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Home My WebLink About14787-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No gJ512.7. Date December 24, 19 8.6 One family dwelling with attached THIS CERTIFIES that the building . ~'d~ fi ~'e' '2 ' ~lh'c'l~ ~ .............................. ; 425 Cedar Point Di~ve Southold, New York' Location of Property ............................................................. . . House No. Street Hamlet' 090 03. L 19 County Tax Map No. 1000 Section ............ Block .............. et ................. S bd' '' M./.9 Fil dMapN L No u lVlSlOn.. . Cedar Beach 90 64 ................. 0 0 ....... ot ........ o · · · conforms substantially to the Application for Building Permit heretofore fried in this office dated April 15, 19 8.~ hich Building Permit No 14787z ..................... , .. ursuant to w ...................... dated... .A.p,.r.i..,..1 2.5.: .............. 19 ..8.6, 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 ......... One family dwelling with .a.tta. ch.ed, g..ara, g.e..& decks The certificate is issued to ...... WINDSWAY BUILDING CORP. of the aforesaid building. Suffolk County Department of Health Approval .l 3 !-S 0 r 106 PENDING UNDERWRITERS CERTIFICATE NO .................................................. Plumbers Certification dated November 24, 1986 Rev. 1/91 FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14787 Z Permission is hereby granted to:, ............... ~?......V..: ...... /.z.~..z!. ..... ~ ,~,~ ,o ....... at prem,ses '~ate~ at....q..~X......~,,.,~...~..,,~.~, ....... ...%~ .............. Count, To,, Mop No. 1000 Se~,~o~ ...... ~.%9 .... B,o,:k ...... .~...~ ..... Lot ~o...1.~ pursuant to application dated .... ~ ....... ~[...~, ................... , 19.]~.,(~., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 11 TOWN 01~ SOUTHOLD BUILDING DEPARTMENT TOWN HALL S0UTHOLD, NY DEVELOPMENT PERMIT Permission is~ hereby g~anted to: / ~d ,e_~ ' Cowry Tax Map No. lO00 Section ogD Block ~ Lot ~ ~ pursuit to application dated_ ~Z~'/ /~ , 19~, and appPoved by the Building Inspector. - Building Pe~it No. _ /Ol _z 4/80 Building Inspecto~ JUDITH T. TEI~RY TO'g/IN CL~RK REGISTt~R OF V~TAL STATISTICS MARRIAGE OFFICER RECORDS ~AGEMENT OFFICER F~EDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD i~ AU6 ^ Z 0 1996 I ' i BLDG. DEP'[ APPLICATION FOR PUBLIC ACCESS TO RECORI~O?$ooT~L~? ...... INSTR~JCTIONS: Please complete Section I of this form and give to Town Clerk's' Office (agency Freedom of Information Officer). One copy will be ~'eturned to you in response to your request, or as an interim response. SECTION I. (Department or OffN:er, iBT<nown, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, file title, tax map number, and any other pertinent information.} ,k Mailing Address (if different from above)' . [ ] APPROVED [ ] APPROVED WITH DELAY* [ ] DENIED* Judith T. Terry Freedom of Information Officer AU(~ 2 O 1996 Town Cleft( $outlmld Date * If delayed or denied see reverse side for explanation, FORM NO. 6 Building Department Town Hall Southo d, N.Y. 11971 APPLICATION FOR CERTIFICATE OF Instructions This application must be filled 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 buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-iS-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters, 4. Commercial 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 completed 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 lines, streets, buildings and unusual natural or topographic 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 buildings 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 land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ................... New Building .... ~ ...... ?Id or,~re-existing Building ............ Vacant Land ............. Location of Property..../-/?.¢. .... ~'" '/~" ': '~" ': ........... ~'~' "~' '~' '~"~'" .... Owner or Owners of Property .... /. ~ ,/~.¢..~.~. · ' ...................... County Tax Map No. 1000 Section ~; ~ Block Z~ ~ Lot. /,~'... Subdivision..t~/~.~...~'.~¢ .~ ....... FiledMapNo .... .~) ..... LotNo...~...~. ...... PermitNo. /.~.~.~..~.'~i~eolPermit ..gL~L,~?~LApplicant ...~.~.~.~..~./'...~..'~..~.'~'./.~....~ ..... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and perr~itcmeets,all~applica~le~cod,es a~,nd regulations. Applicant ...... :...,,,-~,,--¢...' ....../...x'..~._., . ~,... ~,.., .//./~ ...... Rev. 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner ~ ~ u~x~, (p~ase p~intJ Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~q day of ~ , 19 ~ · Notary Pubtic, 0~~ County Notary Public P~ ELD,% INSFECTION FOUNDATION {1st) COMMENTS FOUNDATION ( 2nd ) ROUGH FRAME & FLUMBING 3~PER N. STATE ENERGY Ye CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION SST [ ] ROUGH PLBG. ~//-~a~, [ ] FOUNDATION 2ND [ ] INSULATION ~/~/'~"- [ ] FRAMING [ ] FINAL · - :- /// ~ BUILDING DEPT. INSPECTION fOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL / DATE/¢~/~ INSPE~OR 7GS-180Z BUILDING DEPT. INSPECTION [ ]FOUNDATION XST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [HINSULATION [ ] FRAMING FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL 765-1802 BUILDING DEPT. INSPECTION ~[~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE /~//~.~ INSPECTOR~ 'O0"E. /, ,~ ~.~' (TIE Lli"4D.} 6.6 SUF.~, CO. 3EF'T, OF' HEALTH m~.RVIC~E~ FOR APPROVAL. OF CONST~U~rlON ONLY DATE: APPROVE;D: ~rATEM£NT OF' INTENT THE WATI~I~ BUPPLY AND SEWAGE DENCE.. WD.L CONFORM TO THE 8TANDA~ID~ OF SUF.F.OL~ CO. DEPT. - NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION PERMIT 10-83-1015 UNDER THE ENVIRONMENTAL CONSERVATION LAW F ARTICLE 15, (Protection o(Water) [] ARTICLE 25, (Tidal Wetlands) ARTICLE 24, (Freshwater Wellands) [] ARTICLE 36, (Conslruclion in Flood Hazard Areas) PERMIT ISSUED TO Marvin B. Perry ADDRI~SS OF PERMITTEE P.O. Box 153 Cutehogue, NY 11935 LOCATION OF PROJECT (Section of stream, lidal wetland, dam, building) Stillwater Lake on the north side of Cedar Point Drive East DESCRIPTION OF PROJECT Construct a 54'x30' one family dwelling and associated saniC~.~_~s_p~r ~uJ~m~n~- a minimum of 75' landward of tidal wetends for the home and a minimum of 100' landward of tidal wetlands for the sanitary system. ~OM~dUNITY NAME (City, Town, Village) ITOWN Cedar Beach Park [ Southold COUNTY FIA COMMUNITY NO. ]- DAM NO. / Suffolk GENERAL CONDITIONS 1. The petrol(tee shall file in the office of the appropriate Regional Permit Administrator, a nolice of intention to commence work at least 48 hours in advance o( the time of commencemenl and shall also notify him promptly in writing o( the completion of the work. 2. The permitted ~ork shall be subiect to inspection by an aulhorized order Ihe work suspended if the public interest so requires. 3. As a condition of the issuance of this permit, the applicant has ac- copied expressly, by lhe execution of the application, the full legal respon- sibdi~y fog all damages, direct or indirecb of whatever nature, and by whom- ever suffered, arising out of the project described herein and has agreed 1o indemnify and save harmless the State from suits, actions; damages and cosls of every nam~ and description resulling from the said project. 4. Any material dredged in Ibe prosecution of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of the waterway or flood piain or deep holes that may have a tendency to cause injury 1o navigable channels or 1o the banks of the waterway. 5. Any material to be deposited or dumped under this permit, either in the waterway or off shore above high-water mark, shah be deposited or dumped at lbo locality shown on Ihe drawing hereto attached, and, if so p~escribed thereon, within or behind a good and substantial bulkhead or bulkheads, such as will prevent escape of the material into the waterway. 6. There shall be no unreasonable interference with navigation by the 7. That if future operations by the State of New York require an alteration in Ihe position of the structure or work herein authorized, or if~ in the opinion of the [~epartment of Environmental ConservaDon it shall cause unreasonable obstruction to tile free navigation of said waters or flood flow~.or endanger the health, safety or welfare of the people of the State, or loss or destruction of the natural resources o( the State~ the owner may be ordered by the Depart- thereby wilhout expense to the State; and if, upon the expiration or revocation of Ihis permit, the structure~ fill, excavation, or other modification of the watercourse hereby authorized, shall not be completed, the owners shall, wdhout expense to the State, and [o such extent and in such lime and manner any porlion of the uncompleted structure or file and restore to its (ormer condition Ihe navigable and flood capacity of the watercourse. No claim shall JPERth(IT EXPIRATION DATE Dm~mhmr '4,1 ~. lqRA 8. That the State of New York shall in no case be liable for any damage or injury 1o the structure or work herein authorized which may be caused by or result from future operations underlaken by the State for the conservatmn or improvement of navigalion, or for other purposes, and no claim or r~ghl tn 9. That if the display of lights and signals on any work hereby authorized is not otherwise provided for by law, such lights and signals as may be pre- scribed by the United States Coasl Cuard shall be inslalled and maintained by and at Ihe expense of the owner. 10. All work carried out under this permil shall be performed in accor- dance with established engineering practice and in a workmanlike manner. 11. If gFanted under Articles 24 or 25, the Department reserves the right be just and equitable. If upon the expiration of revocation of this permit, thc modiiicalion of the welland hereby authorized has not been compleled, (Il<, applicanl shall, without expense to lhe State, and lo such extent and in such remove aH or any portion of lhe uncompJeted structure or fill and restore the site to its former condition. No c~aim shall be made against the State et New ' 12. This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights o( others 13. The perm(Nee is responsible for obtaining any other perm~r5, ap- provals, lands, easemenls and rights-of-way which may be requJred for this project. 14. If granted under Article 36, this permit is granted solely on the basis Part 500 of 6 NYCRR (Construction in Flood Plain Areas having Special Flood Hazards - Building Permits) and in no way signifies that Ibe project will be tree from flooding. 15. By acceptance of this permit Ibe permiHee agrees that the permd is conUngenl upon strmt compliance with the special conditions on Ihe 9S-~0-4 (9/75) (SEE REVERSE SIDE) Bu~ idJ_~g 40~ FdJNY, l(oom 2.[9 . Stony Prook, New %ork ]1.794 John Dempsey PO Box 5 Cutchogue,NY 11935 June 21, 1985 Henry(~.Wfihams RE: Permit No., Locatior, .10 _- 8_:3_-.1_01 _5 $.tl.llwatem.Laka,_mZz._ of Cedar Point DPlve ~as~ ---: ....... ?~- :- ........ 'i.':..'i-. Dear M~, Demosey: 6NYCRR, P;~rr 621. it h;m ])een (let:erm_Lnr~d that the proposed mo,lJfic:otLon::~ wil]. no~ :~ubstr]ntiul. Jy chat)ge t'lte Scope o[ Elm pa]m.[LLed acl:ion~; or the existiug perm:il: cond[-- ]1.,. letter is ai~ ;mmndnmnt to the original perta.it and as suc't~,. ,~;haJl be ~ . ,~*)o~;Le~ at: thc, .job site~ owe/I. SUPF. CO. HEALTH DEPT. APPROVAL J H. S. NO. /00 t ~n~I! IIIF" ~'" "~p'~%%--~[3'~T~F HEALTH $1~RVIOES STATI[MENT OF INT=NT / .............. FOR APPROVAL OF CONSTRUCTION ONLY ............ MAY 1 6 ~. DISPOSAL SYSTEMS FOR THIS ~D ~ ~ DATE: I- ~-~-- ~ ....... ~ DENCE WILE CON FOEM TO THE ~ ~ATE~ ! ~ APPROVED: ~ ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,0,°OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .~....~.~..., 19 .~.(o Approved..~... ~2~..~..., 19~¢. Permit No.}.~.7.~. ?..~... Disapproved a/c ..................................... BLDG, DEPT. TOWN OF SOUTHOLD Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 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 constraction 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 necessar~ inspections . .. (Signature of applicant, or name, if a cor/>oration) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or Name of owner of premises. ~. ?i0.~.d...~.~4-1 .~5.~ 10,~/b.~.~ .... ~.*~.. ,~......~.~.~1.~.~..~.-~..~. ................. [as on the tax roll or rarest deed) If applica~.j~-)ion, sig~nature,,df ¢ffly authorize~'.o~ficer. / (Name and title of corporate officer) Builder's License No .... , ................. t2j . ~. Plumber's License No..0...~..~..M. 4.~?...~..~...L.a)..d..~. Electrician's License No..~..~..~.r&..Off....~...~,.~..~.*.(,., Other Trade's License No ...................... 1. Location ofland on which proposed work will be done. . .~./.~ C~-I0~x, .~.. ~)~r,. ~ga(O~ House Number Street Hamlet County Tax Map No. 1000 Section ....0.~.O. .......... Block ...~. .............. Lot...~.~ .............. Subdivision .... C(~/~....~..g'...~... · .~..~...~. ..... Filed Map No .... ~..O ......... Lot...~..~. ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~c,~ ~ .~. ~,'~ b. Intended use and occupancy ...(~)J0.1~.....~.~..,'..Z~....~..~I..~. ~. ~.tt..~...--~....~. .......................... 3. Nature of work (check which applicable): New Building ~ Addition i Alteration Repair .............. Removal .............. Demolition ........... ;. Other Work ............... (D ripti ) ~[..~,o. : "~ '~ ~ ' .' esc on 4. Estimated Cost... '.~2'.7~ ~ · ................. Fee .......... ~ .......................... (to be ~aid on filing this application) 5. If dwelling, number of dwelling units .... .Off. ~,--. ..... Number of dwelling unit~ on each floor ................ If garage number of cars ~ q.t~ 6. If business, commercial or mixed occupancy, specify nature and extent of each typle 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 ...................... Number of :Stories ...................... 8. D~mens~ons of eptlre new construction: Front .... ~.? ........ Rear ~.~ i. Depth ~..t . . . Height ...2f.: ........ Nu,,mberofStories...~ ....................... :.iiii .....-...~;~ ......i. 9. Size of lot: Front ......I.-~¢ ............. Rear .... 5/.).~..8. ........... Denth ....~¢ ............... 10. Date of Purchase . .~[~.~vv~',.., .~.~O.~?.~ ......... Name of Former Owner .'~.o~1 .~.~.jo&~ ............ 11. Zone or use district in which premises are situated ......................... ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ..~.9 ..................... :.az 13. Will lot be regraded .... .~.~,~ .................... Will excess fill be removed from premises: Yes 14. Name of Owner of premises ./~.r~J.~..lqJ.~ ~J )~ .~.~ Address .l.o.~ ,(~ [~..l~.o., [,~..1~, Phone No. ).~)../.~. ~ ...... Name of Architect ................. : .......... Address ............. : . Phone No. ............... Name of Contractor .~'t~.r~ $ ./4,/.~-~ 1~,I~0~0~1 .~.. Address t~ . ~,'i ". Phone No. ~' . ~* . 15. Is this property located within 1.00 feet of a t±dal wetland? * Yes .l~... No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRA~ Locate clearly and distinctly ~ll 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. STATE OF NEW yORK cou v oF S.s ........... '. ~&}G;.~.'.~..: '. '.~..~..~.. ? ?'..~ [ .........being duly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) : above nallled. He is the ~ t ~ ' (Contractor, agent, corporate officeh etc.)j of said owner or owne~, ~d is duly author2ed to perform or have perfo~ed the s~id work and to m~e and ~e this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ner set forth in the application filed therewith. Sworn to before.me this ................ 2 . .~..day of .... ~. 62, 812~, 8~ ~n~ : ppl~cat~on Received 19 DisapProval issued 19 Permit # I ..... 19 FORM NO. 10 APPLICATION FOR DEVELOPMENT pERMiT IN THE TOWN OF SOUTHOLD 19 i. Type of Oeveiopment Froposed: New Structure (inc£uding storage 5anks Addition and/or Alteration__ Flood Proof Below Base Flood Elevation 2. Elevation Data in relation to above mean sea level of: (a) Lowest floor elevation, including basement ~ feet inches (b) In a V Zone, bottom of lowest structural member fe---~t inches 5. Location of Property: House ~ Street ' Hamlet e County Tax Map No., Dist. Permission to be granted: __~//Under Contract Lessee ].000, Section _ ~ Block '~ Lot(s) Filed ~ap# ~ ~ Lot(s) Owner as above Contractor New Owner Phone ~ Name if. not given ~bove Approval from other(s) before Permit is issued.~ ~EC ~ ~ 10 ~-/~~- Mailing address Wetlands (Town Board) ZBA Health Services ~-~ Building Permit ~ Planning Board ~ , .~.w~-~f~w~-~~~the applicant, am the Owner , Co-Owner __, New Owner , Under Contract ~ Lessee., Agent __, Contractor __., and agree to comply with all applicable sections of the Code of the Town of Southold; County, and State and to admit authorized inspectors to premises 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 my knowledge and belief and that the work will be performed in the manner set forth in therewith. SS STATE OF NEW COUNTY OF SWORN TO THIS /~ DAY OF Notary Public the application filed Signature Applicant s mailing address and phone # if not given above i1/85 P.O. Box 728 Southold, N.Y. 11971. FORM NO. 10 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 Town Hall Main Road Southold,N.Y. .APPLICATION POP DEVEI.~PME~ PF~TT Instructions: The application to the Building Inspector includes (each ~n duplicate) 1. Form No. 10 filled out in ink or typewritten, 2. Sur- vey of premises with'elevations above mean sea levell, 3. Drawings of pro.- p sed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980,1Chapter 46 of the Code of the Town of Southold known as "Flood Damage ~revention Law" Of the Town of Southold. The applicant must submit approvals that any other agency requ~re~.. Geherai'~tanda~d~ as~required in Section 46-17 of tH~ law to minimize flood cr stru~ures~ihcl~df~g '~'~ndl mobile homes B. Use of construction material and methods C. Design and location of utilities .i D. Subdivision proposal with drainage, public'utilities design and base flood elevations i~ specific Standards as required in section A. Residential construction B. Non-residential construction C. Mobile homes The applicant must submit plans and specifications a~ well as any other information requested by the Building Inspector to s~bstantiate the facts that the structure has or will have the lowest floori, 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 structureiis water tight with walls substantially and impermeable to the passage o~ 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 thatlthe standards set forth in Section 46-18B (1) (2) (3) of the Southold Code are satisfied. Coas~a% High Ha~ard~. 9rea (V Zone) 46-19. a~plliaa.n~ ~ha!~ submit plans, ~lcatlons lncl'udlng the required certificatibnsi~hd 'sdch other in- formation as the Building I.nspector may require in that the 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 andi the applicant pro- poses to alter same, plans and specification must be!shown in detailed nature of any alteration submitted. Buildinq 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 hazard zone. A writteh disapproval or a permit must be issued within ten (10) working days. ! During construction, the inspector shall be notlfledl in time so he may make the required inspections. I .~ Upon completion, the required certification of the f~nal elevations and work must be submitted before the approval to use orloccupy can be approved. ~ (Fill out the. form on the back ok this sheet) 11/85 r SUFFOLK CO. HEALTH DEIST. AFl. OVAL H.s. NO. ~AP OF Pf~OPEI~TY WINDS WAY' BU/LBING ' ¢ ' ' ) THE WATER S~Y AND SEWAGE DIBAL ........................... SY~ F~ THIS RESIDE~E WILL A_~ C~ TO T~ STANDARDS ~ THE ............ (Si _~ SERVICES -- ~O~ A~OVAL O~ ~" ~ CON$T~UCT~N ONLY A~OVED: ~ ~F~LK CO. TAX MA~ DES~NATIO~: SCALE-~, ...... ~u~o~ co. ~ALi~ H.S. i~ ~., ~TLH~..pi~q-M rr~_ !:'~ ----~-, .- GU~OLK GOUN~ SINGLE FAMILY D~LLIN~ .0~ - ~-,~-~ ~ O~ H.D. REF. NO., "-~-~-/d~ ~ ~ ~ SURVEYED FOUND TO BE ~~ E ~ ~ ~ :_. ' ,, ~~ ~ SERVIC[S --FOR APPrOVaL i ~.---~ ~- ,-,' T4~ . ~ .,,/,. ~ '~? :. '.' . ,. ~_~,,,, r~__~ ~ , I ~K ~'~A-~ ~ ~~: ~ ,: .-...<.-,. ...~ . ~) ~_ -. ~.~ O~o'. ~/~' '... ~,. -.. '~ . ~ , ~ ' ~ ~ -. ~,, - ~,~ ,, ~ " . c_~f~>'N ~F~C~.~ NO.90. . -. ~t~-~79 C ~ ~ (EL.8.0) "' '--... ~!~ ~ Y~ ~ . ~ ~ ,, .~, ~ _ . ,_-'1 SUFFOLK COUNTY ItF~, ~t~Pi~I~'M~ SINGLE FAMILY DWELLIN~ .ONLY' _ ~-,~.c H.D. REF. NO., ...~ ,16 ~ DATE, ~EC 2 3 ~ ~,~'~- ~ ~_~E .DI~L AND ~%~ T UUA/IUN HAVE BE~ INS~ FOUND TO BE ~~ E [ ~ , -,~ SUFFOLK COUNTY HEALTH DEPARTMENT SINGLE FAMILY DWELLING ONLY REF, NO.' PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY sOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE '.3 '0