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Home My WebLink About31626-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~LRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31408 Date: 01/23/06 T~{IS CERTIFIES t~at the building ALTERATIONS Location of Property: 500 WAVECREST LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 100 Block 3 Lot 5 Sul~ivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 22, 2005 pursuant to which Building Permit No. 31626-Z dated NOVEMBER 22, 2005 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 "AS BUILT" ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PATRICIA L ACAMPORA & ALAN J. CROCE (OWNER) of the aforesaid building. SUFFOLK COUNT"fDEP~-RTMENTOF~EALT~APPRO~L~L N/A ELEC~fRICAL CERTIFICATE NO. 2082908 PLUMBERS CERTIFICATION DA'£~u3 N/A 01/06/06 '~~ut~Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thia application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 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 Plmming Board Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) 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 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $ 100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: ~ {,; 6) House No. Owner or Owners of Property: //?~ ~' · Suffolk County Tax Map No 1000, Section Date. ////~,/~ Old or Pre-existing Building: I,J (check one) / ~ ¢ Block ( ~a r) ~ Lot Plmming Board Approval: Request for: Temporary Certificate Fee Submitted: $ U"~ Final Certificate: (check one) ! - Applicant Signature Hamlet Subdivision Filed Map. Lot: PenrfitNo. '~'~ [~:>~,~ ~. DateofPermit. /I ~ ~"'--Applicant: P/~'Z"~/4](f,~j/~/o~,,~ Health Dept. Approval: Underwriters Approval: J BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by GLEN'S ELECTRIC OF L.l. INC P.O. BOX 1304 JAMESPORT, NY 11947, AL CROCE 500 WAVECREST ST MATTITUCK, NY 11952 Located at 500 WAVECREST ST MATTITUCK, NY 11952 Application Number: 2082908 Certificate Number: 2082908 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, family room, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 6th Day of January, 2006. Name QTY Rate Rating Circuit Type Panels l 50 6 Wiring and Devices Outlet 2 0 Fixture Fixture 2 0 Incandescent Outlet 8 0 General Purpose Receptacle 7 0 General Purpose Switch I 0 General Purpose Receptacle I 0 GFCI Paddle Fan 1 0 seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31626 Z Date NOVEMBER 22, 2005 Permission is hereby granted to: PATRICIA L & ANO ACAMPORA 500 WAVECREST LANE MATTITUCK,NY 11952 for AS BUILT ALTEP~ATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises County Tax Map No. 473889 Section 100 pursuant to application dated NOVEMBER Building Inspector to expire on MAY located at 500 WAVECREST LA MATTITUCK Fee $ 300.00 Block 0003 Lot No. 005 22, 2005 and approved by the 22, 2007 . "~ri ze~ Sign u~ ORIGINAL Rev. 5/8/02 Mark K. $chwartx, AIA - Architect, PLLC P.O. Box 933 Culchogue, New York 11935 Phone: (631) 734 - 4185 Fax: (631) 734 - 2110 December 12, 2005 Southold Town Building Department Main Road Southold, New York 11971 Re: Croee House 500 Wavecrest Lane Mattituck, New York Building Permit # ~ To Whom This May Concern: I reviewed the project framing/strapping during the construction phase. To the best of my knowledge, the framing, strapping and connections have been completed as per plans and meet or exceed NYS code requirements. Please call this office if you have any questions or require additional information. Very truly yours, Mark Schwartz Cr oceFraming/Strapping.doc TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~ FINAL / - [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR ¥illl! 'J mml Aeampe~a. Patri¢ia/ 500 'W'avecre~t Ln Owner -, File yjleW .T_o~l~a' ~e{p.. .... ~;,J .:~..2..':~'1 · .'~!.':~.'' '; · ,S~1 ~ ;~':.I :4: .~i F' ~ .~.i ~.~;~.,~, ;..,. : 4Z38(Ifl Goulhoht Achve :-i ~ 1 RollYear: 12005 Next Yr 1 Family Re~ Lend S~ze, ~~ Total: 2 '~ Taxable Value Name: Pobicia L Ac~mpo[a ~ County: G.87~ Addl Add~: ~ Muni: G.8'Z9 S~ree~: 500 ~aveclest Ln School: 7.500 PO Box: City: Hnttituck. NY Zip: 11952-: Sale Total: 0 Book Page Sale Date Sale Price Owner , Exemptian Total: 2' Term Code Amount Year 41121 WAR VET 621 0 41854 STAR-BASIC 870 0 i~.' Schl after Star: G.G30 ,~j~l oll P~pcb: 1 Family Nbhd Cd: 0 Sewer: Water: Utilities: Own Building P¢l 0 0 1.0' H,dhluck 43(:hm~l Land .~',V: 1~180 Total AV: 7.500 Mixcellarmeou~ Book' 10013 Page: 08133 Mortg: Bank: Acct No: 14 Land O o! O Total: 0 Special Distmict · Total: 4 Value/ ~ Improvement Total: 0 Code Unit~ Pr./ Type Ntt, ye Tax ~ Type Name Dim1 Dim2 FD030 Hattituck FD ', .00 .00 PK071 Hattituck Parl .00 .00 .00 ~.~,- SOFT Yr Built 1'~00:73-5 473889.~outhold Active R/S:1 School: Matt~uck School Acampoma. Patricia L Rali Ytiar: [2006. Next Yr 1 Family Res 500 NV'avec~est Ln Land Size ~'0,~,~ - Lr] wrier Total: Name: Ano Acempme Addl Add~: Street: 508 ~'aveclrest Ln PO City: .. Hattituck. NY Sale: Tole[;.. 0 Book' Page Exemption TotaF 2 Term Code Amount Year 41121 'v?AR VET 821 0 41854 STAR-BASIC 870 0 Taxable Value County: 6.879 Nluni: 6.879 School: 7.500 - Schl'after ~ar: 6.G30 Prp~)s: I Family Res Nbl~d'Cd: 0 S ewer: ~V'ate[: UtilimJe~: Building - Pct O. 0 Land AV: 1 ;1 O0 TotalAV: 7,,500 Hiscellaneoux Book: 10013 Page: 00133 Mortg: Bank: Acct No: 14 Land 0 of 0 Total: 0 · Special Dist[ict Totali 4 ~ Value'/ ~ ImpfovemeoI Tot*l: 0 Code Unil~ ~ove Tax ~ Type ,Name '.~ Dim1 3im2 FD030 Hattituck FD .00 ~, .~- ',~ " PK071 ' Mattituck Peri .00 j .~ :~ Pck; Type .00' ~:i SQFT Yr Bu~t FOR M, TURNER N,Y. '1~ 40' FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE [ COMMENTS DATE i FINAL ADDITIONAL COMMENTS TOWN OF SOU]jgOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined It/22 ,20 ~ Approved 11/22~ ,20 ~ Disapproved a/c Expiration PERMIT NO4 ~ lC- ~, ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S,D.E.C. Trustees Contact: d~/ (~ PLICATION FOR BUILDING PERMIT Date INSTRUCTIONS Phone: I//Z /o £ ,20 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. c. The work covered by this application may not be conwnenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not conunenced within 12 months after the date of issuance or has not been complected within ~ 8 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Buildi3qg h~spector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 applicm~t 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. - (Signamre'of'appl~~ a~r n~me,'if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee~ agent, architect, engineer, general contractor~ electrician, plumber or builder Name of owner of premises k~-.~M ~ (As o~the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and titm of corpm ate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Lofi~tion of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section xX $'1~ v ,Block ? Lot ~ Subdivision ' Filed Map N . ~ Lot (Name) " State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~"/O~'(.,1~ t~r'lq[(,,,~ b. lntended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Estimated Cost If dwelling, number of dwelling units If garage, number of cars Alteration (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor 6. If business, comme.r, qial 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 Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size oflot: Front .~1~: ~ReOar~g~-~ Rear Depth 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? YES NO 13. Will lot be re-graded? YES NO/ Will excess fill be removed from premises? YES 55o ctCr 14. Names of Owner of premises ~¢8,O ~"~/'/~¢~ Address ,,t,t~-'iT-t ]"~r,./~. Phone No. Name of Architect/~,t~ ~Oh,w,~rt, F~ Address ~',O,tt~o?C. q~7 PhoneNo Name of Contractor Address C o, Ft'. ~ ~g*'~_.. Phone No. NO 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent. Corpor' t~erOfficer, etc.)~ ~ of said owner or owners, and is duly authorized to perform or have performed the said work and to ma,,k~, and f~.this application: that all statements contained in this application are true to the best of his knowled~, ~nd beli,ef;~ ~Te'~ork will be performed in the manner set tbrth in the application filed therewith. ~, Sworn to before me thi~ ~ / ~t3': day of~ ~Y0~gt~'r' 20{~5 :qotar-~.~lic ignature ora flic~t" t MELANIE DOROSKI J~JOTA~V PHRI !¢, Stf ,~ O~ NSW YOfJ( No, 0,!304C,. ~870 0ommission Expires September 30tjlkld-