HomeMy WebLinkAbout12700-ZP.0. BOX .728
SOUTHOLD,
11971
FORM NO. ~.0
TOWN OF SOUTHOLD
BUILDING DEPART~LENT
(516) 765-18o2
TOWN HALL
MAIN ROAD
SOUTHOLD, NY
~: "' :APPLICATmON FOR DEVELOPMENT PERI.liT
Instructions: The application to 'the Building Inspector includes (each
mn duplicate) 1. Form No. l0 filled out in ink or typewritten, 2. Sur-
vey of premises with elevations above mean sea level, 3. Drawings of pro-
posed work. The application must give complete infox~mtion to show that
the proposed can comply to the Local Law No. 1-1980, Chapter 46 or'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.
B.
C.
D.
Anchoring of structures, including tanks and mobile homes
Use of construction material and methods
Design and location of utilities
Subdivision proposal with drainage, public utilities design and
base flood elevations
Specific Standards as required in Section 46-18~ A. Residential construction
B. Non-residential construction
C. Mobile homes
The applicant 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 of 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.
Coastal High Hazzard area (V Zone) 46-19. Applicant shall submit plans,
specifications including-the required certifications 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 elevation with all space below open except breakaway walls.
Sand 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.
Buildin~ Permit. A Building Permit is also required for any structure.
Both a Development and a Building Permit must be issued before any work
can start in a special flood hazzard zone. A, written disapproval or a
permit must be issued within ten (10) working days.
During construct£on,.the inspector Shall be notified in time so he may
make the required inspections.
Upon completion, the required certification fo the final elevations and
work must be submitted before the approval to use or occupy can be
approved.
(Fill out the form on the back of this sheet)
4/8o
iApplication Received
Disapproval Issued
PeEnit #
19
me
FORM NO. 10
APPLICATION FOR DEVELOPMENT PERMIT
In the Town of Southold
Type of Development Proposed:
Addition and/or Alteration~
Other (specify)
19
New St'ructure (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 feet
(b) In a V Zone, bottom of lowest structural member
3. FIRM--Flood Insurance Rate Map, Zone designations
Owner of Premises Z ~!;4'£ -_~_~/~._~
Location of Property:
~inches
feet inches
County Tax Map No., District, 1000, Section .Y-~ Block
Subdivision Filed Map ~
Permission to be Eranted: ~0wner as aboveI"
I .tUnder Contract~ ILesseel~Contractor INew Owner
Lot(s) /~c-'
Lot(s)
Approval from other(s) before PeEnit is issued:
DEC WETLANDS (Town Board)
HEALTH SERVICE ZBA
BUILDING PERMIT PLANNING BOARD
I, . ~./~ ~~,~ , the applicant, am the Owner ~, Co-
0wnerk_~ , New 0wner~-~l, Under Contract$~, Lessee~, A~ent~ Con
tractor~, and agre~to comply with all 'applicable'section's ~ the ~ode
of the ~ of Southold; Cowry, and State ~d to a~it authormzed in-
spectors to premises authorized to perfo~ o~ have performed the said
work ~d to make and file this application, that all statements contain-
ed in this application are t~ue to the best of my knowledge and belief
and that the work will be perfo~ed in the mannerset forth in the
application filed therewith.
COUNTT 0~ ~_~_ /~ SS
S i g~t
Ap~licat' s mailin~ ~ -- -
address ~d phone ~
if not given above:
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