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Home My WebLink About23824-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPART~-ENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25274 Date: 09/22/97 THIS CERTIFIES that the building ADDITION Location of Property: 345 HICKORY RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 9 Lot 4 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 16, 1996 pursuant to which Building Permit No. 23824-Z dated NOVEMBER 26, 1996 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 DECK ADDITION ON REAR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to RICHARD E & NOEL M RYAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Inspector Rev. 1/81 I~OB, B~ NO. 0 TOWN OF SOUTHOLD BUILDING D~PARTMENT TO~,' N HALL $OUTHOLD, H. Y. BUILDING PERMIT ~rHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 2382t Z Permission is hereby grant~d to: ~ . .................. .... at I~remises Iota;ed at ..................... ....~....~-...j~..~ ......................................... County Tax Map No. 1000 Section ........ ~..~... .... Block ....~ ............. Lot No.....~..... ............. pursuant to application dated ........................... ~.....~... ...... , 19.~...~.., and approved by the Building Inspector. Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ . ].~,~ULATION [ ~ FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL Form No. 6 TOWN OF SOUTHOLD ,<,: ~ ', BUILDING DEPARTMENT ~ .. ,. ~ ./ TOWN HALL . 765-1802 , APPLICATION FOR CERTIFICATE OF OCCUPANCY ~' ~'-~':: ................ ........ ~ : A. This application must be filled in ~y ' '~ .......... ~Ji~=Q~j~[[~f)~D ~ typewriter OR ink and submitted t~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fom). 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 i%. lead. 5. Co~ercial 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-confo~ing uses, or buildings ~d '.'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 a. consent to inspect' signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspecior shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,~g pool $25.00, Accessory building $25.00, Additions to accessory buildi~~ Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 - ' 3. 'Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co~ercial $15.00 Ne~' Construction .......... Old Or Pre-existing B~ilding ....... Location of Property ............... . ........ j ...... ~ ............ ~ .......... House No. Street 'Hamlet 0nwer or Owners of Property ........ : County Tax Map No {000, Section ......... B Subdivision ' .................................... Filed Map ............ Lot ................... Permit No Dane Of Permit ' ' Applicant · lteal~h Dcpc Approval Underwriters ........... Approval Planning Board Approval ' Request for: Temporary Certificate ........... Final Certicat _ ~ Fee Submitted: $ ............................. / , APPL C T. · . FOUNIMT I.()N THE COOK AGENCIF_ July 23, 1997 Mrs. Jean W. C~"~hran, Supervisor Town of Southold 53095 Main Road/P.O. Box 1179 Southold, NY 11971 Re: Reduction of Flood Insurance Premiums Dear Mrs. Cochran: Insurance There are 1,145 flood insurance policies in effect in your municipality. Currently each of these policies is being charged the standard rates set by the Federal government. All of the palicyhetders in your community could receive a discount on their flood insurance premiums based upon the community's participation in the Community Rating System. Entry into this optional portion of the National Flood Insurance Program has been simplified and made easier recently, and we recommend that you enroll your community. You are certainly already doing some of the activities that generate credit under the program, and the credits you can earn for your property owners are significant - starting at 5% and going up to a 45% credit against the standard rates. To simplify your path to compliance, the Cook Agency is sponsoring an informative training session, conducted by the State and Federal Emergency Management Agencies (FEMA), for East End municipalities interested in learning more about FEMA's National Flood Insurance Program. At the conclusion of this meeting you and/or your representative will under'stand what is needed to qualify for this program and be able to complete the application process. Officials of the Town of Southold who deal with floodplain management should attend, i.e., code enforcement, building inspectors, public works, and planning and development. Sincerely yours, Leonard Scicecia, CPCU, CIC President This session will be held on Tuesday, September 16 from 9:00 a.m. to 3:00 p.m. at the Polish Hail, 214 Marcy Avenue in Riverhead. Lunch will be served. Please call my assistant, Pat Matheson, at 329-7202 or fax her at 324-7927 with the names of your participants by August 15. EDWARD E COOK AGENCY INC. 461 PANTIGO ROAD, FAST HAMPTON, NY 11937 (516) 324-1440 / lAX (516) 324-3980 (516> 283-9800 / FAX (516> 287-566,2 The C..~unc41 5.4¢,I0.2o E: ioo,o ' FORM NO. 1 TOWN OF SOUTHOLD BU I LDI N G DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Received ........... ,19... i Disapproved a/c ..................................... ~spector) Ap~.gg[CATION FOR BUILDING PERMIT ~,~ Date lO '-,:9 7-, 19 ' INSTRUCTIONS a. This application must be completely filled iu by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plau to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildhxgs 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. Open approval of fifis application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughont 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 IIEREBY MADE to the Building Departmeut for the issuance of a Building Permit pursuant to the Building Zone Ordinance of t m Town of Southold, Suffolk County, New York, a~ other applicable Laws, Ordiuances or Regulati?,ns, for the construction of buildings, additions or alterations, or for r~o~ d~ition,,as he[e? descri~e~. The apphcant agrees to con, ply with all applicable laws, ordinauces, bui di~~d~na regmadons, an o admit authorized inspectors on premises and ~ building for necessaw in~ ~Mailing address of applicant) Slate whether appli~ner, lessee, agent, architect, engineer, geueral contractor, electrician, plumber or builder. .... ............ :. .... .... If applicant is a corporatiou, signature of duly authorized officer. (Name and title of corporate officer) Builder's License Nol ......................... Plumber's Liceuse No ' Electrician's License No ....................... Other Trade's License No ...................... 1. Location o£ land on which proposed work will be done .................................................. llonse Number . , ... Stre~ County Tax Map No. 1000 Section . · Block ................................... Filed Map No Lot Subdivision ....................................... ' ........ ' .................... (Name) 2. Slate existing use and occupancy of prelnises aud intended use and occupancy of proposed constructiom a. Existi,g use and occupaucy ........................................................................ bec /Z v.,c T- b. lnteMed use and occupancy ................................................................ 3. Natnre of work (check which applicable): New Building ..... ' ..... Addition ...... P, epair : Removal Estimated Cost' ~. ~ ~' .: - . (to b paid on filing this application) If dwelling, number of dwellillg units Nmnber of dwelling udits on each floor ............ If garage number of car>s ' If business, commercial or mixed Occupancy, specify nature and extent of each t~pe of uso ................. 1)imensions of existing stmctt res, if any: Front . ... ........... Rear .............. Depth ........... Ileight Number of Stories ' Dimensions of same structure with alterations or additions: Front ' Rear Depth ...... ..... · ;. ;..: ....,tteight... ................... Number ~ofStories .................. ..... Alteration ........ Demolitiou ' Other Work (Description) Fee Dimensions of entire new construction: Front ............... .Rear ...... I ........ Depth ........... Iteight .... ...... ;.; ;. Number of Stories .......................... i ............... * ......... 9. Size of lot: Front ..... .................. Rear ..................... i Depth .................. IO. Dst6 0£Purchase .... '. ~ .....'., ~ ...... ......... Name of Former Ownerj ......................... 11. Zone or use district in which, premises are situated ....................... ~ .......................... 12. Does proposed construction violate anY zoning law, ordinance or regulation: ..; .......................... 13. Will lot be regraded ............................. Will excess fill be remoYed from premises: Yes 14. No Name of Owner of premises .................... Address .................... Phon~ No ................ Name o£ Architect ........................... Address ............. j ......Phone No ................ Name of Contractor .......................... Address .................... Phone No ................ ' ' ' ' " ;' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,'mdtcate all set-back dimensions from property, lines. Give street and block number or description according to deed, and sl~ow street names and indicate whether. interior or cornerlot.. .... ~ ' , STATE O F NEW ~'O,l~,/~ COUNTY OF .,~../.d~...~.: ..... 'S7,',~ ~ ...... / .......... ~ .......................... being duly sworn, depos s and says that he is the applicant (Name of individual s~gmng contract) above named. ~__ . Ilo is tho ~ / (Contractor, agent, corporate officer, ~etc.) of said owner or owners, and'is duly authorized to perform or have performed {l~e said work and to make and.file this' a ~plicatmn; that all statements contained h~ this application are true to the best bf his knowledge and belief; and that the work will be perforuled in tho maimer set forth in the application filed therewith. Sworu to before me this Nolar~~ / pm,c, vo k " ' '" .... :L:": .... : ' No. ~46~826~ ,~ ~ (Signature of ~pnhcant) ~al/f/ed In ~ff~k Coun~ ~0 Commission E~Ir~ ~tll ~, 19 ~/