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Home My WebLink About31808-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32632 Date: 09/27/07 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property: 1230 (HOUSE NO.) County Tax Map No. 473889 Section 103 WEST CREEK AVE (STREET) Block 13 CUTCHOGUE (HAMLET) Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 14, 2006 pursuant to which Building Permit No. 31808-Z dated FEBRUARY 23, 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS & GEKEE WICKHAM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMBIlT OF IlBALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3025625 08/23/07 PLUMBERS CERTIFICATION DATED 09/01/07 THOMAS WICKHAM ~i~ Rev. 1/81 --- 1 i!9 1\ @J~ :-I~I \\fur-:-L,. I ~ FormNo.6 , T WN OF SOUTHOLD i ^\NtN''-QuF'S~~:;:~O'f)BUI ~DING DEPARTMENT L-T..:.-__ .-'-' .. TOWN HALL 765-1802 CJ.i.' B {. -5'1 S't APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new IIse: I. 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 2110 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 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: I. 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. New Construction: C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,[Alterations to dwelling $25.00,1 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 Date. ~--J V'" f11J-l1- 2..,;..0 t- Old or Pre-existing Buildinp: ,2. 'S. 0 !.-Je5 t C--. k House No. Street Owner or Owners of Property: THo ') ~1 ~ G K..tZG , 103 BI ock ( check one) C' u. TCIIo ~ t< C- Hamet LJ ~ c.... ~--,.-J-A, t-c n Lot /0 Location of Property: Suffolk County Tax Map No 1000, Section Subdivision Filed Map. Lot: Pemlit No. ;S 1 PO,? l Date of Permit. \ {el 23 "'b Applicant: T{lPs, W.1:c.K--~r^-t Underwriters Approval: .ff3o z..a..zS If...r 1.S, \''7- (p... f-f.. .; 'tJ.e7 ~f) /' Final Certificate: .iL Health Dep!. Approval: Planning Board Approval: Request for: Temporary Certificate Ji: 2 ,f" Fee Submitted: $ ~ ~ ~. 731'1.(, C-CI ~ 3,;( lP 3.2. Applicant Signature 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. 31808 Z Date FEBRUARY 23, 2006 Permission is hereby granted to: THOMAS WICKHAM & WF. PO BOX 928 CUTCHOGUE,NY 11935 for : ALTERATION & ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1230 WEST CREEK AVE CUTCHOGUE County Tax Map No. 473889 Section 103 Block 0013 Lot No. 010 pursuant to application dated FEBRUARY 14, 2006 and approved by the Building Inspector to expire on AUGUST 23, 2007. Fee $ 150.00 i~C~ , Authorized Signature ORIGINAL Rev. 5/8/02 il!Imii!E!Imffi!~ I!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I!IE!Imffi! ~~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I I!I il!lii!ii!1G! il!Iii! 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 appl ication of upon premises owned by B.J. ELEC. CO. 4300 STILLWATER AVE CUTCHOGUE, NY 11935, THOMAS WICKHAM 1230 WEST CREEK RD CUTCHOGUE, NY 11935 1230 WEST CREEK RD CUTCHOGUE, NY 11935 3025625 Certificate Number: 3025625 Section: Block: Lot: Building Permit: ~ I ~oi5 BDC: n511 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, 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 23rd Day of August, 2007. Name OTY Rate Ratin. Circuit ~ Alarm and Emergency Equipment Sensor Sensor Appliances and Aecessories Range Dish Washer Exhaust Fan Furnace Water Heater Air Conditioner Wiring and Devices Outlet Fixture Outlet Receptacle Switch Paddle Fan Receptacle 2 0 5 0 1 0 1 0 1 0 I 0 1 0 1 0 18 0 18 0 42 0 23 0 24 0 I 0 1 0 Carbon Monoxide Smoke 50 1.2 Amps KW F.H.P. Gas KW BTU 4.5 36.000 Fixture Incandescent General Purpose General Purpose General Purpose seal 20a Laundry Continued on Next Page I of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. il!Imii! I!I l!I~~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I l!Iii!/ii!Iii!~ ~~l!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~~~ii!rr.!l!I 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 B.J. ELEC. CO. 4300 STILLWATER AVE CUTCHOGUE, NY 11935, THOMAS WICKHAM 1230 WEST CREEK RD CUTCHOGUE, NY 11935 1230 WEST CREEK RD CUTCHOGUE, NY 11935 3025625 Certificate Number: 3025625 Block: ns11 Lot: Building Permit: BDC: Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, 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 23rd Day of August, 2007. Name OTY Rate Rotin. Circuit ~ Receptacle I 0 30. Dryer Disconnect I 0 60. Air Conditioner Receptacle 5 0 GFCI Serviee 1 Phase 3 W Service Rating 200 Amperes Service Disconnect: Meters: I 200 cb seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971.0959 I. ,ri~-~ffi\\f'r( Ilij'-"P 4 --l~, L . I . ._n!~;~-.Jl T('I" ~!iJ ,~. r:: r,' ;""\'"YO: , Fax (631) 765.9502 Telephone (631) 765.1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: q r 01 Building Permit No. Owner: -Tf.{o s . :J(?of' Z L.)rc.K.l~h (Please print) C I1J ~'t!e print) Plumber: lead. I cet1ify that the solder used in the water supply system contain (Plumbers Signature) Sworn to before me this '-\ day of ~ ' 20.2:L. C)....~ ~~ ....,~.",.,.- ~~~;) Notary Public, ~ C-:>\IL. County SEP L 1 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Be.~eD.--:-~ r;::-":--, '. -(.B~liG~srii,.Fr: \ \ . ~ I 1:, ,- '. , I Telephone (631) 765-1892 Fax (631) 765-6641 I i,..-."'---:. \ \~.~-!- .,~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD _.--~ CERTIFICATE OF COMPLIANCE Date September 27.2007 # 0255C THIS CERTIFIES that the removal of the sun-porch on west side of dwelling and construction of new addition on same footprint. and new one-story addition on the southeast angle of the dwelling At 1230 West Creek Ave.. Cutchogue, Suffolk County Tax Map # 103-13-10 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 11/7/05 pursuant to which Trustees Permit #6258Dated 12/21/05 Was issued, and conforms to all ofthe requirements and conditions ofthe applicable provisions of law. The project for which this certificate is being issued is for the removal of the sun-porch on west side of dwelling and construction of new addition on same footprint. and new one-storv addition on the southeast angle of the dwelling. The certificate is issued to THOMAS & GEKEE WICKHAM owner of the aforesaid property. rG<~ Authorized Signature 3) fog- z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [0<1' FINAL ;<1: [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: .Fh-~fL 4~ ~ ok, ~ ~.~.~~/ DATE f -} /- " 7 INSPECTOR ~ ~ . 3lto'{ 7 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION 01NAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRATION ~ '--11 ~ \ ~ ~ J\~Jl, DATE r ~(}5/-() 7 INSPECTOR ~ ~ 3/g-0~"Z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [~FOUNDATION 1 ST [ ] ROUGH PLBG. rM FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENmATION REMARKS: ~ r~~ ~ ~ of\~ DATE (. -;J-7 - 07 INSPECTOR ~~ 31 ~o~ 7- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND tP<f INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: $..J!."L O//~;.;t;~ /r/~~.,i.zt;4J~ d-do7iAff~ ~~, ~"-- ~ ~cf\; DATE 5-(/-01 INSPECTOR ~.~ 3IYoY;z.. TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST o{ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~ FRAMING! STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRucnON [ ] FIRE RESISTANT PENETRATION REMARKS: ~,~,,L ~ . ~.O~ F~ ~ / C4-tJ!, - .. ~ ~ - r 0'" ~ \ DATE 3-1-1) 7 INSPECTOR ~ ~ - - ---~------. - - 31 ro 0 z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION M. FRAMING I STRAPPlN~ [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRAnON /-;2..-11-0" DATE INSPECTOR ~~ 31z0~ z TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION ~ FOUNDATION 1 ST [] ROUGH PLBG. .~ FOUNDATION 2ND [] INSULATION . [ ] FRAMING I STRAPPING*, -L ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ,. DATE r -1,- 00 INSPECTOR ~ ~ 3J~()DZ- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [~OUNDATION 1 ST [] ROUGH PLBG. . [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: M- ~ ~k-~ DATE fo ~ ? ~ 0 , INSPECTOR ~. ~ . ... FIEL:rI:rnSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL 9/f17 - I O.._.-T - h I " ~ - DATE COMMENTS r,.-'f-tJ,/ 'A I. I l4... 4' - 1rl'. . \jJ;g /"; .+.-fo,vW,OO. .1\ 1"12....--V (J " /I s!-'~ -' ~~ ?,., 1 v (4, --:::. 00 l4, /J ^ '. _ ..J ..~ ~~ ~~lj]./ ~. . <l-I/o-'II L;;.I--..,,-, 'J... -P /J... J. A~ ~ (},.v. A/J.J'.I ~_ lFJ-.--J.y k I~D. . '\ . .i . ~ lr11-(11 ~-"'_'. J.- --/11. ~ aJ\t".v/.//' ~_\i"J ~ ,~ Z 1~-II-iI~.f-fA :.. L< - '\..e;l- Olf, /;T<,_..,~PP./ !:l 'v fI 1/ .V A 0 ?v/-- d 1 1/1'1.'; c. 1\ ...... ~ jI r> 71 '. -. ~ A' vJ '" " .., .r. l\ n ...., ^ r,( +rf:;;,..L.LJ /J i'I() t>> ./ . (J P i'.JI /i '!;; f - ?/V ""C/ c- ~ C r. k "\ S 1\-1..1 Ai. /, A' v"ru'r , , . e r: r I)If ...85=H '.I ; - r. ~ r~ . \,....,.<"~... -'.J"! (J ,. - t-"-1. 1'1 'J.h..,,~ _. --. J-.( f.~ .A_.~'IJ P ri.d0...r V.VI 71..1'- ih. _"I) ~'-;,..-,~ ( . . + " . "h/)' J. (to V~ <_0 U . L:.. 0 tlJ V./ I F:: fI .M d.JJ ~ (' (' /J YX. ~ ././ .-- t r . ADDITIONAL COMMENTS c c> \' I' '. ro 3 ~ m - ;:0 _I T' r --r.. --p.. ;/) L <:) c... ..iJV />, d, !-L-- II q'd.1r yJ/ J II. ,". .4- / Vl/ ~ \..f~ rJ;~ ." y~ . .., (/ 0 -.J z. == ~~ - .., -\'== o i"J ." ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SouthoId/ .'-.------- -', c , ;" n \r, r:' I":~ -! I' ~~B I,-~~I~~~.,'~}I ! ~ I --'-'-' , PERMIT NO. S/J7Jt6 . BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans (> ,f,.,-I ). PlanningBo~~roval Survey ,./' ...__/ Check t./"'41 Co;) '6 7 Septic Form N,Y.S,D.E.C. Trustees Contact: Examined ~3 ,20f2.f- ij,)-,,> ,20J2k. Approved Disapproved alc Mail to: Expiration <:} J~f20n / Phone: 73C{,. <)Lf 5 Y , I. ~tE I J ~ .........,~~ , ltL.JL I Building Inspector .il APPLICATION FOR BUILDING PERMIT Date Oc1 ,200J INSTRUCTIONS 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 oflot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways, J- 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 Permit to the applicant. Such a permit sh'Il' 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 commenced within 12 months after the date of issuance or has not been completed within 18 months from such date, If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector 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 South old, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demoliti as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, a regulation~, to admit authorized inspectors on premises and in building for necessary inspections, . <I (Signature f applicant or name, if a corporation) to, D,x '(u? (Mailing fIdrtOf applicant) .~ C'er L :~--e. },,}.,' IlrJJ State whether applicant ~see, agent, architect, engineer, general contractor, eleCtriCian'jumbd ~r builder Name of owner of premises -t CL-k.~ u('ckl~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer TL~~) (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed 2- :So House Number Street County Tax Map No. 1000 Section Subdivision (tJ) Block 13' <J . . Filed Map No. __ ",,: . :- Lot Lot (0 (Name) r - . .' . 2. State existing use and occupancy of premises a. Existing use and occupancy d occupancy of proposed construction: ~ ~'i b. Intended use and occupancy r.e-s: iA 1(~ ( 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration V ...J (Description) Fee +- (~'O (To be paid on filing this application) Number of dwelling units on each floor 4. Estimated Cost if, (SO (7VO ? , 5. If dwelling, number of dwelling units If garage, number of cars I 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. ( 7. Dimensions of existing structures, if any: Front ~ 1 Height 30 f Number of Stories Rear 3.3 r Depth H' '2.- Dimensions of same structure with alterations or additions: Front (~~ ') Depth Height Number of Stories ( Zo( 8. Dimensions of entire new construction: Front 1- Rear Height I 1- f Number of Stories , I ~S (~ r f ~ Name of Former Owner Rear Depth r 2- ( 9. Size oflot: Front Rear (,,0 Depth ~,'f~,( L'1'O 10. Date of Purchase I I. Zone or use district in which premises are situated (e4- 0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO V 13. Will lot be re-graded? YES_NO V Will excess fill be removed from premise)?!~ _ NO_ 14. Names of Owner ofJ?:eIl}ises T; ~ lL ~ _Address p.tP . ~ (1f ~;hlne No. i '$ c.f - Jl~1- Name of Architect 17~ 5'_\, -fi Address_OJ.in (,&~honeNo -"i--t ~ Name of Contractor ? Address Phone No. . ~ 15 a. Is this property within 100 feet of a tidal wetland or a fre.shwater wetland? *YES .~ NO _ * lr I 'M, S~'PHOLD TOWN TRUSTEES & D:E.C. PERMITS MAY BE REQUIRED: . b. Is this property within 300 feet of a tidal wetland? * YES V NO_ * I" I b$,":E:e.'t'ERMITS MA Y'13E REQUIRED. 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: COUNTY OF ~ v,c, I k ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the o ..JJ .v U\. (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sa' ork and to make and file this application; that all statements contained in this application are true to the best of his know led nd belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this '2. I ~. day of C ~ L be' 20 ~ ~~~b~ ~~ John M. Judge NOTARY PUBLlC6 State of New York No. 01JU605940 Qualified In Suffolk County Commission Expires May 29, 20 2..l Signature of Applicant I .. ~ Board Of Southold Town Trustees saUTHaLD, NEW YORK PERMIT Na. ~ 2 SI? DATE:. Dec. 21. 2005 ISSUED Ta .....~~~~.~AN~..~EK.EE.. WICKHAM 1\utl1nriltttintt Pursuant to tM provisions of Chapter b t 5 of the Laws of the State of New Yorl, 1893; and Chapter 404 of the Laws of the . State of New Yorl 1952; and the Southold Town .ordinance en- titled"REGULATING AND THE PLACING .oF OBSTRUCllONS IN AND aN TaWN WATERS AND PUBLIC LANDS and:the REM.oVAL .oF SAND, GRAVEL .oR OTHER MATERIALS.f.B.OM LANDS UNDER TaWN WATERS;!' and in accordance with the Resolution of The Board adopted at a meeting held on])~.f.....2.L.. 2005, and in consideration of the sum of $25.0...0.0 .. paid by Th"l11!l.'?..imd .Geke.eWickham............. of Cutchogue N. Y. and subject to the Terms and Conditions listed on the rever<e .ide hereof. W lof ~Qllthol.d Town Trurlees authorizes and permit. the following: et ana PermH to remove a cl08 d' 12' 20' side of the house and re- lace i~ 6~n h x sun por~h on. the wes ~a~ls, windows,floor,andPraof and tota~dsam6If7?tprlnt wlth new ltlon on the southeast a 1 f h h a. x one story add- all ru~off be contai~ed ~~ ~i~e ~nd houbselwlthb the 1 condition tha .. az a es e p aced OIl .the "II in accordance with the detaikd specifications as prerentea In .th~ oriqinating "pplication. water side of the house duriClg con- . structlon ~nd alL as depicted 0:1 th-e plan surve p-.Jj b-' . dated 9/16/~'WITNESS WHEREOF, The said Board ol-lrusfeisoAAri_h1er. by causes it. Corporat~ S~al to be a~xed, and the~.es~~ t~ . be $ubocn'hed by a malorlty of th~df/: of IS d t. . ~~ / /[ / (.{ . . / ,?, ~.~ {, Peggy. Dickerson Trusiees . , TERMS end CONOmQNS TJje Permtttcc Thomas and Gekee Wickham IC$ldltlg at Cutchogue ., ,,' .. N. Y".... ~ the coosldention l~ me ls$o.."", of che Pd:oUt does ~ .Ad prqcribe to the tol': ' 1. That the JI1d .Jloud of Trustees o.od me Town 01 Southold are rd~ from any and all damages, or daims for damages, of lUlu ul$iog. dited1y or 1odl=d.y ~ . ~ of any o~. atIoapedoaned.pItSIlaGto,#!..Wl...pc.m1it, .a.OO".!I!,~ Pk.!, ~tt:~!'!1JL~~ <<.Let ~ apeose. delcod.any and all such sull$-/nltl.teAby thUd .,uties, and the JIld 1>emdttee &5$''1''''$ full Uabl1lty with rci~ tbereto, to'th~p1eteexdwlOQ of the &ud of T~ of the TO'iln of Soalh<M . 2. nat chis I'etfult ~.~d tor a period of . 24'. ._ -wbtd1 Js ~ to be the estimated timerequlred In oomplete the _do: in..olved, but should ~ wutaOt, request. (or an extcaSIon ..,..y be made to (be >>oard at . htu ~ .' 3, That this PeQDit should be tetllined indefInitely, or as long as the ,aid PeQDittee wishes ' to'maintain the struaute or project in..olved. to provide evidence to &Oyoae mooeroed d>at an.(b. 9dz4tion was origjaally obu.loed. 4. That die work involved will be subject to the ~ and f.{>1'rova1 of die Boatd or hs .gents, and QOQ-<lOCDp1JaMe with the provisions of the otlgiriating application, mar be cause fOf: l'C'vocation of this Permit by resolution of the said Boatd. 5, That there will be no unttO$OOJble interferdKJe with navigadoo as . result of the wodt berelo autbodzed. . '6. That there sha11 be no interfuen<:e with tbe right of .the publU: to pass and tepass aloog' the beach betweco blgb ,and low w.ter maries. . 7. That if future operations of me Town of Southald ~ the ~ and/or altentloas In the L;.catloa of the wodc beteio...tbod>Nl, or If, in the oplnioc> of.. Jloud of Trustees, chc. wockshall cause unrcasonab1e OOsttudlOO to ftee navlj:adoo, the sa1cI J>e-l..... wl.I1 be ftlCJIIlrcd, aponduc ootloe, to remove or alter this ..ode or project betdn stated wfd>oc,ac ~ to the Town' . of $o!Jthold. : . . B. That the said Board will be aotified by the Permlttee ot the ~'ldoo' bf the wodc ...m. otbed. 9. That the 'Permlttee will obcalo. all other petmlts and """""",;..dJat IJUf be requlced sap; pIementa1 co thls permit ~ may'be subject to l'CYoI<c upoa fdlun 'co obcalo. -. '" .. New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0365 . FAX: (631) 444-0360 Website: www.dec.state.ny.us ~ ..... ~ Denise M. Sheehan Commissioner LETTER OF NON JURISDICTION - ARTICLE 25 Thomas Wickham PO Box 928 Cuthcogue, NY 11935 February 3,2006 Re: Application #1-4738-03561/00001 Wickham Property 1230 West Creek Avenue, SCTM # 1000-103-13-10 Dear Mr. Wickham: Based on the information you have submitted the Department of Environmental Conservation has determined that the property landward of the 10' elevation contour as shown on the survey prepared by John C. Ehlers dated 09-16-2005, is beyond Article 25 (Tidal Wetlands Act) jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required. Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the groulll;1 surface or vegetation within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely, ;7/~ Mark Carrara Deputy Permit Administrator cc: MHP file . ~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson ,-7-" ,'., (~ii!.'~ ~\"*. .~i ., -'2l - . ~\~,fCOUNT'(~~' .' ~ . ......' . ,:" . Town Hall 53095 Route 25 P.O. Box 1179 Soutbold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 21, 2005 Thomas and Gekee Wickham P.O. Box 928 Cutchogue, NY 11935 Re: 1230 WEST CREEK AVE., CUTCHOGUE SCTM#1 03-13-1 0 Dear Mr. And Mrs. Wickham: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 21, 2005 regarding the above matter: WHEREAS, THOMAS AND GEKEE WICKHAM applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the To~n of Southold, application dated November 7,2005, and WHEREAS, said application was referred to the South old Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 21, 2005 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the proposal complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, . ~. 2 RESOLVED, that the Board of Trustees approve the application of THOMAS AND GEKEE WICKHAM to remove a closed-in 12' x 20' sun porch on the west side of the house and replace it on the same footprint with new walls, windows, floor and roof and to add a 6' x 7' one story addition on the southeast angle of the house, with the condition that all runoff be contained on site, and haybales be placed on the water side of the house during construction, and all as depicted on the plans surveyed by John Ehlers last dated 9/16/05. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) This is not a determination from any other agency. Fees: $50.00 Very Truly Yours, ~? ;(~'(j,. Albert J. Krupski, Jr. President, Board of Trustees AJK/hkc SURVEY OF PROPERTY SITUATE: CUTCHOGUE TOHN: SOUTHOLD i SUFFOLK COUNTY, NY 1 , SURVEYED 0"-16-2005 SUFFOLK COUNTY TAX II 1000 - 103 - 13 - 10 CBRTJPIED TO: mOMAS WICKHAM GBXIlB Y. WICKHAM ~ ~ ~ L U m CJ G\ \~\ \', Cli 0' oJ @. 'i:: s.:: \\'S ..s:: ~ (.) ~ ! NOTES, . I I / / ;{j I. . $ I I I.' ~ Sj i~. ::; :8:1 IZ - I 1 1 1 1 1 I (\J MONUMENT FOUND rv I I / tx" 'tf- \0 \ I \ \ \ \ 1 I I 1 1 1 1 I \ \ I I I \ \ \ \ \ \ I \ I \ \ I \ I \ \ I I I \ \ 1 1 / I()' AREA = 14,611 S.F. or 0.336" ACRE ELEVATIONS REFERENCE N6VD '2'1 DATUM FLOOD ZONE LINE REFERENCED TO N6VD '2" DATUM AND DEPICTED ON FIRM MAP NUMBER 36103COl63 6 GRAPHIC SCALE ~ 1"= 20' <D - () \ \ \ \ \ ~~\ ~ $) \ ~\~ ~\y.. "/IiI (3)\ \ \ \ I I 1 I 1 I V I \ \ I I \ I I I \ \ \ \ \ I \ I \ \ \ \ I t\J I \ \ \ I \ \ \ \ \ \ I 1 I 1 I 1 1 1 I 1 I () N84008' 40"18 ,,10 "V " / / \ I I I \ I ~\ \ I I I I -1'- / I I 1 I I I I I \ I \ I ~ ---' I 1,_ 1 I CE I I ( G! I \ \ I STOFY ~ : _ \ 12 FFl-AME HOUSE ~. "-. II" Fp. EL= 21.5' ~ ..... I 0(9 I 16 .\~~\ . ~~~.~ ' '\~.I \ \ /' );> 26 IB' _FRAME I "GARAGE 200.00' - - -- OH" 10 \ \ -& /.c' ::;_' :. / -to~O-~ ~. rv '''?o N88051 'W"W , 205.00' E4~ _ (I) €a o VIa 0\ .. ~ txi OH" "," o / ~ C$ ~ (J ~ C\) C\) ^ 00 VIa /1 ,~~ Ie IC\) I / rvO \ \ N W~E /' "- S . JOHN C. EHLERS LPJID SURVEYOR 6 EAST MAIN STREET N.Y.S. Lie. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Server\c\pros\05\05-277.pro ---~;;& -j,., TO-- 0 .. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: I 0 ,-r" """'" G-c~ WICt,I,,,,,",,, 1{l7fo!; 1;;J..'pllo5 . has been and the Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: ( ~ Application Approved (see below) L-) Application Denied (see below) L-) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: !J S c) .j;'n.J I '1..5 rC(-\-.u ~ f{( ? I",~ h A '1 b... b J<..< r . ~ co nS ~ c-ro rJ -to .tu.e I' c..o", 1v<-o c ~.., \ ' ~ 0.(.. CA.J>.<-". c.:<.....rlS C<A\ c- 9' TOTAL FEES DUE: $ C;o /.,0 SIGNED: '~-.f 1/ ~"7f1t2.~'~. PRESIDENT, BOARD OF TRUSTEES