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Town of Southold 12/28/2016 G '� P.O.Box 1179 A" 53095 Main Rd o4A�sSouthold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38737 Date: 12/28/2016 THIS CERTIFIES that the building DECK Location of Property: 60125 North Rd Unit lA Greenport SCTM#: 473889 Sec/Block/Lot: 44.1-1-4 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. 41021 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 1A)AS APPLIED FOR The certificate is issued to Hashagen,Paul of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N IN Au OSignature g� oc,�c TOWN OF SOUTHOLD BUILDING DEPARTMENT a 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#: 41021 Date: 9/26/2016 Permission is hereby granted to: Hashagen, Paul 20 Maryland Ave Freeport, NY 11520 To: replace existing deck addition as applied for with flood permit per Trustees. At premises located at: 60125 North Rd Unit 1A SCTM # 473889 Sec/Block/Lot# 44.1-1-4 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 Building Inspector l l O� �O��OF SOUTyolo N o TOWN-OF SOUTHOL-D BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] RO H PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: I�Omll ��r Jopy DATE 1 1 INSPECTOR FIELD 1NSI'EG" xQN REP'ORx DAT= +COM,IVF��t'1'S FUUND,ktlON(15'17 C4 FOUNDATION(2m) Q y ROUGE FR NCS& `. c* PLUNMIN'G (" d INSULATION PBA N.Y. STATE ENERGY CODB 1 IL ' ✓ FINAL , M • - 1 rre�eil�i•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 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20LO— n� Single&Separate Storm-Water Assessment Form D l� Contact: Approved 201 6 2016 I' SEP Mail to: yDA1,3 C(-�f1m.Q(�' Disapproved a/c Phone: CO 2R 4'4�J Expiration 20t�E TQWN OF Buildm ector APPLICATION FOR BUILDING PERMIT Date ,felm cr ��"~ , 201 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. (Signat e f applicant or name,if a corporation) P& ole Im Soulka a NY (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer; general contractor, electrician, plumber or builder o-��r"t Name of owner of premises P av I t To a h n Lr &s u rj en (As on the Yzx 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: Go 11r CR 4� GreghpOrT House Number Street Hamlet County Tax Map No. 1000 Section Lt.4 1 Block ( Lot -Subdivision_%cih arae Ut 11".P CU,A4grA;#%IL&m Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Cando fin/j fh Dru h b. Intended use and occupancy C o nolo 64:rk Giplacel64:r Q 12C.K 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition t/ Other Work Replace no K 10 (.la,, d (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units ]V/A Number of dwelling units on each floor A11A If garage, number of cars Iyl6c 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ear 161-3 Depth 10' Height Number of Stories MIA Dimensions of same structure with alterations or additions: Front Ia'— 111/2,11 Rear BG'—llln i Depth T -11 %" Height g'— ii'/,I' Number of Stories 441& 8. Dimensions of entire new construction: Front 161-WI-a"I-a" Rear_ 16'-It `/," Depth `(�- l( '14n' Height !j 1 - 9'/,�� Number of Stories i1r®k 9. Size of lot: Front ACC . 65( Rear 3 IT.f Q ' Depth 415 .rfa' 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated R T_R _S 1 eat Pa l 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 14. Names of Owner of premises PoLo t T,.,,.•a RaShA5t.Address6013s LM G&spiij Phone No.j�ilo -$Gal 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__y' * 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 oualified in Suffolk County Commission Expires April 14,2 � lW Qtj6nOlEll duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)/above named, r` (S)He is the 16,W* (Contractor,Agent,Corporate Officer, etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this " " (p-�', day of (_ 20 (,n M=P L �Gf� Notary Public Sitat re of Applicant Fogy rn No 6 -roWN OF SOU-17[40LD BU(LD(NG DCIPARTMENT TOWN [-CALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY- This application must be filled in by typewriter or ink and submitted to the Budding 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-disposat(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, 19S7) 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 L Certificate of Occupancy-Mew 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-CerliYcafe ofUccupancy -- 4. Updated Certificate of Occupancy- $50.00 5- Temporary Certificate of Occupancy-Residential$15-00, Commercial$15.00 Date.�,� 1 (/� New Construction:t Old or Pre-existing Building: 1� (check one) Location of Property: 60 C R !j!j� ��r�rm�onrY House No- Street Hamlet Owner or Owners of Property: Per I t DmAoG A Suffolk County Tax Map No 1000, Section 41f Block. Lot Subdivision : GGkhm*e Vl 1 lda a Ctj jd M i r%1 tAn-, Filed Map. Lot: � - Permit No- 102 1 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) - -------------------------- - -- ---- ----- ------------- ---- - -- - - -- ----- --- -- Fee Submitted: $ ----- - -----'- -- ^----------- oplicant Signature John M.Bredemeyer III,President '® � Town Hall Annex Michael J.Domino,Vice-President 54375 Route 25 lkz -° P.O.Box 1179 Glenn Goldsmith .k ' ' "a""k 4.,�ti4g� .��� �fw� Southold,New York 11971 A.Nicholas Kru ski �: '` p � � .�� Telephone(631) 765-1892 Charles J.SandersC ' Fax(631) 765-6641 ommBOARD 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 ResolutionlIssuance: 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, 2B, 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 213, 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 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. John M. Bredemeyer, III President Board of Trustees John M.Bredemeyer III,President ��aQf SOUTjsrO Town Hall Annex Michael J.Domino,Vice-President �O 54375 Route 25 Glenn Goldsmith _W_ P.O.Box 1179 Southold,New York 11971 A.Nicholas Krupski G ® � Telephone(631) 765-1892 Charles J.Sanders �O Y Fax(631)765-6641 ''7Cou�rc,� ' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1297C Date: December 14, 2016 TRIS 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,4$, and 4C construct a proposed 139sq.ft. ;upper deck with a 13 7sq ft stair landing,acid 41 69sg ft staircase to ground:Units 2D,.3D_and 4D construct a proposed 205'8sq fl upper deck,a 13 7sq_ft stair landing,and a 41.69•sq.ft. staircase to ground.Unit 1D SCTM•#441-1-1 (no eonstrueti6iiperformed that was-,applied for); At 60125 Route 488, Oreenport r ' Suffolk County Tax Map#100044.1-1-2-16 Conforms to the application for a 77rustees 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-.15 eondominiumunits:for Units 1A IB 1C 2A 2B, 2C 3A;3B,3C,4A 48,and 4C construct a proposed 139sq.ft.up �ep r deck with a 13.7sa.ft-stair landing, and 41.69sq.ft.staircase to around: Units 2D;3D-and 4D construct , a pro�osed 205.8sq ft up'er deck-, a 13 7s cl g q__ 'm ft stair landing, 4I 69s ft.sta�rc�s'b Unit 1D S(T. M:#.44.1-1.1 (no•construction performed thatwas The certificate is issued to SEABRBEZE VILLACsE CONDOMINIUM owner's of the ' aforesaid property. Authorized Signature Scott A. Russell y�� S�['�D�IE�1\�ICWA�r]F)EJK SUPERVISOR ✓ I��1[Ak NA\�G�IEI� LENT SOUTHOLD TOWN HALL-P.O.Box 1179 a 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORD SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: ` Yes No (CHECK ALL THAT APPLY) ❑ff 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. [][I/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. ®EY. Site preparation within the one-hundred-year floodplain as depicted 66�F. GnFIRM-Map-o any 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 Tria&, Ckam hers �J --�— A �' I Section Block Lot FOR B!_i1LDING DEPARTib1ENT USE ONLY Contact Information: 7dyEa.x Nwntnm Y 1 Reviewed By: — — — — Date: Property Address/ Location of Construction Work: —[jXAppo-edT%proce — — — — — — — — — — — — — 6�+� n ssinguilding Permit. V1a5 CK qi Stormwaternagement Control Plan Not Required. — — — — — — — — — — — — — — — — — Cz<ipen► Part AftStormwater Management Control Plan is Required. F] '(Forward to Engineering Department for Review.) FORM 11 SMCP-TOS MAY 2014 Town Hall Annex f�� Gy Telephone(631-1802 54375 Main Road Z 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: SQpe,m bei IS 3,016 Owner: Paul and Toanne keS6,c en Location of Property: &()g a S C R 4� Greca pert NJ Please take notice that the (check applicable line): New residential structure Addition to existing residential structure 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) 6� Timber construction (TC) in the following location(s) (check applicable line): crC,k Floor framing, including girders and beams (F) Roof framing (R) Floor and roof framing (FR) Signature: Name (person submitting this form): Rahe.? Capacity(check applicable line): Owner I V Owner representative TnissResReg15.docx Effective 1/1/2015 APPLICATION w PAGE I of 4 -'- TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate_ SECTION 1 GENERAL PROVISIONS (APPLICANT to read and i I. 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. ministrator or his/her representative to make reasonable 7. Applicant hereby gives consent to the Local Ad inspections required to verify compliance. _ 8. i,THE APPLICANT,CERTIFY THAT ALL BEST O M KNO VLEDGE,HEREINE AND ACCURATE IN TO THIS APPLICATION ARE,TO Tf-I (APPLICANTS S�'�ATURE) DATE A /"3. /7. SE i N Z: PROPOSED D PMENT be com ietcd v APPLICAN _ NAME DRES TEL PH NE APPLICANT BUILDER � KSS J RSonC�GQ Sun i C�U� . Cd/� ENGD EER J d D ZR-_ m. —rr-rruCr_ PROJECT LQC'ATION: • 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 urlian 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 ACTIVTTY STRUCTURE TYPO --------------------- ❑ Now Structure O Residential (1-4 Family) 0 Addition ------------- ❑ Alteratiou O Noo-residential (Floodprooftne. ❑ Yes) ❑ Relocation O Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- Replacemeat factured Home Park? ❑ Yes) ES'T'IMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES: CI Fill ❑ Mining 'Q Drilling O Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (including Dredging and Channel Modifications) O Drainage Improvements (Including Culvert Work) O Road.Street or"Br, Construction ❑ Subdivision (New or Expansion) 0 individual Witer or Sompr System O Other (Please Spea7y)' After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. E I N 3: DPLAIN DETERMINATION o c com leted v CAL ADhiTNI ROTOR The proposed development is located on FIRM Panel No Dated The Proposed Development: ❑Is NOT located in a Special Flood Hazard Area (Notify the apptdcant that the "Plication review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). O Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) O Unavailable ❑The proposed development is located in a floodway. FBFM Panel No. Dated O See Section 4 for additional instructions. SIGNED DATE MPLICATION a PAGE 3 OF 4 SECTION 4- ADD1T101`lAL INFORMATIQN REQUIRED (To be completed by LOCAL,ADMINISTRATOR) The appbcant must submit the documents checked below before the application ran be processed: ❑ A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. -- ------- -- --=-----O-Devclopment-plans,dr-awn-Hr-scale;and-spccifisations;-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 50 lots or S awes,whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plate showing the extent of watercourse relocation and/or landform alterations. ❑Top of new fill elevation Ft. NGVD (MSL). O Fioodproofing protection level (non-residential only) Ft:NGVD (MSL). For ,. floddpi-oo[ed structures, applicant must attach certtftcalion from registered engineer or' architect. ❑ Certificatib n from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the Ioo-year flood. A copy of all data and calculations supportizzga hz finding must also be submitted. ❑ Other. SECTION S• PERMIT DETERMINATION (To becomnleted by LOCM-ADMiNISTRA.TDRI I have determined that the proposed activity.A.O Is B.❑ Is not in confortnance with provisions of Local Law # . 19 • The permit is issued subject to the conditions attached to and made part of this permit_ SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. 1X , the Local Administrator will provide a written summary of doriciencies. Applican f� H is checkedt may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals_ APPLICATION a _ PAGE G OF a APPEALS- Appealed to Board of Appeals? ❑ Yes O No Hearing date: Appeals Boai d Decision --- Approved? ❑ Yes ❑ No Conditions _ SECTION G- AS BUILT ELEVATIONS (To be submitted by APPLICAW before Certificate of Compliance is issued The following information must be provided for project structures- This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement(in Coastal High Hazard Areas bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). ? Actual (As-Bui3t) Elevation of floodproofng protection is FT- NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. ,V ECTI N 7: COMPLIANCE ACTT N o be corn leted by LOCAL ADMINI TRAT R The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's (oral law for flood damage prevention. INSPP-CTTONS: DATE BY DEMCIENCIES? 11 YES 0 NO DATE BY DEFICIENCIES? 0 YES 0 NO DATE BY DEFICIENCIES? ❑ YES 0 NO SECTION $ CERTIFICATE OF COMPLIANCE(:E be completed by LO('`AL ADMINISTRATOR Cerfficate of Compliance issued: DATE: BY: J ; Attachment B SAMPLE CERTIFICATE OF COMPLIANCE t 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 O EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HE, CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMEN'T'S OF LOCAL LAW # , 19_1 AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED-.- C/C(93) AZED:C/C(93) OCCUPANCY OR SEABREEZE VILLAGE USE IS UNLAWFUL 60 126 ROUTE 48 ORO !ED AS NOTA© CERTE"ATE ORO 11 "OUTHOLD N .Y. AT D E t OF OCCUPANCY 'JNIT 1 A FEE: BY. NOTIFY BUILDIN11 DE-AF1-'%P i L;ii - .-, I 1���, AT FLOOD ZONE- TO 4 PM FOR THE J 76S-1802 8AM L FO!_L'-1`,;NG INISPE-r- (;0,NS: CO!!PLY WITH CHAPTER 148 FLOOD DAMAGE PREVENT*N' � �w � 0 0 0 - 4 4 . 0 � - � - 0 4 FOI_: SOUTHOLD TOWN CODr SITE KEY -;H - FP,,, r* . . I 2. ROI_ .:H o 3. Ii,v1L.KTiGry W 1 / 16 " V-0" PAUL & JOANNE HASHAGEN 4. Fitt,. RE ' V,7,TER Rtl"XF ALL COINSTRUCTOIN; SH?)1L MEET THE PURSUA[`J TO CWP TLR 2\�j-5 EXISTING REQUIREMENTS OF THE CODES OF NEW OF TI-1E TOVVN CODE. I YORI< STATE. NOT RESPONSIBLE FOR 138 . 3 SQ. FT. UPPER DECK DESIGN OR CONSTRUCTION ERRORS. -T 1A IX�T` COMPLY WITH ALL CODES OF _T 9 .4 SQ.FT. STAIR LANDING NEW YORK STATE & TOWN CODES 26 . 8 SQ.FT. STAIRCASE As REQUIRED AND GONDITIONS OE PROPOSED REPLACEMENT • OUIEOLNGAP44NING-BOARD 139 SG.FT. UPPER DECK SOPOLD TOWN TRUSTEES 13 . 7 SQ.FT. STAIR LANDING 41 . 69 SQ.FT. STAIRCASE EXIST. POURED CONCRETE FOUNDATION WALL EXIST. POURED CONCRETE FOUNDATION WALL- 200 LEDGER EN w/ 2-1/2" HILTI HIT-Z BOLTS & HIT-HY-200a EP 16'-3 Oxy REPLACE EXIST. 2X10 LEDGER w/ NEW 2X10 LEDGER FAST GENERAL NOTES STAGGERED @ 16" OC MIN. SIN a NEW 6X6 POST ON Ix 1 All work shall conform to the requirements of the Residental Code of New York NEW PIER & FTG. S ate, County and Town Department Regulations, Utility Company requirements and L2=2 X LU ')est trade practises. J x _E 0 2. Before commencing work the Contractor shall file all documents required by the co F-- 1-_ >� . I LU (o U) < Building Department, pay all fees required by local agencies and obtain all required 0 0 b o 0 C) 0 1 b 0 W permits. @) 3. The Contractor shall visit the site and verify all dimensions and the existing TREX "GRAVEL PATH" DECKING Nu) conditions affecting the work prior to construction. Any discrepancies which would W1 HIDDEN FASTENERS x @5 Q� uj (j) Lu u) u co interfere with the satisfactory completetion of the work described herein shall be W Lu Cr Q� I reported to the designer or property owner. Do not start work until such conditions u)(3 �? < TREX TRANSCEND WHITE LL have been examined and a course of action mutually agreed upon. Failure to notify — 2! T COMPOSITE POSTS & RAIL Z the owner or designer of unsatisfactory conditions will be construed as an acceptance 17 1 F V 2-2X10 GIRDER of the conditions to properly perform the required work. �:4 4. All work is to conform to the drawings and specifications of the designer and NEW 3-2X12 GIRDER6X6 POST ON 12" DIA. engineer consultants. NEW 6X6 POST ON POUR. CONC. PIER TYP. -21 5. The Contractor is to maintain a complete and up to date set of plans on the NEW PIER & FTG.. I 1 12' job site at all times I. z'-z2"_ i 6. The drawings are not to be scaled under any circumstances. \—LINE OF EXIST. GRADE LEVEL WOOD CK BELOW F---"-1 o—I 7. It shall be the Contractor's responsibility to ascertain all prevailing procedures including storage and toilet facilities,protection of existing work to remain,access to work area, hours of permitted work,avai lability of water and electric power and all 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. PROPOSED DECK PLAN 2 EXISTING DECK PLAN 8. The Contractor shall make the neccesary arrangements to utilities and services NOTE: ALL LEDGER BOLTS TO BE 112" temporarily disconnected while performing the work as required. X 4-1/2" HILT HIT-Z W1 HIT HY-200a EPDXY 10 9. The Contractor shall provide all dimensions and cut-outs for other trades. NOTE: ALL FOOTINGS TO BE NEW 10. The Contractor shall provide proper shoring and bracing for all remaining structure 24" X 24" X 8" POUR. CONC. FTG. prior to removal of existing structure. W/ 10" DIA. CONC. PIERS 1 1. Plumbing, electrical, HVAC and simila, work shall be performed by licensed persons who shall arrange for and obtain all required inspections. Contractor shall be responsible for scher,uling all other inspections as required. 12. The Contra6tor is solely responsib'3 for construction safety and shall hold the owner and designer harmless from lit;jation arising out of the Contractor's failure to provide construction safety means a A methods. TREX TRANSCEND WHITE COMPOSITE POSTS & RAIL CONS I RUCTION NOTES TREX TRANSCEND WHITE d 1. All footings shall reg, cn undisturbed s01 minimum o W fin. COMPOSITE POSTS & RAIL J and where existing foot igs are to be utilized they must be inspected and verified to meet standard criteria and building code requirements. TREX "GRAVEL PATH" DECKING 2-2X12 2. Poured concrete shall have a minimum psi of 2800 at 28 days unless noted. W/ HIDDEN FASTENERS HEADER 99 3. Unless otherwse noted all framing and structural wood components shall be TREX FASCIA TREX FASCIA TREX TRANSCEND WHITE - - - - - #2 or e,ter Douglas Fir. NEW 6X6 POST ON NEW 3-2x12 GIRDER ASSEMBLED W// \\—NEW 2X8 DECK JOISTS @ 16" OC COMPOSITE POSTS & RAIL 4. All frarrino techniques and methods shall be as prescriptive design based on NEW PIER & FTG. 2 STAGGERED ROWS OF 3" SCREWS TECO TO GIRDER & LEDGER TREX "GRAVEL PATH" DECKING AF&P Wcod Frame Construction Manual for One and two Family Dwellings (WFCM) SPLICES @ POSTS ONLY. ON TREADS or as specified in R301.2.1.1 GIRDER TO BEAR FULLY ON NOTCH NEW 2X10 LEDGER ANCHOR GIRDER TO POST W/ FASTEN W/ 2-112" HILTI HIT-Z BOLTS TREX FASCIA ON 5. All portions of the new structure are designed to comply with local geographic SIMPSON BCS STRAP OR EQUAL. W/ HIT-HY-220a EPDXY TOE KICKS and climatic criteria as stated in the following table. STAGGERED @ 16" OC 2X12 ACC SYRINGE S� EXIST. VINYL SIDING @ 16" OC GEOGRAPHIC & CLIMATE DESIGN CRITERIA NEW 6X6 ACQ. POST NEW 6X6 CO POST ON GROUND SNOW LOAD 45 psl — WIND SPEED 120 MPH NEW PIER & FTG. SEISMIC DESIGN CATATGORY B EXIST. IN-GRADE WOOD DECK--\ WEATHERING SEVERE EXIST. IN-GRADE WOOD DECK-----\ TREAT ENDS OF POSTS W1 FROST LINE DEPTH 36" PRESERVATIVE rl ---- TERMITE THREAT MODERATE TO HEAVY 4 POST BASE W/ ANCHOR BOLT DEER DECAY SLIGHT TO MODERATE PAD BASE NEW PIERS & FTGS. 10" DIA. POURED CONC. PIER 12"X6"X4" CONC. WINTER DESIGN TEMPERATURE 11 (SONOTUBE OR EQUAL) FLOOD HAZARD AS NOTED 24x24x8 CONC. FTG MUST BEAR ON SOLID GRADE �sF0 �o. & STAIR REPLACEMENT ELEVATION SECTION 1 SECTION 2 AR ESs\OPLAN/SECTION/ELEVATION REV. 9.7. 16 JUNE 15, 2016 1 /4" = V-0" �ENERGY CON�. �R\/KT' �_�_ A_N_A L_�'��� - .i• 3 f��, As PER N rY,�, CON15EFZVATION -CONST, COPE r••r' ._ _ f •r 21 503 +Y57EI'-'1 i AREA c prorPbi oLTlust� c.crp6 8Tu k � v�H . -TOP OF BANK FT') wAt.�r,lHsu� ��lc�� IMU } tt ) t-) f .I i,� ! !!}JG ,GWAr-,Tw IG}G'• AF M vE-=7 LSF E'rEP10R WALL Y4 4G3r 100 . ! ,f7' !- X27 Z- 1 442 luellS�VW Or 60UTltto GRQ57) ����r G'�I`.�4r �' 1+'.� ��r..�.�.�err I M.•II Y.••.� Lrr • V�17 r' I r •f r•` '' I i {C}R WA �_ i(GPA V 1 LL 3387 t 73 } it # .O� �A - 3,�? AGR �I ''f� ,f"T ' QG✓ � /� /f' ! ,tv �TC3TA' y D' - r _i .. .. - {{ff x ' ,u FKy��Y�([ . A•/�VAj I_F : 4I~, PAry i.j, f f3I•�I,..y. rr , 3 22 .52 , 69 j r �- !n i r 7^� i �'_ F �/ `1ZJ��►ZtN�� �' f11�C t��{ll/ TOTAL ocx:Rg �C� i.. ��D ' .�4D � 4 # �_ - "�- . `(^I^ r./fa i/` 1 l►l�, C7 (TDUNWEATED SGAC1F.5), - �. ov R ui�lHEr • ra•� I� .� ��! U. 1c� l - - —.�•--' ---�'' , 4214 t oa ' .os , k z C� 9t �' - �'6030 �GoNG WALL ; 2�Ga I $ ! O 'J - r 1- .►•-�r-r �''��...✓��- l' ` , �' `\ ��1--+� `� 4 i K L.!L�N T$ S C f 1 I y 30 " °/G�+-J Y L.f'\/- ,I- A 5 r" SUB-70TAUS -- _ ' • --- -• - •34 • 20 i- _-� - w "6 �' I1Urr Att•rlllAUL: I UQIT/9044)0.L.67 AMA �� t�,' ,� _ ` `` ` -...�,,_`_�.r...._.._r<---• r _ ��.� - _} OTA L. SAV ED 2 20 A—i I f-I I�l I Q6 Dmww;;� UQITt� • 4 "rl • � ,ti '�, r � �► � -� � S�.WsR'J1�#C�I..I �QU1��1: ?.rC�`Aid 2 x 1��Lt�16..���16�'Y' Cr-%I Lplub ROOF f �IGI�T f 'tv J EA\ff- Ian . 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OR START FRAMING ; 2 STI�Z"f'�'GI<L fir _ _ uQ - ,� t 2� rFRAiWI�G iNSpFmON �.'�J ( � ��� .r"Jr�� tYIL!#•#Ifi _ '7 ... _._ feu f{tt�r + a .o �~ �' I _ �- - `� x '` ' ` __' , WN jSUOU p3G PIKS OF ANY KIND � � '"J ' � 'i� �%�'vl�f� � LAJ C � 1 r COAUUIM FL 1 ., _ - • , '� 40' •�? 1 to r DESIGN ��' 11-t F l��``� 48C C� &A �1��2w{'fi�nn{{Y t, s � 1�Y/7 7 .•• J N7,ti j I 6'N`{'4' `ti' INTI }` :r . ,� -- -__ _ - -- OR cxmmucnoM Mcmts Ir-a i��•r� : J Gv1 E• >r�. r� F r -� TO ,r , i ElUl�.lG. kEt- S. _ AWSr MM /S4 Fr/SAY- '• I _; •kms •� f - ' _ �� J JMK O CatsE OF N.r sr Aum i teatwvFP lGw �50ST, TF C C131A, 15-o+'tzt64 �- ltjl� UM AM TOWN MwOM l� t�i ZONNG `' 1 � ILMA PMFP EV7 �4 .�.+....�.__.�..r_r.�.- - � 1Wv ---�14 �� � �t , �f' S. F_�•,�tr� t oaF !G f�'!.5 Ir •4 5'-a�►�1G��-I �I�"1 � ��i� c, e� jvwlrFv SLeHIQ. 1+ • • r 1 ' 1p' • t 4 }�.1c{ �V�I�� �VI7I�I#�l �Ccl CT PRMIZT'y OWE WE a, '.'•" r• K f (t ,'�] Yy► f i / \{J[ ! ,rry//yam "i '� • 1 �, ! ,+�� � ': '; •. 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