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Home My WebLink About12463-z FORM' NO. ~ TO~N O~ $OUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING (THIS PERMIT MUST BE KEPT ON COMPLETION OF THE WORK AUTI' :)REMISES UNTIL FULL N? 12463 Z Permission is hereby granted to: fo et premises located County Tax No. pursuant to Buih Fee 'Z ............ , 19.¢..~.... and approved by the Building Inspector Rev. 6/30/80 FIELD ,~INS B,ECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: Memorandum from . . . . BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, lq'. y. 11971 NEW YORM St'ATE DEPAR1MEN1 OF ENVIRONMENTAL CONSERVATION ' PERMIT NO, i0.-,83-0403 PERMIT AgTICLE 24, (Freshwater Wedand$) Ag[ICLE 36, (Constr.ction in Flood Itazard Areas) P~R~',lr IssuEr~ fo Mohri~_g Enterprises, Znc.~ for Edgar DeBamy 42 Oliver Street, Brooklyn, NY li209 LOCATION OF PRO)EC] (Section of stream, tidal wetland, dam, buHdins) North side of North Road, opposite Albertson Lane (Lot 29). Construction of a single family home, sanitary system and driveway all greater than i00 feet from mean high water. Arshamomoque ~ Southold GENERAL CONDITIONS 1. 3he permittee shall file m the office of tile appropriate Regional promptly in writing of the completion of the work. 8. rhat the State of New York shall in no case be liable for any damag or injury lo the structure or work herein authorized which may be caused by result from fulure operations undertaken by the State for the conservation improvemmlt of navigation, or fo~ other pu[poses, and no claim or right contpensation shah accrue from any such damage. 9. That if the display of lights and signals on any work hereby authoriz~ is not otherwise provided for by law, such lights and signals as may be pr~ sc~bed by the United States Coast Guard shall be hlstalled and maJntalne by and at the expense of the owner. 10. All wo[k carried out under this permit shall be performed in acco, project. 95.20.4 (9/75) (SEE REVERSE SIDE) SPECIAL CONDITIONS 16. There shall be no disturbance to the uaturally-occurring vegetation within 75' of mean high water. 17. There shall be no grading, excavating or filling within 75' of mean high water, nor the construction of any ~t~uctures, without ~irst applying for said work to this office. 18. All construction shall conform to ~he local flood plain ordinSncas., SEE ATTACHED CONDITIONS A'- J PER~IT ISSUE DATE May 6, 1983 PERMIT ADMINISTRATOR JADDRESS Bldg. 40, SUN'Y--Room 219 Stony Brook, NY 11794_ IApplication Received me FORM NO. l0 APPLICATION FOR DEVELOPMENT PERMIT In the Town of Southold Type of Development Proposed: Addition and/or Alteration[] Other (specify) __ , New St'r{~cture (including storage tanks~ Flood Proof Below Base Flood Elevation~ Elevation Data in relation to above mean sea level of: (a) Lowest floor elevation, including basement Il feet (b) In a V Zone, bottom of lowest structural member . 3. FIRM--Flood Insurance Rate Map, 4. Owner of Premises ~. ~lhl, ~ Location of Property: Zone designations II -_./0 County Tax Map No., District, lO00, Section DI~'~~ "/1~ p, ~'O"~. Subdivision Filed Pe~ission to be granted: ~0wner as shovel IN~w [-- unae Oontraot]~ Lessee I ~ Contractor ~ Block -- e __[' inches feet inches ® e Approval from other(s) before Per~it is issued: DEC ~/(%) --,~3--,(:~0~'~, WETLANDS (Town Board) ~' HE~TH SERVICE, ~/ff--~-~' ZBA ' I ~' ' ' ' BUILDING PERMIT ~Ot 'tSS~ ~r." PLANNING BOARD New Cont act , Lessee , entl I, Con- tracto~, and agree t~oomply with all applicable sections' of the Code of the To~ of Southold; Co~ty, and State ~d to a~it authorized in- spectors to preEises authorized to pe~fo~ o~ have performed the said work ~d to make and file this application, that all statements contain- ed in this application a~e true to the best of Ey knowledge and belief and that the work will be perfo~ed in the mannerset forth in the application filed therewith. address ~h. .~hone ~ ~a ~'~____.~. ~___ .-- ~VENU~ if not given above: SEACU FeNV 4/8o P.O. BOX 728 SOUTHOLD, NY 11971 FORM NO. P. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 TOWN HALL MAIN ROAD sOUTHOLD, NY ~'?PLIOATiON FOR D. EVE. L.0PMENT PERI.liT Instructions: The application to the Building Inspector includes (each ~zn duplicate) 1. Form No. l0 filled out in ink or typewrltten, 2. Sur- vey of premises with~elevations above mean sea level, 3. Drawings~of pro- posed work. The application must give complete information to sho~ that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of the Town of Southold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any.other agency requires.~ General Standards as. required in Section 46-17 of the law to minimize flood damage: A. Anchoring of structures, including tanks and mobile homes B.' Use of construction material and methods C. Design and location of utilities D. Subdivision proposal with drainage, public utilities design and base flood elevations ~pecific Standards aR required in Section 46-18r A. Residential 0onstruction B. Non-residential construction C. Mobile homes 4/8o The applicont must submit plans and specifications as well as any other information requested by the Building Inspector to substantiate the facts that the structure has or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, that: 1. such structure is flood proofed in such manner that below the base flood level the structure is water tight with walls substantially and impermeable to the passage of water, 2. that structural components are capable to resisting hydrostatic and hydrodynamic loads and effects or'buoyancy, 3. applicant must sub,it certification by a registered professional engineer or architect that the standards set forth in Section 46-18B (1) (2) (3) of the Southold Code are satisfied. ~oastal High Hazzard:are_%~ (V Zone) 46-19.' A~plicant shall submit plans, ~'ecificatibns includin~ the required certifmcations and such other in- formation as the Building Inspector may require in that ~he provisions of 46-19 are complied with. Mobile homes are prohibited. The lowest portion of the structural members of the lowest floor cannot be lower than the 'base flood elevationlwith all space below open except breakaway walls. .~.and dunes. If sand: dunes exist on the premises and the applicant pro- poses to alter same, plans and specification must be shown in detailed nature of any alteration submitted. B~uildinE Permit. A Building Permit is also requi~ed for any structure. Both a Development and a Building Permit must be issued before any work can start in a special flood hazzard zone. ~, writte~disapproval or a permit must be issue~ within ten (10) working days. During construction, the inspecto'r Shall be notified in t~me so he may make the required inspections. 'Upon completion, the r'~quired cert'ificat%on fo the final elevations and 'work must be submit~befo~ ~the approval to use or occupy can be approved. ' ""'~'~" ~ ~ .... ~ ' "~'~'~': · ~ ~ ~ ~ VO ~ ~ E J $ ~ 3..~ 1: ~ back of this sheet) / / / / / // .~// ~~ // . (9,/ J STATEMENT OF IN1 THE WATER SUPPLY AND SE~A SYSTEMS FOR THIS RES CONFORM TO THE STAND/ SUFFOLK CO. DEPT. OF hEA APPLICANT SUFFOLK COUNTY DEPT. SERVICES -- FOR APP CONSTRUCTION ONLY DATE: N. S. REF. NO.. APPROVED: SUFFOLK CO. TAX MAP DE! DIST. SECT, BLOC {ooo 044 ~ OWNERS ADDRESS: 4GO ~L_EN COVI:Z ~ SEA CLIFF, N.Y. DEED: L.T( ( ( TEST HOLE Gf&A.V~- L FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Application No../.6~..~'. ~ .-~. ....... Disapproved a/c ..................................... / ~ ~ ~ (Building. tflspector) -Of Date ................ 19. INSTRUCTIONS a. Tkis application must be completely filled in by typewriter or in ink and subn~itted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by tltis application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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, addition(or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building cod. e~ housing code, an~l regula~ons, and to admit authorized inspectors on premises and in building for ne ce ssa ry in (Signa~cant/'or na~~, it' a corporation) ( ,,) .......... . . :dx . . . ,eze .......... State whetlier applicant is t.,r '~as tax roll or latest deed) If applicant is a.c, ol~orgtion,~ignatur.* of dul~authorized officer. Builder's License No .......................... Plumber's License No. ~.. Electrician's License No ....................... '. /'( Other Trade's License No ...................... 1. Location of land on which proposed wor,,k?2 be done ................................ , ................. '" ~'(:>' ?~ ~ ............ ~'tT/~' ~4¢'~' ~'~'St re et House Number A.¢,,r-~/-J tt~'~> ' Hamlet County Tax Map No. 1000 Section ~ . .~..~. .......... Block . /. Subdivision ........ ~. ............................ Filed Map No....~. .......... Lot .'..~/ .......... .d (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: · 'st'ng se and occupancy ......... ~ .............................. ? .................... ...... b Intended use and occupancy . .~...,~, .,~..z..~.. 3, Nature of work (check which applicable): New Building ....... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ................. Fee (to be paid on filing this application) 5. If dwelling, number of dwelling ¢pits.../. ........... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ ,a.- 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 .... ; ......... Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ..... Z~,..! ............. Num~,~r.,of Stories ........ ~..~ .......... 8. Dimensions of eCtire new construction: Front ...~.~. .... Rear ...-~.c;, .......... Depth ............ }/eight ....~?..- ........ Number of Stories .... ?.. iiiiii ................................ 9, Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 11. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .. ? ................. Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ........ , ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, andAndicate all set-back dimensions from property lines. Give street and block'number or description according to deed, and show street names and indicate whether interior or corner lot. e..~p.~. <~a..c/~,~ STATE OF NE'W~RK, ~/ o o COUNTY 0~.~..-~"*.. ; a.o__ , . ......... . ............ ..~../~. .~. ........... .'~.. .... being duly sworn, deposes and says that he is the applicant : (Name of individual signing contract) above named. He is the 0~ . (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfomed the said work and to m~e and file ~s application; that all statements contained ~ .this application are true to the be~t of his knowledge and belief; and that the work w~l be performed in the m~ner set forth in the application filed therewith. Sworn to before me this ...... ..... ..... ~.~: :: ~:~ County.. / ~OTaRY ~Um~, stat~ of ~ ~or~ ~ ff(~atu?e of applic~t) ~ , SUFFOLK CO. HEALTH DEPT. APPROVAL ' LON~ !SLA~ D $OLJi'~ ~ .' . · H.S. NO .... , ~ ~ ~ tl'~ :-, ,,~ ~;~:' '~ , ~, . ,,.'.--, ,,, ', w~C~' --,-~ -,_ (~.~ ~ ~ . . :,. - , , ., .... ...,, ,,~,,~,._..~: .: , . :. :..: ,...?, :,'. ~:,....,~ OCCUPANCY OR USE ~S UHLAWFUL V~iT~I' CERTIFICATE OF OCCUPANCY ",-I I '~tCHT 3 DP- 'E_LT:.VA?LI©~J NO'~=IFY ~UILDING DEPA~T~ NT A~ '~r[ '~' 765-1802 9 AM TO 4 p'M FOR THE., FOLLOWING NSPECTIONS: 1, FOUNDATION -~O -REQUIRE~ FOR POURED CONCRETE 2.ROUGH - FRAMING & pLUMBING~ 3.INSULATION 4.FINAL - CQNSTRUCTION BE COMP~TE FOR C O. ALL CONSTRUCTION SHALL THE REQUIREMENTS .OF T~ STATE CONSTRUCTION & ENERGY :' ' CODES. NOT RESPONSIS[E FOR , A._(iZ.. O(~:opk¥ '1-0 A r r rr LE~'T , I ~ L_ I::_.V' A T )©k: t copper lublng is used for water distributing system; piping shall be Ow types K or L onJ~y IJ copper tubing is used for water distributing 'system; piping shaiJ be of t,ypes K or L only_ m