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Home My WebLink About21150-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z~22168 Date MARCH 1, 1993 THIS CERTIFIES that the building ADDITION Location of Property 8625 WICKHAM AVENUE MATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 5 Lot 1.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 7, 1992 pursuant to which Building Permit No. 21150-Z dated DECEMBER 16~ 1992 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 & SLIDING DOOR TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD & PATRICIA GLISKER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 //Building Inspector I~ORM NO. It TOWN OF SOUTHOLD BUILDING D£PARTMS:NT TOWN HALL SOUTHOLD, N. ¥. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N N? 81150Z Building Inspector. c-~ Fee $....~'~'...~.~ Rev. 6130/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN DALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 2~2 6~.9 ~ DATE ............. NEW CONSTRUCTION ..~ .... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND Location of Property.. 8625 Wickham Avenue Xattituck HOUSE NO. STREET HAMLET O~ner or Owners of Property. Richard & Pa~ricia Glisker C~unty Tax Map No. 1000 Section .~Q~.. Block 5 -. Lot 1.2 Subdivision ....................... Filed Map ........ Lot .......... Permit No.2~9.~ .... Date of Permit 12/16/92 -Applicant Rqn Moriz~o Builder, Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Fee Submitted: $...25~QQ ............ Certificate ..~ ............. APPLICANT. . . . rev. 10/14/88 OUNDATION (2nd) .OUGH FRAME & -PLUMBING ];SULATION PER N. Y. STATE ENERGY CODE Fi;IAL ~DDITIONA'L COMMENTS MORIZZO BUILDER, INC. P.O. Box 789 · Main Road, Soulhold, NY 11971 * (5T6) 765-5772 oo~- ?~ BUILDER, INC. P.O. Box 789 * Main Road, Southold, NY 11971 · (516) 765-5772 RON MORIZZO BUILDER, INC. Contractor - Home Improvements P.O. Box 789 SURVEY FOR RICHARD GLISKER & AT MATTITUCK TO~/N OF SOUTHOLD JAN 111199] SEPT 4, 1985 PATRICIA GLISKER MAY $OUTHOLD, NEW YORK 11971 (516) 765-5772 TEL SUFFOLK COUNTY, NEW YORK NO. 85-97 C£RTI FI ED TO: SOUTHOLD SAVINGS BANK LAWYERS TITLE CE CORR (Ho. YOUNG a YOUNG AVENUE RIVERHEAO~ NEW YORK i~,1o FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 X ....... J'/fiOl D Exam,ned/~-./'/.'~', ,.~,,~;;'¥.,.~,~.~ ~::~ 19~..~. Permit ...... Disapproved a/c ..................................... ing APPLICATION FOR BUILDING PER~IT BOARD OF HEALTH 3 SETS OF PLANS SURVEY ............ ....... CIIECK .................... SEPTIC FORM .............. NOTIPY: Ron Morizzo C a L L . .7.65~57.72 ........... MAIL TO: Date . .I~e.~e..r~.e.r..7. ....... 19.9.2. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 set. s 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 h~e 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 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 on premises and in building for necessary inspections. · .Rp.n' .Hp.r.i.zFp' ,B.u.i.l,d.e,r:, .I.n.c.. .................... - -' (Signature of applicant, or name, if a corporation) P.O. Box 789, Southold, NY 11971 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor,, electrician, plumber or builder. Builder Name of owner of premises Richard & Pabricia Glisker (as on the tax roll or latest deed) If appli/c..~ is a corporation, signature of dp, ky auth~orized officer. (Name and t4t2~'of corporate officer) Builder's License No. 6772 HI Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be'done .................................................. 8625 Wickham Avenue Hattituck House Number Street Hamlet County Tax Map No. 1000 Section 107 Block 05 Lot 1.2 Subdivision .. .................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... .Si.n.?l.e.. f.a.m.i.l.y..d.w.e.l.l.i.n.g. .......................................... Single family dwelling w~h addition to deck & 6' sliding door b. Intended use and occupancy .................................................................... property lines. Give street and block humber or description according to interior or corner lot. 3. Nature of work (check which apphcable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition Oth Work pECK i ' ' (Description) 4. Estimated Cost $5,500.00 ~ $50.00 i (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 6. 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 ............... Height ................ Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth i Height ' Number of Stories 8. Dimensions of entire new construction: Front .............. · Rear · .............. Depth .. ........... . . Height Iqurqber of Stories 9 Si ' · ze of lot: Front ........... ~ ........... Rear ...................... Depth ...................... 10. Date of Purchase ~ - ........... i ........ ' ......... Name of Former Owner ............................. 11. Zone or use district in which promises are situated ................................................... .. 12. Does proposed construction viol}t~ Jny zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ......... : ................... Will excess fill be removed from premises: Yes No 14 Name of Owne fpr mises Add Phone No Name of Architect .......... ! ................. Address .... Phone No .............. Name of Contrantn- Ron Morlzzo ' 'SOdUlIOZd ..... · · ......... · ......... ~ ................ Address .... Phone No. 765-:5.772. I5. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold ~own Trustees Permit may be required. i PLOT DIAGRAM Locate clearly and distinctly all ,buildings, whether existing or proposed, and, indicate all set-back dimensions from deed, and show street names and indicate whether APP~VED AS NOTED OATE: B. # FOLLOWING t~SPECI/O~S. 1, FOUNDATION TWO REOUIRED FOR POURED CONCRETE 2. ROUGH . FRA~ING & PLUMBING 3. INSUt ATION 4. FINAL CONSTRUCTION MUST 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRU~ION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, SiS COUNTY OF ................. : .... %C)~' .~)()~.(~. · .~(~.~ ~i.-~.''~. ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named· He is the ............ ~.~ (Cont ractor, agent , corporate officer, etc. ) ........ of said owner or owners, ~d is duly huthofized to perform or have perfo~ed the said Work and to m~e ~d file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work w~l be perfomed in the m~ner s~t forth i3 the application filed therewith· Sworn to before me this ................... day of..,.. -.., 19.. Nota~ Public ....... ~ ............ '. County ~ ~ UNDA J, coOPER ' It~ ~mt~m ....................