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Home My WebLink About42832-Z 0�05 �FQ`' CoG Town of Southold 10/25/2018 P.O.Box 1179 0 "+ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39995 Date: 10/25/2018 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 58625 CR 48, Greenport SCTM#: 473889 Sec/Block/Lot: 44.-2-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/25/2018 pursuant to which Building Permit No. 42832 dated 7/3/2018 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: "as built"alterations to existing residence for restaurant personel only. The certificate is issued to Levin,Rachel of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42832 8/10/2018 PLUMBERS CERTIFICATION DATED 9/18/2018 i 'am Gre er 0-9 , ed Signature �SUFFntq. TOWN OF SOUTHOLD o�y BUILDING DEPARTMENT TOWN CLERK'S OFFICE o� • 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#: 42832 Date: 7/3/2018 Permission is hereby granted to: Levin, Rachel 11220 Soundview Ave Southold, NY 11971 To: "As built" alterations to an existing nonconforming building as applied for. At premises located at: 58625 CR 48, Greenport SCTIVI # 473889 Sec/Block/Lot# 44.-2-18 Pursuant to application dated 6/26/2018 and approved by the Building Inspector. To expire on 1/2/2020. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $680.00 CO -ALTERATION TO DWELLING $50.00 otal: $730.00 t Building Inspector pF SO!/�yo h0 l0 Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 �� • �o roger.richertC@-town.southold.ny.us �yooum,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To, Rachel Levin Address: 58625 CR 48 City: Greenport St: New York Zip: 11944 Budding Permit* 42832 Section: 44 Block- 2 Lot 18 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor. DBA: Paul Burns Electric License No: 3897-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1 st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 10 Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 3 Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 7 CO Detectors Sub Panel A/C Blower 1 Range Recpt 40a Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 9 Twist Lock Exit Fixtures TVSS Other Equipment: 1-bath fan, 1-paddle fan, 4-ARC Fault circuit breakers, 2-combination GFCI/ARC Fault circuit breakers Notes: Inspector Signature: Date: August 10 2018 81-Cert Electrical Compliance Form.xls Town Hall Annex ]� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G +� Southold,NY 11971-0959 --a HVE TF, BUILDING DEPARTMENT SEP 1 8 2018 TOWN OF SOUTHOLD /prp4T3R',DI NG DryE)P�TQ.* N I CERTIFICATION Date; 1 Building Permit No._ Owner: 2_ ea�-_ L1 V (Pleaprint)6 j _._.Plumber: -(NM J12-�� (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. i (PIumbers Signature) - 1 Sworn to before me this day of e 20 CONNIE C. 0UNCH �('�� Notary Public,State of Near York Notary Public,�JI ly C County' No.01BU6185050 Qualified In Suffolk County2 �� Commission Expires April 14, I E E Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 fopographic features.- 2. eatures: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. Ce ificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, S4 ming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. r//al New Construction: Old orre-existing Building: (check one) Location of Property: 9— 12= 1!�& House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot --r Subdivision Filed Map. Lot: Permit No. ��Date of Permit. Applicant: � � -G —� f Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature UF SOGlyolo # TOWN OF SOUTHOLD BUILDING DEPT. °�ycnurm 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE �� INSPECTOR ,�i7r q SOU # # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING ) FINAL w�{[.� 445 - [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: / ON amotU 'r c DATE INSPECTOR Charles W. Southard Jr -- Registered Architect 435 Bay Home Road Southold,New York 11971 ' OCT 1 i X18 Phone# (631) 471-5228 cwsarchitect@optonline.net _. .. , •T. October 12, 2018 Town of Southold Building Department Town Hall Annex 54375 Main Road Southold,New York 11971 RE: Renovations to Levin Summer Cottage Residence, 58625 CR 48, Greenport Building Permit# 42832 Dear Building Official I have inspected the renovated interior of this cottage and all elements for compliance with the approved building plans and the New York State Existing Building Code, and find that all construction and devices have been installed correctly and are in compliance with this code. If yo require itional information, please contact me. T ank yo ��s-(EREpq Char o rd Jr. W..50.�`'` s% 00 Registered Architect �j� 14302 • • • • • COAUVIENTS FOUNDATION (IST) 'FOUNDATION ROUGH INSULATIONPLUMBING STATE ENERGY CODE W1 1 J,,_ RPM �. IWC' ' «' .�►'� .�. • •:� Lig ADDITIONAL C• r. .. ` r • J Imo. • ME t TOWN,OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 `� � Survey South oldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C.- Trustees C.O.Application Flood Permit' Examined ,20' Single&Separate Truss Identification Form Storm-Water Assessment Form Approved ,20 N(R,�(v:..Contact:lbfai•1�: ��C�+ '-d�'Sr•`�c(L'�/ Disapproved a/c Phone:631 74 7~ 5'06'r Expiration 20 71 ��/7'(� � 'lding Inspec D �/ LS DPPLICATION FOR BUILD G P T JUN 252018 Date S' 20 I9 BuMDING DBPT.. _ INSTRUCTIONS a.Ar6VWQ*t1QT9F09R 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, I I - f. Every building permit shall ekpire if the workauthorized 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. r'r (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner_, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll-or latest deed) If applicat is a corporation, signature of duly orized officer �c^► --rWd -r4 , (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Tra'de'!icensetNo:t , 1. Location'of}lasidibriwhich pro osed work will be done: p� � House Number Street Hamlet County Tax Map No. 1000- Section Block G Z Lot A� Subdivision 7 FiledMapNo: - --Lot- 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S�^'�9 Far�eei� 1 w47,61NO- b. Intended use and occupancy 5-e N '4e,& AA1 4-C°yj 3. Nature of wor check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work j (Descripti ) 4. Estimated Cost i " o Fee (To be paid on filing this application) 5. if dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear , I `f `� , Depth �• S Height f- - ` ." Number of Stories 1 Dimensions of same structure with alterations or additions: Front - ,'Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear L Height Number of Stories' lDepth i,•;, _ j 9. Size of lot: Front 7i S Rear 3 ' De pth 'gyp 10. Date of Purchase Name of Former Owner • ";..;try:.t'�" r:' -T ." 11. Zone or use district in-which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO"T 13. Will lot be re-graded? YES NO-Will excess fill be removed.frozn premises? YES NO i 1 Z2.6 A44vlMR, AVJ� 14. Names of Owner of premises *iii- ' it Address ��i°&d Phone No. ��'��-5 `{°3V Name of Architect �`�►�-�M�G�-�^'�' Address-Z' ';T'c-/ "hone Name of Contractor Address 3-r.'3 g P 68 " Phone No.631- 7e 7-Y-b vdoz, y /s t fe 15 a. Is this property within 100 feet of a tidal wetland or a freshwater'wetland? *YES_y/ No * IF YES, SOUTHOLD TOWN TRUSTEES'&D.E.G. PERMIT�YBE 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. STATE OF NEW YORK) SS: COUNTY OFS&K 01-1 �� 0 Irk' 1 i chard � being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the- (Contrac r,Agent, orporate 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. TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK Sworn to before me this NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY day of 20 , OMMISSION EXPIRES JUNE 30,2bj-?> Notary Public Signature of Applicant O��OF �jyo Michael J.Domino,President soTown Hall Annex John M.Bredemeyer III,Vice-President ~ l0 54375 Route 25 Glenn GoldsmithP.O.Box 1179 CA _hc Southold,New York 11971 A.Nicholas Krupski �pQ Telephone(631) 765-1892 Greg Williams z COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9250A Date of Receipt of Application: May 23, 2018 Applicant: Rachel Levin SCTM#: 1000-44-2-18 Project Location: 58625 County Road 48, Southold Date of Resolution/Issuance: June 20, 2018 Date of Expiration: June 20, 2020 Reviewed by: Board of Trustees Project Description: For the existing seaward side 8.6'x22' concrete porch; and to replace the existing porch railing with new code compliant porch railing. 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 prepared by Rich Bosworth, received on May 23, 2018 and stamped approved on June 20, 2018. 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. o Michael J. Domin , President Board of Trustees Michael J.Domino,President o��OF SO�ryol Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski �p� Telephone(631) 765-1892 Greg Williams COU�r+,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1516C Date: September 26,2018 THIS CERTIFIES that the existing; seaward side 8.6'x22' concrete porch,• and to replace the existing porch railing with new code compliant porch railing; At 58625 County Road 48, Southold r Suffolk County Tax Map#1000-44-2-18 ! Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 23,2018 pursuant to which Trustees Administrative Permit#9250A Dated June 20, 2018,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 existing seaward side 8.6'x22' concrete porch; and to replace the existing porch railing with new code compliant porch railing; The certificate is issued to Rachel Levin owner of the afo sai op�". «-r� D ( [_EL7�_'J01 l Authorized Signature OCT 2 5 2018 �- PtT.iLfi3��:DFpT. L `itr T. r 1r~ �7�' '� � ►r •rt 11�i11. 5.1115 A1��1► jt"j-14 TERRY P o. n<,r 1174 -)OWN CLERK Southold Nc,,%• York 1 It EGIS,MAR OF VITAL ST'ATIS11CS Fax (S 1(,1 765.1 I-E R MARRIAGOFFICER TdcPltcrnc l S 1(.1 RECORDS MMIACEMENT 0ITICEI2 t FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTH.OLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of., the Code of the Town of Southold: "Floodplain Development. Permit i application" (FDP(93) ] , and Certificate of Compliance f6r Development in Special Flood Hazard Area (C/C(93)) . J 1 GciT TOMO OF SOLMIOLD �h T. Terr Y Southold Town Clerk August 25, 1993 APPLICATION PAGE 1 of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be Filled out in duplicate. SECTION 1 GENERAL PROVISIONS (APPLICANT to read and si�nl: 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 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 verify 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. -. (APPLICANT'S SIGNATURE) DATE JSECTfON 2: PROPOSED DEVELOP1.r T �c completed by APPLiCANTI NAME ADD RESS TELEPHON ApPLICANT�tG+ -e 3. – -�PG�a.re.. ��/ �GyQ ne2a.�/i 9� o5•w a fDf BUILDER ENGINEER PROJECT LOCATION: To avoid delay in pro-u&sing the applicadoa, please provide coou6 information to easily identify the project location. Provide the sucet 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 appl-icadon sbowing the project location would be helpful- -a G Z 0eI -f,6 C1az A �q,�•� S�-�'r�J 16-6o -o Z- l FDP(93) r APPLICATION PAGE 2OFd DESCRIPTION OF WORK (Check all appGcable boxes)- A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ❑ New Structure AResidential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Floodprooftug? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demdlitioa' ' P O Manufactured (Mobile) Home (In Manu- ,RReplacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECTS Go c0 B. OTHER DEVELOPMENT ACTIVITIES: O Fill ❑ Mining O Drilling ❑ Grading O Excavation (Except for Structural Development Checked Above) O Watercourse Alteration (Including Dredging and Channel Modifications) O Drainage Improvements (Including Culvert Work) 1 ❑ Roar, Street or Bridge Construction } / ❑ Sub •vision (New or Expao_sion) i ❑ [ dual Water or Sewer System J ❑ Other (Please Specify) After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3- FLOODPLAIN DETERMINATION fTo be completed by LOCAL ADMIMSTRATOR) The proposed dcvclopmcnt is located on F RM Panel No. . Dated The Proposed Development: ❑ Is UDI located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVUOPMEM PERMU IS REQUIRED). ❑ Is located in a Special Flood Hazard Arca. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) O Uoavailablc ❑ The proposed dcvclopmcnt is located to a floodway. FBFM Paocl No. Datcd ❑ See Sccoon 4 for additional instructions SIGNED DATE L ,r APPLICATION # PAGE J OF 4 SECTION 4: ADDITI NAL INFORMATION REQUIRED To he completed by L CALADMINIST'RATOR The applicant must submit the documents chcckcd below before the application can be processed. O A site plan showing the location of all cx sLing structures, water bodies, adjaceol roads, lot dimensions and proposed devclopmcnt. O Dcvclopmcn( plans,drawn to scale, and specifications,including where applicable: details for anchoring structures, proposed elevation of lowest floor(including basement), types of water resistant materials used below the first floor,details of floodproofmg 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 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations if they are, not otherwise available). a Plans showing the extent of watercourse relocation and/or landform alterations_ ❑ Top of new fill elevation Ft. NGVD (MSL). - ❑ Floodprooftng protection level (non-residential only) -5t:NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or _ architect. / O Certification from a'registered engineer that the proposed activity in a regulatory [loodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other. SECTION 5 PERMIT DETERMINATION (To be completed by LO&;A.L ADMINISTRATOR) I have determined that the proposed activity: A. O Is B. ❑ Is not in conformance with provisions of Local Law if , 19_ The permit is issued subject to the coodillons attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Admiaistrator may issue a Dcvclopmcn( Permit upon paymeut of designated fee. If BOX B is checked, 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. v , APPLICATION W PAGE 4OF4 APPEALS. Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals --- Conditions SECTION 6 AS BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of COMOiance is issued The following information must be provided for project structures. This section must be complaeed by a registered professioga ] engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement rn Coastal High Hazard . Areas• bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). L Actual (As-Built) Elevation of floodproofing protection is Fr. NGVD (MSL). , NO' : Any work performed prior to submittal�of the above information is at the risk,b( the App► Gant- t J ,r SECTION 7 COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complctc this section as applicable based on inspection of the project to ensure compliance with the communit}rs local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES O NO SECTION 8 CERTIFICATE OF COMPLIANQE(To be completed by LOCAL ADMINISTRAT R Certificate of Compliance issued: DATE: BY: Attachment B /� BAMP,i,E CERTIFICATE /_7F COMPLIANCE l I _i! for Development' in a Special Flood Hazard Area 1 l I rr TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (0 R MI-IST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: 0 NEW BUILDING O EXIS`T'ING BUILDING s O 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_1 AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C/C (93) r . Scott A. Russell ,� 'Su jr STORM[WA\' IER, SUPERVISOR IWANAGEMUENT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971D Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOLES THIS PROJECT INVOLVE ANY OF THE E IFOILILOWING: Yes No I (CHECK ALL THAT APPLY) E][3 A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. r ❑[k B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑[D C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑JED. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑0 E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. E][Zr F. 'Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT- (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date Dlstnct NAME: IAP-iC#f J603u/O A--rW �4 Z Section Block Lot 17OR BUILDING DEPARTMENT USE ONLY ***' Contact Information /— �� ✓S� l rfel<phwe N—WA ' Reviewed By: Property Address / Location of Construction Work: Date: Cj- tdApp— — — — — — — — — — — roved for processing Building Permit. tormwater Management Control Plan Not Required. — — — — — — — — — — — — — — — — — ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM 4 SMCP-TOS MAY 2014 APPLICANT S.C.T.M. #: 1000CHAPH P (Property Owner,Design Professional,Agent,Contractor,Other)— dStipFQ jr TER 236 w�,, J-H Z Stormwater Management Control Plan CHECK LIST NAME: �2t C N �0 3 Section Block Lot z S M C P -Plan Requirements: Provide ONE copy of the Building Permit Application. vk.a vr,m Date: * The applicant must provide a Complete Explanation and/or Reason for not providing 451-767-3-6 S'' f2 A:! dol �v all Information that has been Required by the following Checkhstl �IQI W I I II C Telephone Numhcf 1. A Site Plan drawn to scale Not Less that 60'to the inch MUST YES NO NA If You answered No or NA to any Item, Please Provide Justification Herel show all of the following items: If you need additional room for explanations, Please Provide additional Paper. a. Location & Description of Property Boundaries V b, Total Site Acreage. c. Existing - Natural & Man Made Features within 500 L.F. OO of the Site Boundary as required by§236-17(C)(2) d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. (L sr G-`�t"► //� $'�Nr �Q e, Limits of Clearing & Area of Proposed Land Disturbance. 0 V f. Existing & Proposed Contours of the Site (Minimum Z Intervals) g. Location of all existing & proposed structures, roads, driveways, sidewalks, drainage improvements &utilities. h. Spot Grades & Finish Floor Elevations for all existing& proposed structures. 1. Location of proposed Swimming Pool and discharge ring. 0O ). Location of proposed Soil Stockpile Area(s). [� k. Location of proposed Construction Entrance/Staging Area(s). O I. Location of proposed concrete washout area(s). 0 M. Location of all proposed erosion&sediment control measures. T Stormwater Management Control Plan must include Calculations showing that the stormwater improvements are sized to capture,store,and infiltrate on-site the run-off from all impervious surfaces generated by a two(21 inch �0 rainfall/storm event. 3. Details&Sectional Drawings for Stormwater practices are required for approval. Items requiring details shall include but not be limited to: a. Erosion & Sediment Controls. I = b Construction Entrance & Site Access. E c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.) � d. Leaching Structures (e. . infiltration basins,swales,etc.) 0 ---:__--- I�i)It C:N(,INL: [ ftING DEPARTMENT USE ONLY Additional Information is Required. Reviewed & Stormwater Management Control Plan is Not Complete. Approved By: - — — — — — — — — — — — — — — — — — — — — — — — - Stormwater Management Control Plan is Complete. Date. I El SMCP has been approved by the Engineering Department. I FORM * SWCP Check List -TOS MAY 2014 o� FOtk� BUILDING DEPARTMENT-Electrica {as r=o TOWN OF SOUTHOLD U IE Town Hall Annex-54375 Main Road Box 1179 �'y�• � Southold, New York 11971-0959 A - 9 2018 a� Telephone(631) 765-1802 - FAX(631) 765-9502 roger.richert@town.southold.ny.us BUMDING DEPT. T011frK 07 SOITTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED By.- Bob Burns Date: 8/9/2018 Company Name: Paul Burns Electrical Contractors Inc. Name: Paul R Burns Jr License No.: 3897-ME email: pburnsjr@optonline.net Address: PO Box 1061 Southold,NY 11971 Phone No.: 631-365-4735 JOB SITE INFORMATION: (Ali Information Required) Name: Rachel Levin,Michael Murphy Address: 58625 CR 48 Southold Cross Street: Phone No.: Michael Murphy 516-375-8688 BIdg.Permit#: 42832 email: Fax Map District: 1000 Section: Block: o'Z Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) Wire cottage,existing service. Circle All That Apply: Is job ready for inspection?: YES/ NO Rough In Final Do you need a Temp Certificate?: YES/ NO Issued On Temp Informadon: (Ali information required) Service Size 1 Ph 3 Ph Size: A #{Meters Old Meter# New Service-Fre Reconnect-Flood Reconnect-Service Reconnected-Underground-Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION, 82-Requestfor Inspection Fwmids L 49SURVEY OF s�.�. PROPERTY 00, SIT UA TE o ARSHAMQMOQUE O, 0 TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK _ S.C. TAX No. 1000,44-02- 18 O-J ,�0 •1 SCALE 1 "=20' y MAY 16, 2018 P �P °N\ AkEA (DEED) = 10,471.8 sq: ft. 0.240 ac, Pa 13E N/O/F sUFFOLK COUNW A tEA (UPLAND) = 6,016.5 sq. ft. , P ZONE VE 16 0.138 ac, zz G P �E goy e NO E -�71 1. ELEVATIONS ARE R&EMNCED TO N.A.V.D. 1" DATUM O� c 10.55 of / �— �� GP�. E� �� EXISTING ELEVAfIOftS ARE SHOWN THUS: so.00 O, ?° FLOZONEOD OVE5166FROM- 8ASE FLOODMAP CEl EVATION DETERMINED 6 �T3 To.eT ZONE X AREA OF MINIMAL FOOD HAZARD SSC1R a� y� x NN°� ortP . DRAINAGE SYSTEM CALCULATIONS,. ROOF ARFq. X �p.38,4 Sft. —�.G-z,-�°�`v: .f Nie 384 §q. ft. 17 = 65.4 cu. ft. P PV �n• °o�� y$ ; 65.4 cu, ft. / 42.2 = 1.6 vertical- ft. of 8' dia. leaching pool requirdd x PROVIDE (1) 8' dia. X 2' high STORM DRAIN POQLS -^Y� PROPOSEQ 8' DIA. X 2' DEEP DRYWELLS FOR ROOF RUN—OFF ARE SHOWN THUS: N 0 F NAZAN MACARIAN 10.25 PSP: r�.os � NOTE: LQCATfbNS AND EXISTENCE OF ANY P :: - �•_•=" SUBSURFACE-UTILITIES AND/QR STF2UCiURES 4I` p P� °00 M ': Q\ NOT READILX VISIBLE, ARE NOT CERTIFIED. AF OF RECORD ANb ANY EOTHER PERTICT TO ANY NENT FACTS EIAENT '== IS MI E$ AND B O LrND S STJRVYYING WHICH A TITLE STARCH MIGHT DISCL6$E s °� :i:,`SSP- b �5 •' 53 PROB5T DRIVE °uNAUI}10RIZED Al1ERATION OR ADDITION TO A O .•-. 9.99 SURVEY MAP.SE162ING A LICENSED LAND SURVEYOR'S °O �g y�� ::: SHIRLEY, NY 11967 SEAL IS A NOLAVON OF ARTICLE 134,SECTION O, �` 9S\ � p�` /CPS PHONE (516) 972-5812 EaUca oN LAA14roN 2.OF THE NEW.YORK SPATE ��• O =• ° surveydudeC�optonline.net "Copied from the original of this survey map ' _ °F /� riot marked with an original of the land ° ....... e y l� F9urveypr s,Inked seal or his embossed seal AN�� e / LOTS: 18 BLOCK: 02 SECTION: 44 DISTRICT: 1000 Shall not be considered a valid true copy." ...... m O / "Certification idtlicated hereon 'signify a O GP- "•` '' ^O crs MAP OF: this survey was prepared in accordance with _ ___ V / the existing Cnae of Practice for Land Suys LOT COVERAGE �0 Q adopted by the New York State Assgciat1on ryeof / Professiondl Umd Surveyors. Said 9.79 ro(� dg SITUATED ATF ARSHAMOMOQUL certifications shall run only tq the person HOUSE - 352.8 SF ti for whom the-survey is prepared, and ap hts S�p�/�/ TOWN OF SOUTHOLI), SUFFOLK CO., N.Y, behalf to the title company, governmental PORG - 168.7 SF GP a enc an lendingInstitution;— STOCaP - 168. SF / LAMP POST Certifications dire ot transferagle to p,5 additional institutions or subsequent owners.° _ TOTAL = 553:5 SF WATER METER 5§3;5/6,016.5 SF (UPLAND AREA) =F9.207 / / f CERTIFIED WV WATER VALVE To JOB NG.: 18-216 ' DATE: MAY 16, 2018 (-----existing IMichael I concrete J. landing Macrina F existing 6'-O"x6'-8" COMPLY Arch itect WITH ALL CODES V gliding door r. 7' NEW YORK STATE &TOWN CODES DAIT P-P.- Y lv'i P.C., A.I.A. AS REQUIRED fiNaCG9I3TTU FU rF,I AT D SOUT 13'-4" IN ,OTI A%� 10 PLANNING BOARD SO 0 -------- Zo-0 S TRUSTEES OIX I. F C U --------- existing F.J. ❑ pC%j1,,1F FO" -7- N.Y.S.DEC ex. top of ridge existing — - —- — - ir�t E! I 2. !�01_ EE a)- ridge board Z-)2 il SULF,'FIO'N' Cl)n 4. ST 0 Existing —KN P, 12 Existing LO Great Room C": 12 CD �,LL 7-f H E D 0 F Attic 12 LO RFQIJI9, or FOR OCCUPANCY OR existing 11 existing existing -H ±9'-3' C' , NITIN E Z;lg. � -H YORK S11PJ1-- N"J' roof rafters A*% 0EC,I-W1 Orl COJ,1GTRUCT!Ot4 F.RRORS. USE IS UNLAkNIFUL OIL ex. ceiling height A- A� 21 Main Street V,111THOUT CERTIFICATE ��1 existing Stony Brook, N.Y. 11790 12" a A/C unit Existing \I—existiP9 12' r� phone (631) 686-6585 O.H. ceiling joists O.H. -I on raised S.D. OF OCCUPANCY Great Room late height platform -------------- fax (631) 686-6786 ex. plo 11--- (N -H -H C.M. email MMacrina@optonline.net web MMArchitectpc.com ------ These plans are an instrument of service and are the exclusive property of the architect. Existing Infringements of the concepts and design ideas am presented on these drawings shall be prosecuted H Kitchen o 0 to the fullest extent of the low. Copyright 2018: Olt Michael Macrina Architect. All rights reserved, no existing part of the plans may be reproduced without the -H 30"stove expressed written consent of the architect. VA-1011: sel& r oven 00 co� �ee existing [ex. floor joists Existing existing n 0 C tingetoC 1, stove ten + iT _r_ t Bathrm. H IL I OL ex. finished floor Existing I I eclosexisting sink Existing existing I— t4-11 t8-11"Space foundation 77 777 11111��JlJtFIIIIIPz=41117 1E 00 le xi 20 i80ng 1,L in ce) PIN Section existing electric existing A, -114" = 1 .-0.• meter conndingcrete la -H ,,,—existing NOTE: Ey columns These drawings are for the Date ±6'-l" ±6'-10" 6/13/18 Issued to Building Dept. sole purpose of legalizing the prior-built structures. ±14'-3" Existing First Floor Plan 1/4" = 1 .-0.. No. Date Description Project ex. to of ridge — - — - — - ex. to of ridge Legalization existing 1 LO decorative L 12 L0 4" of Structure -I louver 12 I- Lr) LO existing I Lf -H existing -H roof 12 shingles =!I 2 Ilk ex. ceiling height existing 19k ex. ceiling height 0VVV a) For OIL ex. plate height 00 -I OIL ex. plate hS�� Ln II _J ±12"I T H. O.H.H.' Rachel 01 -H +i 6 existin F1 I -- -I existing Lex. I ex. sid n .1 _ - -1 1 si,ding 1 11 9 -") — H 22) J TF 11 - Fil Mur hy 4 ex. finish Road 48 ed floor Ilk ex. finished floor 58625 Country J __L -I If "—existing---" Greenport, NY Existino Left Side Elevation columns Town of Southold -1 /4 1 .-0.. Existing Front Elevation Suffolk Count 1/4" 1 ._011 V1 Drawn By: to AC M.P. C" -44 12�ex. top of ridge —-— - — - ex. top of ridge Checked By: -1 TJ -4 M.A.M 4KI LO 12 12 Lr) -#-12 - A=1 2 -H existing -H existing existing roof shingles - Sheet Title 4 Ilk ex. ceiling height e��X�Ili i g,2 19kex. ceiling height siding I I I I , ITTT OIL ex. plate height __ L_ - ex. plate height Floor P an Elevations - _FFT T�_',IT 1"r,I T T - 11Section HT,71 T I I-I I I IT11 01) T7 1-1 11 A— 11 1-1, 1 1 1 -H -H siding -H -H F[__ f- Project: Job No.I lex. 1832-Murphy 1832 I I FTTJ 11 ex. finished floor H kex. finished floor 111 T_TTTT_1 I I 1 11 1 11 1 1 11 1 11 1 1 11 1 11 1 1 Il 1 11 1 1 11 1 1 1 1 1 1 FYIY�I I I I TT-T7 FT 1 11 M I PE I� Scale File Name: As Noted 1832-Asbuilt Existing Right Side Elevation Existing Rear Elevation Drawing No. - 1/4" = 1 .-0.. 1/4" = 1 1-0.1 A wor 'I