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Home My WebLink About25810-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27014 Date: 04/04/00 THIS CERTIFIES that the building ADDITION Location of Property: 390 WAVECREST LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 100 Block 3 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 1999 pursuant to which Building Permit No. 25810-Z dated JUNE 21, 1999 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 PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN E & MURIEL A WILLS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uthorized ignature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 25810 Z Date JUNE 21 99 Permission is hereby granted to: JOHN E & MURIEL A WILLS 390 WAVECREST LANE MATTITUCK,NY 11952 for CONSTRUCTION OF A PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 390 WAVECREST LA MATTITUCK County Tax Map No. 473889 Section 100 Block 0003 Lot No. 004 pursuant to application dated MAY 3 99 and approved by the Building Inspector. Fee $ 75 .00 Authorized gnatur ORIGINAL Rev. 2/19/98 �a\ BUILDING DEPARTMENT - - TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY � 3 A. This application must be filled in by typewriter OR ink and s bmi ped to, the b ldi inspector with the following: for new building or new use: -- - _-- 1. Final survey of _property with accurate location of all buildings, property line 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 build 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. V. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings `.`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 applica 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, Swimming pool $25.00, Accessory building $25.00 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . ..':.3 . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . Location of Property. . ..3.,�?. .. . `///9,V CR�Si IA-nk' . . .t11� .7— /!, c�G �- . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property... ..�4t!?! .� , �11�2�tZ ^ . � / C ( S . . . . . .. . . . . . . . . . . County Tax Map No 1000, Section. . . .I CJ . . . . .Black. . . . . . . . •Lot. . �.y . . . . . . . Subdivision. . SAL?/ f(2 . . C,S i/4 1� 5. p. .f�� , Z `� 2- Subdivision. . Ma Lot. . . . . . . . . . . . . . . . Permit No. . A5!. Av . . .Date Of Permit. .( .��_.9.�. . . .Applicant. . .✓. Q Health Dept. Approval.. . . .. . .Ne . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . Planning Board Approval. . . . .N A. . . . . . . . . . . . . . . ��// Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . K. . . . . . Fee Submitted: $. . . . . . .Z s•a.d. . . . . . . . . . . . . . . . . . . . I . . . . ::: . . . . . . . . . . . . . APPLICANT C,O-Z: � 701� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND ( 11 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY R_EJMARKS., DATE INSPECTO �I TII DIN('! pMT'r RE«EW CuECK LIST Application Name: Architect/Engineer: SCTM #: District: 1.000 Section: Block: Lot: Subdivision Name: _' Req Req. I( dI7 Zoning District: [Lot siu. Proposed: JW coverage Proposed: ' d R / Req. ZL Lo/ Req. / /�� i W' yo ' ' & Proposed'. [Front Yard s Proposed: [ [Side Yard Proposed �� [Rear Yard Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW NO YES Number Suffolk County Health Dept. v New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plain Elevation??? Flood Zone: Notes; 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ( ] PQUNDATION 2ND [ ] INSULATION [ V FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE Z INSPECTOR 2 �� r t N L fiELD INSPECTION.CR=EEPORT DACE H FOUNDATION ( IST) — w, i n a FOUNDATION (2ND) u---� O KOUGA FRAME n PLUMBING jG(- lu N u IMSU[.ATION PER N. Y. STATE ENERGY p Ij CODE {� n H #_ 11 I' it I FINAL IISN ADDITIONAL COMMENTSc=___�______________ H H O x r4 3 BOARD OF HEALTH . .. . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . .. . . .... . . . . ... SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: z9�-2o ' F CALL . . . . . . . . . . . . . .. / 6ramined. 19.k,/ r� MAIL TO: .Vi? f!•. .L S ��.5. . /u.., 19.I97 Permit No. Y.!v .. 39�?,Wilyc-t..Nsi Li9ry Di a/c .................................. 1t!;7.7/7ULK /1/0'`1/9.: ...........................................Wdingtor)� ( APPLICATION FOR BUILDING PERMIT '/ q Date.!��p- . . 199.E INSTRUCTIONS / a. 'this application must be completely filled in by typewriter or in ink and submitted to the Building Inspecto 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on preaises, 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 this application. c. The work covered by this application vny not be comenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Si* permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in ubole or in part for any purpose whatever until a Certificate of i Occupancy shall have been granted by the Building Inspector. APPLICATION IS BERM 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, Ordinancesor 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, and regulations, and to admit authorized inspectors an premises and in buil 'ng forneves inspections. . .-M ...................... gnature of applicant, or name, if a corporation; 390.J,✓�Ve c.?Fs�..��?:..l.�i�,TT/Tr!�........ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil 0WNc 2 ...................................................................................................................... Name of owner of premises ...1 e!h 1! E. !- iYl v1Li E /� : j /i C L S APPROVED AS NOTED ...... . ................ .................. (as on the tax roll or latest deed) DATA _ `1` S.P.N If applicant is a corporation, signature of duly authorized officer. /fEE: 5 SY: NOTIFY BUILDING DEPA ENT AT ................................................... O4 7MISS AM TO 4 PM FOR HE (Name and title of corporate officer) FOLLOWINGINSPECTION& OCCUPANCY OR FOUNDATION POUl�1 DCONCRETE SQUIRED 2. ROUGH - FRAM Builders License No. 270.2�.C../!.�....ME IS UNLAWFUL & INSULAnON INo & PLUMBING Plumbers License No. .....NA............WITHOUT CERTIFICATR 4. FINAL • CONSTRUCTION MUST Electricians License No. """"""" OF OCCUPANCY COMPLETE FOR C.O. NA ALL CONSTRUCTION SHALL MEET Other Trade's License No. NA............ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY 1. Location of lard on which proposed work will be done........................CODE&--NOT-fiESPOtNSIBLC •FOR- WA V E e/L 6--V 7- ZA Al Q 14,�A T T/ ))&gIp"R CONSTRUCTION ERRORS ..................................................................................................................... House Number Street Hamlet County Tax Map No. 1000 Section ..../�2 U...... Block ......3........ Lot ...... Subdivision ...:S LT,A/JZC r;S7, .1� 2- �� ......... Filen Map No. ...7lP.A...... lit .......!1....... (Name) 2. State existing use and occupancy of premises and intended use ad occupancy of.proposed construction: 77rS/DE�!T/AL n a. Existing use and occupancy .....14..... .............:.......:.....:,.......................... b. Intended use and occupancy ..... /7EIl)7 &-W 7/A ...................................... . .............................. _ _. ....._.. _,,,...�...,.�.. .......... nuuunon ...,[\.... ALLeration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) 4. Estimated Cost ..ZZ.0O , O0 ...I....... fee ............................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... ..... lumber of dwelling units on each floor .....r......... If garage, number of cars .....46[!!fi ............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front.....(2 y........ Rear ...h7.y........ Depth ....°[. ./........ Height .........ej6............. Number of Stories ..... ....... / y / Dimensions of same structure with alterations or additions: Front .......�...... Rear ....KO........... Depth .. ,5��3.`...... Height .......1!4.......... Number of Stories ...8!'�L 8. Dimensions of entire new construction: Front ..f 7.:rZ.,.... Rear ... Depth .... :3...... Height ......................... Ntniher of Stories ..................... 9. Size of lot: Front ....1.46.: 5_ .cr..,, Rear ..115 ! .F'T. Depth 10. Date of Purchase ...7: �`�.�S..... Name of Former Owner ..% �M/fS Si C/en✓/oto H. Zone or use district in which premises are situated .....�O b 0.................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ......... 13. Will lot be regraded ......[1j�......... Will excess fill be removed from premises- YFS 14. Names of Owner of promisesKP.�Mo!-! up2/CC W/ttJ Address Name of Architect .....tN ......................... Address .............................. Rhone No. ........... Name of Contractor lrgeF �t/ 77d'YJ ........ Address/prKAM!4.�w AVP /AGcNo.7Z.Z'236. 15. Is this property within 300 feet of a tidal wetland? * YfS .......... No .K...... *IF YES, SWnUD TOWN TRIMMS PEf lIT MAY BC REQUIRED. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all setback dimensions from property lines. Give street and block ember or description according to deed, and show street names and indicate whether interior or corner lot. I�114 6, 9..9 FZ0 i'SYR (s,YR�ED AREA AN7tR/oR GDT q i4Y r;A °?'tnI11A sE'CT, 100 BCS 3 / :;l" l/ GIATE Or NN: r'l•Y`ialllls Y41 14 �ry OF #dtlV+lC�J sr i 0117Q�t ....._ ''?.. Y4"h ....�. ............ " .' ('h{ muco, deposes and says that he is the applicant yy �3 M q�j TRU(Name of: i�+d}Viii9$•cPlI4It) 4 �4J i 'i.t �;# 6r� 1yil above named, M1tfA�JrVt l; - _•,, i`%yFr}'7 A6,jflS A �ti3,Yi7iliR.3K �rdu4ai�f.�P • A/ r..,3 lie as the ........... - (Contractor; nt corporate o. icer, a#.) of said owner or owners, ,aM.is,dgty 'q.Vthorized to perform or have performed Lhe said work and to make and file this application; that all statetents,;d3ohtEdned in this application are true to the best of his knowledge and belief; and that the work will be performed in LhtOmanner set forth in the application filed therewith. Sworn to before rhe this ............. day of .. / 1•CC �l......19q�1�.. Notary Public .... .........34—�.. .�": . SUSAN KTOOKER (Si of A�licant) NOTARY puaLlC,State of New York No.DiTO5078120 Qualified in Suffolk County Commission Expires May 19,1999 - I W I - w ' (VVACpN� j l I IN y �AVi C2E5T LANE J — D,- 26 ARC-106. yaP $ WFLI - 't c i i •6 .` i >5T� ti ° MAP .OF P.IZ.OPERTY SURVEYED F0Q . �YACA+iT/ MOMAS- -ODELL STU12NIOLO pbo� V�'� �i- --- - - T • / VA MA17 TUI�. . oU SE� - - - - ;- SUFFOLK COUNTY HEALTH DEPARSNEN: r ��J Hera SEP 141922H, D..nF. # /A? SF sewage disposal and rater supply J) -- r c111L'es for this location have been r spected by this department and found AO be satlsfac ry. ' 7- m p 1 Oil ei of General En i�1�e _`.�,7Z.25 F. _1T7TZ [!1 u9 Chief of General gfF:� ring 88er- TSTLEN 1282277 99.. — + TZ - / liMENDED )AA-1 26.1982 _{Ac ANr) - SEPT. 2:1982 i}�L tdO�`r $El'EtF7C+'M/CF1aE`.�U.2�iREEST`5.'.FiL:Pi) ,�">(�AfZfl"t+QEfQ TA fHE ItiLE�iS1fJZRh1TJ:F CO. Y LICEN SED LAND SURVEYORS _ GREENPOR7 NEW YORK .5 77, 5 7 dCT, rrr r . i � r� r�/r�r ! rr !� rirrr .i�/r�lirrrrr, /, 117ZACE'S_ CC/1 DEGX/n/�r J6 " �y c,77 -- G �2E.giz FLEVirT/oma/ 390 WAVEGIIEST Lf1. MATT/%l/CY. r , PfIR7!!L WAILL- "r F�II�naM16 ii � . moi ; . • , /l LTi T/-17=_ _-_ .% - _— __ III - c4,crk les EXE s 4s1w,4, .S/V//Vv -41-, /��(,i7`1IIEGt/ Pf��'t'�.aC7t!ALL.- �/Nr Ex IS nCy ,d✓A47 Sf/i//GdCS. T iCOO/= ..ft'iSi SOF/ iT' _-7fCPOAZ(fH RAFTE,eS /��//// --•.. --ZNTCrs-7cooF",E'61.r"T�"25 /fT,_�Yc�2ZA1IA - YIN�L CELL. .. EX/ST, yX I/ Posr --YL 0„ EX/ST. 5: dl rr 8 LEEPF,eS / —'3 It �Y -SCA CC, 7'3 `QEF Exisr, SLAB r/o�y 4I1 T7)TUtIf� __ _