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Home My WebLink About35902-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA2RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34600 Date: 10/06/10 THIS C~K'rIFIES that the building DECK ADDITION Location of Property: 3775 WICKHAM AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) Co%ulty Tax ~p No. 473889 Section 107 Block 9 Lot 6 subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 28, 2010 pursuant to which Building Permit No. 35902-Z dated SEPTEMBER 28, 2010 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GIORDANO FAMILY TRUST (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROV~J~ ELEt~TRICAL u~KTIFICATH NO. PLIghtERS u~KTIFICATION DA'r~u N/A N/A N/A ~~t ~/~nature Rev. 1/81 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. 35902 Z Date SEPTEMBER 28, 2010 Permission is hereby granted to: FAMILY THE TRUST GIORDANO 3775 WICKHAM AVE MATTITUCK,NY 11952 for : CONSTRUCT A RAISED DECK ADDITION TO EXISTING ONE FAMILY DWELLING REPLACES EXPIRED BP # 10343 at premises located at 3775 WICKHAM AVE MATTITUCK County Tax Map No. 473889 Section 107 Block 0009 Lot No. 006 pursuant to application dated SEPTEMBER 28, 2010 and approved by the Building Inspector to expire on MARCH 28, 2012. Fee $ 15.00 -- Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT..ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 10343 pursuant to application dated ........... ,~...d~,, .................... , 19~, and approved by the / Building Inspector. Form INo. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application mU~t be filled ia 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 sewecago-disposal (S-9 form). ' 3. Approval of elccffical installation' from Board of Fire Underwriters. : 4. Sworn statement from plumber ccffifying that the Solder used in system contains less than 2/10 of 1% lead_ '5. Commercinl building, industrial build~ug, multiple residenccs 'and ~imila~: buildings and iustallatious, a Certificate of Code Compliance from architect, or engineer responsible for the building. '6.' Submit Plsnning Board Approval o f~omPleted site plan requirements. B..For exisfingbuildings.(prior to April 9, 19S7) non-conforming use~I or buildings and ,pre-existing" land uses: 1, Accurate surv6y of prupe~y showing all property lines, s~reets, building and unusual natural or topographic features. 2. A properly complet~cl application and consent to respect signed by the applicant. If a Certificate of Occupancy is denied, [he Building Inspector shall stat~ 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 $2~.00, Swimming pool $25.00, Accessory building $25.00, Additions to. accessory building $25.00, Businesse~ $50.00. 2. Certificate of Occupancy on Pre-existing Building - $I00.00 3. ' Copy of Certificat6 of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temponu'y Certificate of Oceupancy - Resideatial $15.00~ Commercial $15.00 -l~nr~fistruction: Date. /o-/-/o Lochtion of Property: , House No. Street Hamlet 'Su~olk CoUnty Tax Map No l000, Section" .' / 0-7 - · S;0 k. ' "'7 '.' L°t 'L Subdivision Permi.t No.. ~ ~ ~0.'~2~-' :Date'0fPermit. Health Dcpt Appwval:'~ ' Filed Map..' ~-~/O. Appli'caat: Underwriters Approval: (check One) phnni~ Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~"-~ i ~ o Final Ceflificate: (check one) Applicar~ignature TOWN OF SOUTHOLD BUILDING DEPT· 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION · ~' REMARKS,. ~ ~ ~ ~ DATE ~- ~-~--/O INSPECTOR'S' ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING ~'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SA,-,-; f INSPECTION [ ] RRE RESISTANT CONSTRlY~ION [ ] RRE RESISTANT PENETRATION REMARKS: DATE FOUNDATION (IST) FOUNDATION ~,ND) · · ROUGH FRAMING & ' ' PLYING ~nmo~ com~s FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ~..d ...... ,19~7. Approved ~ ~. ...... , 197~- Permit No/4.?~'.~. . .'-~. Disapproved a/cv ...... ii~:....~...~...../~......../// (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No ........... Date ~. · .~..~. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 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 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 issue 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 have 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 auth°rized inspect°rs °n premises and in buildings f°r nece~~on"~..~~n.¢, ii.. i i~ a e .......... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...: ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... /] 1. Location of land on which proposed work will be done. "~ ..................... ...... .......... .... House Number Street Hamlet County Tax Map No. 1000 Section.../.~./.~7. ......... Block .... ~..~.-- ......... Lot. ~.d~. .......... Subdivision ......... ~ ........................... Filed Map No.--x=,,.,-~ ......... Lot ..... - .......... (Name) 2. State existing use and occupancy of premises and intended use and occugancy of proposed construction: a. Existing use and occupancy ................ ~-...~~~ .............. b. Intended use and occupancy...~'~ -~----- ~fi.~..~.../~....~,~.4~4~~.~ ././ ............... ~ ............... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work .... . .'~..~-..c.~7... (Description) 4. Estimated Cost ....... .~4.. ........................... Fee. t'.c:~-..... ............................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number o f 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 ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number_of Stories ........................................................ Size of lot: Front ........... ~ ~ ....... Rear .... ~..~. .............. Depth ....~.O..O. ............. Date of Purchase .~ ~...'~. ......... Name of Former Owner . ~..P..~../.~'..'~..~'...~. .... .,~...,~...% Zone or use district in which premises are situated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will lot be regraded ....... ~ ...... ~ ........... Will excess fill be removed from prer~i~e~..) Yes No Name of Owner of premises ~.t///~,z/.. O..t~.~ ~'//~..~rz Address ................... Phon~ 1~. ~,~. 7../~.~. ~-.. Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ 10. 11. 12. 13. 14. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ? STATE OF NEW j~OR[,~. ,~ ~ S S COUNTY ~ , ................... being duly sworn, deposes and says that he is the applicant (Name of individual signing' contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or 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 t~me to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............. · ~..~..day of .... ~~ .... 19..~.~ I'/ , , . ~ .~.-'-..,I '.----"C~/&'2z~j~ofls't ~'l~uc. st~,, ,t.~__-~__~ .... : '- :' · '/'~/'/' · · -' :~'7' :"- ': ............ Suffolk County Ne A-~ ~' ~ ~ ~0. IS/'~' / ~gnature or appucant) TOWN OF CARD SUB,. LOT sEAs. VL FARM IMP. ~o ' 2.~ TOTAL ./DATE · ? BUILDING CONDITION NORMAL BELOW Acre V=lue Ac rePer j Valu~ TYPE OF BUILDING cOMM. CB. MISC. /~kt. Value FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD :AA. Bldg. Extension Extension Extension Porch Bre~-eway Garage P~tio, O. B..:.: Total: COLOR Foundot'ion Byment /~/~'6 / I F~re Place iType Roof I Recreation P, oo~ I Jltlllill I II1 ~41' i 14_li.I k Il il l t/i/'[ I 'I /~bL~fyd ' Both FLc. ors ~,. ~ Interior Finish Heat ~,~. Rooms 1st Floor Rooms 2nd FIooJ Illllllllltl IIi 11ll41[lllllllll.I ~"lli[[[llllll! llllll.llJJJllllll Il 'ii I~[ J I I I -F '~=~ tIrilll J I IIIJJ · I.IJllllll III/11 ffllllllliiJllJj ~ //lllllllJtll. l ~&~lllilllllll/