HomeMy WebLinkAbout41018-Z `SFO(,f,
�,,QUFCpG� Town of Southold 12/28/2016
0
P.O.Box 1179
PA 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38734 Date: 12/28/2016
THIS CERTIFIES that the building DECK
Location of Property: 60125 North Rd Unit 3C, Greenport
SCTM#: 473889 Sec/Block/Lot: 44.1-1-11
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. 41018 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 3C)AS APPLIED FOR
The certificate is issued to Golberg,Evelyn
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
e Signature
o�S�FFn�k�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy . SOUTHOLD, NY
dol � dao
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#: 41018 Date: 9/26/2016
Permission is hereby granted to:
Golberg, Evelyn
13118 Lalique Ct
Palm Beach Gardens, FL 33410
To: replace existing deck addition as applied for with flood permit per Trustees.
At premises located at:
60125 North Rd Unit 3C, Greenport
SCTM # 473889
Sec/Block/Lot# 44.1-1-11
Pursuant to application dated 9/16/2016 and approved by the Building Inspector.
To expire on 3/28/2018.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $261.20
Flood Permit $100.00
CO -ADDITION TO DWELLING $50.00
Total: $411.20
ui nspector
Fol m No 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN SCALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A_ For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 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- $100.00
3. Copy oT Ci;rh fg of Ui;ciipaiicy-$:23 - --- --
4. Updated Certificate of Occupancy- $50.00
5_ Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. smtem b�,
1
New Construction: Old or Pre-existing Building: I/ (check one)
Location of Property: r.613Ai C- C(kqT r rltYrOoJt
House No. Street Hamlet
Owner or Owners of Property: �� C� l je�(� 1 C—Ve r)
Suffolk County Tax Map No 1000, Section ite+ , Block. t Lot ( 1
Subdivision Filed Map. Lot:
Permit No. Lf 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
so
ooUNi'1,0
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION ,,
[ ] FOUNDATION 1ST [ ] R UGH PLBG.
[ ] FOUNDATION 2ND [ ] NSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: Amt M'("plro
V-
K ro
DATE I INSPECTOR
QLD INSPECT;qN•1MV0 DATA
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STATE BNEROY C'ODZ c5J
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Storm-Water Assessment Form
Contact: _
Approved /)V211 Mail to: C8E15F
Disapproved a/c
Phone:
Expiration ,20
aid,
D [ECEIVE Building pector
P ICATION FOR BUILDING PERMIT
SEP 1 6 2016 Date SWfvw� r.r �yh , 20j_E_
INSTRUCTIONS
BUILDING DEPT.
a. ThiM'1 MMMOLDiripletely 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.
(Signal&f of applicant or name,if a corporation)
P.G.
Box 'd Souf61- M `W-I
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer., general contractor, electrician,plumber or builder
Name of owner of premises Eve� Go,1d b6rc4
(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. 3 C
Other Trade's License No.
1. Location of land on which proposed work will be done:
C,()f lS" C tx !tF4 A re-e. a rT
House Number Street Hamlet
County Tax Map No. 1000 Section wt,j Block l Lot 1
abdivision sea 6 re a;z eV1 I I afire
Cvnja m i r-;v,^s Filed Map No. Lot 3 C
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy CoAdo Iry i-r1% e-c(�
b. Intended use and occupancy Ca A d d Imo;T�(aced ®rbc K
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition ,/ Other Work Pokc Dc-,k ;^ k;n
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling unitse4 Number of dwelling units on each floor AV/4
If garage, number of cars fy&
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front j G l -3" Rear Depth 1(j-
Height
UHeight !''- I '/a'' Number of Stories 4//k
Dimensions of same structure with alterations or additions: Front c'-lt`��" Rear t 6'-li t/a''
Depth 9 �- I I V4" Height SrT�-ti'/�'' Number of Stories ;/VIA-
8. Dimensions of entire new construction: Front ar I G'-l( i/a Depth l i %r l
Height - q '/a'' Number of Stories Arlloy -
9. Size of lot: Front G 5� Rear ] Q Sr' „Sr&% Depth It 3 _ X101
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated [fTak I)TI;5I1 V ReS)ACrAMtj
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO V/
13. Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO v1
14.Names of Owner of premises Eyctiva Gold h&9 Address 6UIW C S 49 Gm,.&yoe?Phone No. C5 Q Srtrj-Sca13
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.
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
No.01 BU6185050
SS: Qualified in Suffolk County
COUNTY OF SU Lam. Commission Expires April 14,2�o
y�1,4W Ct7"(5e being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the A6'eW7-
(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.
Sw rn to before me t i /I^'',^,
day of ( 20(a
Notary Public g ature of Applicant
John M.Bredemeyer III,President , Town Hall Annex
54375 Route 25
Michael J.Domino,Vice-President r. 6
P.O.Box 1179
Glenn Goldsmith <<y Southold,New York 11971
A.Nicholas Krupski
� � .� Telephone(631) 765-1892
Charles J.Sanders �� Fax(631) 765-6641
�UN11
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 1 A, 1 B, 1 C, 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 2D, 3D 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 July 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.
Y74— QV1% &&"�-.
John M. Bredemeyer, III
President Board of Trustees
John M.Bredemeyer III,President W soUT�r Town Hall Annex
Michael J.Domino,Vice-President ,`O� alp 54375 Route 25
Glenn Goldsmith P.O.Box 1179
Southold,New York 11971
A.Nicholas Krupski G
® Telephone(631) 765-1892
Charles J.Sanders �O Fax(631)765-6641
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,413, and 4C construct a proposed 139sa.ft.
,upper deck with a 13 7sq ft stair landing, and 41 69s .ft staircase to ground:Units 2D,.-31)and
4D construct a proposed 205'8sq ft upper deck, a. 13 7sq ft stair landing, and a 4149sq.ft.
staircase to ground,Unit 1D SCTM4441-1-1 (no construction perforined that was-applied for),
At 60125 Route-48, Greenport
Suffolk County Tax Map#100044.1-1-2-16
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 decks on all 1.5 condominium�units-, for Units
IA, 1B IC,2A,2B 2C 3A 38,3C 4A 4B and 4C construct a proposed 139sq ft upper deck
wifh a 13.7sq f1 stair landing, and 41 69sa ft staircase to ground,• Units 21) 3D and 41)construct
a proposed 205'Ssq ft upper deck a 13 7sc1 ft stair landing,and a 41.69sg:fk.staiictiseto;Rroind:.'
Unit 1D SCTM:#44.1rI-1 (no construction performed that was ap0fe&?6r,.
7 r'r
The certificate is issued to SEA BREEZE VILLACrE CONDOMINIUM ovvners•of the '
aforesaid property.
Authorized Signature
G.
gUFFC��
Scott A. Russell a- ST�O�]E )�IAWA\T]E K
SUPERVISOR M[AN AGJMMClElT
SOUTHOLD TOWN HALL-P_O_Box 1179
Ji-
53095
o53095 Main Road-SOUTHOLD,NEW YORK 11971 - Town of So u th o l d
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)
®[✓ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
®[CB. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area-
. ❑[/C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
®dD. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
®EJ/E. Site preparation within the one-hundred-year floodplain as depicted
- - - -en--FIRM-1- ap-.of-any-wat-or-eou-sE:
® 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. X00 Date
.M
NAME: 0 4 n C ry11- 6113 �—� � ,L � !
Section Block Lot
FOR BUILDING DL--PARTINIENT USE ONLY
Contact Information c 'of 1 p
7JryLwa�u.ntxY 1�
Reviewed By:
— — — — — — — — — — — — — — — — — — Date:
Property Address/ Location of Construction Work: — — — — — — — — — — — — — — — — —
Approved for processing Building Permit.
GO(aS C X 4T 3 C — — Stormwater Management Control Plan Not Required.
Cjre(tp�C1f7 A � 1:1
Stormwater Management Control Plan is Required.
(Forward to Engineefing Department for Review.)
FORM 1 SMCP-TOS MAY 2014
Yi771�
O�o��FFQt, 7
Town Hall Annex �� Gym Telephone(631-1802
54375 Main Road �c
P. O. Box 1179 Fax(631) 734-9502
Southold, NY 11971-095 ,9.
o� v
BUILDING DEPARTMENT
NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION PRE-ENGINEERED
WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION
Date:so -gran hey J'5'0 a•O I G
Owner. EV¢oyr,. �dlaw
Location of Property: _GQ (3-3' CR 41 rre „nda
Please take notice that the (check applicable line):
New residential structure
Addition to existing residential stnidure
L/ Rehabilitation to an existing residential structure
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):
QFC r. Floor framing, Including girders and beams (F)
Roof framing (R)
Floor and roof framing (FR)
Signature:-
Name (person submitting this form): _/Zd6er7 Lv,-ISO A
Capacity(check applicable line):
Owner
V Owner representative
TrussResRegl5.docx Effective 1/1/2015
APPLICATION
' PAGE I of a
TOWN OF SOUTHOLD
i'LOODPLAIN DEVELOPMENT PERMIT APPLICATION
This forret is to be filled out in duplicate.
SECTION 1• GENERAL PROVISIONS (APPLICANT to read and sign):
1. No work may start until a permit is issued.
2 The permit may be revoked if any false statements are made herein.
3. If revoked, all work must cease until permit is re-issued.
d. Development shall cot 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.
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 verily 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.
(APPLICANTS S�'`f'`tATURE)
DATE /• /—3< 7'
SECTTON 2 PROPOSED DE&WPMENT(To be completed by APPLICAN n
GAME DRES TEL PH NE
APPLICANT b G S. BRA C11000-S, (��(a�4- �i
BUILDER ��' �so,�C�GQ�cicSu+niC(U-e .Cdr
ENGINEER ® / C2 _ �!ATtTI UCS
PROJECT LQCAJ73OK:
• 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.
U ( «b 42,, 4L 5 b U-n-tOL-0
FDP(93)
APPLICATION ; _
•
PAGE 2Of- 4
DESCRIPTION OF WORK (Check all applicable boxes):
A. STRUCTURAL DEVELOPMENT
,yC-l-1VITY STRUCTURE TYPE
_ O New Structure O Residential (I-4 Family)
❑ Addition O I�csidcntia�-(Mori thaw 4-Fami]Y) --- —
❑ AJteration O Non-residential (Floodproofmg? 0 Yes)
❑ Relocation O Combined Use (Residential & Commercial)
❑ Demolition P ❑ Manufactured (Mobile) home (In Manu-
I-'Replacement factured Home Park? ❑ Yes)
ESTIMATED COST OF PROJECT 5
B. OTHER DEVELOPMENT ACTIVITIES:
❑ Fill 0 Mining O Drilling D Grading
❑ Excavation (Except for Structural Development Checked Above)
- 0 Watercourse Alteration (Including Dredging and Channel Modifications)
O Drainage Improvements.(Includ'ing Culvert Work)
❑ Road,Street or Br.lige Construction
O Subdivision (New or Expansion)
O Individual Witer or Ser System A l ,
O Other (Please Specify)` Vv
After completing SECTION 2, AFPLICANT• should submit form to Local Administrator for review.
E ION 3: DPLA DETERMINATION o c com leted hv LOCAL ADhiINI RATOR
The proposed development is located on FIRM Panel No-� Dated
The Proposed Development:
O Is MQJ located in a Special Flood Hazard Area (Notify the applicant that the application
review is Complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED).
O Is located in a Special flood Hazard Area.
FIRM zone designation is Ft. NGVD (MSL)
100-Year flood elevation at the site is:
Q Unavailable
O The proposed development is located in a floodway.
FBFM Panel No. Datcd
O Sec Section 4 for additional iastructions.
DATE
SIGNED
APPLICATION a
PAGE 3 OE C
SECTION 4, ADDITIONAL INFORMATION REQUIRED fTo he completed by LOCAL ADMINISTRATORI
The applicant must submit the documents checked below before the apptica6on can be processed:
❑ A site plan showing the location of all existing structures, water bodies, adjacent roads, lo(
dimensions and proposed development.
----- -- cvelopment-pians;drawn-toscalc--amd-spectfrcat-ivtu;Including-where-applicable-details-for_------_-
anehoring structures,proposed elevation of lowest floor(including basement), types of water
resistant materials used below the first floor, details of floodprooftng 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 50
lots or S 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. NG VD (MSL).
0 Floodproofing protection level (non-residential only) Ft:NGVD (MSL). For
V� .x
§
floMoofed structures, applicant must attach certification from registered engineer or
architect.
0 Cercati`o from a registered engineer that the proposed activity in a regulatory [loodway
ti[i
will not result in any increase in the height of the 100-year flood. A copy of all data and
calculations supportiugAlm finding must also be submitted.
❑ Other:
SECTIONS PET DETIFo b2 completed by LO I.DMINJSTRATORI
MJRMJNATJON t"I'
I have determined that the proposed activity.A.O Is
B.O Is not
in conformance with provisions of Local Law . 19 . The permit is issued subjecx to the conditions
attached to and made part of this permit.
1
SIGNED , DATE
If BOX A is chegkcd, the Local Administrator may issue a Development Permit upon payment of designated
fee.
if BQX B is chscked, the 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.
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Attachment B
SAMPLE
CERTIFICATE OF COMPLIANCE
A"
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
❑EXISTINGI BUILDING
❑ VACANT LAND
THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW:
A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
- LOCAL LAW # , 1.9
SIGNED: DATED:
B. C0MPLL4,NCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 1.9AS MODIFIED BY VARIANCE # ,
DATED
SIGNED: DATED:
C/C(93)
�ENERGY CON�. �R\/KT' �_�_ A_N_A L_�'��� - .i• 3 f��,
As PER N rY,�, CON15EFZVATION -CONST, COPE
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SEABREEZE VILLAGE
OCCUPANCY OR F- 60126 ROUTE 48
AP
�QT�� USE IS UNLAWFUL �9 �� SOUTHOLD N .Y.
a 10 Y•�� �S a�g _ a tl
WITHOUT CERTIFICATE
`
DATE: OF OCCUPANCYUNIT 3 C
FEE: i
NOTIFY BUILDIPS
/^� - _ l
765 1802 8 Alv1 0 ,4 P A, Tt� ,.Ld � !'r-
FOLLG`,"JI,NG "'1 aE'�;IG� S: III- t,,l-�!'a rC.P r-TFri, ��f?
1. FOt1;dDG") , i-TilitrE":l ED �`� �po . K �yR - - - - 1000 - 44 . 01 - 1 - 11
FOR PC,uRC; G,�..,n i F .� .,�,�� oE.
� � t'
2. ROUGH Ff�f�tiliav�i °��� ;: �: EVELYN GOLDBERG
.3. IN3ULAT,I:�N, SITE KEY 6a
" s•I !< a �e
4. FIy.�L . Cc�Ns?,, 4; �� 6 , V-10"
EXISTING
^ i
EE G., r,u.. ,� T�,li`� �jTE�1`°� '�i� IFi` L —
�� �P
I �TIf� R� _ � �a
I ALS 1 i�.51!l!,NT TO C, i �u
Pi.
QFTI�FTati�fl CODE.
138 . 3 SQ.FT. UPPER DECK
DESfG��Cfi��O ; TR—rt
z'd P' YS.
�` 9 . 4 SQ.FT. STAIR LANDING
26 . 8 SQ.FT. STAIRCASE
COMPLY WITH ALL CODES OF E...�` E%151 PROPOSED REPLACEMENT
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF 139 SQ.FT. UPPER DECK
13 . 7 SQ.FT. STAIR LANDING
SOUTHHO[L�D'TOWN TRUSTEES 41 . 69 SQ.FT. STAIRCASE
EXIST POURED CONCRETE FOUNDATION EXIST. POURED CONCRETE FOUNDATION WALL ' I GENERAL NOTE S
2x10 LEDGER
2X10 LEDGER w/ NEW 2X10 LEDGER 1. All work shall conform t0 the requirements of the Residental Code of New York
]FRE�PTLACEWEXIST.
EN 2-1/2" HILTI HIT-ZBOLTS & HIT-HY-200a EPDXY 16-3 State, County and Town Department Regulations, Utility Company requirements and
GGERED @ 16" OC MIN.
i
11 N x111 NEW 6X6 POST ON 1. j best trade practises.
N- N NEW PIER & FTG. j 2. Before commencing work the Contractor shall file all documents required by the
Lu
z 2x12 U) W Building Department, pay all fees required by local agencies and obtain all required
II ° _j permits.
X
U 3. The Contractor shall visit the site and verify all dimensions and the existing
W a 0 0 o conditions affecting the work prior to construction. Any discrepancies which would
a I o w interfere with the satisfactory completetion of the work described herein shall be
II IL AX TREX "GRAVEL PATH" DECKING J ~
X reported to the designer or property owner. Do not start work until such conditions
@ W/ HIDDEN FASTENERS v
LU o om ` I have been examined and a course of action mutually agreed upon. Failure to notify
Lu z w0 the owner or designer of unsatisfactory conditions will be construed as an acceptance
11 Lr
TREX TRANSCEND WHITE I ° N Fof the conditions to properly perform the required work.
co 0
O O N COMPOSITE POSTS & RAIL
F_ 0 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 maintain a complete and up to date set of plans on the
NEW 3-2X12 GIRDER I
L 6X6 POST ON 12" DIAD Job site at all times
1POUR. CONC. PIER TYP. ' 6. The drawings are not to be scaled under any circumstances.
NEW 6X6 POST ON 12' 2-"
NEW PIER & FTG. 13,22„ 7. It shall be the Contractor's responsibility to ascertain all prevailing procedures
z-Z2 z'-1o° including storage and toilet facilities,protection of existing work to remain,access to
11 work area, hours of permitted work,availability of water and electric power and all
15
LINE OF EXIST. GRADE LEVEL WOOD DECK BELO other conditions and restrictions for this particular location in order to execute the
"�
work in a careful and orderly manner with the least possible disturbance to the public.
IE3'-o" 8. The Contractor shall make the neccesary arrangements to utilities and services
1 temporarily 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"
2 HILTI HIT-Z W/HIT-HY-200a EPDXY 10. The Contractor shall provide proper shoring and bracing for all remaining structure
NOTE: ALL FOOTINGS TO BE NEW
rrlor to 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
TREX TRANSCEND WHITE 1. All footings shall rest on undisturbed soil at a minimum of 36" below fin. grade
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 FASTENERS
HEADER
------ ------- - - - ---- 3. Unless otherwise noted all framing and structural wood components shall be
TREX FASCIA Jj
TREX FASCIA #2 or better Douglas Fir.
TREX TRANSCEND WHITE
NEW 2X8 DECK JOISTS @ 16" OC NEW 3-2x12 GIRDER ASSEMBLED W/ COMPOSITE POSTS & RAIL 4. All framing techniques and methods shall be as prescriptive design based On
NEW 6X6 POST ON TECO TO GIRDER & LEDGER 2 STAGGERED ROWS OF 3" SCREWS TREX "GRAVEL PATH" DECKING AF&P Wood Frame Construction Manual for One and two Family Dwellings (WFCM)
NEW PIER & FTG. SPLICES @ POSTS ONLY. - Or as s ecified in R301.2.1.1
NEW 2X10 LEDGER GIRDER TO BEAR FULLY ON NOTCH ON TREADS p
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.
Li STAGGERED @ 16" OC -
2 12 ACQ STRINGERSGEOGRAPHIC & CLIMATE DESIGN CRITERIA
EXIST. VINYL SIDING @ 16" OC
NEW 6X6 ACQ. POST �'_ ss GROUND SNOW LOAD 45 ps1
NEW 6X6 ACQ POST ON WIND SPEED 120 MPH
NEW PIER & FTG' SEISMIC DESIGN CATATGORY B
EXIST. GRADE LEVEL DECK WEATHERING SEVERE
EXIST. GRADE LEVEL DECK TREAT ENDS OF POSTS W/ FROST LINE DEPTH 36"
PRESERVATIVE TERMITE THREAT MODERATE TO HEAVY
POST BASE W/ ANCHOR BOLT DECAY SLIGHT TO MODERATE
L L (�J L L L OF NEIy WINTER DESIGN TEMPERATURE 11
12"X6"X14" CONC. PAD @ BAS f
NEW PIERS & FTGS. 10" DIA. POURED CONC. PIER �Q` , DE O
z` �S f� p FLOOD HAZARD AS NOTED
�� r (SONOTUBE OR EQUAL) �-
24x24x8 CONC. FTG
MUST BEAR ON SOLID GRADE 171 DECK & STAIR REPLACEMENT
ELEVATION SECTION 1OFESStONP� PLAN/SECTION/ELEVATION
REV. 9.7. 16
JUNE 15, 2016 1 /4" = V-0"