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Home My WebLink About28086-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28299 Date: 03/22/02 THIS CERTIFIES that the building RENOVATION Location of Property: 1030 WICKHAM AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 140 Block 2 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 13, 2002 pursuant to which Building Permit No. 28086-Z dated FEBRUARY 14, 2002 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 RENOVATION OF EXISTING COVERED FRONT PORCH "AS BUILT" AS APPLIED FOR. The certificate is issued to THOMAS MILESKA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Aut rized S gnature 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. 28086 Z Date FEBRUARY 14 , 2002 Permission is hereby granted to: THOMAS MILESKA PO BOX 203 MATTITUCK,NY 11952 for RESTORATION TO EXISTING COVERED FRONT PORCH "AS BUILT" AS APPLIED FOR at premises located at 1030 WICKHAM AVE MATTITUCK County Tax Map No. 473889 Section 140 Block 0002 Lot No. 007 pursuant to application dated FEBRUARY 13 , 2002 and approved by the Building Inspector. Fee $ 300 . 00 Authorized Signature COPY Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 MAR 2 0 W , AjFj.I.^.ATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted. 1710 thd bui inspector with the following: for new building or new use: 1 . Final surey of -property with accurate location of all buildings, property 1 streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 f• 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system conta less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bu and installations, a certificate of Code Compliance from architect or engine 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 building '-'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building anc unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the appli If a Certificate of Occupancy is denied, the Building Inspector shall state t reasons therefor 1n writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25. Additions to accessory building $25.00. Businesses $50.00. 2. Certificate -of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .3.� .7 �.�L . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . . .. Old Or Pre-existing Building. .`. . .. . . . . . . . Location of Property. . . 1 V 3.o. . . . . . . . .. . .. .Y\/r clFlnq .. �r�ytcc�2-. . . . . . . . . ..I. . . ... . . . House No. . • .•Street . . • • Hamlet Onwer or Owners of Property.. . A d m4s...T.. : 00 0(a BUILDING DEPT. INSPECTION i [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOU ATION 2ND [ ] INSULATION [ FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE INSPECTOR�� Rc suauiNc DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBl3. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 3 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION(1ST) y ------------------------------------ -�C SCOD FOUNDATION(2ND) Z O a ' ►-3 ROUGH FRAMING& PLUMBING c x INSULATION PER N.Y. STATE ENERGY CODE 3 Oo FINAL ADDITIONAL COMMENTS O Z m c DC ro 0 O z x E� y x tC m b y BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL, SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N..Y. 11971 TEL: 765-1802 NOTIFY: CALL 23. �. .g. . . . . Examined........ ��:.., tly MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved....... /. .., n?tq'?X- Permit No. Ru dQ 6 J .................................... Disapproveda/c .................................. ............................ ...................................................... ..................... kk.e r (Building' ector�}pl' � � 1 � c FB E 320 P KATION FOR BUILDING PERMIT Date. LA-c4v TT qq 229,� Eats �''` INSTRUCTIONS x.74 jlypmo. a. This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector wii 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 mist be drawn on the diagram which is part of this application. c. the work covered by this application may not be cmmenced 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 MAIE 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 authorized inspectors on premises and in building for necessary itions. .... ....... ............... (Signature of applicant, or name, i7f�a corporation) �o n�"I '1"ISG��Y- �$�85. �:►, Koaci drrpnf 11�/� ................ ....... ................. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Ga w4-r- t.C-4-0-y" _ .................................................................................. ......... .AP.R .. Name of owner of premises ....�.1:�.P.!'?'�. �:...1:!.�. �.r:?.g................DATE• $.� Q _ (as on the tax roll or latest deed) FmE/ 2do• BY: If applicant is a corporation, signature of duly authorized officer. NOTIFY BUILDING DEPARTMENT AT UNDERWRITERS=F'CATE 765.1802 9 AM TO 4 PM FOR THE .....:.............................. . ....... REQUIRED FOLLOWING INSPECTIONS: (Name and title of corporate officer) A. FO"KInATION - TWO REQUIRED OCCUPANCY OR "1 - •JREDCONCRETE C - FRAMING & PLUMBING Builders License No. ............. ' H.......... �...... USE IS UNLA��FUI. � �. .,uLATION Plumbers License No. ...N ..............WITHOUT CERTIFIC�ik F COMPLETE STION MUST R o Electricians License No. ... '.................. OF OCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. Other Trade's License No. ............. STATE CONSTRUCTION & ENERGY I. Location of land on which proposed work will be done........................Q�S. NOT RESPONSIBLE FOR .. [jI '......... OR CONSTRUCTION ERRORS lc�3 � W cicJ�a oc`�'� � }uelc ...................................l........rn....... ................................................................ House Nuuber Street Hamlet County Tas Map No. 1000 Section .....t 9.i7....... Elock .......Q...... Lot ... ........... Subdivision ...................................... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and oc S ►r, l e;, pct. r., I'l �;e.S 1.9Q ri f.Q.......... b. Intended use and occupancy ...... Q ::1.: ............................................................ r 3. Nature of (check w}►ich applicable): New Building .......... Addition .......... Alteration Repair . ...... " Renal ............. Demolition F `r, 1,4 exr.i'r. ... ............ Ocher Work R< .a.t. Y.F:C bK h 1�.ex S.riq 4-rC (Description) 4. Estimated Cost ..i3 U o a. ........... .,. .j fee •............................................. -(to be paid on filing this.application) 5. If t ,)elling, nunber of dwelling units kb........ Number of dwelling units on each floor ................ If garage, rxnmber of cars ...................SCI L.A.z L 6.c-.:``... 5. If business, commercial or mixed occupancy, specify nature and exten of each type of use...................... 1. Dimensions of existing structures, if any: Front................ Re ............... Depth ................. }}eight ......................... Number of Stories ..............• ..... Dimensions of sane structure with alterations or additions: Front .............. Rear ............... Depth .................. Height .................... Number of ories ............... 3. Dimensions of entire new construction: Front .............. ar ............... Depth .............. Height ......................... Number ot'Stories ................ r", 1. Size of lot: Front .................... Rear ................. Depthl.................... 10. Date of Purchase ..................... Name Former Owner ........... rt.. .a...... 11. Zone or use district in which premises a situated .............................................................. 12. Does proposed construction violate any ing law, ordinance or regulation: ........................ 13. Will lot be regraded ....NR............ Will excess fill be removed from premises: YES NCO 14. Names of Owner of premises ?o rn c?s.,M► r s�c�... Address �:. dX.7r.�r�... 4 :hCltYt>orhe No. Name of Architect ..... ........................... Address ......... .............. ... Phone No. ............. Name of Contractor ..,.��.t..e--( ,;.,i s t;�✓......... Address 87 .M ri lh 1 rte y,►.7�..Phone No3�C � .$. . 15. Is dhis property within 300 feet of a tidal wetland? * YES .......... NO :......... *IF YES, SULM D Tl'A THIISlM PERMIT MAY BE I WIM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all setback dimensions from property lines. Give street and block number or description according to deed, and show street aaamea and indicate Acether interior or corner lot. I * 7 •••... =1: ;�--. S .......being duly sworn, deposes and says that he is the applicant (Name of xntlividual signnmg contract) a above nahme(�',`�� A Te is the . .. .... ..................... ......................................... 1 ,„.i tq Gvntractor, ent,,corporate officer, etc.) �.ikkm,1SM s. DU said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this 9pplication; that all statements contained in this application are true to the best of his knowledge and.beliefand that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ......... day of ..... .19-4. 2 . Notary is ... .. ...... ... . .. CL JRE L GLEW (Signature of Applicant) Notary Nob01GL4879505 York Qualified in Suffolk Co i Commission Expires Dec.8, B.U- lL--D I-Pdr -LrJ T�x,r T - ��LI J--J � [7 S I- Applicant/ Date � Owners Name:/�'� I es k(z(esReviewed: d11y I-0 a Architect/ Date Engineer: f Submitted: /3 0;�, SCTM District: 1.000 Sectjon: Block: Lot: Project Subdivision Location: /0,30 VL � •-,—K .Name: Single & separate Required , rr certification: (Yes/No) N 0 Req 1� /y,, Req T-- Zoning Disaicl'.? Y I l,ol size: _fy u Acwal: I (Loi coverage j2P- -opoSe d G . Req Req Req. ((wont Yard _Proposed` (Side Yard S ' Proposed:�� [Rear Yard _ Propose e Project Desc AGENCWERMITS Permit SQUIRED FOR RE VIEW N.A. N YES Number Suffolk County Health.Dept. 4,� New York State D. E. C. Town Trustees Town Zoning Board:approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes v 60, a • i *•s#'s &C. 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