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HomeMy WebLinkAbout11095-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z10722 Date October 7, 198. J. Tills CERTIFIES that ·[lxe. bmldln,~' o ................................................ Location of Property ......... 6.70..~{l, gg;[~a..l~g~.~, ',.. ~ .r.e.e.r):: ~.o?.t,,. ~.e.l~. ¥o.r.k .......... House No Street Ham/et County TaxMap'No. 1000 Section .... 3.5 ...... Block ....... /~ ....... Lot .... ~.1 ........... Subdivision ............................... Fi]ed Map No ......... Lot No .............. conforms substantially to the Application for Budding Permit hei~etofore filed in this office dated December 31 19 .8.0pursuant to which Bnilding Permit No. 11095 Z dated ..... .Ap.Ri. 1..8 ............... 19. ~ .1, was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which this certificate is issued is ......... Private One-Family Dwelling The certificate is issued to Harold and Hattie Stetler .................. ..................... of the aforesaid bmldin§. Suffolk County Department of Health Approval .... .1.0./..6./.8.1. ~...1.1.-.S. 0..-.2.3..R.:. ?.....V.i.l.l.a..~..P. UNDERWRITERS CERTIFICATE NO... ~535648 Building Inspector Rev. 1/81 FOR~ NO. ~ TOWN OF $OUTHOLD BUILDING i~EPARTJ~tEN'I TOWN HALL SOUTHOLD, N. Y. BUILDING P, ER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL I~ULL COMPLETION OF THE WORK AUTHORIZED) N©. 11095 Z Permission is hereby granted to: ..... ...... .............. ~.~..~.Z.~.~.~.,....~:.~ .... to .................... ~ ................................................ ~ .................................. ~ ............................ .e~..~.~..,~...[~....~ ........ at premises located at ............ ~.~,..~. ~ ~ ~;.}..~) ......... ~:,b]..~. ................................................ ................................................... ~ ........................ .) ...................... ~ .................. .~ ......... : ..................... ~.~. c/ Lot No ~/. CounW Tax ~ap No. ]000 Section ...... .......... BI~E ....,~....~. ............ ........................ p~s~t to ~ppli~tio~ a~t~a .......................... .~.~..i ........ ~.~ ...... , 19.~., aha approvea by the Building Inspector. Fee ,...~.~ ....... FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF QOCUPANCY Instructions A. This apphcation must be fiIled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2. Fmai approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of eIectrlcal installation from Board of Fire Underwriters. 4. Commercml buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building, 5. Submit Planning Board approval of comple£ed site plan requirements where applicable. For existing buildings (prior to April 1957), Non~conforming uses, or buildings and "pre-existing" land uses' 1. Accurate survey of peoperty showing all property line.s, streets, buildings and unusual natural or topograph lc featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buddings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or [and use 3. Copy of certificate of occupancy $1.00 $5.00 Date....~..¢~?.. ?.~:1 .~.~. ! ....... New Building "//' Oki or Pre-existing Building Vacant Land Location of Property 5 ?.~ ..... .~.7~.~ ./.~.~....~..~'~'.'.'.'.'.'.~'..~.~ ................. ~'~....~t'~'..?.~?~..~' .......... House No, Street Hamlet Owner or Owners of Property .. [7(.~?..%°,~, !47.¢.?t?]..5'.~..~.z.~.~. ................................. County Tax Map No. 1000 Sect,on ..... .~...~ .~ ..... Block .... ~ ......... Lot .... .~. / ......... Subdivm~on .......... ~ ..................... Filed Map No ........... Lot No ........... ~).t. · Construction on above described bu,lding and perm,t meal .~]~?~le codes and regulations. Rev. 10-10-78 Harold Stetler 25 MJndres Avenue Brentwood~ New York July 22, 1981 11717 Town Of' Southold Building Department Main Road Soutdnold, N.Y. 11971 Attn.: Mr. George Fischer Re: Wiggins Lane-Greenport,NY Building Permit No. 110952 Dear Sir: This is to confirm that inspection was made at the above Stetler residence, at which time the Inspector approved insulation. We have not as yet received notices of previous inspections and approvals and are awaiting same as our verifications that work completed to date has been done per specified requirements. Thank you for your attention in this matter. Very truly yours,. flarold Stetler (516-234-6896) May 8~ 1 981 Mr. George Fischer Town Building Department Town Of Southold Southoldj New York 1 1971 Dear Sir: This will confirm our conversJmtion on this date~ approving the Foundation and M~embrane water- proofing at the Stetler residence - covered by Building Permit No. 110952. Very truly your/~, 25 Mindres Avenue Brentwoods N.Y. 11717 April 16~ 19~1 Town Of Southold Building Department Main Road Southold~ New York Re: PERMIT No. 11095 Z April 8~ 1981 Att.: Mr. George Fischer Dear Sir~ This wi±l confirm our conversation by telephone on this date regarding the following items: 1) Excavation is completed 2) Building Layout is completed 3) Footings will be poured Sat~lrday~ April 1981. truly yo~lr s~. Mindre s Avenue Brentwood~ New York 6-273- ~319 ) ~0o7o8 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ] ~].85 JOHN STREET, NEW YORK, NEW yORK 10038 THIS CERTIFIES THAT only the electrical equipment as described below and int~duced by the applicator na~ed on the able application number in tko premises of in tke following location; ~ Basement ~ 1st FI. ~ 2nd FI. Section Block Lot was examined on ~]~)~l~r ~.~ ~ ].~J. arid found to be m compliance w~th tbc reqmre,nents of tt~s Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS 27 33 27 DRYERS SYSTEMS NO OF FEET E OTHER APPARATUS t,-GoF.I., E R V I C NO OF CC COHO A,W G NO OF HI [EG A W G NO OF]7fiUTRALS[i A W G t ~/0 ~ 4/0 (.,-~ea~pm:'t, N.Yo 11944 lic,t049-E This cerhhcate must not be altered in an/ manner; return lo the office of the Board ~f incorrect. Inspectors mai be ~dent,fled by their credenhals COPY FOR B~ILDING DEPArTMeNT. THIS COPY C~F C~_~T[FI~T[ ~,~[ NOT, B~ ALTERED IN ANY MANNER. F IE~_'_D. ,~SPECTION COMMENTS FOUNDATION FOUNDATION (2nd) e ROUGH FRAME & PLUMBING INSUI~TION PER N.Y. STATE ENERGY cope J FINAL ADDITIONAL COMMENTS: PERMIT SIGN tCorrected Permit) ~ 1527~-O150"A" has been issued ~o: HAROLD STETLER 25 Mindres AYe. ~ B~entwooc~ N. Y. 11717 /Ul'C_o_nstz~ction o_f a one family dwelling and associated sanitar~~ system. Dwelling shall be ~taced a mn!mum oz ~' zandward o~ mmlkheam. Sanm~ar~y sysvem shall be p%aced a :.f .... z~. -0~' ia-~dwar~ und~me ~nv~ronmen~a~ [;onserv~on Law, b~head~ Gre~po~, To~ ~f ~o~hold, Suffol~ !"'l Article 15, [Protection of Wated L~ [ Article 24, [Freshwate~ Wetlands} ~ Article 25, {Tida~ Wetlafl~s} [--] Article 36, [Construction in Mood New York State Department of Environme~tai Conservatio~ Formerly EA-93 ~'k~"~/'j~ ~"~ NEW YORK SIA[E DFPAR]MENT OF ENVIRONMENTAL CONSERVAFION PERMIT 'PERMIT NO, TIC 1527g-O150"A" UNDrR Tll~. ENVIRONMENTAL CONSEgVAIION LAW H~ROLD STETLER 25 Niind~es ~ve.~ Brentwood, N. Y. 11717 Fordh~ Canal north side~ south off Wiggins Lane Oonst~ction of a one ff~nily d~elt~ng and associated s~itaw system, ~ _~ ?lag_ed a mi~?~ ~ 7~' _~E~_?[.bulkhead- Sanitau system shal]~ b~ )laced a minimum of 1OO' landward of bulkhead. GENERA[ CONDiTiONS 1. The peulHttee ,,hall file in the office of the appropriate Regional Permit Admlmstraler, a notice of intel~t~on ~o COlnmegce work at least 48 8. That the State of New York shah m no case be liable for any damage or injury to the structure or work hereto authorized which may be caused by or result from future operations underlaken by the State for Ihe conservatton or 9, That it the dJsplay of lights and signals on any work hereby author~zm~ ~s not otherwise provtded for by Jaw, ,such I~ghts and s~gnals as may be pre- scribed by the United States Coast Guard shall be installed and maintained by and at tl~e expense of the 10. All work carrmd out under th~s permit shah be performed m actor- 11. If granted under Articles 24 or 25, the Departmm~t reserves the right to reconsider thm approval at any time and after due not~ce and hearmg to modlhcation of the wetland hereby authorized has not been completed, the apphcant shall, w~thout expense to the State, and to such extent and m such remove all or any portioe of the uncompleted structure or fill and restore the site to ~ts former condition. No claim shah be made against the State of New 12. This penmt shall not be construed as conveymg to the applicant any right to trespass upon the lands or interfere w~th the riparian rights of others party to the permit, 13. The perm~ttee m responsrble for obtaining any other permits, provaJs, lands, easements and rights-of-way whrch may be required for project. 14. If grained under Article 36, this permit ~s granted solely on the of [he requirements of Mt~cJe 36 of the Environmental Conse~vation Law and Part 500 of 6 NYCRR (Constr~ct~on ~n Flood Plato Areas having Special Flood Hazards - Braiding Permpts) and in no way slgndies that the project wilt be free from flooding. 15. By acceptance of this permU the permdtee agrees that the perrml 95-20-4 (9/75) (SEE REVERSF SIDE) SPEC)AL 16) Applicant shall be liable for any damage to from any phase of the permitted construction. I 17) We reserve the right to comment at a later dat6 vironmental aspects of this project~ : ~ 18) The granting of this permit does not relieve the permittee of the reap, sibility of obtaining any permits, licenses, or other authorization which may be required by other State~ Federal Or local agencies.. adjacent waterway resultin concerning other eh- CeCe LAW ENFORCEMENT U.S. Army Corps of Engineers File SUNY, Stony Brook~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ................ 19 ... Approved ....... .~¢~.~... 0~,.',i9 .~.. Permit No.../. ( .O..~..~.~'. ~ Disapproved a/c ...... . .~. :~' .... 5~....~. .............. (Building Inspector) APPLICATION FOR BUILDING PERI'~IT Date.../?f../?../. ....... INSTRUCTIONS a. Thts application must be completely filled in by typewriter or tn ink and submitted in triplicate 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 this appliqation may not be com~Uencect before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the promises 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 Budding 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~aand regulations, and to admit authorized inspectors on premises and m buildings for necessa~ry,'ms~pec~/~ ~,/,.,,,._~ (Signature of applicant, or name, if a corporation) · .2.~./(,.,,~:~.,.~..~:.%fl. (~ .,m-. ,?.~.e./.% y..~ .~ ?/.7... ......... . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... ,. ...................................................................... Name of owner of premises ./.~.'.~?~. :~?..4. p./t.,~, r..~.~...~'. ~a./?.~.C ................................... ~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No...~..~../'~:~.'? ............. Electrician's Ltcense No..~..~.~./.¢v?..-? ........... Other Trade's License No ...................... 1. Location of land on which proposed work will be done, ~}'F/.'~.( .~.."2:', ~. 6}"~_~..~2-?f. £¢.~?...tt, K'.: ~'. ............... House Number Street Hamlet County Tax Map No. 1000 Section ...~.5.~. ........... Block ,...~. ............. Lot 2.- / Subd~wsion .~??/.~.~..,~t. ?'.d??.~ff./.,f.~.q..~.'~. .............. Filed Map No.. ~.d. ~?.~.'~. ...... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ~.~. ?..~t.~,':.,y?. ............................................... b. Intended use and occupancy ..... .'~..~.~.'~.'.'~.' .-~...--..././.?~':~. :'~. ....................................... 3. Nature of work (check which applicable): New Building....,,,,,,.. Arldition ,,.....,., Alteration .......' Repair .............. Rem6val .............. Demolition .............. Other Work ............. ~ (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 / If garage, number of cars ..... i ...... ~' ........................................................... 6 If business cial ixedoc cy sp cify nat d extent of ch type of use · , commer or m cupan , e ute an ea ..................... ~ ~ '-' Depth ....-- ........... 7. Dimensions of existing structur s, ifany: Front ............... Rear ..... . ......... Height -- Number of Stories : .'... Dimensions of same structure with alterations or additions: Front ........ -7. ........ Rear ...... , ............ Depth ~ Height ~ Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height .............. ;,Nu ,tuber of Stories ........................................................ 9. Size oflot: Front ~o,O. : . - ' ' ' ' ' ' .......... ~ .......... Rear .... /.~'4~'.:(~. ........... Depth 2.~.(t(.~..~.'.~..~.~.'?.? .... 10. Date of Purchase ........... i .................. Name of Former Owner ............................. 11. Zone qr use district in which premises are situated ....... ~ .~. (q .~:'..~! .~.~..- ................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .. ~.~ $ ....... ~ .................. 13. Will lot be regraded ...... .,~.'¢$. ................. Will excess fill be removed from premises: Yes 14. Name of Owner of premises ~.'~,.~.~.~.~rr:".. Address .z~..,~.~.~.~..n~. ~.t~/.~?.~.0.~,/Phone No.,fi'./. .~ .-..zy..,(...a.~rf.~ ~... Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all: buildings, whether existing or proposed, and, indicate 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. COUNTY OF · ~ .... ....... ~.././/!~?~g~ .... '... ~../.~.. ! .... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the .................. ~-q-~... ~zg~'c~ ........................................ (/ (Con)~actor, 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. Sworu to before me this ............. ,:~ .~.~ .day of ........... Nota.rv~bJ~, ....... }. ~ .... !~~. County - ([y/ ELIZA(tETI( ANN N£VIL~ / ............... NOTARY PUBLIC, State of New ~or~ (Signature of applicant) No. 52-8125850, Suffoll[lCOUnty~ Term Expires March 3D,J 19~ TOWN OF $OUTHOLD, NEW YOP~K ACTION OF THE ZONENG BOAI~D OF ~PEAL~ AppealNo. FA-4 Application Dated November 19, ACTION OF T~ ZONING BOARD OF APPE~S OF THE TOWN OF SOUTHOLD To M~. a~d Mrs. Haro]d Stet]er 25 Mindmews Avenue Brentwood, NY ]1717 ]980 DATE ..3..2../.]...5./..80 Appelant at a meeting of the Zoning Board of Appeals on D e c e m b e r ] 2, ] 9 8 0, was considered and the action indicated below was taken on your ( ) Request for variance due to iaek of access to property ( ) Request for a special exeephon under the Zoning Ordmande ( ) Request for a variance to the Zoning Ordinance for variance to the 46-7, 46-15, 47-18 Request Sections Flood Damage, Prevention Law the appeal ~anted ( ) be domed pursuant to Article .................... Sect~n .................... Subsection .................... para~aph .................. of the Zoning Ordinance and the decision of the Bni~Mg In~eetor ( ) be reversed ( ) be co~irmed b~a~e Public Hearing ]2/4/80 at 7:55 p.m. Application of Harold and Hattie Stet]er, 25 Mindrews Avenue, Brentwood, NY for a Variance to the Flood Damage Prevention Law, Chapter'46, Sections 46-7, 46-]5, 46-]8 for permissionto construct basement (lowest floor) be]ow the restricted 8-foot base elevation in a special flood hazard zone at the south side of Wiggins Lane, Greenport, NY; bounded north by Wiggins Lane; south by Fordham Canal; west by Prato; east by Peconic Holding Co.; County Tax Map Item No. 1000-35-4-21. (SEE REVERSE SIDE) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical hardship because (SEE REVERSE SIDE) difficulties or unnecessary (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vielmty of this property and in the same use district because (SEE REVERSE SIDE) (c) The variance (does) . (does not) observe the spirit of the Ordinance and (would) change the character of the district because (SEE REVERSE SIDE) (would not) and therefore, it was further determined that the requested variance ( ) be granfed ( ) be denied and that the previous deelsions of the Building Inspector ( ) be confirmed ( ) be reversed. FORM ZB4 ZONING BOARD OF APPEALS Upon investigation and personal inspection finds as follows: the Board~ of the!premises, The lot in question has approximately .65 acreage; and the plot Plan .submitted to the Board indicates that the area of the lot where the dwell- ing is to be constructed has an elevation of 10.1 feet:above mean sea level. The applicant proposes to construct a basement with a ~inished floor 4.0 feet above mean sea level. The Flood Insurance Rate Map (FIRM) indicates that the property is located in a Zone A-5 with an elevation of 8 feet. The Board finds there are several homes contiguous to and in the neighbor- hood of the lot in question. The dwellings constructed on these lots are on lots of a similar size and the dwellings constructed thereon are con- structed below the base flood level. The Board therefore finds that the lot in question meets the standards set forth in Sectipn 46-16A of thelCode since it contains an area of less than one-half acre and is contiguous to and surrounded by lots with existing structures constr'ucted below the base flood level. In passing upon this application, the Board has considered all tech- nical evaluations; all relevant factors; all standardsi specified in the Code; and all of the applicable factors contained~in Section 46-15B, sub- divisions (1) to (ll), inclusive of the Code. The Board further finds and determines that: (1)I There is a good and sufficient cause for the grant of this variance; (2): A failure to grant the variance would result in exceptional hardship to t.he applicant; (3) The grant of a variance will not result in increased flood heights, or additional threats to public safety, or extraordinary public expense, or create nuisances, or cause fraud, or victimize the pub.lic, or conflict with existing local laws or rules or regulations. On' motion by Mr. Grigonis, seconded by Mr. Goehrllnger, it was RESOLVED, that Harold and Hattie Stetler, applicants herein, be and hereby are granted a variance from the provisions of the Flood Damage Prevention Law of the~Town of Southold to construct a ~ne-family private dwelling on premises Tocated on the south side of Wiggins Lane, Greenport, NY; bounded north by Wiggins Lane; south by Fordham Canal; west by Prato; east by Peconic Holding Co.; County Tax Map Item No. 1000-35-4-21; with the finished basement floor to be elevated 4.0 feet above mean sea level, SUBJECT TO TNE FOLLOWING CONDITIONS, to wit.' ~ (1) That the basement be flood proofed so that below the base flood level the structure is watertight with walls substantially impermeable to the passage of water; (2) That the floodproofing requirements professional engineer or architect as meeting the preceding paragraph hereof; be certified by a registered the standards set forth in (3) That such certification be filed with the Building Inspector and with the Board of Zoning Appeals of the Town of Southold; (4) That prior to the commencement of constructio'n, the applicant apply for and obtain a development permit from the Towh Building Inspector, pursuant to the provisions of the Flood Damage Prevention Law. AND IT IS FURTHER RESOLVED, that pursuant to the ~rovisions of Section 46-16F of the Code, the applicant is hereby given notice that the structure for which this variance is granted will be permitted tO be built with the lowest floor elevation below the base flood elevation ~nd that the cost of flood insurance will be commensurate with the increased risk. resulting from the reduced lowest floor elevation; AND IT IS FURTHER RESOLVED, that the Secretary to'this Board transmit copies of this determination to the applicants and to the Town Building Inspector. Vote of the Board: Ayes: Messrs. Grigonis, Goehringer and Sawicki. Absent were: Messrs. Doyen and Douglass. APPROVED IA pplicatlon Received Disapproval Issued me FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT In the Town of Southold Type of Development Proposed: Addition and/or Alteration[] Other (specify) Elevation Data in relation to above mean sea level of: (a) Lowest floor elevation, including basement (b) In a V Zone, bottom of lowest structural member ~___ feet FIRM--Flood Insurance Rate Map, Zone designations 0~mer of Premises Location of Property: New Structure (including storage tanks~ Flood Proof Below Base Flood Elevation~ inches inches County Tax Map No., District, 1000, Section ~J~ Block ~ _ Lot(s).~l Subdivision ~r~,,t~' ?"~,~,r~ ~ Filed Map ~ ~ Lot( s)~ Cont~act]~ Lessee I~ Contraeto~ r/~-~~, Approval from other(s) before Permit is issued: . W~LANDS (Town Board) HEALTH SERVICE ZBA BUILDING PERMIT PLANNING BOARD ~_ P~__z~..~ ~./~.~Z~~_z_~, the applicant, am the Owner ~-~,, Co- Owner~], New 0wnerL~~ Under Contractl--~, Lesseel-~, Agent~--~, Con- tractor~, and agree to comply with all applicable sections of the Code of the Tow~ of Southold; Co~ty, and State ~d to a~it authorized in- specters to premises authorized to perfo~ or have performed the said work ~d to make and file this application, that all statements contain- ed in this application are true 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. STATE OF N~'I YORK COUNTY oz._5"~-~_if __ ss S! RN TO DAZ Applio~t, s ~lll~.rm ~xP~res March not ~iv~ above: 19 Yo 4/8o P.O. BOX ?28 sOUTHOLD, NY 11971 FORM NO. 10 TOWN OF SOUTHOLD BUILDING DEPART~RENT (516) 765-1802 TOWN HALL MAIN ROAD SOUTHOLD, NY instructions: The application to the Building Inspector includes (each ~"duplicate) 1. FoEn 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 information to. show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Cods of the Town of Southold known as "'Flood Damage Prevention Law" of the Town of Southold. Th'e applicant must submit approvals that any other agency requires. , General Standards as required in Section 46-17 of the law to,minimize flood ~amage: - ' 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 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 ilnformation requestedlby 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 per~%tted by the Federal Regulation, that: 1. such structure is flood proofed in such manner that below thelbase 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 submit certification by a registered professional engineer or architect that the standards set forth, in Section 46-18B (1) (2) (3) of the S0uthold Code are satisfied. C__oastal Hish Hazzard ~rea (V Zone) 46~19. ~Applicant shall submit plans, speci£~cations including-the required certifications and such other in-' formatmon as th~ Bum~dmng Inspector may require in that ~e provisions of 46-19 are complmed wmbh. 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'. S__~d 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 alterati'on submitted. · .Buildin Permit. A " , w~_ .... ~ . - B~lld_tng Permit is also required for an structure. oo~n a ~evemopment an~ a Building Permit must be issued before any work can start in a special~ flood h~zzard zone. A written disapproval permit must be issued ~ithin ten (10) working days. During construution, the inspector shall be notified in time .so ',he may make the required insplections. Upon completion, the r.equtred certifi, cation 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 L,CENSED L ND SuRW ;oRs SUFFOLK C0 HEALTH DEPT. APPROVAL H. S NO.. _. STATEMENT OF INTENT THE WATER ~LY AND SE~NAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK 'CO. D.i~. O~~ERVICES DATE, ~t~rOC:K CO. TAX MAP DESIGNATION' D~ST. SECT BLOCK PCL oWNERS ADDERSs. SEAL StbFF'OLK CO. HEALTH i~EPT. API~OVAL SUFFOLK C:O, ~EPT. OF HEALTH ~RVICES. T~' , .......... , RODERICK VAN TUYL. P.C. LICENSED LAND SURV~ORS ~ ROUGH - F~,~G 3. 4. FINAL - BE COMPL~ THE REQU~R~M~ STATE CON~R~ION CODES. NOT DESIGN OR C~ION PENNY LUMBER EENPORT, N.Y. 11944 Main Road_