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HomeMy WebLinkAbout32155-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 10/23/06 No: Z-31938 THIS CERTIFIES that the building ADDITION Location of Property: 2850 WICKHAM (HOUSE NO.) County Tax Map No. 473889 Section 139 AVE (STREET) Block 3 MATT I TUCK (HAMLET) Lot 6.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 2006 pursuant to which Building Permit NO. 32155-Z dated JUNE 26, 2006 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 TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARY LOUISE SANTACROCE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMEIIT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~ Authorized Signature Rev. 1/81 '. Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 :i 'J. c 0.0 "i '0 . ~.. This application must be filled in by typewriter or ink and submitted to the Building Department with the following: APPLICATION FOR CERTIFICATE OF OCCUPANCY \'~L~.- 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 I % lead, 5. Commercial building, industria! building, multiple residences and similar buildings and installations, a cer1ificate 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-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 JO h6/CJ0 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: 8 8'50 t;J I cL h:t YYl Ave House No. Street Owner or Owners of Property: fYlaytt S:tn Ja.cro(j" Suffolk County Tax Map No 1000, Section Block (no. J JJvcl Hamlet Lot Subdivision Filed Map. Lot: Applicant IJ1rlJ'f./ ,Gt1kCfa"f' Permit No.3::>" J55 - 2. Date of Permit. Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ t9S.(5(J ~./I~OO Crrc'1193r 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. 32155 Z Date JUNE 26, 2006 Permission is hereby granted to: MARY LOUISE SANTACROCE 2850 WICKHAM AVE MATTITUCK,NY 11952 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. THIS PERMIT REPLACES BP 27231. at premises located at 2850 WICKHAM AVE MATTITUCK County Tax Map No. 473889 Section 139 Block 0003 Lot No. 006.001 pursuant to application dated JUNE 26, 2006 and approved by the Building Inspector to expire on DECEMBER Fee $ 75.00 ORIGINAL Rev. 5/8/02 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) ~ 3';} IS-')' 12, 2001 PERMIT NO. 27231 Z Date APRIL Permission is hereby granted to: MARY LOUISE SANTACROCE 2850 WICKHAM AVE MATTITUCK,NY 11952 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR at premises located at 2850 WICKHAM AVE MATTI TUCK County Tax Map No. 473889 Section 139 . Block 0003 Lot No. 006.001 . pursuant to application dated MARCH 28, 2001 and approved by the Building Inspector. Fee $ 75.00 ~~~~ Author' ed Signa ure ORIGINAL Rev. 2/19/98 })-( ss Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING ~ FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: F~4,h ~A ~ ~~, DATE fa ~ 'l-f ~ (!) , INSPECTOR ~ ~ ROUGH FRAME & PLUMBING -====================== - INSULATION PER N. Y_ STATE ENERGY CODE FINAL ',.ii ,_. fl II II II II II -========================================================================================= ADDITIONAL COMMENTS: ~ ~ >-l .. tt ~~ .~ 'a ~ if' l ~~ ~ t ~ ~ o ..J ! } ;! ... >-l . Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 30th, 2006 Mary Louise Santacroce 2850 Wickham Avenue Mattituck, NY 11952 RE: 2850 Wickham Ave. SCTM # 1390003006,001 Dear Ms. Santacroce, Please be advised that your Building Permit # 27231 issued Aprill2'h, 2001 has expired. According to the Code of the Town of South old, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of$75.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 SO~.New York 11971,0959', I Fax (631) 765-9502 Telephone (631) 765-1802 JUN2.\'~ BUILDING DEPARTMENT TOWN OF SOUTHOLD "' May 30th, 2006 Mary Louise Santacroce 2850 Wickham Avenue Mattituck, NY 11952 RE: 2850 Wickham Ave. SCTM # 1390003 006.001 Dear Ms. Santacroce, Please be advised that your Building Permit # 27231 issued April 12'\ 2001 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of$75.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please can us at 631-765-1802. SOUTHOLD TOWN BUILDING DEPT. -~ ~x~ V\ Respectfully, ~ iUALuU tJ P j Q7 ;;) 3) d7a.3f ~ ~ f4'd.~/$; ~iMjtL (~~ 3?-15:::; APP. OVED AS NOTED . "" () B.P.#. .;l7,.2-?>/c :T1FY 'U~ING"llEP~~ 765-1802 9 AM TO 4 PM FOR TH FOLLOWING INSPECTIONS: REQUIRED 1 FOUNDATION. TWO . FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION ST 4. FINAL . CONSTRUCTION MU BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEEJ THE REQUIREMENTS e~ ~HNEE:GY STATE C~~~TRRUE~~gNSIBLE FOR g~~~~' OR CONSTRUCTION ERRORS C~~ (}(\ ~\^'\ Ueck Con-'ShUcled ~chg "1)( 'I pos~{i'c~) c;! ><' % trorn1nq(c('Il) boHd USth"l ""/~ ('QrrQ'/r€ 01 \ ~'X"6'~-+-eCd'~ _~m IJd~ cl' Jeck '7 ~C().,- G Ircle r- Con", l1',1 I "'1 G\l. Co:>,) 6! >( g C(\ ~"'" (\\., J ()\\ (\"Cn'f\q S)P( beeI' n C l\l (;D. \ Ihh I ?eA lbch~ f\ail"" . ~ _~I 0/ ~eP. , r~~ ~'Kt. &0" . . :'1-- z;:~~ ....i>lr~ . t \. '0 ..L.~~ I , J~ f" j)iltfo\l't'~ c...Ju..rm.C ~ ,::oo-r!^!GoS '- -- -~ ..... OCCUPANCY OR~ USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY IS"! k-I II H / I 1/ /L/ =- -0 ~..~_.- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11911. 2 BUIlDING PERMIT APPLICATION CHECKLIST: I J Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees Examine Approved Disapprove (~l(i ~/ "6"1-15<;' rJqg-O/93 20~ 20..12L PERMIT NO. ,:2 7:z~ / "2:- ~~- Building pec~ APPLICATION FOR BUILDING PERMIT Date 0)d~ ,20df- 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 sale. Fee according to schedule. b. Plot plan showing location oflot 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 application. 1 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 issue a Building Pennit to the applicant. Such a pennit shall b 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 have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pennit 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, an<<tegulations, and to admit authorized inspectors on premises and in building for necessary inspections. OCCUPANCY OR USE IS UNLAWAJl WITHOUT CERTIACATE OF OCCUPANCY State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder , c9lis1 {J J/rtmm me (Mailing address ofapplicant) Builders License No. ((If) if/- <5u1+rYJO(JJ , (as on. the tax roll or latest deed)~P,R AS NOTE~ If applicant is a corporation, signature of duly authorized officer D~ . () U.,..z 7~.'J> / C FEE: if. -; 0 0 BY: ..,.. NOTIFY BUILDING DE~ MEN 785.1802 9 AM TO 4 PM FOR HE FOLLOWING INSPECTIONS: 1. FOUNDATION. TWO REQUIRED FOR POURED CONCRETE 2. ROUGH. FRAMING' PLUMBING 3. INSULATION 4. FINAL . CONSTRUCTION MUST BE COMPLETE FOR C;o. ALL CONSTRUCTION SHALL ME!T THE REQUIR""EtffS OF THE N.Yo STATE CONSTRUCtiON a ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS (Name and title of corporate officer) Name of owner of premises Plumbers License No. Electricians License No. Other Trade's License No. l.Loa~TPiJJI{Jm;oPJ!H~1orlPJ%It~ House Number Street IUI/ / //qg H3m1et Coun!y. ~ax MaR~o..IPQO ~ecti?v , 13,,1Q SubdiVlslOn--1.l.KWl:!irL: /=/f-Igffl (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Block ~~ Filed Map No. /I XV Lot h.~ Lot rJ II ~ fir; b. Intended use and occupancy Addition nCe L Alteration Other Work 4. Estimated Cost ~ b- 1114 t ~ 17 SU (if/ rY (Description) ( ? g .p (to be pai~n filing this application) 5. If dwelling, number 0 welling units Number of dwelling units on each floor 3. Nature of work (check which applicable): New Building Repair Removal Demolition If garage, number of cars 6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use. 7. Dimensions of existfug structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase 11. Zone or use district in which premises are situated ) ) Name of Former Owner 12. Does proposed construction violate any zoning law; ordinance or regulation: 0J 13. Will lot be re-graded Will excess fill be removed from premises: YES NO 14. Names of Owner ofprernises Name of Architect Name of Contractor Address Address Address Phone No. Phone No 15. Is this property within 300 feet ofa tidal wetland? *YES NO al 32U · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE TUOHTIW 16. Provide survey, indicate scope of project, to scale, with distances to pr~T~~1" ~UOOO ,0 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) COUNTY oovJ'A I;: . , ~f'~""a~~a:...e being du1y sworn, deposes and says that (s)he is the applicant (Name ofm~ ~1 ) above named, (S)~' th___""'.__..--..Llca'/J17 r J;!, \ro.,.'''', ", "., "Y~ '!.: T 'f ,.' " ", ,(Contraator, Agent, Corporate Officer, etc.) .':'1""":" of ~jJt:uwner-o~ owners; and is 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 perfOrmeCf in; the lIlllI1Iler set forth in the application filed therewith. f(H :l f'''N bliC .'F'.,-..... ..,," "\w' .. ".C. N.:.ry.~~;::ofNewvork No. 01 GL4879605 QualKied in Suffolk Cou~ 0 ();2... Commission Expires Dec. 8, s Sa- ss- .to.. (" ~o... @ ................~.... .....- :.v... ~.(../l.. 00; < v ):.., z-4>p "'0 "'f~.o...l ~b LOTS 17, 18 & 1 9 AMENDED MAP OF MATTITUCK HEIGHTS FlLE No. t 164 FlLED IrllARCH 25. 1927 SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-139-03-6.1 SCALE 1"=30' JUNE 30, 1999 DECEMBER 28. 1999 REVISED PROPOSED CESSPOOl 6: WELL LOCATIONS WAY 12. 2000 FOU~noN LOCA.TION DECEMBER 9, 2000 FlNAl. SURVEY AREA = 30,000.00 sq. 11. 0.689 ao. CERTIFIED TO: CHASE MANHATTAN BANK AOUEBOGUE ABSTRACT CORPORA liON CHICAGO TITLE INSURANCE COMPANY MARY SANTACROCE ~ 04> ..~ I ~ ~o... ~ NOTES: 1. S.C.D.H.S. REFERENCE No. R1D-DD-DODB ~o... @ PREPARfD 1M ACXXJRONr<<:E wmt THE ........ SWlDIIlIRDS FOR mu: SUIM."l"S AS ESfA&JSHED BY' UAL..S. All) Af'PR'(MD NIl ADOPtED FOR USE B'f THE NEW 'l'tlftK STAlE \.AND ASSOCIA11OIl. ~o... ~ H,Y.S. We. ~~. 496[ . .~ ~ - ^' :s;'" 'lliO;.... utMTHOAIZED AL.lERA1lOH OR ADDmON m THIS SUIM.Y 5 A VIOLAllON Of SEClKJrt 7201 Of THE NEW YCRK STAlE EDUCAlKIN LAW. CClPES Of THIS SlINEY w.P NOT BEARING THE IMD SUINEYOR's INKED SE'AL. OR DIBOSSED SEAL stWJ.. NOT BE ~ 10 BE A VH1) TRUE COPY'. conF'ICAnONS tDCA1ED tEREON StW.J.. RUN ONLY lOlHE PERSON FOR WHOM THE SUIM.Y IS PREPIIRED. AND ON tIS BEtW.f 10 1HE mu: CD/IIiYtHf. GCMRNMENW.. N:B<<:f NIJ LENDING IN5TmmoN LISTED .HE:REDH. AND TO THE ASSIGNEES OF THE l.DDC 1NST1- 'MlON. CERII'1CATlONS /lIfE. NOT 1RANSFeWlL Jo eph A. Ingegno Land Surveyor 4>... ~ TJtJe SuI'W)'ll - SubdMsions - Site PIons - construction Layout PHONE (631 )727-2090 Off1CES l0C41ED AT Fox (631)7227-1727 IIA/UNG ADDRESS C~~ OD -tcrl d'\~ Ueck Con":,h\Jded llSkhg LJ)( 'f POS~(c>C4J d ><' % trOrrllnq (c('IJ) be> \-I.d US1h"j ;sh ('QrrQ~ a II ~"'il'~4eCd 'J m ,,*, '" or Jec k ')':." 1Xl-' _ G \Y'cl., r- Con ~ I s~ \ "'i all COJ) ;) q ~\Jn ~ W\C '1\" J Q\ \ c4" cIc \ 'f\ q -:SJi x fo Cce f\ ') fla ~c\ "-'\ &:0 \ \Xl h I ?~~ lbc Ie.. ~ f\a \ I"