAIL and where existing footings are to be utilized they must be inspected and verified to
meet standard criteria and building code requirements.
TREX "GRAVEL PATH" DECKING 2-2X1 2. Poured concrete shall have a minimum psi of 2800 at 28 days unless noted.
W/ HIDDEN FASTENEIRS HEADER
3. Unless otherwise noted all framing and structural wood components shall be
TREX FASCIA TREX FASCIA
#2 or better Douglas Fir.
NEW 2X8 DECK JOISTS @ 16" OCNEW 3-202 GIRDER ASSEMBLED 4N/
TREX TRANSCEND WHITE 4. All framing techniques and methods shall be as prescriptive design based on
COMPOSITE POSTS & RAIL
NEW 6X6 POST ON TECO TO GIRDER & LEDGER 2 STAGGERED ROWS OF 3" SCREWSAF&P Wood Frame Construction Manual for One and two Family Dwellings (WFCM)
NEW PIER & FTG. SPLICES @ POSTS ONLY. TREX "GRAVEL PATH" DECKING or as specified in R301.2.1.1
NEW 2X10 LEDGER GIRDER TO BEAR FULLY ON NOTCH ON TREADS
FASTEN W/ 2-1/2" HILTI HIT-Z BOLTS ANCHOR GIRDER TO POST W/ TREX FASCIA ON 5. All portions of the new structure are designed to comply with local geographic
W/ HIT-HY-220a EPDXY SIMPSON BCS STRAP OR EQUAL. TOE KICKS and climatic criteria as stated In the following table.
STAGGERED @ 16" OC z 12 AGO STRINGERS — GEOGRAPHIC & CLIMATE DESIGN CRITERIA
EXIST. VINYL SIDING @ 16" OC il GROUND SNOW LOAD 45 ps1
NEW 6X6 ACQ. POST NEW 6x6 a,30 POST ON WIND SPEED 120 MPH
NEW PIE � & FTG. SEISMIC DESIGN CATATGORY B
EXIST. GRADE LEVEL DECK WEATHERING SEVERE
EXIST. GRADE LEVEL DECK TREAT ENDS OF POSTS W/ I FROST LINE DEPTH 36"
PRESERVATIVEOF NE TERMITE THREAT MODERATE TO HEAVY
DECAY SLIGHT TO MODERATE
POST BASE W/ ANCHOR BOLT
L ; L , L L ' L , 0�� WINTER DESIGN TEMPERATURE 1 1
NEW PIERS & FTGS. 12"X6"X4" CONC. PAD ' �1, FLOOD HAZARD AS NOTED
?0 10" DIA. POURED CONC. PIER J
(SONOTUBE OR EQUAL)
24x24x8 CONC. 'FTG w
MUST BEAR ON SOLID GRADE NDECK & STAIR REPLACEMENT
A
O 7 2 02
R �
ELEVATION SECTION 1 PLAN/SECTION/ELEVATION
REV. 9.7. 16
JUNE 15, 2016 1 /4" = V-0"
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