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
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This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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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
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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:
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DATE fa ~ 'l-f ~ (!) ,
INSPECTOR ~ ~
ROUGH FRAME &
PLUMBING
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INSULATION PER N. Y_
STATE ENERGY
CODE
FINAL
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ADDITIONAL COMMENTS:
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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.
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Respectfully,
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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
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OCCUPANCY OR~
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
IS"!
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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:-
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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,
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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
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NOTES:
1. S.C.D.H.S. REFERENCE No. R1D-DD-DODB
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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.
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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
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TJtJe SuI'W)'ll - SubdMsions - Site PIons - construction Layout
PHONE (631 )727-2090
Off1CES l0C41ED AT
Fox (631)7227-1727
IIA/UNG ADDRESS
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