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Home My WebLink About23824-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 t (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 N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A . r Bui ing Inspector Rev. 1/81 FORM NO. f 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) No 23824 Z Date � 02 ................. ....................................... ..... Permission is hereby grant to- .. .`�...' ". .:...... ............................. ....................................... .... to '.... . ....... ........: Z. .. .. �..�...f-. ....... ........... .... . .......... ........................... ....... .. ............ . .. .. ................... ...... atremises located at ..................... ..... . .. ......................................... .................................................................. ... ................................................................................ ................................................................................................................................................................. 11-41 County Tax Map No. 1000 Section ........ 7....... Block ....Y............. Lot No. ..,�r.`................ pursuant to application dated ............................ ........... 19�'��.., and approved by the Building Inspector. Fee $.....la ............ .. ...................... .............. ...... ..................... Buildin Inspector Rev. 6/30/80 T65_1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] �NT ION [ ] FRAMING ( FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE �� INSPECTOR 765-1802 BUILDING DEFT. NSPECTION [ ] . FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: ' DATE_ 7 -uINSPECTOR f d � Form No. 6 -- TOWN. OF SOUTHOLD BUILDING DEPARTMENT I, !!� TOWN.HALL- ' NOV APPLICATION' FOR CERTIFICATE OF OCCUPANCY a OLD DEPI. A. This application must be filled in b t " JVt �� s, 's°�� inspector with the following: for new buildingrorRnewkused submitted to the building 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 form) . 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 1%. lead. 5. Commercial 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 ofcompleted site plan requirements. • B.. For existingbuildings g g g (prior to April '9, 1.957) non-conforming uses or buildings and/ "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 Inspector 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, S g pool $25.00, Accessory building $25.00 Additions to accessorybuildi ' $25.00 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, Commercial $15.00 Date . . . . ,a,, . . . . . . New' Construction. .. . ... . . . . Old Or Pre-existing B _�lding. . . . , , Location of Property. . . . . .37. ��®� //4� Ql�i/�.. . .f �0 ��m,� House No. .. . . . .�. . . . Street. . . . +� . . . . . . . . . . . . . . . . . . Hamlet Onwer or Owners of Property.. . �,5 , , ,C6,VAF'Q � • • • . .. County Tax Map No 1000, Section. .. .��. . . . .Block. . . . . . .L. . . . . . . ;�„ , , , • . .Lot. . . . . Subdivision. , . ... . . . . . . . . . . . .. .. . . , .. . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . ... . . . . . . . .Date Of Permit. . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . fiezilth Dept. Approval. . .. . . . . . . . . . . . . . .. . . . . . . .Underwriters Approval, . . . . . . . . . . . . . :. . . . . . . . Planning Board Approval. . . .. . . .. . .. . . . . . .. . .. . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . :ee Submitted: $.. . . . . . . . . . . . . .. . . . . . . .. . . . . . ' ' . . . : . . . . . . . . . . . APPLICANT, 1)Al U C'0 t I I 11;NT I'MINDATI FOUNDATLON ll� ltoI)(:If FRAHE III.M.111 I NO, ------------ 11-INIII.ATIOU Pi—ilk tj y 44 09 F I I IA I. ----------------- - ------- ADDI.TIONAI. ------------- THE COOK AGENCIES Insurance July 23, 1997 �'Mrs. Jean W. Cochran, Supervisor Town of Southold U �� 53095 Main Road / P.O. Box 1179 Southold, NY 11971 Re: Reduction of Flood Insurance Premiums Dear Mrs. Cochran: 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 policyholders 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 understand 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. This session will be held on Tuesday, September 16 from 9:00 a.m. to 3:00 p.m. at the Polish Hall, 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. Sincerely yours, 2 5 !S57 Leonard Scioscia, CPCU, CIC " President f - EDWARD E COOK AGENCY INC. The Council 461 PANTIGO ROAD, EAST HAMPTON, NY 11937 30 NUGENT STREET,SOUTHAMPTON. NY 11968-- of Insurance (516)324-1440/ FAX(516)324-3980 (516)283-9800/ FAX(516)287-5662 Agem a Brokers fI c ►/ ran-AD PLWE IJ ` POLE-�• N ��4Q1E, ��tJ•U i_��`.~li�; .�-T E i`%��_I Qd��• Xcul ►�1: is STZjRY _ 1-7 a l/ ID '� ; -'C91 } T6 AQEA-1 f3 1F UAIZANTHEC) Td IC3 STATF PJG 150 AND' � SUFF CO"TI X f�laP .lQO� 5�t� ��,4 1,�C�.Dr ZIC14 VAN4 s=JY�. '�; I r r FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT. TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . . ,:, 19 Received . . . . . . . . . . . Approved . .>roved . 19 . Permit No 1 ! � Disapproved a/c . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .?/ CATION i�r'urw �� a Building Inspector) . . . . . . . . AP FOR BUILDING PERMIT lo Date . . . . . . . . . . . . . . . . . . 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 sliall be kept on the premises available for inspection throughout the work. e. No building sliall 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 Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ai other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or. alterations, or for r oval or d o ition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildin , 1io de, nd regulations, and to admit authorized inspectors on premises and in building for necessary insliec "oI . �� 6 gnature of applican or me, if a corporation) . . .° . . . . . . . . . . . . . . (Mailing address of applicant) State whether applic It is o ner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises L % �. . . . . . . . . (anon the tax roll atest 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 License No. . . . . . . . . . . . .. . . . . . . . . . . Other"17ade's License No. . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . : . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . House Number Stree. . . . . . . . '. . . � . . . . . . . . . . . . . . . . . . . . . . . .Ilamlet County Tax Map No. 1000 Section ,. . . . . Block . . . . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and Occupancy . . . . . . . . . . . . .. . . . . . b. Intended use and occupancy . . . . .��c: . . ��T. . I . . . . . . .1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of workr(clieck which applicable): New Building . . . . . . . Addition .. . . . ... . . . . Alteration Repair: ; Removal .. . . ... ,.. . ... . . Demolition . . . . . . . . . . . . . . Other Work . . . . . ... . . . . . . . .. (Description) 4. Estimated Cost . . : . . . . . . . . '. . . . : . . . . . . . .,. . . . . . . . Fee . . . . . . . . . . (to be paid on filing this application) S. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . , . Ifgarage,number of cars,. . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G. 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 . . . . . . . . . . . . ... . Iieigllt . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of salve structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . : . . . . . . . . Depth.. . . . . . . : . . . . . . . . . . . . . : Height; . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . .'. . . . Iieight . '. . .'. . . . '. Number of Stories . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . .. . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth 10. Date of Purchase . . . . . .. . . . . . . . .: . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . .. . .. 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 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.idistinctly 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. -DOCKS �3w •�. '�- �; �F /ays�_ S �_4 ic,_- , JvjCdecf :z STATE OF NE W • • • • • • • • • • • • • • • • • ��. . . . ° . `��': being duly sworn, deposes and says that he is the.applicant (Name of individual signing contract) above named. IIe_is t11c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . (Contractor, agent, corporate officer, etc.) of said-owner or owners,'ands i,s 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. Sworn to before me this `� da o . . . . . . . . . . . . . 190 . . . . . . . . . . . . . ; . y , Nota L b is . . . . . . . . . . ... . .:County::': JO H. GI NS NOTARYPUBLIC, State of New York , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . No. 524618265 (Signature �1f pnnlicalit) Qualified in Suffolk County Commission Expires April 30, 19��