HomeMy WebLinkAbout41022-Z Town of Southold 12/28/2016
P.O.Box 1179
w 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38738 Date: 12/28/2016
THIS CERTIFIES that the building DECK
Location of Property: 60125 North Rd Unit 1B, Greenport
SCTM#: 473889 Sec/Block/Lot: 44.1-1-3
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. 41022 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 1B)AS APPLIED FOR
The certificate is issued to DiGiovanna Charles F Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A 7ed i ature
o�g�FFOt,��O TOWN OF SOUTHOLD
�� Gy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
y?pol � �ao�4
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#: 41022 Date: 9/26/2016
Permission is hereby granted to:
DiGiovanna Charles F Trust
3356 Southern Cay Dr
Jupiter, FL 33477
To: replace existing deck addition as applied for with flood permit per Trustees.
At premises located at:
60125 North Rd Unit 113, Greenport
SCTM #473889
Sec/Block/Lot# 44.1-1-3
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
ildin spector
T ,
F-oi rn No 6
-ro\.\fN of souruoLD
BU(LD[NG DEPARTMENT
TOWN CALL
765-1802
APPL[CATION 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 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,
Swi,nn,ing 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 6f'Ci:rliFrcafg ofUccupancy= -- -- .
4. Updated Certificate of Occupancy- $50-00
5- Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. repterre. '� aG 16
New Construction: Old or Pre-existing Building: ✓ (check one)
Location of Property: GCJ (tri 18 C R 4T G rken parr
House No. Street Hamlet
Owner or Owners of Property: CkArtc s F G i u vanur.q
Suffolk County Tax Map No 1000, Section 44. 1 Block. 1 Lot 3
Subdivision�� brc-rgpe U I l a 4 e C r/ftaa rAi M s u m Filed Map. Lot: ( Q
Permit No. -T 10 a— 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
I
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SOLATION
[ ] FRAMING / STRAPPING ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE 1 INSPECTOR
FIELD INSP4e?r�QN IMM0RT AAT
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INSULAT10N PBA N.Y.
STATE ENERGY CpDE
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.AWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDINGPEPARTMENT 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 ,204 Single&Separate
Storm-Water Assessment Form
fContact:
Approved `� ,201 Mail to:Tp C ham et S
Disapproved a/c P 0 8 or *4 Soulke 11 N
Phone:crap 11 q,+—!Cit L
Expiration 20
MBuil Spector
ATION FOR BUILDING PERMIT
SEP 1 6 2016 Date Swte &r 72 , 20ff:,__
INSTRUCTIONS
a. This a �B� Wtosca
}pletely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, acc rate p o plan je.Me 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.
wAq��
(Sign&e e of applicant or name, if a corporation)
Ra Bax !+I 5cwthf](d N 1t 1157.1
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer., general contractor, electrician,plumber or builder
AwE
Name of owner of premises C kat les �. G 1 u Va h h w
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. I
1. Location of land on which proposed work will be done:
C-1 C) 12�_- CR42: C3rerewnr,rt
House Number Street Hamlet
County Tax Map No. 1000 Section Lf Block Lot 3
audivision 5Qci b rr,e-ke V i l l nc4g-Ca ndtl m.n;u m S Filed Map No. Lot
a
2. Sta4existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Co Ilia W/;11% D eC
b. Intended use and occupancy C c1 n do V-w 6 R epla c od n c k
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition V Other Work��o I,T (�ectib Isnd
(Description)
4. Estimated Cost Fee
(To be paid on filing this application) ,
5. If dwelling,number of dwelling units Af/A Number of dwelling units on each floor MIA
If garage, number of cars MDA-
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front I r, _3" Rear I G'-3" Depth i Q"
Height $1 -916% Number of Stories AdA
Dimensions of same structure with alterations or additions: Front IC '-111/a." Rear 161-11 yl�
Depth Cl' -I I `/4'' Height $�-°I`/� '' Number of Stories /y/q-
8. Dimensions of entire new construction: FrontI G -l I /a Rear l G -(l Depth /k
Height 11-1 I/a" Number of Stories MIA-
9. Size of lot: Front- 3 G 6 . 63' Rear I TK- 2 9� Depth L 35.0V'
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated RR k. DQns►tTRif identis
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 Ck%r Its G foyanna Address Ulxs r-R.4% 6nmarr Phone No. C5fr0fr1/-1Oa i
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.
COi.INIE D.BUNCH
STATE OF NEW YORK) Notary Public,state of New York
SS: No.01 BU6186050
QalifiCOUNTY OF ) Co miss ondApril A114 in&Aolk 2o-�to
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
(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 th'
day of /Yl � 20 (Lo
ten� L
Notary Public Si nature of Applicant
John M.Bredemeyer III,President _ ��
Town Hall Annex
Michael J.Domino,Vice-President 54375 Route 25
P.O.Box 1179
Glenn Goldsmith Southold New York 11971
A.Nicholas Krupski
Telephone(631) 765-1892
Charles J.Sanders ���,ca 5 Fax(631) 765-6641
BOARD OF TOWNTRUSTEES
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, 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 213, 3D and
4D construct a proposed 205.8sq.ft. upper deck, a 13.7sqft 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 ��4f SOUrjfrO Town Hall Annex
Michael J.Domino,Vice-President h0 1p 54375 Route 25
Glenn Goldsmith li P.O.Box 1179
Southold,New York 11971
A.Nicholas Krupski
® O Telephone(631) 765-1892
Charles J.Sanders O y 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 4B, and 4C construct a proposed 139sq.ft.
;upper deck with a 13 7sq_ft stair landing,_and 41 6%q ft staircase to Around;Units 2D,31) and
4D construct a Uop6sed 2058sq ft upper deck a 13 7sq ft stair landing; and a 41.69sq.ft.
staircase to mound,Unit 1D SCTM:#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 decks on all 15 condominium.-units;for Emits
1A,IB, IC,2A,2B 2C,3A;3B,3C,4A 48,and 4C construct a proposed 139sq.ft. upper deck
with a I.SJsg.fl..stair landing, and 41.69sq.f1.staircase to ground; Units 2D,3D and 4D construct
1��<.��'a #'tai �-.0 f���l.f... ? r ... .y
a.proposed 205:8sq.ft: upper deck, a 13.7sq:ft..stair landing,and a 41.69sq:ft.�stauc� .ta-1Me nd,1
Unit 11), SCTM944.171-1 (no construction performed that was pplied-'for);.
i N-1
r
The certificate is issued to SEA BREEZE VILLAGE CONDOMINIUMCowners of the
aforesaid property.
7 b
Authorized Signature
Scott A. Russell ��°Su � � STORMWAXIER
SUPERVISOR1�v1[A�1�Ak.G�IEl��I[IEN T
SOUTHOLDTOWN HALL-P.O.Box 2179 o Town of Southold
Main Road-SOLTTHOLD,NEW YORK 11972
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
(TO BE COMPLETED BY THE APPLICANT )
DOES THIS pRoJ)ECI' INVOLVE ANY OF THE FOLLOWING.
Yes No (CHECK ALL THAT APPLY)
❑ffA. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
`, ❑L! & Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
001C. Site preparation on slopes which exceed 10 feet vertical rise to
f
100 feet of horizontal distance.
1 ❑dD. Site preparation within 100 feet of wetlands, beach, bluff or coastal
{ erosion hazard area.
❑EYE. Site preparation within the one-hundred-year floodplain as depicted
_._._... _ ...... ........ ...._
en F� A�!I A/Iap� any wa# eo�x=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.
NT: S.C.T.M. 1000 Date
APPLICA
(Property Owner,Design Professional.Agent,Contractor,Other) District
�ft bQrS �-
NAME TQ(Aft `4-t L-Section Block Lot
FOR BUILDING DEPARTMENT USE ONLY""
Contxtlnforttntiott ��"`� 1 � c1/n�
Tdeybone Numpat vi!1/0
Reviewed By: I r �/
- - - - - - - - - - - - - - - - - - Date:
Property Address/ Location of Construction Work: — — — — — — — — — — — — — — — —
1� Approved for processing Building Permit.
-Go C R Lf 5f Stormwater Management Control Plan Not Required.
-
C�r�y...I]ai rT All — Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM " SMCP-TOS MAY 2014
.✓l'1.72'f-�
Town Hall Annex Telephone(631-1802
54375 Main Road Fax(631) 734-9502
P. O. Box 1179 N
Southold, NY 11971-0959
BUILDING DEPARTMENT
NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION, PRE-ENGINEERED
WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION
Date: sere ►6e" 15 1016
Owner. Char les F_ CG;Qvannr
Location of Property:
Please take notice that the (check applicable line):
New residential structure
Addition to existing residential structure
a ✓ 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):
cr _ Floor flaming, including girders and beams (F)
Roof framing (R)
Floor and roof framing (FR)
Signature:-
Name
ignature:Name (person submitting this form): lr
Capacity(check applicable line):
Owner
I/ Owner representative
TrussResReg15.docx Effective 1/1/2015
f
r .
• APPLICATION Al
' PAGE I of 4 --
TOWN OF SOUTHOLD
FLOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be filled out in duplicate-
SECTIO I• GENERAL PROVISIONS (APPLICANT to read and i
1. No work may start until a permit is issued_
2- The permit may be revoked if any false statements are made herein.
3. I[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.
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.
—3' /7
(APPLICANTS STATURE)
DATE /'
E T N 2: PROPOSED DALOPME T(Tbbecompirgedby APPLICAN -
_ NAME DRES TEL PH NE
APPLICANT "�' ��� • ��(�����
Gt3lS �' 13c�e¢ �N oe -
BUaDER (UBJkQu J a.S000dejnksurtiC(U2 . Com
ENGINEER J ATAes `� K�S / OO(� _ I'1'i E►c`Z�CCUC�
,gROJECT
LOCA-770
• To avoid delay in processing the applimcion, 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.
(® ( 'L 6 49 . L v-O.-rocs
FDP(93)
1 ,
APPLICATION 4 _
• PAGE 2 Of- 4
DESCRIPTION OF WORK (Check' all applicable boxcs):
A. STRUCTURAL DEVELOPMENT
ACTIVITY O STRUCTURE Residential TYPE
❑ New Structure {ential 1-4 FamilY) -
❑Additiona-Rcs�dcntial-{Nior�-t3tan-4-Family)------ ----- ------------ -.
❑ Alteration O Non-residcaval {Floodproofing? ❑ Ycs)
0 Relocation O Combined Use (Resideoual & Commercial)
❑ Demolition ❑ Manufactured (Mobile) Home (In Manu-
Replacemen( factured Home Park? ❑ Yes)
ESTIMATED COST OF PROJECT S
B. OTHER DEVELOPMENT ACTIVITIES:
,❑ Fill ❑ Mining ❑ Drilling ❑ Grading
❑ Excavation (Except for Structural Development Checked Above)
❑ Watercourse Alteration (Including Dredging and Channel Modifications)
❑ Drainage Improvements.(Includ'ing Culvert Work)
❑ Road.Street or Bridge ConstruUioa
❑ Subdivision (New or Expansion)
❑ Individual Witcr or Scr Systom B
E3 Other (Please Specify)' �J
After completing SECTION 2, APPLICANT should submit form to Local Administrator for review.
E I N DP IN DETERMIAlATI N o c cam feted hv CAL ADMINI RATOR
The proposed development is located on F :LM Panel No.• Dated
The Proposed Development:
[3Is LIQ,located in a Special Flood Hazard Area (notify the applicant that the apppication
review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REOUIRI D).
❑ Is located in a Special Flood Hazard Area-
FIRM zone designation is
1170-Year flood elevation at the site is: Ft. NGVD (MSL)
❑ Unavailable
❑ The proposed development is located in a floodway.
FBFM Panel No. Dated
❑ Sec Section 4 for additional instructions.
DATE
SIGNED
APPLICATION a
• PAGE 3 OF a
SECTION d ADDITIONAL INFORMATION REQUIRED (To be completed by LOCAL.ADMINISTRATOR)
The applicant must submit the documents checked below before the application can be processed:
❑ A site plan showing the location of all existing structures, water bodies, adjacent roads, lot
dimensioas and proposed development.
=---- -❑--Development-pians;drawn toseale;and specibcatiotu�including�a+herL_applicable__dctails for__ __
anchoring structures, proposed elevation of lowest floor(including basement), types of water
resistamt 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 acres,whichever is the lesser, the applicant must provide 100-year flood elevations
if they arc not otherwise available).
❑ Plans showing the extent of watercourse relocation and/or landform alterations.
❑Top of new fill elevation Ft. NGVD (MSL).
0 Floodproofing protection level (non-residential only) Ft:NGVD (MSL). For
floWoofed structures, applicant must attach certification from registered engineer or
architect.
❑ Certificationn from a registered engineer that the proposed activity in a regulatory Lloodway
will not result in any increase in the. height of the 100-year flood. A copy of all data and
calculations supporting4his finding must also be submitted.
❑ Other.
,SECTION 5 PERMIT D1r;T£RMINATION t"Ib be mpleted by CA ADMINISTRATOR)
I have determined that the proposed activity.A.O Is
B.O Is not
in conformance with provisions of Local Law # . 19 no permit is issued subject to the conditions
attached to and made part of this permit.
SIGNED , DATE
If BOX A is chegked, the Local Administrator may issue a Development Permit upon payment of designated
fee.
If BOX B is chgcked, 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_
7
APPLICATION s
PAGE a OF a
APPEALS Appealed to Board of Appeals? ❑ Yes ❑ No
Hearing date:
Appeals Boai d Decision --- Approved-) ❑ Yes ❑ 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 professional engineer or a licensed land surveyor (or attach a certification to this application).
Complete I or 2 below.
1. Actual (As-Built) Elevation of the top of the lowcst floor, including basement(in Coastal Hirsh Hazard
Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is:
FT. NGVD (MSL).
Actual (As-Built) Elevation of floodproofmg protection is FT. NGVD (MSL).
NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant.
SECTION 7• COMPLIANCE ACTION M be completed by [,OCAL ADMINISTRATOR
The LOCAL.ADMINISTRATOR will compleic this section as applicable based on inspection of the project to
ensure compliance with the community's local law for Rood damage prevention.
INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ONO
DATE BY DEFICIENCIES? OYES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
SECTION CERTIFICATE QF COMPLIANCEC Eo be cQml2leted ADMINI RA R
Certificate of Compliance issued: DATE: BY-
Attachment B
SAMPLE
CERTIFICATE OF COMPLIANCE
for Development in a Special Flood Hazard Area
r
• 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
O VACANT LAND
THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW:
A. COMPLIANCE IS HE,REBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # 119_
SIGNED: DATED:
B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 1.9_, AS MODIFIED BY VARIANCE # ,
DATED
SIGNED: DATED:
C/C(93)
....._ ��.� 06 -� SEABREEZE VILLAGE
OCCUPANCY QP a� - ,wd p� 60126 ROUTE 48
AP ROVED AS NOTED USE IS UNLAWF a, =1n S O U T H O L D N .Y.
f � I �L
DATE: •P•� WITHOUT
EFT` ' :�,7- -a
UNIT 1 B
FEE: BY: _... �. a�
9
NOTIFY BUILDING DEIFARiTMA�Tjµ AT OF OCCUPANCY
765-1802 8AM TO 4 P1�1 FOR T'�E
FOLLOWING INS`=CC71DINS: — — - _
1. FOUNDAT!OPJ ' ! vYJ r5 OUIRtit7 FLOOD ZONE , --�_�� of«�. - ���.. � 1000 - 44 . 01 - 1 - 03
FOR PCURED CC',1(,P7Tc COnAPLY WITH CHAPTER 148 �w SITE KEY
2. ROUGH - FR.AN?,tNG FLOOD DAMAGE PREVENTION ;p� °a�
3. INSULATION _ 6" _ 1 '-0" CHARLES F . GIOVANNA
4. FINAL - COINST;;',:M'N ►.,1U3 T SOUTHOLD TOWN CODE I"
BE COtIPLCiE c ,r- U11 11
ALL CCNcTRUCTION Sr1',":L MEET THE EXISTING
REQUIREMENTS OF TETE CODES OF NEl1,'
RF T/',f"i STC;?{Uf l^,CATER F�Uf�CFF aI o$
YORK STATE. NOT RESPQNSOLE FOR I�� = =�6 138 . 3 SQ.FT. UPPER DECK
DESIGN OR CONSTRUCTION ERRORS. PURSUAftiT TO CHAPTER 236
COMPLY WITH ALL CODES OF OF THE TO'N[4 CODE. __,.�.w 9 . 4 SQ.FT. STAIR LANDING
NEW YORK STATE & TOWN CODES �,oE, 26 . 8 SQ.FT. STAIRCASE
AS REQUIRED AND CONDITIONS OF PROPOSED REPLACEMENT
oBOARD 139 SQ. FT. UPPER DECK
souTLOLDTOti"JN TRUSTEES 13 . 7 SQ.FT. STAIR LANDING
I
EXIST. POURED CONCRETE FOUNDATION WALL A EXIST. POURED CONCRETE FOUNDATION WALL = r I 41 . 6 9 SQ.FT. STAIRCASE
REPLACE EXIST. 2X10 LEDGER w/ NEW 2X10 LEDGER 200 LEDGER
FASTEN w/ 2-1/2" HILTI HIT-Z BOLTS & HIT-HY-200a EPDXY 16'-3"
STAGGERED @ 16" OC MIN. IIIX w I GENERAL NOTES
NEW 6X6 POST ON _
NEW PIER & FTG. FLo o 1. All work shall conf)rm to the requirements of the Residental Code of New York
z-2x1 State, County and To,vn Department Regulations, Utility Company requirements and
1 I Yp
II X w best trade practises.
o o 2. Before commencing work the Contractor shall file all documents required by the
o W o o ' w Building Department, pay all fees required by local agencies and obtain all required
a II u N permits.
TREX 'GRAVEL PATH" DECKING Xm U)� o w 3. The Contractor shall visit the site and verify all dimensions and the existing
W/ HIDDEN FASTENERS N U ww w z
U) f X w 0 � a conditions affecting the work prior to construction. Any discrepancies which would
Z L N Q U r> ° , interfere with the satisfactory completetion of the work described herein shall be
II w�
TREX TRANSCEND WHITE reported to the designer or property owner. Do not start work until such conditions
COMPOSITE POSTS & RAILz
_ 17 —1 � o o have been examined and a course of action mutually agreed upon. Failure to notify
, 2-2X10 GIRDER the owner or designer of unsatisfactory conditions will be construed as an acceptance
I NEW 3-2X12 GIRDER k of the conditions to properly perform the required work.
J 6X6 POSTCO C. 12" DIA. 4. All work is to conform to the drawings and specifications of the designer and
POUR. CONIC. PIER TYP. g p g
NEW 6X6 POST ON LA 12•_-2z• engineer consultants.
NEW PIER & FTG. 13'-2" 5. The Contractor is to maintain a complete and up to date set of plans on the
12'-2Z" 2'_10" job site at all times
f 6. The drawings are not to be scaled under any circumstances.
1 LINE OF EXIST. GRADE LEVEL WOOD DECK BELOW 7. It shall be the Contractors responsibility to ascertain all prevailing procedures
3'-0" including storage and toilet facilities,protection of existing work to remain,access to
work area, hours of permitted work,availability of water and electric power and all
PROPOSED DECK PLAN 3'-9Z" EXISTING DECK PLAN 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.
NOTE: ALL LEDGER BOLTS To BE 112" 2 8. The Contractor shall make the neccesary arrangements to utilities and services
X 4-1/2" HILT HIT-Z W/ HIT HY-200a temporarily disconnected while performing the work as required.
EPDXY
NOTE: ALL FOOTINGS TO BE NEW 9. The Contractor shall provide all dimensions and cut-outs for other trades.
24" X 24" X 8" POUR. CONC. FTG. 10. The Contractor shall provide proper shoring and bracing for all remaining structure
W/ 10" DIA. CONC. PIERS
prior to removal of existing structure.
11. Plumbi•g, electrical, HVAC and similar work shall be performed by licensed
persons w,io shall arrange for and obtain all required inspections.
Contract.)r shall be responsible for scheduling all other inspections as required.
12. TI•e Contractor is solely responsible for construction safety and shall hold the
TREX TRANSCEND WHITE owne, and designer harmless from litigation arising out of the Contractor's failure to
COMPOSITE POSTS & RAIL J prov,de construction safety means and methods.
.i
CONSTRUCTION NOTES
TREX TRANSCEND WHITE
COMPOSITE POSTS & RAIL 1. All footings shall rest on undisturbed soil at a minimum of 36" below fin. grade
TREX "GRAVEL PATH" DECKING and where existing footings are to be utilized they must be inspected and verified to
W/ HIDDEN FASTENERS 2-2X12 meet standard criteria and building Code requirements.
HEADER
W __. _ _ _ u 2. Poured concrete shall have a minimum psi of 2800 at 28 days unless noted.
TREX FASCIA TREX FASCIA
TREX TRANSCEND WHITE IT 3. Unless otherwise noted all framing and structural wood components shall be
NEW 3-2x12 GIRDER ASSEMBLED W/ NEW 2X8 DECK JOISTS @ 16" OC COMPOSITE POSTS & RAIL #2 or better Douglas Fir.
NEW 6X6 POST ON 2 STAGGERED ROWS OF 3" SCREWS TECO TO GIRDER & LEDGER TREX "GRAVEL PATH" DECKING 4. All framingtechniques and methods shall be as prescriptive design based on
NEW PIERS & FTGS. SPLICES @ POSTS ONLY. q p p g
GIRDER TO BEAR FULLY ON NOTCH NEW 2X10 LEDGER ON TREADS9 AF&P Wood Frame Construction Manual for One and two Family Dwellings (WFCM)
ANCHOR GIRDER TO POST W/ FASTEN W/ 2-1/2" HILTI HIT-Z BOLTS TREX FASCIA ON Or as specified in R301.2.1.1
SIMPSON BCS STRAP OR EQUAL. W/ HIT-HY-220a EPDXY TOE KICKS
STAGGERED @ 16" oc -�� 5. All portions of the new structure are designed to comply with local geographic
_ 2X12 ACQ STRINGS Sand climatic criteria as stated in the following table.
EXIST. VINYL SIDING @ 16" OC
NEW 6X6 ACQ. POST a GEOGRAPHIC & CLIMATE DESIGN CRITERIA
: 1 � NEW 6X6 ACQ POST ON J NEW PIER & FTG. GROUND SNOW LOAD 45 ps1
WIND SPEED 120 MPH
EXIST. IN-GRADE WOOD DECK
N. SEISMIC DESIGN CATATGORY B
EXIST. IN-GRADE WOOD DECK TREAT ENDS OF POSTS W/ WEATHERING SEVERE
PRESERVATIVE
FROST LINE DEPTH 36"
POST BASE W/ ANCHOR BOLT I D Y0 TERMITE THREAT MODERATE TO HEAVY
NEW PIERS & FTGS. 10" DIA. POURED CONC. PIER 12"X6"X4" COfJC. PAD:@ BASE �P cj�' �(0 DECAY SLIGHT TO MODERATE
J �(SONOTUBE OR EQUAL) o z S
WINTER DESIGN TEMPERATURE 11
FLOOD HAZARD AS NOTED
UJI
24x24x8 CONIC. FTG
MUST BEAR ON SOLID GRADE
ELEVATION SECTION 1 SECTION 2 OAROFESS P� DECK & STAIR REPLACEMENT
PLAN/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
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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
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