HomeMy WebLinkAbout41028-Z ����g11FF0(��DGr Town of Southold 12/28/2016
3 P.O.Box 1179
0
co 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No:- 38743 Date: 12/28/2016
THIS CERTIFIES that the building DECK
Location of Property: 60125 North Rd Unit 2A, Greenport
SCTM#: 473889 Sec/Block/Lot: 44.1-1-8
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. 41028 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 2A)AS APPLIED FOR
The certificate is issued to Tiedemann,Edmund
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Signature
�gvFFo4,��o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 41028 Date: 9/26/2016
Permission is hereby granted to:
Tiedemann, Edmund
PO BOX 179
Greenport, NY 11944
To: replace existing deck addition as applied for with flood permit per Trustees.
At premises located at:
60125 North Rd Unit 2A, Greenport
SCTM # 473889
Sec/Block/Lot# 44.1-1-8
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 ector
For rrr No 6
-ro%,%,N of sou ruow
BU(LD(NG DEPARTMENT
TOWN BALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A- .For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept- of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 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,
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 6f Certificaf-r ofOc6upancy--=2 : _._
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. �Zder&" e, 7-z' au I C
New Construction: Old or Pre-existing Building: L/ (check one)
Location of Property: r O I l. 1r a A- C fk LfiY G re¢n oarT
House No. Street Hamlet
Owner or Owners of Property. 1 ed 'f
Suffolk County Tax Map No 1000, Section_ t Block. d Lot G
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Realth Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
FeeSubmitted: $ ----- - -- -- -•------------ ------------------------ -- - --- ----- -
Appl a t Signature
SO(/lyo
o�yc0UN1'1,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION -
FOUND I ATION
1ST [YI
GH PLEIG.
[ ] FOUNDATION 2ND [ LATION
FRAMING / STRAPPING [ L
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: ttftlrN 6V"
DATE INSPECTOR
YMLD 13166 QN 1 P'OR•' D Cd S
FOUND,kt=(IST)
F-O W1'\1 TION(1+1 b) Wim•
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ROUGH YRA1�NQ&
IMUL.ATXON PES.N.Y.
STATE ENE-ROY C'00
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Off;"N OFA SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BU LDING 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 L,211 Single&Separate
Storm-Water Assessment Form
(n Contact:
Approved ,20( Mail to: �0670 Cff%W9?J
Disapproved a/c
Phone:
Expiration 20
XF
[ECIRIEB VI� BAdins or
® PLICATION FOR BUILDING PERMIT
SEP 16 2016 Date Sete ft b er , 20I_
INSTRUCTIONS
l)IPiG DEPT.
a. T ' ompletely 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.
q0A"Al2
(Signa of applicant or name,if a corporation)
P.O. Boy " 5VUthoy N`( ltI71
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineers general contractor, electrician,plumber or builder
iG A T
Name of owner of premises Eck MUd m&4 Susan T1 r-1 amann
(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.
1. Location of land on which proposed work will be done:
Ines C,R Lnr �f ^QdrT
House Number Street HarAlet
County Tax Map No. 1000 Section 44. 1 Block l Lot 0f
jW Subdivision sec�b xe �s,la E Co,�o�„�;��kr,,,g 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 Cri(r, U/;TIS n a r h
b. Intended use and occupancy G nac1 W;tk N!W 4.cQA Dect(
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition ✓ Other Work laud s K i- nl-
-�
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor /V'A
If garage, number of cars ivy
6. If business, commercial or,mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front ar &�' -3�' Depth L Cj I
Height J' -q '/j ` Number of Stories OA4/A
Dimensions of same structure with alterations or additions: Front 1G '--11 `�y' Rear 16'-ii 'ie"
Depth ci '—11 1/4" Height Number of Stories 4(/m,
8. Dimensions of entire new construction: Front 16 t-11 '®�'' Rear 16 t-111/2 11 Depth
Height ftL`' Number of Stories aV/�
9. Size of lot: Frontt Rear. I Qp. ' q Depth If3S.ryo
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated H iTD- wR;den?t o `
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
El•„t~nb+Sas.r�
14. Names of Owner of premises T;adamq.&A Address Qlas CQtttGrernparrPhone No. C51QIla-jja5
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 NQ__1E
* IF YES,D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale,with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES ✓ NO
* IF YES, PROVIDE A COPY. CONNIE D. BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
Qualified in Suffolk County
SS:
COUNTY OF Commission Expires April 14,
dpi} being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract))above named,
(S)He is the � cw
(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 }s
day o 20/(0
9'�eln N4 -L.AJANtl�
Notary Public Signature of Applicant
John M.Bredemeyer III,President '�a
:, P°� Town Hall Annex
54375 Route 25
Michael J.Domino,Vice-President P.O.Box 1179
Glenn Goldsmith
Southold New York 11971
> a �
A.Nicholas Krupski #'w
Telephone(631) 765-1892
Charles J.Sanders { Comm, ° Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 8846A
Date of Receipt of Application: June 17, 2016
Applicant: Sea Breeze Village Condominiums c/o Edmund John Tiedemann
SCTM#: 1000-44.1-1 (Lots 1 — 16)
Project Location: 60125 Route 48, Greenport
Date of.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, 213, 2C, 3A, 36, 3C, 4A, 413, and 4C construct a
proposed 139sq.ft. upper deck with a 13.7sq.ft. stair landing, and 41.69sq.ft.
staircase to ground; Unit 1 D construct a proposed 240sq.ft. upper deck, a
13.7sq.ft. stair landing and a 41.69sq.ft. staircase to ground; Units 21), 3D and
4D construct a proposed 205.8sq.ft. upper deck, a 13.7sq.ft. stair landing, and a
41.69sq.ft. staircase to ground.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the .
project plan submitted by Joan Chambers, received June 17, 2016, and stamped
approved on July 20, 2016.
Special Conditions: None.
Inspections: Final Inspection.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
John M. Bredemeyer, III
President Board of Trustees
John M.Bredemeyer III,President �Q�5o(/T�r Town Hall Annex
Michael J.Domino,Vice-President ,`O� Ol0 54375 Route 25
P.O.Box 1179
Glenn Goldsmith Southold,New York 11971
A.Nicholas Krupski G.
� - 4 Telephone(631) 765-1892
Charles J.Sanders �p "� Fax(631)765-6641
MUNS'(,,
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 1297C Date: December 14,2'016
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,4B, and 4C construct a proposed 139sq.ft.
•upper deck with a 13 7sc.ft stair landing and 41 69N ft staircase to around• Units 2D,-3D and
4D construct a prop6sed 205 8sq.ft upper deck a 13 7sq-ft stair landing and a-41-.6 sg.ft.
staircase to groun(,Unit 1D SCTM•#441-1-1Lno construction performed that was.applied for),
At 60125 Route 48, Crreoport
Suffolk County Tax Map 01000-44.1-1-2-16
Conforms to the application for a Trustees Permit hgretofore filed in this
office Dated June 17,2016 pursuant to which Traistees Administrative Permit#8846A
Dated Jul; 20,� 2.016,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 Units
1A, 1B, IC,2A,2B, 2C 3A 3B,3C 4A 48,and 4C construct a proposed 139sq.ft. upper deck
with a 1.3.7sq.ft. stair landing, and 41.69sq.ft.staircase to ground: Units 2D;3D-and 4D construct
a proposed 205.8M.ft. upper-deck, a 13.Tsn.ft. stair landing;and-a 41.69sq:ft,staiY6hse#fo urounc,',
Unit 1D, SCTM:#44.1-1-1 (no.construction performed that'.was.�appliedfor)
The certificate is issued to SEA BREEZE VILLA5E CONDOMINIUM owner's of the
aforesaid property.01 A
Authorized Signature
Scott A. Russell ���°$u 'f�, S'7C'O]EZMWA\T)EJR.
SUPERVISORMA\N A\�G]EMIEN T
a
SOUTHOLDTOWN HALL-P.O.Box 1179 a Town of Southold
Main Road-SOUTHOLD,NEW YORK 11971 fO�
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVFI ANY OF THE FOLLOWING:
(CHECK ALL 17HAT APPLY)
Yes No
❑ff A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑E(B. Excavation or filling involving more than 200 cubic yards of material
,_,/ within any parcel or any contiguous area.
0121 C. Site preparation on slopes which exceed 10 feet vertical rise to
f
100 feet of horizontal distance.
i r1dD. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
[DE. Site preparation within the one-hundred-year floodplain as depicted
❑[ 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 Tag 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
�L � District �r�� a 'r
TAME I h — tx/tri �S —1 t .SL_L .1 C
Section Block Lot
" FOR BUILDING DEPARTNIENT USE ONLY
Contact In(orttutio ��� 1 ���4�4 � (�.�'
Tctryho,x Numbcd
Reviewed By:
— — — — — — — — — — — — — — — — — — �p
Date:
Property Address/ Location of Construction Work: — — — — — — — — — — — — — — — — —
GI /� h Approved for processing Building Permit.
o i 1 C R � ^ B� [J Stormwater Management Control Plan Not Required.
-9 /'F�Dezi7 N y —n Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review.)
FORM " SMCP-TOS MAY 2014
Town Hall Annex �� Telephone(631-1802
54375 Main Road .c Fax(631)734-9502
P. O. Box 1179
Southold, NY 11971-0959
a
BUILDING DEPARTMENT
NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION, PRE-ENGINEERED
WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION
Date: _Sc07 C,M b,?r
Owner. Edmund and Sujav% T a emaqr.
Location of Property: G0lad C-R 4'XGrcr�#Anor-r
Please take notice that the (check applicable line):
New residential structure '
Addition to existing residential structure
:M >/ 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):
Dre K Floor framing, including girders and beams (F)
Roof framing (R)
Floor and roof framing (FR)
Signature:
Name (person submitting this form): PAr t M;tsa,
Capacity(check applicable line):
Owner
Owner representative
TrussResReg15.docx Effective 1/1/2015
r
t -
APPLICATION a
' PAGE I of 4 --
TOWN OF SOUTHOLD
FLOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be filled out in duplicate-
SECTION
uplicate.SECTI N 1: GENERkL 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. if revoked, all work must cease until permit is re-issued.
4. Development shall not be used or occupied until a Certiricate of Compliance is issued.
5. The permit will expire if no work is commenced within six months of issuance.
b. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory
requirements.
7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable
inspections required to verify compliance.
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 Sff,*ATURE) DATE
E 10N_2. PROPOSED DL*LOPMENT(Tb be completed by APPLICAJM
AME DRES TEL PH NE
APPLICANT � ��� '. ��( 2�.✓���/
od C ! fL S-OkB
-BUILDER ��Cl4S ()�iQ��.' J oCt�GQ? SuniC(U-e- .C6re1
ENGINEER - 6'1/l Ac--MT'UCr--
�S SDS [�S z
-PROJECT LQCAJ30t�I:
• To avoid delay in processing the application, please provide enough information to easily identify the project
location. Provide the street address, lot number or Iegal 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-
FOP(93)
APPLICATION
PAGE 2 OF d
DESCRIPTION OF WORK (Cbeck all applicable boxes)_
A. STRUCTURAL DEVELOPMENT
AC-t-IVTTY STRUCTURE- TYPE
❑ New Structure ❑ Residential (]-4 Family)
❑ Addition —❑-I�cs�ficntial {I�torc tban-4-Fam y)--- - - - - -- - --- - ----- -----
❑ Alteration ❑ Non-residential (Floodproofing? ❑ Yes)
❑ Relocation D Combined Use (Residea[ial & Commercial)
0 Demolition ❑ Manufactured (Mobile) Home (In Manu-
Replacement factured Home, Park? ❑ Yes)
ESTIMATED COST OF PROJECT 5
B. OTHER DEVELOPMENT ACTIVITIES:
❑ Fill ❑ Mining ❑ Drilling D Grading
❑ Excavation (Except for Structural Development Checked Above)
❑ Watercourse Alteration (including Dredging and Channel Modifications)
❑ Drainage improvements (Including Culvert Work)
O Road.Street or Bridge Construction
❑ Subdivision (New or Expansion)
❑ Individual Witer or Sc r System Q
❑ Other (Please Specify)`
After completing SECrJON 2, APPLICANT should submit form to Local Administrator for review.
E I N 3: DPLAIN DETERMiNATiON o e convict djv CAL.ADMINI RATOR
The proposed development is located on FIRM Panel No. Dated
The Proposed Development:
• O Is NOT located 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
100-Year flood elevation at the site is: Ft. NGVD (MSL)
❑ Unavailable
O The proposed development is located in a floodway.
FBFM Panel No. Dated
0 See Section 4 for additional instructions.
SIGNED DATE
APPLICATION
PAGE 3 OF a
SECTION d: ADDITI AL INFORMATION RE UiRED To he completed by LOCA[,ADMINISTRATOR
N
The applicant must submit the documents checked below before the application can be processed:
O A site plan showing the location of all existing structures, water bodies, adjacent roads, lot
dimensions and proposed development..
— -- 0 -evclopment-plans;dr-awn-to-scalc—and-spoeilicatiotu;incltiding-w-hereapplicable:-details..for
anchoring structures, proposed elevation of lowest floor(including basement), types of water
resistant materials used below the first floor, details of flood proofing 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 trust provide 100-year flood elevations
if they arc not otherwise available).
❑ Plans showing the extent of watercourse relocation and/or landform alterations.
❑Top of oew fill elevation: Ft. NG VD (MSL).
❑ Floodproofing protection level (non-residential only) Ft:NGVD (MSL). For
floWd� oofed structures, applicant must attach certification from registered engineer or
architect.
❑ Certilicati`o from a registered engineer that the proposed activity in a regulatory floodwa}�
will not result in Any increase in the height of the 100-year flood. A copy of all data and
calculations supporting his finding must also be submitted_
❑ Other.
SECTION 5 PE thflT DEITRMINATION Mbe completed by LO ADM1N RATOR)
I have determined that the proposed activity.A.❑Is
B.0 Is not
in conformance with provisions of Local Law # . 19 The permit is issued subject to the conditions
attached to and made part of this permit.
SIGNED , DATE
If BOX A is chocked, the Local Administrator may issue a Development Permit upon payment of designated
fee.
If 80�: 8 is ch�eked, 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-
APPLICATION a
PAGE 4 OF 4
APPEALS Appealed to Board of Appeals? ❑ Yes ❑ No
Hearing date:
Appeals Boai d Decision --- Approved? ❑ Yes ❑ No
Conditions
SECTION G AS BUILT ELEVATIONS (To 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 appfication).
Complete 1 or 2 below.
I_ Actual (As-Built) Elevation of the top of the lowest floor, including basement(in Coastal High Hazard
6m& bottom of lowest structural member of the lowest floor, excluding piling and columns) is:
FT. NGVD (MSL).
2 Actual (As-Bui3t) Elevation of iloodproofing protection is FT. NGVD (MSL)_
NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant.
ECTI N 7: COMPLIANCE AMON o be com feted v 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 local law for flood damage prevention.
INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
SECTIQN ERTIFi ATE QF COLMIANCECEo be c m leted DMINI RA R
Certificate of Compliance issued: DATE: BY:
f
Attachment B
SAMPLE
CERTIFICATE OF COMPLIANCE
for Development in a Special Flood Hazard Area
• TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT IN A SPECL4L FLOOD HAZARD AREA
(O'" ER MUST RETAIN THIS CERTIFICATE)
PREMISES LOCATED AT: PERMIT NO.
PERMIT DATE
OWNERS NAME AND ADDRESS: CHECK ONE:
CI NEW BUILDING
O EXISTING BUILDING
O VACANT LAND
THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW:
A. COMPLIANCE IS HE, CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW #_t 19_
SIGNED: DATED:
B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW #. . 19AS MODIFIED BY VARIANCE # ,
DATED
SIGNED: DATED•
C/C(93)
dSEABRE EZE VILLAGE
OCCUPANCY OR 60126 RO UTE 4 8
USE IS UNLAWFUL
RDJ J.AP.S NOTE
II
SOUTHOLD N .Y.A WITHOUT TIFICATE
DATEOF OCCUPANCY
YFEE:
UNIT 2 A
NOTIFY BUILDING D" 'ARTME
765-1802 8 AM TO 4 PIM FOR TH�
FOLLOWING INSPECTFLOOD ZONE
1. FOUNDATION COMPLY WITH C PTER 148 —_
4
4ZQdl„
1000 - 44 . 01 - 1 - 08
FOR POURED C^" CREwE FLOOD ®A "AGE PREVENTION 4 kill
2. ROUGH - FRAMING PLUMBING SOUTHOLD TOWN CODE 3. INSULATION EDMUND & SUSAN TIEDEMANN
�..--��-,----.,
4. FINAL - CONS?RUICT'ON MUST "'C "" T� I..
BE COMPLETE ��� C.O. � 9�-a- SITE KEY EXISTING
ALL CONSTRUCTION SHALL MEET THE n n r !t !��
RETAIN STORM WATER RUI OFr � / � 6'� 1 , O"
REQUIREMENTS. GFTH_GODFSOFNEb'V I - - 138 . 3 SQ.FT. UPPER DECK
YORK STATE. N07” IiESPONSI6LE FOR PURSUANT TJ CHAPTER 236
DESIGN OR CCNSTRUCTION ERRORS. OF THE TOWN CGDE, 9 . 4 SQ.FT. STAIR LANDING
COMPLY WITH ALL CODES OF d 1 ¢� 26 . 8 SQ.FT. STAIRCASE
NEW YORK STATE & TOWN CODES I I 61•
AS REQUIRED AND CONDITIONS OF �. _.....a.., PROPOSED REPLACEMENT
139 SQ.FT. UPPER DECK
SonatTMI 7971M ARD
SOUTHOLD TOWN TRUSTEES 13 . 7 SQ.FT. STAIR LANDING
t. t 41 . 69 SQ.FT. STAIRCASE
GENERAL NOTES
1. All work shall conform to the requirements of the Residental Code of New York
EXIST. POURED CONCRETE FOUNDATION WALL=, ', EXIST. POURED CONCRETE FOUNDATION WALL State, County and Town Department Regulations, Utility Company requirements and
- —� — — — — — — zxlo LEDGER —� best trade practises.
REPLACE EXIST. 2x10 LEDGER w/ NEW 2X10 LEDGER 2. Before commencing work the Contractor shall file all documents required by the
FASTEN w/ 2-1/2" HILTI HIT-Z BOLTS & HIT-HY-200a EPDXY 16'-3"
STAGGERED @ 16" OC MIN. N �N I + Building Department, pay all fees required by local agencies and obtain all required
XII
NEW 6X6 POST ON Illx N w permits.
NEW PIER & FTG. �L2-2XIconditions
—N ! o o I 3. The Contractor shall visit the site and verify all dimensions and the existing
affecting the work prior to construction. Any discrepancies which would
I X w a interfere with the satisfactory completetion of the work described herein shall be
Q — o o reported to the designer or property owner. Do not start work until such conditions
o w o o have been examined and a course of action mutually agreed upon. Failure to notify
�eII c� N the owner or designer of unsatisfactory conditions will be construed as an acceptance
TREX "GRAVEL PATH" DECKING o of the conditions to properly perform the required work.
W/ HIDDEN FASTENERS @ o X UJ
W 4. All work is to conform to the drawings and specifications of the designer and
,i
- z Q engineer ccrsultants.
TREX TRANSCEND WHITE II ~ °� 5. The Contractor is to maintain a complete and up to date set of plans on the
COMPOSITE POSTS & RAIL z o
2-2X10 GIRDER job site at all times
_ _ _ 6. The drawings are not to be scaled under any circumstances.
— — — — — 7. It shall be the Contractor's responsibility to ascertain all prevailing procedures
NEW 3-2X12 GIRDER 6X6 POST ON 12" DIA.—� c,POUR. CONC. PIER TYP. InClUding storage and toilet facilitie. ,protection of existing work to remain access to
NEW sxs POST ON 1 work area, hours of permitted work,availability of water and electric power and all
NEW PIER & FTG. I 12 2213'-
3'-2other conditions and restrictions for this particular location in order to execute the
12-2� z-lo" work in a careful and orde-ly manner with the least possible disturbance to the public.
LINE OF EXIST. GRADE LEVEL WOOD DECK BELOW 8• The Contractor shall make the neccesary arrangements to utilities and services
temporarily disconnected while performing the work as required.
3'-0" 9. The Contractor shall provide all dimensions and cut-outs for other trades.
10. The Contractor shall provide proper shoring and bracing for all remaining structure
PROPOSED DECK PLANL-3'-92.•i EXISTING DECK PLAN prior to removal of c.,xisting structure.
11. Plumbing, electrical, HVAC and similar work shall be performed by licensed
NOTE: ALL LEDGER BOLTS TO BE 1/2"
X 4-1/2" HILT HIT-Z W/ HIT HY-200a 2 persons Who shall arrange for and obtain all required inspections.
EPDXY Contractor shall be responsible for scheduling all other inspections as required.
NOTE: ALL FOOTINGS TO BE NEW 12. The Contractor is solely responsible for construction safety and shall hold the
24" x 24" x 8" POUR. CONC. FTG. owner and designer harmless from litigation arising out of the Contractor's failure to
W/ 10" DIA. CONC. PIERS
provide construction safety means and methods.
TREX TRANSCEND WHITE CONSTRUCTION NOTES
COMPOSITE POSTS & RAIL
1. All footings shall rest on undisturbed soil at a minimum of 36" below fin. grade
and where existing footings are to be utilized they must be inspected and verified to
. meet standard criteria and building code requirements.
TREX TRANSCEND WHITE 2. Poured concrete shall have a minimum psi of 2800 at 28 days unless noted.
COMPOSITE POSTS & RAIL
3. Unless otherwise noted all framing and structural wood components shall be
TREX "GRAVEL PATH" DECKING I #2 or better Douglas Fir.
—]U W/ HIDDEN FASTENERS I - 2-2X12
HEADER 4. All framing techniques and methods shall be as prescriptive design based on
- AF&P Wood Frame Construction Manual for One and two Family Dwellings (WFCM)
TREX FASCIA TREX FASCIA
TREX TRANSCEND WHITE - or as specified in R301.2.1.1
NEW 3-2x12 GIRDER ASSEMBLED W/ NEW 2X8 DECK JOISTS @ 16" OC COMPOSITE POSTS & RAIL 5. All portions of the new structure are designed to comply with local geographic
NEW 6X6 POST ON 2 STAGGERED ROWS OF 3" SCREWS TECO TO GIRDER & LEDGER TREX "GRAVEL PATH" DECKING and climatic criteria as stated In the following table.
NEW PIER & FTG. SPLICES @ POSTS ONLY. ON TREADS
GIRDER TO BEAR FULLY ON NOTCH NEW 2X10 LEDGER GEOGRAPHIC & CLIMATE DESIGN CRITERIA
TOEKICKS
ANCHOR GIRDER TO POST W/ FASTEN W/ 2-1/2" HILTI HIT-Z BOLTS TREI XSIA ON
SIMPSON BCS STRAP OR EQUAL. W/ HIT-HY-220a EPDXY GROUND SNOW LOAD 45 ps 1
STAGGERED @ 16" oc = WIND SPEED 120 MPH
_ 2x12 AGQ sTRINGE s SEISMIC DESIGN CATATGORY B
EXIST. VINYL SIDING @ 16" OC
NEW 6X6 AGO. POSTa WEATHERING SEVERE
-� NEW 6X6 ACQ POST ON FROST LINE DEPTH 36"
NEW PIER & FTG. TERMITE THREAT MODERATE TO HEAVY
EXIST. GRADE LEVEL DECK OF NEW I DECAY SLIGHT TO MODERATE
EXIST. GRADE LEVEL DECK TREAT ENDS of POSTS W/ C_ 1. DEFR� WINTER DESIGN TEMPERATURE 1 1
PRESERVATIVE -,3 O� FLOOD HAZARD AS NOTED
J d POST BASE W/ ANCHOR BOLT d "r- d Af; k -
NEW PIERS & FTGS. ( o Z 1 2"X6"X4" CONC.;PAD-@ BASE
10" DIA. POURED CONC. PIER t� W
I ( (SONOTUBE OR EQUAL) - M N� � DECK & STAIR REPLACEMENT
24x24x8 CONC. FTG ! KORO' 10725 1�1
MUST BEAR ON SOLID GRADE PLAN/SECTION/E L EVAT I ON
ELEVATION SECTION 1 SECTION 2 REV. 9.7. 16
JUNE 15, 2016 1 /4" _ 1'-
0"
�ENERGY CON�. �R\/KT' �_�_ A_N_A L_�'��� - .i• 3 f��,
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