Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
32237-Z
Town of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 7/3/2012 CERTIFICATE OF OCCUPANCY No: 35792 Date: 7/3/2012 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 710 PARK AVE EXT MATTITUCK, SCTM #: 473889 Sec/Block/Lot: 123.-8-28.5 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 7/21/2006 pursuant to which Building Permit No. Lot No. filed in this officed dated 32237 dated 7/25/2006 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: pilings, decks and shed additions to an existing one family dwelling as applied for. The certificate is issued to Leigh Wickham & Stacey Ann Sheppard (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 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. 32237 Z Date JULY 25, 2006 Permission is hereby granted to: LEIGH P WICKHAM '~ PO BOX 1312 MATTITUCK,NY 11952 for : R3IISE AN EXISTING BUILDING ON PILINGS AS PER ZBA,DEC & TRUSTEES WITH FLOOD PERMIT AS APPLIED FOR. REPLACES BP# 29859 at premises located at 710 PARK AVE EXT County Tax Map No. 473889 Section 123 Block pursuant to application dated JULY 21, 2006 Building Inspector to expire on JANUARY Fee $ 150.00 MATTITUCK 0008 Lot No. 028.005 and approved by the 25, 2008. ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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 0fFim Underwriters. 4. 'Sw. om statement from plumber certifying that the solder used in system centain~ 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 buildiug~ .6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) Uon-confovming uses, or buildings and "pre--existing" land uses.' I. Accurate survey of property showing all property lines, streets, building and unusufil natural or topographic features. 2. A properly eogmpleted application and consent to inspect signed'by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. - C. Fees 1. Certifica{e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimmifig pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. ~. Certificate of Occupancy on Pm-existing Building - $I00.00 3. Copy of Certificate ofOccopancy - $:25 4. Updated Certificate of Occupancy - $50.00 · 5. Temporary Certificate of Occupancy - Residential $15_00, Commercial $15.00 Date. New Construction: Location of Property: r~ }~ House No. Own6r or Owners of Property: , Suffolk County Tax Map No 1000, Section Subdivision Pexmit No. ~)<~.53 Date of Permit. Old or Pre-existing Building: Street Mealth Dept. Approval: (cheek one) Hamlet Block /5 Lot Filed Map. Lot: Applicant:. Undera~ter~ Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $. ~q . ~"~,, ~ Final Certificate: (~/heck one) _ ~l~131icant Signature 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~ FINAL ~/_//~'~.~ [ ] FIREPLACE &~ CHIMNEY DATE / ~/~- O..~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIO. N \ [ ] FRAMING / STRAPPING [~] ::RNEA~A ~~ [ ] FIREPLACE & CHIMNEY F REMARKS: DATE 7'- fl/''42~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPART~IENT' TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 w~vw. northfork.net/Southoid/ Examined ,20 Approved ,20 Disapproved a/c ~ 0,] ~_~ /~.~..- Expiration ,20 DISAPPROVAL PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 3 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to:--c>I AO~ PLICATION Building Inspector ;~ ", FOR BUILDING PERMIT' INSTRUCTIONS Date ~t~TC~t F_..~ ,20oa 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 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 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 permi[ shall be kept on the premises available for inspection throughout the work. e. No building skall be occupied or used in whole or in part for any purpose what so ever tmtil 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 ora 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 authorized inspectors on premises and in building for necessary inspections. ('_~Signature of applicant or name,'(f a corporation) ~'.0, ~o~ t:~tz. ~,-~lZO~ ~ Itqs~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ,~. ?p,(c1¢6¢_ cotC~ H g, v,a (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Traders License No. 1. Location of land on which proposed work will be done: House Number Street (vt g, 7'7'1 7'U G~ Hamlet County Tax Map No. 1000 Subdivision (Name) Section Block ~ Filed Map No. 2. State existing use and occupancy of premises and intendeq~l~L,¢ ~m~,d o~¢u~pro'posed construction: a. Existing use and occupancy ~/~)6/_~' r-~,,,n~t_v b. Intendeduseandoccupancy ~g6 'x:,co6ccJ,~g: M~ ~qLF~ FoO~13~-t~,D Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work ~t'/ ¢,~,L~ Hoo.S£ (Description) Estimated Cost If dwelling, number of dwelling units If garage, number of cars Fee (To be paid on filing this application) Number of dwelling units on each floor ~ Signature of,~p~Iica~( 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front !58'-Z" ~- Rear ~'_ ~, 4_ Depth ~4/:/i ,4_ Heigh[ 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 -- 9. Size of lot: Front i¢-~_~6ocA~ Rear .Depth 10. Date of Purchase Name of Fo:rmer Owner 11. Zone or use district in which premises are situated R-a/tO 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO ~ 13. Will lot be re-graded? YES NO ,z. Will excess fill be removed from premises? YES __ NO !4 Nmmes of Owner of premises ,~, ffWdZ.¢¢ I~c~14¢,t~Address ~,(0~ i~tT., rata't"f/~'°~hone No. ~_q~3- Name of Architect '~llx~o~ P. ert~C~ .Address ox~88t{ °-~ae:~v't°/~Phone No 7_88- Name of Contractor '~Auts ~zos 6o6 coco Address ~ ~ c,~:- Oo~m r4 o~ Phone No. :~; ~ ~ 6 z '~ o ¢o/.d./~ PollyI lt-/t~; 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES .V' NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland'? * YES b" NO__ * IF YES, D.E.C. PERMITS MAY BE 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 O F~L..~ '~.V~t~l~d [~JtUlZpl~q-rT~ beJng duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) alSove named, (S)He is the ~' &.9,a/~t'~'~ to~. ) (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to pertbrm or have performed t'ae said work and to nrake m~d file il-tis applicmion; that all statements contained in this application are true 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 thisxj~ Notary Public Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~9~)~7 DATE: ...F..~b.. 2~...~903 J. PARKER WICKHAM ISSUED TO Pursuant fo the provisions of Chapter 615 of the Laws of the State of New York, 18931 and Chapter 404 of the ~ws of the State of New York 1952: and the Southold ToWn Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:?. and in accordance with the Resolution of The B6ard adopted at a meeting held on .~.~.~.:....~.~z. .... ~.0.~, and in consideration of the sum of $.....~.~.~ pald by J. Parker Wickham of .......... i~.!.[~.~]5 N.Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Soufhold Town Trustees authorizes and permits the following: Wetland Permit to raise the existing dwelling and attached decks to required FEMA elevation (3'+/-), new pile foundation and rebuild decks as necessary. all in ~ccordance with the detailed specifications es presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. oster (Absent) Trustees James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel 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 CERTIFICATE OF COMPLIANCE # 0115C D~eJune 7, 2006 At THIS CERTIFIES that the dwelling & attached decks 710 Park Ave. Ext., Mattituck Suffolk County Tax Map # 123-8-28.5 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 1/6/03 pursuant to which Trustees Permit # 5707 Dated 2/26/03 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the dwelling and attached decks The certificate is issued to aforesaid property. J. Parker Wickham Authorized Signature owner of the NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-4738-03093/00001 EACILITYiPROGRAM NUMBER(S) OPERMIT Under the Environmental Conservation Law EFFECTIVE DATE March 14, 2003 EXPIRATION DATE(S) Mamh 31, 2008 TYPE OF PERMIT · New [] Renewal [] Modification [] Permit to Construct [] Permit to Operate [] Article 15, Title 5: Protection of Waters [] Adicle 15, Title 15: Water Supply [] Article 15, Title 15: Water Transport [] Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers [] 6NYCRR 608: Water Quality Certifica- tion [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article 24: Freshwater Wetlands · Adicle 25: Tidal Wetlands [] Article 27, Title 7; 6NYCRR 360: Solid Waste Management [] Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Article 36: Floodplain Management [] Adicles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO J. Parker Wickham TELEPHONE NUMBER 298-8441 ADDRESS OF PERMITTEE P.O. Box 1312, Airway Drive, Maffituck, NY 11952 CONTACT PERSON FOR PERMI'I-rED WORK Diane Herold, P.O. Box 884, Westhampton, NY 11978 TELEPHONE NUMBER 288-5049 NAME AND ADDRESS OF PROJECT/FACILITY Wickham property, Park Avenue Extension, Mattituck COUNTY I TOWN Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY: WATERCOURSE INYTM COORDINATES Install new piling foundation under existing single family dwelling and decks. Construct new steps. All work must be done in accordance with the attached plan prepared by Diane Herold 9/15/02 last revised 11/30/02 and stamped NYSDEC approved on 3/14/03. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: Roger Evans (MEP) AUTHORIZED SIGN~L1~~ ADDRESS Re~]ion 1 Headquarters, Bld~l. #40, SUNY, Stony Brook, NY 11790-2356 I DATE I Page 1 of 4 March 14, 2003 I NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. Any debris or excess material from construction of th is project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 2. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 3. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 linear feet from the tidal wetland boundary. 4. This permit does not authorize any alteration, expansion or replacement of existing septic systems. 5. No design modification, additions, change in footprint to existing house is authorized under this permit. Upon completion of installation of pilings and associated supports, the house is to be returned to its original location and condition. DEC PERMIT NUMBER 1-4738-03093/00001 PAGE 2 of 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification , The I~ermittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not R party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all refErenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this 3ermit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg M0, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DEC PERMJT NUMBER I I PAGE 4 OF 4 1-4738-03093/00001 DEPARTMENT OFTHE ARMY NEWYORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEWYORK, N.Y. 10278-0090 November 6, 2002 Eastern Permits Section SUBJECT: Joint Application with New York State Department of Environmental Conservation J. Parker Wickham Marratooka Point Mattituck, New York 11952 Dear Mr. Wickham: We have recently received a copy of the Joint Application for permit you filed with the New York State Department of Environmental Conservation (NYSDEC). Please be advised we have reviewed the copy of the Joint Application sent to this office by NYSDEC. Based solely upon the information provided, it appears that a Department of the Army permit is not required for your proposal. The Department of the Army regulates construction activities in navigable waterways and discharges of dredged or fill material into waters of the United ~tates, includinq inland and coastal wetlands. If your proposal would involve ~uch work, and hKs"not been portrayed as such in your Joint Application, you should contact this office immediately so that a project-specific determination can be made as to whether a Department of the Army permit will be required. Any inquiries can be directed to this office at (212) 264- 3912, 3913, 6730, or 6731. Sincerely, Marc Helman Acting Chief, Eastern Permits Section FORM NO. 3 NOTICE OF DISAPPROVAL DATE: May 30, 2003 TO: J Parker Wickham 710 Park Ave Ext. Mattituck NY 11952 Please take notice that your application dated May 23, 2003 to make alterations to an existing single family dwelling at Location of property 710 Park Ave Ext., Mattituck, NY County Tax Map No. 1000 - Section 123 Block~ Lot 28.5 Is returned herewith and disapproved on the following grounds: The proposed addition/alteration to a non-conforming single family dwelling, on a non-conforming 218344 square foot parcel in the R-40 District, is not permitted pursuant to Article XXIV Section 100- 242A which states; "Nothing in this article shall be deemed to prevent the remodeling, reconstruction or enlargement of a non-conforming building containing a conforming use, provided that such action does not create any new non-conformance or increase the degree of non-conformance with regard to the regulations pertaining to such buildings." The existing single-family dwelling notes an existing front yard setback of approximately 11' feet. Therefore, the proposed alteration is not permitted pursuant to Article XXVI Section 100-244, which states that non-conforming lots, measuring between 20,000 and 39,999 square feet in total size, require a minimum front yard setback of 40' feet. Total lot coverage, of less than 20 percent, will not change. Authorized Signature CC: file, Z.B.A. Note to Applicant: Any change or deviation to the above referenced application may require additional review from the Southold Town Building Department. APPEALS BOARD MEMBERS Gerard P. Goehringer Lydia A. Tortora George Homing Ruth D. Oliva, Chairwoman Vincent Orlando Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 ZBA Fax (631) 765-9064 Telephone (631) 765-1809 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF OCTOBER 23, 2003 Appl. No. 5403 - J. Parker Wickham Property Location: 710 Park Avenue Ext., Mattituck; CTM #123-8-28.5 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The applicant's 29,000+- sq. ft. parcel is shown as Lot "G" on the Map surveyed for J. Parker Wickham dated May 21, 1976, amended May 23, 1990. A traveled right-of-way extends off the easterly end of Bungalow Lane, extending up to the last house in this development of "Lupton Point." The applicant's property borders Deep Hole Creek (a/k/a Gardiners Creek) on the north side and borders Peconic Bay on the south side. The property is bordered on both the west and east side by private lands developed with a private cottage on each. BASIS OF APPLICATION: Building Department's May 30, 2003 Notice of Disapproval, citing Section 100-242A, ref. Section 100-244B, in its denial of a building permit to construct alterations to existing dwelling within 40 feet from the front property line. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on October 23, 2003, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: Applicant wishes to construct a new pile foundation with a setback of 11+- from the traveled road (front setback line) at its closest point, and alterations to the existing dwelling, as shown on the site plan prepared by Diane Herold, R.A. with a ZBA date-stamp of July 2, 2003. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of the relief requested will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The applicant has proposed to temporarily relocate the small single-family bungalow on this waterfront parcel in Mattituck. This on-site relocation will allow the applicant to construct new foundation ~.~ Page 2 - October 23, 2003 Appl. No. 5403 -J. Parker Wickham CTM 128-8-28.5 at Mattituck pilings to replace the original, deteriorated pilings. The bungalow will be placed back on the new supports, with no change to the existing building footprint, except that the overall height will be increased 1-3 feet, to meet the FEMA requirements of a structure located within a designated flood plain. 2. The benefit sought by the applicant cannot be achieved by some other method, feasible for the applicant to pursue, other than an area variance, because this building has an existing front yard setback of 11+- feet. 3. The requested variance is not substantial. The building footprint and lot coverage of less than 20% will not change. 4. The proposed variance will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood, or district because the applicant will construct new pilings for this building following the guidelines described in the Flood Elevation Management Act, the NYSDEC Permit with conditions issued for this project, and the Southold Town Trustees Resolution dated 2/26/03. 5. The difficulty for the applicant is riot self-created because the nonconforming front yard setback is existing. 6. The relief granted is the minimum determined necessary for this applicant to enjoy the benefit of a new piling foundation, while at the same time protecting and preserving the character of the neighborhood, as well as the health, safety, and welfare of the surrounding community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Goehringer, seconded by Member Homing, and duly carried, to GRANT the variance as applied for, as shown on the site plan prepared by Diane Herold, R.A. with a ZBA date-stamp of July 2, 2003 and construction plans dated May 15, 2003, SUBJECT TO THE FOLLOWING CONDITIONS: 1. All new pilings will be within the original building footprint. 2. There will be no expansion of this structure beyond the existing dimensions. This action does not authorize or condone any current or future use, setback or other Page 3 - October 23, 2003 Appl. No. 5403 - J. Parker Wickham CTM 128-8-28.5 at Mattituck feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Orlando (Vic~/'Chairman)/,~oehringer, and Horning. Absent were Ruth Oliva (Chairwoman) and lylemb~ T~t'orj~ (j;I/ue~o illness). This Resolution was duly adopted (3-0). ~ {t~//~.~ Vincent ~'ian~o, Vic~ ~h~i~man ///..~/03 Approved for Filing TOWN OF SOUTHOLD PROPERTY RECORD 'VILLAGE I DIST. CARD COUNTY TA3 MAP NO. LAND IMP. TOTAL DATE REMARKS: M. Bldg. J .~X,~;~? ~. ~7~. = ! Z,: j /~V Foundation .'] ~'~ Bath Extension ~ Basement ~ D Fl~rs Extensionf ~t. Walls ~(~g~ Interior Finish Extension ~ Fire Place ~, ~ . Heart ~C ~ ~ ~_~ ~ _~/~ _ ~ Porch Attic ~ ~ : ~ ~ ~ y/~/~ .~O ~ ~ ~ Porch Rooms 1st Flor B~ ~ X ~ M ~/7~ J ~/ ~ ~ ~ Patio .... Rooms 2nd Floor Ga rage j ~ ~ / Driveway o. TOWN C LEIqJ/, OFFICE OF THE TOWN TOWN OF SOUTHOLD PO I1¢,× 117() THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED [BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 21~, 1993: RESOLVED that the Town Board of the two (2) new forms to be used under tl~e of the Code of the Town of Southold: Application" [FDP(93)], anti "Certificate Special Flood Hazard Area [C/C(93)]. Town of Southold hereby adopts Flood Damage Prevent regulations "Floodplain Development Permit of Compliance for Development in TOWN OF $O'.J~OLD ? Judith T. Terry ~j Southold Town Clerk Aucjust 25, 1993 APPLICATION PAGE I of 4 TOWN OF $OUTHOLD FLOODPLAIN DEX?ELOPMENT PERMFT APPLICATION This form is to be filled out in duplicate. SECTION I: GENERAL PROVISIONS (APFLICANT to read_and 1. No work may start tmtll a permit is L~ued. 2. Thc permit may be, revoked i/any false statements are made hcrcim 3. If revoked, all work must cease until permit i~ re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire ii no work is commenced witkin six montks of issuance. 6. Applicant is hereby informed that other permits may be required to full'ill local, xtate and federal regulatory requirements. 7. Applicant hereby give~ con.sent to the Local Administrator or his/her repre, seatadv~ to make reasonable inspections requited to verify compliance. 8. ~ THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACH.~ TO . THiS APPLiCATiON ARE, TO ~TF~ BEST O~_~Y KNOWLEDGE, TRUE A-ND ACCURATE. SECTION 2: PROPOSED DEVELOPMEI'U' {-Fo be completed by APPLICANT] NAME ADDRESS TELEPHONE . BUILDER '~WLXOL~ ~.~s (:i~ O~?a~. ~Z tfSg~--~O ~dO00~ E~.ddE~ Po/ ~.E' {17t~ E~G[~E~ C G -gO To avoid delay in proce.~ing the appllcadoa, please provide enough information to easily identify the project location. Provide the street address, lot numloer or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-know~ lkudmaxk. A sketch attached to this application showing lhe project location would be helpful 710 P~ FDP(93) APPLICATION ~ PAGE 2 OF 4 DESCRIPTION OF WORK (Check all appLicablc boxes): A. STRUCTURAJ~ DEVELOPMENT ACTIVTTY ~TRUCWU~RE TYPE [] New Structurc IZ] Addition [] Aheratiou [] Relocatio~ [] Dcmolffiou ~ Replacemeat o~ rooo~A-ftolO ~l~Residen6al (1-4 Family) [] Residential (More than 4 F~mily) [] Hoa-rcsidential (FloodprooFmg? [] Yes) [] Combined Use (P,e~ideu6al & Commercial) [] Manut'actured (Mobile) Home (la Manu- factured Home Park.'/ [] Yes) ESTIMATED COST OF PROJECT B. OTHER DEVELOPMENT ACTIVITIES: FI Fill ri Mining r-I Drilling [] Grading [] Excavation (Except for Structural Development Checked Above) -- - [] Watercourse Altewation (Indudlng Drc, dglng and Charmel Modifications) Fl Drainage Improvement~ (Including Culvert Work) O Road, Street or Bridge Coastructioa [] Sub<ilvblon (New or Expamion) lEI [ndi-ddual Water or Sewer System ID Other (Plea.se Specify) After completing SECTION 2, A~PLICAI,rT should submit I'orm to Loc~J Ac[ministrator for re~4ew. ~ECTION 3: FLOODPLAIN DETERMINATION ['To be completed by LOCAL ADMINISTP~TOR) The proposed development is located ou FIRM Panel No. , Dated The Proposed Development: [] I~ NOT loca~eA in a Special Flood Ha?ard Area (]qo~f~ ~he appllc-~nt that the application review is complete and NO FLOODPI~dlq DEVELOPMHIq'r pERivlTr IS REQUIRED). [] Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at thc site b: Ft. NGVI) (MSL) rD U uavailabl¢ [] The proposed development is located in a floodway. FI3FM Panel No. Dated [] Sec Section 4 [or additional inslructions SIGNED DATE ,aPPLICATION # PAGE 3 OF 4 SECTION 4: ADDITIONAL INFORMATION REQUIREDI~o bc c~¢d bvb C~O~-MINISTRATOR] Thc applicam must submit the documents checked below before thc appticafon c.'m bc proce..sscd: C]A site plan showmg thc location oI all c×~stwg structures, water bodies, adjacent roads, lot dimensions and proposed development. [] Development plans, drawn to scale, and spcCificatkons, including where applicable: details for anchoring structures, proposed elevation of lowest floor (baduding basement), types of water resistant materials used below the FL~st floor, details of floodproo£mg of u61ities located below the in'st floor and details of enclosures below the [u-st floor. Ad~o, [] Subdivision or other development plans (If thc subdivision et other development exceeds 50 lots or 5 acres, whichever is the lesser, the appticxm _mu~t provide tOO-year flood elevations if they are not otherwise available). El Pla.as showing the extent of watercourse relocation and/or landform alterations. El Top of n~w fill elevation Ft. NGVD (MSL). [] Floodproo£mg protection level (aon-resldcntial only) Ft.; NGV'D (MSL). For floodproofed structures, applicant must attach certification from registered engineer or archltcct. [] Certification from a registered engineer that thc proposed activity in a regulatory floodway will not result in a_~ incre~c in thc height of thc lO0-ycar flood. A copy of all data and calculations supporting tl~s I'mdhag mu~t also bc submitted. Other: SECTIOH 5: PERMIT DETERMINATION IT9 be completed bY L~I~;TRATQR) I have determined that the proposed activity:. A_ F'I Is B. O Is not in conformance with provixions of Local Law # , 19 . Thc permit is issued subject to thc conditions attached to and made part of this permit. SIGNED , DATE ~,~ i~ checked thc t~cal Administrator may issue a Development Pcm~il upon payment of designated I_[BOX 13 i~ checked, thc Local Administrator will provide a written summary of deficiencieS. Applicant may revise and resubmit an application lo thc Local Administralor or may request a hearing Item the Board of Appeals APPEAx[~: Appealed to Board of Appeals? [~ Yes C1 Ho Hcazing date: Appeals Board D¢ci~ioa --- Approved? [] Yes Conditions ~ No APPLICATION [:'AGE 4 OF 4 ~;ECTION 6: A~-BUILT ELEVATIONS (To be submitted bv APPLICANT before Certificate of Comoliaace i~ is.~ucd~ The following information mu~t be provided for project structures. This section mnst be completed bY a registered profe.~ional engineer or a [icenaed land surveyor (or attach a certification to thh application). Complete 1 or 2 below. 1. Actual (A.~-Built) Elevation of thc top of ~hc lower floor, including basement ' d Areas, bottom of Ioweat structm'al member of the Ioweat floor, excluding piling and eolumn~) iq: .Fr. Nord 0~SL). Actual (~-Built) Elevation of floodproofmg protection iq FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. .~ECTION 7: COMPLIANCE ACTION (To be completed bv LOCAL ADMINISTRATOR) The LOCAL ADMIHISTRATOR will complete thi~ section as applicable based oa inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? [] YES Gl NO DATE BY DEFICIENCIES? [] YES [] NO DATE BY DEFICIENCIES? [] YES [] NO SECTION 8: CERTIFICATE OF COMPLIANCE(To bc completed bY LO(~AL ADMINISTRATOR} Certificate of Comp[iancc ixsued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area 7 TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECL&L FLOOD HAZAJLD ,adLEA (OVSrNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS H.4dME AND ADDRESS: CHECK ONE: [] NEW BUILDING [] EXISTING' BUILDING [] VACANT LAND ¸4: THE LOCAL ADMINISTRATOR IS TO COMPLETE A~ OR B. BELOW: COMPLIANCE IS HEREBY LOCAL LAW # ,19 SIGNED: CERTIFIED V~FITH THE REQUIREMENTS DATED: COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS LOCAL LAW # , 19__, AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: OF OF C/C(93) AI'I'IA( ?xTl()~ T() Till,', S()Iq~II()IA)T()W~ I[{),\RI) {)1,' AI'I'I,;,\I,S I)arccll.ocaiion: IlousrNo. Nil'ecl ~C'I'M l llllO ~cciion I?_-~ IIIock~ I,oI(~)Z~,~r Lot ~ize /,{)tie I)islricl I (YVE)AI'I'I,~AI, Till,', %~rl,~l'l"l'l'~N I)I,71'I,',I,~MINATION (IF Till,', IHIII,DIN(; INSPI"A?rI'OR Tele rhone:__ (~o'~d') Please specify who yon wish corresl)on(leuce to lie maile(I to, from the al)ore listed lian]~s: Il Applicant/Owner(s) .,~M'Anthorized Rel)resenlative II Other: 5VIIERIi:IIY TIlE IlllIIA)ING INSI)ECTO1~, I)IgNIEI) AN APl)lAC:VI'ION I)ATED FOR: ~ Buihling Pecmit I1 Certificate of Occupancy El Pre-Certificate of Occnpancy ( I Change of Use I I Permit fi)r As-Built Construction [I Olher: Provision of the Zoning Or(linance Al)l)eale(I. ln(licaie Article, Section, Snl)section anti paragral)h of Zoning Ordinance l)y numbers. Do not quote tile code. Article T.~ t~ Section 100- ~ Subset(ion ~ Type of Alii)cal. An Apl)cai is made fol': ~4 A Variance to the Zoning Code or Zoning Map. 'U A Variance (hic to lack of access require(I I)y New York Town I,a~v-Seciion 280-A. I J lnterpretalion of lite Town Code, Article Section [] Reversal or Other A prior appeal {J has ~has not been made with respect to this l)rol]erty UNI)IG{ Al)peal No. ___Year _ __. . Appeal Application, Continued Parl ,,\: .,IRh',,I 1 ;,IRI/INCE Rlz', iSO/VS (attach extra shec! a,~ needed): (I) An iHl(lL'si]'al)]c cliallge will nol lie in'udueed iii the CIIAI).A( "1'1~:1~ of iJl~ nci~hlmrhood o1' a dell'illlelll lo nearby In'Ol)eliies, if gl'llllled, I)ccallse: ~i~ HO L)~ ~ ~LItG7 (]) The IJenel'il seushl by thc appli~a~H (:ANNOT bo achieved by ~ome m~llmd l~ible Ibr die applic~nl 1~ (3) The amount of relief requested is hal substanlial because: (4) The variance will NOT have an adverse effeet or impact on the physical or environmental conditions ii) lite neighbm'hood or district because: C~O~J~,iTIOl0~ cu~CL~ Ce:.~lXt Id '7/~ ~.IB_C- (5) Ilas lite variance been self-create(l'.~ ( ) Yes, or Q() No. If nol, is lite construction existing, as built? (~) Yes, or ( )No. (6) AddiHonal inforination about the surrounding topography ami building areas that relate to the difficulty in meeting the code requirements: (Please altach selmrate sheet.) ~o(~7~ [~ ~[-~C7~ ~ ~T~ ~o ,~:7L~~ This is the IMINIMUM lhat is necessary and adequate, and at the same time preserves and ln'otects the character of/lie neighlmrhood and the health, safety, and welfare of the community. ( ) Check this I)ex ami coml)lete I'ART B, Questions 8, 9, and 10 I)elaw il' USE VARIANCE STANDARDS al)lilY. (Please consult your attorney.) Olherwise~ please proceed to Ihe s gu mire and notary area below. Part B: RE/I,YON3' FOR USE VARIANCE (if requested): For Each and Every Permilted Use umler the Zoning Regulalions for the Particular District Where the Project is Located (please consult your attorney before coinpleling): (7) The alq)licant CANNOT realize a I,II!;ASONAIILE RL 1 URN bec se (descill)e on a separate sheet). (8) The IIARI)SlllP relates to lite prol)erty and does not apply to a substantial portion of the district or 1)eighborhood because: (describe on a SClmratc sheet). (9) The relief requeste(I will not alter lite essential CI1AI~,ACTER of the neighborhood because: (describe on a separate shee0. The spirit of the zoning ordinance will lie observed. The public safety and welfare will be secured and substanlial justice done. Si~lll~e of Apl)el[ant or ~lll~gellt SwOrll Jo before me lids (Notary Public) (Agent intist sul)mit Authorization from Owner) hlELANIE V. No. 4~7l~ ZBA App 08/02 API~LICANT TI~,ANSA(YI'IONAI, I)ISCLOSUP, I~ FOI>,M T c Toxxn or'S{ uth~ t's (' ~clc t I'l!lhics p ohibils co ] c s ' ~ crczsl on thc part of'l'own officers and cmployccs. Thc pnrposc of this form is to providc information, which can alert the Town of possible conflicts off interest at~d allow it to take whatever action is necessary to avoid samc. YOUR NAME: (l.,~t name, first namc, middle initial, unless you arc applying in tile name oI' someone clsc or other entity, such as a compauy If so. mdicatc thc other pcrson or company name ) NATURE OF APPI,ICATION: (Check all that apply.) Tax Grievance Variance Change of Zonc Approval of Plat Exemption from Plat or Official Map Other If "Other", name tile activity: Do yo~ pcrsonally, (or through your company, spouse, sibling, parent, or child) have a relationship wdh any officer or employee of tile Town of Soufllold? "Relationship" includes by blood, marriage, or bosiucss interest. "Bnsiness interest" means a bosiness, including a partnership, in which tbe Town officer or employee has even a partial owncrship of (or employment by) a corporation m which the Town officer or employee owns more than 5% of the shares. YES NO y If you answered '~YES", complete the balance of this form and date and sign vvherc indicated. Name of person Cml)loycd by thc Town of Southold: Title or position of that person: Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A throagh D (below) and/or describe the relationship in the space provided. Thc Town officer or employee or bis or her spouse, sibling, parent, or child is (cbeck all that apply): A) thc owner of greatcr than 5% of tile shares of tile corporate stock of the applicaat (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (,,,,,hen the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) tbe actnal applicant. DESCRIPTION OF RELATIONS1 liP Submitted this / ;'-~ ..41ay of. Print N,'uo~'C,,,/J. OWNERS ENDORSEMENT STATE OF NEW YORK) COUNTY OF SUFFOLK) SS: in the County of Suffolk and the State of New York. , being duly sworn, deposes and says: And I am the owner in fee of the premises described in the foregoing application and that I have authorized Diane Herold, Architect To make the foregoing application as described herein. Sign~4~( Sworn before me this ~ ~ day of ~-~V~ ,2003 Notary Public NoJa"j PubSc, SJ..~e c~ N~w No. 4008712 PItO,II~;CT Dli:~CRI PTION (Please indmle with Z,B.A. Aplflication) !! Jmilding tg cxtsting and alteraliol~,s/additiong/renovatiol~.g are A. Please gixe thc dimensions alRI overall square tbolagc o 'c~lcnsic ~ beyond existjBg build{0g: I)imcnsions/sizc: BO0~ .~~_ ~~T~6 S~ t a e Ibolagc: ...... --~ B. ['lease give fl~e dimensions and square footage of new proposed [kmlidation in'cas which do not extend beyond lhe existin~tlildil~g: Dimensions/size: ~L ' '" ~ Square [borage: , ~K Il. If 13BtLi_,_s yacanl1 Please give dimensions and overall square fi~otagc of new conslruclion: Dimension/size: ........... Square lbotagc: Ileight: l Il. Purl*ose and usc of new COlistruclion requested in this application: IV. Additional inlbrmaiion about the surrounding contours or nearby buildings lhat relate to the difficulty in meeting Ihe code requiremcnl(s): V. Pleasc subinit seven (7) photos/scls after staking corners of the proposed new construction. 7/02 Pledse note: Further changes, after submitting the .bore ir~brmation, mu,¥t be placed in writing and may require a new Notice qf Disapl.'oval to show changes to the initial plans. ~£additional time is needed, please contact our ~)2ce, or please check with BuiMing Del~artme.t (765-1802) or Apf)eals Department (765-1809) tf.volt are not xure. ?'bank yott. DEPARTMENT OF THE ARMY NEW¥ORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVlTS FEDERAL BUILDING NEW YORK, N.Y. 10278-0090 __ A~NTRDNOF November 6, 2002 Eastern Permits Section SUBJECT: Joint Application with New York State Department Environmental Conservation of J. Parker Wickham Marratooka Point Mattituck, New York Dear Mr. Wickham: 11952 We have recently received a copy of the Joint Application for permit you filed with the New York State Department of Environmental Conservation (NYSDEC). Please be advised we have reviewed the copy of the Joint Application sent to this office by NYSDEC. Based solely upon the information provided, it appears that a Department of the Army permit is not required for your proposal. The Department of the Army regulates construction activities in navigable waterways and~discharges of dredged or fill material into waters of the United States, including inland and coastal wetlands. If your proposal would involve such work, and h~s"not been portrayed as such in your Joint Application, you should contact this office immediately so that a project-specific determination can be made as to whether a Department of the Army permit will be required. Any inquiries can be directed to this office at (212) 264- 3912, 3913, 6730, or 6731. Sincerely, Marc Helman Acting Chief, Eastern Permits Section Diane Herold, Architect P.O. Box 884 Westhampton Beach, New York I 1978 May 21, 2003 Town of Southold Office of Building Inspectoi Town Hall P.O. Box 1179 Southold, New York 11971 20O3 Re: building permit application for Parker Wickham ?i0 Park Avenue Extension, Mattituck Dear Building Inspectors: This building permit application is being submitted with the following revision: The house and attached decks will be moved as one piece in order to allow the installation of the new pile foundation. Them will be no new construction. This work is intended only to replace a deteriorating foundation and to raise the house to the required elevatic, n indicated on the FIRM Flood Insurance Rate Map. Therefore, this project has to conform to Chapter K11 Relocated Structures of the Building Code of New York State. The new foundation has been designed to conform to Section K1101.2 Foundations. Please contact me if them is additional information that is needed before the building permit may be issued. Sincerely, Diane Herold 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 July 18th, 2006 Leigh P. Wickham P.O. Box 1312 Mattituck, N.Y. 11952 RE: 710 Park Avenue Ext. SCTM# 123 0008 028.005 Dear Ms. Wickham, Please be advised that your Building Permit #29859 issued November 7th, 2003 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 $250.00 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 Southold. New York 11971-0959 Fax (631 ) 765-9502 Telephone (631 ) 765- 1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 2, 2006 J.PARKER WICKHAM P.O. BOX 1312 MATTITUCK, N.Y. 11952 To Whom It May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Electrical Certificate on file. The Check is not on file. - $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984.) Certificate of Compliance from Southold Town Trustees. BUILDING PERMIT #32237-Z Town Hall Annex 54375 Main Road P.O. Box 1179 South(lid, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765 9502 November 29,2011 BUILDING DEPARTMENT TOWN OF SOUTHOLD Leigh Wickham PO Box 1312 Mattituck, NY 11952 Re: 710 Park Ave Ext, Mattituck TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: ~'/Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. ~//'A fee of $25.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 411184) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. - Bob Fisher __ Final Landmark Preservation approval. BUILDING PERMIT: 32237 - Raise an Existing Building on Pilings Town Hall Annex 54375 Main Road P.O, Box 1179 Southold~ N Y 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 15, 2012 Leigh Wickham ~ Mattituck, NY 11952 ~ Re: 710 Park Ave Ext., Mattituck 3rd REQUEST TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: ,// Application for Certificate of Occupancy. (Enclosed) __ Electrical Underwriters Certificate. (contact your electrician) v// A fee of $25.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) __ Trustees Certificate of Compliance. (Tow~ Trustees # 765-1892) __ Final Planning Board Approval. (Planning # 765-1938) __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT: 32237 - Raise an Existing Building on Pilings NEW YORK STATE INSURANCE FUND 199 CI{URCH STREET, N~W YOI~K, N,¥. 10007-~Z00 1-898-9~?-3963 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE P.O.~OZ 117~-$3-5 MAIN STKEgT ~0U~OLD N~Z 11971 ERS' OOMP~NSATION LAW WZT~ E~SPBCT TO ~tLL OPerATIONS IN T~E STATE 0~ NEW EXCEPT ~ Ih~DI~TID IF SAXD 13OLICY IS CA~CELLED, OR C~D ~RIOR TO 4/01/200% TO A~tT ~IS CERTIFICATE, 10 DA~ WRZ~ NCTIC~ WI~ ~ ~I~N TO ~ CERTIFICATE ~R ~0~. ~TIC~ ~Y F~ DOES N~ ~E~ ~ L~ZL~ IN ~ ~ OF FAILU~ ~ THIS C~TIFI~TE ~ES N~APELY ~ BU~I~ D~MOLITZON. THIS C~TIPICAT~ :S I~SU~D A~ A MATTER OF INFORMATION O~L¥ A~D CONFE~S NO RIGHTS NOR INSt~C~ CO1/~It~S ~N ~ ~TIFZ~ HO~. T~rS ~ETzF~TE ~ NOT U-26.3 THE TOVAL P.O1 PANEL 0144 RM 85 X X ZONE X Town of Southold 360813 ZONE 72* 30' 00" 41o©000" C ZONE X ZONE X ZONE X ZONE X ZONE X Z(N~iE X ZONE X ZONE X ZONE COASTAL BASE FLOOD ELEVATIONS APPLY ONLY LANDWARD OF O0 NGVD cOMPLY WITH ALL CODES OF NEW YORK STATE & TOWN cODE8 AS REQUIRED AND CONDITIONS OF FOR POURED CONCRETE ,.,o~...,,,,,,~,o,,,',-,'''"'"~ . ,.uu~ZOh~ v~-./,~. . ~.~,~ o~- ;~ MPLY WITH 4. FINAL · CONSTRUCTION MUST ~ L)OD,OAMA~ ~' REQUIREMENTS OF THE COBES~ OCCUPANCY OR UNDERWRIT~RS CERTIFICATE USE IS UNLAWFUL WITHOUT CERTIFICATE OFOCCUPANCY 1