HomeMy WebLinkAbout41023-Z ��p�s11FFOtKCpGr Town of Southold 12/28/2016
P.O.Box 1179
a
v' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38739 Date: 12/28/2016
THIS CERTIFIES that the building DECK
Location of Property: 60125 North Rd Unit 1 C, Greenport
SCTM#: 473889 Sec/Block/Lot: 44.1-1-2
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. 41023 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 1C)AS APPLIED FOR
The certificate is issued to O'Grady Wm T Sr Irry Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
o ' e Signature
o�SOFFnc��oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
N SOUTHOLD, NY
o �
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#: 41023 Date: 9/26/2016
Permission is hereby granted to:
O'Grady Wm T Sr Irry Trust
35 Jackson Ave
Centereach, NY 11720
To: replace existing deck addition as applied for with flood permit per Trustees.
At premises located at:
60125 North Rd Unit 1C, Greenport
SCTM #473889
Sec/Block/Lot# 44.1-1-2
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
Buil i nspector
Fo,m No 6
,cowN Ot+ souruoLD
BUILDING DEPARTMENT
TO«�N t-[ALL
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:
I- Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features-
2- Finaf 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 t% 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 uaing 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 6FCertifiEaRe of Occupancy-X23- " -- --
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. Ynourrnber 7 o Q
New Construction:y Old or Pre-existing Building: t0 (check one)
Location of Property: 9(j l I� I L C R. 1'{'9i GE�2 n Odr-}-
House No. Street Hamlet
Owner or Owners of Property: C)'GractV Jrrct VoeahLe —Tr4sT
Suffolk County Tax Map No 1000, Section k'i+. Block- Lot 0 a
Subdivision s ft h CeMA:® I/f I a A e Cdnd1) W 01;urm Filed Map. Lot: 1✓
PermitNo. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: V (check one)
------- - ------- --- - -- - - -- ----- - - ---
- ------------------ ----- - ---------------- —-----------
------------------ -- ---- ----- ---- -
Fee Submitted: $
Api ant Signature
OE SO(/j�o�
111 #
N O
i
ly 0 to,0cc1�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
, INSPECTION
[ ] FOUNDATION 1ST [ ] RO GH PLBG.
( ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
OAC ✓
DATE INSPECTOR
FIELD lS7'SkE�'i'�ON I�EpOR.x _;_ C01� N�S .
FOUND,A�=N(1ST)
FOUND�TSQN'(2NIS) ,�
ROUGH FRA?`NG
PLUNMIN G
LE
M ,T LATZON PES.N.Y. ,
STATE ENERGY CODB
FINAL
TOW& OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILLINC, 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 t,20A Single&Separate
Storm-Water Assessment Form
r��y Contact:
Approved ,20 a fm Mail to:f pitn C 6(m 6 Q►S
Disapproved a/c PO Box 'd 5clu-6011 NY
Phone:�p311 !JLP—t'aLt
Expiration 20
D [ECI'R OVE D B ' din Spector
SEP 1 6 2016 ICATION FOR BUILDING PERMIT
DateSaptember ':7-* , 20_LG _
BUILDING DEPT. INSTRUCTIONS
TOWN OF SOUTHOLD
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.
(Sign&
a of applicant or name,if a corporation)
P.G. BoY41 Sriuthold UY ats71
` (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
A
Name of owner of premises O 1 Gf U_��Di ey pc Q r u c 1
(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. C
1. Location of land on which proposed work will be done:
GO ( is- CR 49 C7 fE9, qct
House Number Street Hamlet
County Tax Map No. 1000 Section 4(f,.Cl( Block Lot ®a-
Subdivision J ectb r¢2 xe V1[[agB Conddb,,;n;urr 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 aAdd W►-1 6 DeCK„
b. Intended use and occupancy r�yti rl�, ��r; Q_¢ I n�rrd
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition t/ Other Work ag lem ¢ ccR i n ;Aa
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units JV At Number of dwelling units on each floor n/�k
If garage, number of cars AtIA-
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(.(.—3n Rear I(� 3 1 Depth I d”
Height ' Number of Stories IV/A
Dimensions of same structure with alterations or additions: Front IG'-ll %a l Rear lG'IIVA
Depth q'-t i '/,t" Height -9'/31' Number of Stories A//A-
8. Dimensions of entire new construction: Front l t;' tt'/� Rear l ij'-I I'�s t' Depth
Height V -q Wn Number of Stories MIA
9. Size of lot: Front_V4. Rear 3 %L c Depth 43 r.00'
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated R µ;ah n ease as, IQcside-1t a
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 0 trotU1yey,,A1*Trusf'AddressQ hk'; C Q 4q Gets Phone No. 0516)$'1u-8o;1 3
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 I/
* 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? *C"' $t1IVLF+--
* IF YES, PROVIDE A COPY. Notary Public,State of New York
No.01 BU6185050
STATE OF NEW YORK) QuaNfied in Suffolk County
SS: Commission Expires April 14,2_dao
COUNTY OF cS �-
JO4W C+R11160s being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Aig-au-T
(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
day of � 20 /(o
l 'z)— )1� L W\
Notary Public qignature of Applicant
31 So �� Town Hall Annex
John M.Bredemeyer III,President ',
Michael J.Domino,Vice-President .Y> \ 54375 Route 25
�F,aj ? , $wx„ z,,,a" P.O.Box 1179
,,..
Glenn Goldsmith Southold,
New York 11971
y
P 5�Y:"'
A.Nicholas Krupski "' ?_ � Telephone(631) 765-1892
Charles J.Sanders
���cP Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 8846A
Date of Receipt of Application: June 17, 2016
Applicant: Sea Breeze Village Condominiums c/o Edmund John Tiedemann
SCTM#: 1000-44.1-1 (Lots 1 — 16)
Project Location: 60125 Route 48, Greenport
Date of Resolution/Issuance: July 20, 2016
Date of Expiration: July 20, 2018
Reviewed by: Board of Trustees
Project Description: Replace the existing seaside decks on all 16 condominium
units; for Units 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 213, 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 requited.
This is not a determination from any other agency.
John M. Bredemeyer, III
President Board of Trustees
John M.Bredemeyer III,President %V 5®�/jyO Town Hall Annex
Michael J.Domino,Vice-President �� �j 54375 Route 25
Glenn GoldsmithP.O.Box 1179
Southold,New York 11971
A.Nicholas Krupski G
® _ � Telephone(631) 765-1892
Charles J.Sanders4'! i Fax(631)765-6641
��OOUM`(s�c�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 1297C Date: December 14,20.16
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 139sa.ft.
;uuner deck with a 13 Taft stair landing and 41 69sg ft staircase to around;Units 2D,3D and
.,4D construct's proposed 205'8scLft upper dee a 13 7sq ft stair landing and a 4L69sq ft.
staircase to around,Unit 1D SCTM•#4441-1-1 (no construction performed that was,polied 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.ori all 15condominium•units-, for Units
1A, 1B 1C,2A,113. 2C 3A,3B,3C 4A 4B and 4C construct a proposed 139sq.ft.upper deck
with a 13 7sa #t stair landing, and 41.69sA.ft.staircase to ground;Units 2D; 3D and 4I3 construct ,
a proposed 2(}5,8sq ft opper-deck- a 13 7s'q& stair landing,and a 41 69sgi�.wstaiic�i``oar und�='=
Unit 1D SGTM.14414-1 (no-construction performed that'waslapli'ed''-for)`
The certificate is issued to SEA BREEZE VILLAGE CONDOMINIUM owners of the-
aforesaid property.
re= r,y'd t•d �s 3 q
Authorized Signature
Scott A. Russell �s�c furFC�`f�� S,`]F01KMWA\r]F1E)K
SUPERVISOR I��l[A\1�A\�Gf]ENUENT
SOUTHOLD TOWN HALL-P.O.Box 1179 t�
53095 Main Road-SOUTHOLD,NFW YORK 11971 sir �`- Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOLES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
Yes NO (CHECK ALL TY)
THAT APPLY)
®ff A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
®
ffB. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
®0/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.
®EI/E. Site preparation within the one-hundred-year floodplain as depicted
_ - -on-FIRM-Map--of-any wat-er-eour-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,resign Professional,Agent,Contractor,Other) S.C.T.M. 1000 Date
-�+ District
J
NAME: Al kaon bars
�„�, Section Block Lot
//�� FOR BUILDING DEPARTNIEINT USE ONLY
m
Contact Inforation "1�[” ------
Reviewed By.
— — — — — — — — — — — — — — — — /� /
Date- 9-- 16'12
Property Address/ Location of Construction Work- — — — — — — — — — — — — — — ——[:3/Approved
— —
//'� for processing Building Permit.
(-HCl 11,5 C C Stormwater Management Control Plan Not Required.
r'cPar ® Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM 0 SMCP-TOS MAY 2014
Town Hall Annex �� G� Telephone(631-1802
54375 Main Road Fax(631) 734-9502
P. O. Box 1179 N z
Southold, NY 11971-0959 %y .Q
r
BUILDING DEPARTMENT
NOTICE OF UTILIZATION OF TRUSS TYPE-CONSTRUCTION, PRE-ENGINEERED
WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION
Date: SepTembc 15- D'016 ,
Owner- 'Grady 2rreyoccible TrUKT
Location of Property: C R 4Sf l7 r@rADd r7
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)
Timber construction (TC)
in the following locations)(check applicable line):
Dock Floor framing, including girders and beams (F)
Roof framing (R)
Floor and roof framing (FR)
Signature:-
Name
ignature:Name (person submitting this form): _'Nlbarr L►/:Iso".
Capacity(check applicable line):
Owner
V Owner representative
TrussResReg15.docx Effective 1/12015
4
APPLICATION
i
PAGE Iof4
TOWN OF SOUTHOLD
I1LOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be filled out in duplicate.
SECTION 1 GENERAL PROVISIONS (APPLICANT to read and sign):
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 trompliance is issued.
5. The permit will expire if no work is commenced within six months of issuance.
6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory
requirements.
7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable
inspections required to verify compliance_
8. 1,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO
THIS APPLICATION ARE,TO THE BEST OF MY KNOWLEDGE,TRUE AND ACCURATE.
(APPLICANT'S Sf(:,,*ATURE)
DATE A / 3. /7.
E 1 N 2: PROPOSED DAPMENT be coat fetedv APPLICAN
AME ADDRESSTEL PH NE
(?�.�-��
BUILDER � t4S UN�Qv� Jo�C�GQS�niC�U2 .Cdr
ENGINEER �(2 D E-��- X1'1 Ac-- TITUCr—
J "JfctS2
PROJECT LOCATION(:
• To avoid delay in processing the application, please provide enough information to easily identify the project
location- Provide the street address, lot number or legal description (attach) and, outside urban areas* the
distance to the nearest intersecting road or well-kaowu landmark. A sketch attached to this application shoving
the project location would be helpful.
FDP(93)
AYPLICAT ION -
PAGE 2Of- d
DESCRIPTION OF WORK (Check- all applicable boxes)_
A- STRUCTURAL- DEVELOPMENT
AAMVITY STRUCTURE ME-
❑ New Structure ❑ Residential (1-4 Family)
-- ------ ❑ Addition --
❑ Alteration ❑ Non-residential (Floodproof-ing? ❑ Yes)
❑ Relocation ❑ Combined Use (Residential & Commercial)
❑ DemoRioa P ❑ Manufactured (Mobile) Home (10 Manu-
Replacement factured Home Park? ❑ Yes)
1� _s
ESTIMATED COST OF PROJECT S
B. OTHER DEVELOPMENT ACTIVITIES:
O Fill ❑ Mining O DrilIi.ng Q Grading
❑ Excavation (Except for Structural Development Checked Above)
0 Watercourse Alteration (Including Dredging and Channel Modifications)
O Drainage Improvements (Including Culvert Wort:)
0 Road, Street orBurdge Constniuioa
❑ Subdivision (New or Expansion)
0 Individual Water or Sc r SYStom
❑ Other (Please Speci1A_ A
After completing SECTION 2, APPLICANT should submit form to local Administrator for review.
E ION 3: DPLAIN DETERMINATION o c corn leted v LOCAL.ADhiIN7 RATOR)
The proposed development is located on FIRM Panel No^ -
Dated
The Proposed Development:
. OIs II�L'�avcated in a Special Flood Hazard Area (Notify the applicant that the application
review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED)•
❑ Is located in a Special Flood Hazard Area.
FIRM zone designation is Ft. NGvD (MSL)
1.00-Year flood elevation at the site is:
Q Unavailable
❑ The proposed development is located in a floodwaY.
FBFM Panel No. Dated
0 Sec Section 4 for additional instructions.
DATE
SIGNED
APPLICATION +v
PAGE 3 OF 4
SECTION 4: ADDfT10NAL INFORMATION REQUIRED (To he completed by LOCAL ADMTNISTRATOR)
The appbcant must submit the documents checked below before the app[icaeion can be processed:
❑ A site plan showing the location of all casting structures, water bodies, adjacent roads, lot
dimensions and proposed development.
---- -EHDcvclopureut-plans,-drawn-to-scalc,-and-spceifications,-including wheu_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 fust 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-yeas flood elevations
if they are not otherwise available).
❑ plans showing the extent of watercourse relocation and/or landform alterations.
❑Top of new fill elevation Ft. NG VD (MSL).
0 Floodprooling protection level (non-residential only) I=t:NGVD (MSL). For
floMikoofed structures, applicant must attach certification from registered engineer or
architect.
❑ Certificatio from a registered engineer that the proposed activity in a regulatory floodwap
will not result in an increase in the height of the loo-year flood. A copy of all data and
calculations supportingo his finding must also be submitted_
❑ Other--
SECT—ION. 5
ther•,SECTIONS PERMIT DI~"]<TRMINAT16N (To be completed by LOCAL ADMINISTRATOR)
I have deterinined that the proposed activity. &0 Is
B.❑ Is not
in conformance with provisions of Local Law # . 19 The permit is issued subjectto 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.
if D X B is cheked, the Lova! Administrator will provide a written summary of dcCiciencies. Applicant May
revise and resubmit an application to the Local Administrator or may request a bearing from the Board of
Appeals_
APPLICATION! s _
PAGE d OF a
APPEALS- Appealed to Board of Appeals? ❑ Yes ❑ No
Hearing date:
Appeals Boai d Decisioa --- Approved ❑ Ycs ❑ No
Conditions
SECT-)ON G AS I3UiLT ELEVATIOf'15 !To be submi[tcd by APPLICANT before Certificate of Comnl�ance
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 lowest floor, including basement in Coastal High Hazard
cas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is:
FT. NGVD (MSL).
Actual (As-Built) Elevation of floodproofing protection is FT_ NGVD (MSI.).
NOTE_ Any work performed prior to submittal of the above information is at the risk of the Applicant.
SECTION 1 COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR
The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to
ensure compliance with the community's local law for flood damage prevention.
INSMCI•IONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
SECTION8: QER*nFICATEOFCOMPLIANCE(]:obecompletcdb D&4TMTCTPA R
Certificate of Compliance issued: DATE: BY:
Attachment B
SAMPLE
CERTIFICATE OF COMPLIANCE
for Development in a Special Flood Hazard Area
f
• TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT IN A SPECIAL FLOOD HATARD AREA
(OWNER MUST RETAIN THIS CERTIFICATE)
PREMISES LOCATED AT: PERMIT N0.
PERMIT DATE
OWNERS NAME AND ADDRESS: CHECK ONE:
❑ NEW BUILDING
❑EXISTING BUILDING
❑ VACANT LAND
THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW:
A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 19_
SIGNED: DATED:
B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # ,
DATED
SIGNED: DATED:
C/C(93)
OCCUPANCY OR SEAB REEZE VILLAGE
7
USE IS UNLAWFUL
60126 ROUTE 48
CERTIFICATE
JJ
LJ 3 Z_� WITHOUT SOUTHOLD N .Y.
OFOCCUPANCY
1.
M F �.7
FLOOD ZONE
UCHAPTERUNIT 1 C
D'�T I S:
COMPLY WITH 148
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RMJ�i� P, FLOOD DAMAGE PREVENTION 1-T 1.
SOUTHOLD TOWN CODE SITE KEY 10
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2. J & PLLKAQ:,�,G
If
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1 / 16 -0"
4 FINAL
O'GRADY IRR . TRUST
U�11 STr71,!C7CNI ST
RETAIN STORM WATER RUNOFF E.11-1 IA.
ALL CONS;RJCT!n_,N SHALL MIEET THE
PURSUANT TO CHAPTER 236
REQUIREMENTS OF THF CIODES OF NEW I
OF THE TOWN EXISTING
CODE.
YORI< STATE. NOT RESPOINS!BLE: FOR
DESIGN OR CONSTRUCTION ERRORS. 138 . 3 SQ.FT. UPPER DECK
I Lli!
COMPLY WITH ALL CODES OF 9 .4 SQ.FT. STAIR LANDING
NEW YORK STATE & TOWN CODES 26 . 8 SQ.FT. STAIRCASE
AS REQUIRED AND CONDITIONS OF PROPOSED REPLACEMENT
139 SQ.FT. UPPER DECK
SOUTHOLD TOWN TRUSTEES 13 . 7 SQ.FT. STAIR LANDING
. . . EC
41 . 6 9 SQ.FT. STAIRCASE
EXIST. POURED CONCRETE FOUNDATION WALL EXIST. POURED CONCRETE FOUNDATION WALL
- - - - - - - GENERALNOTES
REPLACE EXIST. 2X10 LEDGER w/ NEW 2X10 LEI R 200 LEDGER
FASTEN w/ 2-1/2"x 4-1/2" HILTI HIT-Z BOLT: (-2010 , EPDXY 16'-3" 1. All work shall conform to the requirements of the Residental Code of New York
STAGGERED @ 16" OC MIN. State, County and Town Department Regulations, Utility Company requirements and
I X ;<
NEW 6X6 POST ON II I
w best trade practises.
F u) c)
NEW PIER & FTG CD
2-2Y o LU 2. Before commencing work the Contractor shall file all documents required by the
U) 0 Building Department, pay all fees required by local agencies and obtain all required
X4— w permits.
u)
q UW 0 3. The Contractor shall visit the site and verify all dimensions and the existing
C) 0
00 0
W
U conditions affecting the work prior to construction. Any discrepancies which would
TREX "GRAVEL PATH" DECKING
< interfere with the satisfactory completetion of the work described herein shall be
u)
Lu W/ HIDDEN FASTENERS ---- (D
% W W Lu Lu Lu reported to the designer or property owner. Do not start work until such conditions
Z o u)
w
X have been examined and a course of action mutually agreed upon. Failure to notify
TREX TRANSCEND WHITE < the owner or designer of unsatisfactory conditions will be construed as an acceptance
LL
COMPOSITE POSTS & RAI Z
of the conditions to properly perform the required work.
F_
2-2X10 GIRDER 4. All work is to conform to the drawings and specifications of the designer and
engineer consultants.
NEW 3-2X12 GIRDER L —16X6 POST ON 12" DIA. 5. The Contractor is to maintain a complete and up to date set of plans on the
NEW 6X6 POST ON POUR, CONC. PIER TYP. job site at all times
NEW PIER & FTG.. 12'-21' 6. The drawings are not to be scaled under any circumstances.
2
13'-2" 7. It shall be the Contractor's responsibility to ascertain all prevailing procedures
% LINE OF EXIST. GRADE LEVEL BRICK PATIO B 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
other conditions and restrictions for this particular location in order to execute the
3'-0° work in a careful and orderly manner with the least possible disturbance to the public.
L—3'-91 8. The Contractor shall make the neccesary arrangements to utilities and services
PROPOSED DECK PLAN 2 EXISTING DECK PLAN temporarily disconnected while performing the work as required.
NOTE: ALL LEDGER BOLTS TO BE 112" 9. The Contractor shall provide all dimensions and cut-outs for other trades.
X 4-1/2" HILT HIT-Z W/ HIT HY-200a 2 10. The Contractor shall provide proper shoring and bracing for all remaining structure
EPDXY
NOTE: ALL FOOTINGS TO BE NEW prior to removal of existing structure.
24" X 24" X 8" POUR. CONC. FTG. 1 1. 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
TREX TRANSCEND WHITE provide construction safety means and methods.
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
TREX "GRAVEL PATH" DECKING meet standard criteria and building code requirements.
— ----- W/ HIDDEN FASTENERS 2-2X12 2. Poured concrete shall have a minimum psi of 2800 at 28 days unless noted.
HEADER
TREX FASCIA TREX FASCIA Unless otherwise noted all framing and structural wood components shall
e
TREX TRANSCEND WHITE — — — — — — — #2 or better Douglas Fir.
NEW 6X6 POST ON NEW 3-2x12 GIRDER ASSEMBLED W// NEW 2X8 DECK JOISTS @ 16" OC COMPOSITE POSTS & RAIL 4. All framing 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
SPLICES @ POSTS ONLY. AF&P Wood Frame Construction Manual for One and two Family Dwellings (WFCM)
GIRDER TO BEAR FULLY ON NOTCH NEW 2X10 LEDGER ON TREADS or as specified in R301.2.1.1
ANCHOR GIRDER TO POST W/ FASTEN W1 2-112" x 4-1/2" HILTI HIT-Z 80 TS 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
STAGGERED @ 16" OC 2X12 ACQ SYRINGE S and climatic criteria as stated in the following table.
EXIST. VINYL SIDING X @ 16" OC GEOGRAPHIC & CLIMATE DESIGN CRITERIA
NEW 6X6 ACQ. POST NEW 6X6 ACQ POST ON GROUND SNOW LOAD 45 psl
NEW PIER & FTG. WIND SPEED 120 MPH
EXIST. IN-GRADE BRICK PATIO SEISMIC DESIGN CATATGORY B
WEATHERING SEVERE
EXIST. IN-GRADE BRICK PATIO TREAT ENDS OF POSTS W/ FROST LINE DEPTH 36"
PRESERVATIVE
TERMITE THREAT MODERATE TO HEAVY
POST BASE W/ ANCHOR BOLT DECAY
SLIGHT TO MODERATE
NEW PIERS & FTGS. 10" DIA. POURED CONC. PIER '\-12"X6"X4" CONC. PAD @ BASE OF NEW WINTER DESIGN TEMPERATURE
(SONOTUBE OR EQUAL) DEfA 0 FLOOD HAZARD AS NOTED
24x24x8 CONC. FTG
MUST BEAR ON SOLID GRADE -x
DECK & STAIR REPLACEMENT
ELEVATION SECTION 1 SECTION 2 cP
72 PLAN/SECTION/ELEVATION
FE REV. 9.7. 16
JUNE 15, 2016 1 /4" = V-10"
�ENERGY CON�. �R\/KT' �_�_ A_N_A L_�'��� - .i• 3 f��,
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