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Home My WebLink About28802-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29003 Date: 10/21/02 1]{IS CMKTIFIES tkhat the building ADDITION Location of Property: 6900 WICKHAM AVE MATTITUCK (HOUSE NO. } (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 10 Lot 10.1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 2, 2002 pursuant to which Building Permit No. 28802-Z dated OCTOBER 2, 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 ADDITION TO AN EXISTING ONE FA24ILY DWELLING AS APPLIED FOR. The certificate is issued to CAROL JEAN GIRARDS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENTOFHEALTHAPPROVAL ELEt-rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~rw~3 N/A 10931 12/04/96 N/A r/d Signature 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. 28802 Z Date OCTOBER 2, 2002 Permission is hereby granted to: CAROL JEAN GIRARDS 6900 WICKHAM AVE MATTITUCK,NY 11952 for : CONSTRUCT AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#23197. at premises located at County Tax Map No. 473889 Section 107 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 6900 WICKHAM AVE MATTITUCK Block 0010 Lot No. 010.001 2, 2002 and approved by the 2, 2004. Fee $ 150.00 Rev. 5/8/02 ORIGINAL FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. N.o 23197 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby grant,ethic: ,~ / ..(....~..~....~..~. ~ ............................ ..... .~...¢..~.... ~x?x~.~ ...~... .... i~~~...../...~..~./..../.. ~.~-,----- at premises located at ................................. CounlyTax Map No. 1000 Section ........ /~.....~.. Block ...... /..~ ........... Lot No. /~....~..Z ......... pursuant to application dated ................... ~.,.~...../..'.~... ...... 19.......~,...~'...., and approved bylhe Building Inspector. Rev. 6~30/80 Buil~ling Inspect,cf 10'~,N OF SOU'[HOI_D B UILDIkNG DEPARTMENT T O ~,x~ HALL 765-1802 2 k.: . APPLIC YFION FOR CERtIFICATe: OF OCCt~P~N(~"]- : This application must be filled in by typewriter or bric and submitted to the Building [)epariment with the following: For tle;~ I)uilding or new ~lSe: I. Final su~'ey of property with accurate location of all buildings, property hnes. streets, and unusual natural or topo~n aplfic £eatures 2. Final Approval Ii'om Health Dept of water supply and sewerage-disposal 3. Approval of electrical instatlation from Board of Fire Underwriters. 4. Sworn statement fi'om plumber certifying that the solder used ia system contains less than 2/10 of 1% lead. 5. Conmlercial building, industrial building, multiple residences and similar buildings and installations, a cenific of Code Compliance from architect or engineer responsible for the building. 6. Submit Plamting 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 us~ · 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupant is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1..Certificate of Occupanc[- NeW dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.0( Swimming poo1'$25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.0, 2. Cm-tificate of Occupancy' on Pre-existing Building - $100.00 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occ~upancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. House No. Owner or Ownem ofProperty: ~'~zo~- Suffolk County Tax Map No 1000, Section Subdivision Permit No. c:~ ~'oC~ oq. Health Dept. Approval: Old or Pre-existing Building: Street (cheek one) Block Lot Filed Map. Date ofPemtit. ~.~ ~oh- -C?g..-~ Applicant: Haml~ Undenvtiters Approval: Plaiufing Board Approval: Request for: TemporaD' Certificate Feb Subnfitted: $ Final Certificate: ~ne) " Apphc~nt St~tature DATE: ELECTRICAL INSPECTION SERVICE INC. 375 D UNTON A [~NUE EAST PATCHOGUE. NEW YORK l 1772 (516) 286-6642 t 2/4/96 10931 APPLICATION No. ON' VIDLAGE: ADDRESS: ISSUED TO: MA IWITUCK tOWN: SO UTHOLD 6900 WItTKA ~d A VEMt[ff, RICHARD GIRARD/FLORA NURSERY 1NTRODUCff. D BY: LOCAT[ON: Base. I st X.~r Der Gartrge Hot Tub HOME 0 WNER LIC No: was examined on 12/4/96 and found to be in compliance with the Nttt~onal Electrical Code 2nd 3rd Atnc Pool 2 5 2 1 DISHWASHER DRYER CLOTHES WASH. GAR. DISP. ] RANGE OVEN S&fOKE DETECTOR FURNACE OIL. GAS CIR~ MOTORS : BELL TRAN~ bllgl'mt } ~.aws } ?ltax,SERVICE DISCONNECT OTHER EQUIPMENT BUILDING PERA,IIT No. BLtm O~OINAL Y~LLOWCOrY rINK COrY OmCr HUGO S. SbrRDt PRF. SIDENT 765-1802 BUILDING DEPT. INSPECTION 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INk'iON [ ] FRAMING [/,~ FINAL []FIREPLACE&CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] I~!.ATION [ ~'~INAL REMARKS: DATE //'~//~~ ~// INSPECTOR .................................................................................................................................... ;4x,T~ ~ · ° FUI1M NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 Disnpproved n/c ..................................... ; APPelATION FOR BUILDING PERMIT SETS OF PLA~I$ .......... /-C,l~c~ ......... , z~ SEFT][C FOlttl .............. UOT ! PY ~ it^iL TO: INSTRUCTIONS a. 'FlUs application Inust be completely filled iii by typewriter or lit ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan [o scale. Fee.according to schedule. b. Plot plmt showi,g location of lot and of bulldh~gs on premises, relationship to adjoining premises or public sireels or areas, and giving a detailed description of layout of property must be drawn on lhe diagram which is part of this appli- cation. c. The work covered by thi~ applicalion may not be commenced before issuance of Building Permit. d. Upon approval of [ltis application, the Building Inspector will issued a BuHdhtg P~nnlt to the applicant. Such permit shall be kept on the premises available For inspection throughout the work.. e. No butldlng ghall be occupied or used iu whole or tu parl for any purpose whatever until a CerllHcale of Occupm~cy. shall have been granled by lhe Building Inspector. r APPLICATION IS IIEREBY MADE to the..Buildbtg Department for the issuance of a Building Permit pursu~pt to the Building Zone Ordinance of the Town of $outbold, Suffolk Cot, uty, New York, m~d oiher applicable Laws, Ordinances or R~gUlalions, for the construction of buildings, additions or alterations, or for removal or demolition, as hereilpdescribed. The applicant agrees to cofilply with nil applicable laws, ordinances, building code, housing c~e, and r~ulatibns, and to (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as ou lite tax roll or latest deed) Ir applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electriciau's License No ....................... Oilier Trade's License No ...................... Locatiou of land On which proposed work will be done. O L> ~J{ , .~. ff.t~.. ~-- Ilouse Number Street llamlet Couuly 'l'.x U.p No. I000 S~cflon .............. Block ............ ,,,,,.. Lot: ................ Subdivision ..................................... F{led M.p No ............... Lot ............... ~.1~ ex}~l{ng use .nd occupm~cy of prmuJsc~ ~nd intended u~e .ud occop.ucy of proposed ~on{trucllon: b. hfle,,ded Ose a,,d occupancy ~ ~[7~ g ~'L ¢ ¢ ~ O? 3. Hature of work (check which applicable): New Building .......... Addition .......... Alteration ........ Repair ............. :~ Removal .............. Demolition .............. Oilier Work ............. o',b, :... . .-,O (Description) · ~ O0 -- ~ ~-~ ,00 ,, 15 . ,4. Est,n, atedCos, .... .~.~. ............................. Fee ..... ,1..., ........................... ~ : . (to be paid on filing this application) 5. If dwelling, number16f dwelling units ....... / ....... Nnmber of dwelling nnits on each floor ............... · If garage, nnmber of cars ................................... : ................................... 6. If bnsiness, commercial or mixed occupancy, specify nah~re a. nd extent of each type pfnse ..................... ..... ! ~- t / 7. Dnnenslons of e~latlng structures, If any: Front ...... 0.5 ...... Rear ..... /.' ........ Depth ..... .~'. ~'. ..... lleight ...... /.~. ...... Number of Stories ....................................................... Dm~ensJons of same structure with alterations or additions: l'ront ...... .o}..5'. .......Rear ...... /.5'. ......... Depth ......... ~.~. ~. ........ Height ..... ~.6. :'.. ............ Nnmber of Stories ...~ ................ 8. Dimensions' of entire new constnmtion: Front ...... /..o../ .....Rear ....... /.o..~.... Depth ..... /.o..g. ..... lleight ... ~.../.~,,,/..., Number of Stories .............. /' ......................................... 9. Size of lot: Front ......... ~..q'.'7,/.¥.~ ;.. ' ~ 7 z 2- " o" Rear .......... .~.. ,,... (' .... Depth .... ~.. ~'...~. ........... ~0. Date of Purchase ............ 'f./.~'./. ~.~. ........Name of Former Owner .... /-..-~.... t~..Cfi..~.5.'.~r'ir.<-~' ..... I I. Zone or use district la which premises arc situated ......... : ........................................... 1 2. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ ~' ....~3.Q...~' ..... ~. · .~z~. Will excess fill be removed from premises: Yes ~ 14. Name of Owner of premises . .~.'.~'7~-O~-, . ,~/.7 .... O.//(ff{~kddress ~.o9....~.! . .(-~...d.~..~Phone No..~,:..S'~'~. .... Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ..... ? ............. Phone No ................ is Chis property within 300 feet of a t~dal wetland? *Yes ..... :.. No...PCT.. .... ~If ye~, Southold Town Trustees Permit may be required. PLOT DIAG RAM Locale 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 i,lerior or corner lot. 15. ;TATE OF NEW YORK, :ouNvv OF .................. ........ .~..0t~..t:'. .... .'-~'.':... t~l~ ~ .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bore named. is Ihe ................................ ~ ........................................................ (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly aulborized to perform or have performed the saki work and to make and file lids pplication; that all statements contained in this application are trne to ll~e best of his knowledge and belief; and that the fork will be performed in tho manner set forth in the applicalion filed therewith. worn lo before me tiffs ....... .... ...... . $.54°21'$0'W. now Area = I0.100:5 Acres or formerly Long Island Nurseries o o 0 ENT Ty TAX MAP :T. !o? eL. mo LOT ,R(O omo SURVEY ~'OR RICHARD GIRARDS AT MATTITUCK TOWN OF SOUTHOLD SCALE; I" -' IOO SUFFOLK COUNTY, NEW YORK NO. 86-956 ALTERATION OR ADDITION 'rD mil I(~UARANTEED TO: NCOPIES Glr 11fie SORVEY NOT KANINI THE LAMO SURVEYOR'S INKED SEAL OR EYROSEEID SEAL SHALL RGU&RANTEES INDICATED HEREON MIALL RUN~NLY 1~ T1~ P~R~ON FOR WHOM THE SURYET I~', PREPARED AND ~14 t,~$ BEHALF TO TI.W. TITLE COMPaNy, OOYERN- MENTAL AGENCT AND LENDIN$ INSTITUTION LISTED H~E~,AHD TO ~E ASSfGHKES OF THE LENDING ~S~ITU[I~. GUARAHTEE1 ARE ~T TO A~ITI~AL IHSTITUTI~S OR SUBSEGUENT OWNERS M DII~AMC[I l~N HEREON FROM ~ERTY UNEI TOEXISTINI iTRUC~EI ~E FOR A PURPOSE ANO ARE NOT TO ~E UIEO TO P~PERT~ LINE~ OR FOR THE ERECTION ~ IIJ lYOUNG YOUNG RIVERHEAD~ NEW ALDEN W.YOUNG~PROFE~ION&L ENGINEER ANO LAND SURVEYOR H.Y.S. UCENSE NO. HOWARO W. YOUNG, LANO SURVEYOR Area = 10.1003 Acres I:o. S.54 21:5 W. 697,21' now or formerly Long Island Nurseries ENT wy TAX MAP ;T. IO? BL. lo LOT P/o OlO SURVEY ~rOR RICHARD GIRARDS AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY~ NEW YORK DATE: MAR.9 t 19; SCALE: I' = I00' NO. 86 -956 I GUARANTEED TO: CAROL YOUNG YOUNG RIVERHEAD~ NEW &LOEN W. YOUNG~PROFESSIONAL ENelNEER AND LAND SURVEYOR N.Y.$. UCENSE NO. 1264S HOWl'RD W. YOUNG, LANO SURVEYOR