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Home My WebLink About28165-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29197 Date: 01/15/03 T~IS ~TIFIES t~at the building ADDITION Location of Property: 145 WAVECREST LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 100 Block 1 Lot 12 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 12, 2002 pursuant to which Building Permit No. 28165-Z dated MARCH 12, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NANCY D ARNZEN of the aforesaid building. (OWNER) SUFFOLK COUNTYDEPARTMENTOF -K~J~T~APPROVAL ELEt-£RICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DAr~3 N/A N/A N/A /~//z~ Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIT~ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28165 Z Date MARCH 12, 2002 Permission is hereby granted to: NANCY D ARNZEN 145 WAVECREST LANE MATTITUCK,NY 11952 for : ADDITION TO AN EXISTING REAR DECK AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 100 pursuant to application dated MARCH Building Inspector. Fee $ 150.00 145 WAVECREST LA MATTITUCK Block 0001 Lot NO. 012 12, 2002 and approved by the Rev. 2/19/98 COPY Form No. 6 ?aa TOWN OF SOUT} OI, ) 'J~ ] '~ """BUILDING DEP~TMENT TO~ H~L ' 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and sinfilar 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) hon-conforming uses, or buildings and "pre-existing" land uses: 1. 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. 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 $25.00, 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 - $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: (check one), Loeation of Property: It~ ..~ ~,j/~.~/~_._c.~--~--~-~w--~ ~ House No. Street Owner or Owners oferoperty: ~xJ ~. c-, a__,,,~ ,&,~. vo-Z~---r~ Suffolk County Tax Map No 1000, Section //d/g) Block Subdivision Permit No. ~ Health Dept. Approval: Lot: Filed Map. Date of Permit. ~'~\~z.\c, 7-- Applicant: ~ Underwriters Approval: Final Certificate: x~ (check one) Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~ ~ BUILDING PERMIT EXAMINER CHECK LIST APPLICANT: ]~,7~/~E,,7 DATE ISSUED: / /02 DATE REVIEWED: ~-.'" / ?~./02 DATt~'SUBMITTED: , ?/Z~_/02 SCTM# DISTRICT: 1,000, SECTION: /73o , BLOCK: / , LOT: STREET ADDRESS: ~¢'ff ?_x.)~c;£c'£~it~.T ~,O. CITY: ,0~;'r ~C~' PROJECT DESCRIPTION: ~/~-)~C.~ ~1 ESTIMATED PROJECT COST: ~'~,~.Oa ARCHITECT/ENGINEER: SUBDIVISION: FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? ,4/~ NOTES: ~ LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1/83) ZONING DISTRICT: REQ. LOT SIZE: }"or ,,o o REQ. FRONT ,a/tV REQ. REAR 35> WATER FRONT? PANEL #: "qO CONFORMING? ,40 ACT. LOT SIZE.-~,~/~$! REQ. LOT COV. PROP. FRONT PROP. REAR FLOOD ZONE: / REQ SDE DESCRIPTION: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES (BED #):.__ TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: ~-n~c ~n/?~ YES or~ SOUTHOLD TOWN TRUSTEES: YES or~ TOWN ZONING BOARD APPROVAL: YES or~ TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES o NYS ENERGY: YES OR 1~ : (18 H min.? 4 sq~total) _~-- VENT (SQ. FT. x 4%)__ EGRESS BUILDING PERMITS OPEN/EXPn{ED: BP HAVE PRE CO'S: Y OR N BP NOTES: DTE: / / PERMIT #:RI 0- -Z / C/0 Z- -Z / C/0 Z- LIGHT (SQ. FT. x 8%) FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: 13~ ~ OTHER: TOTAL: 1.( ~4 SF)-( ! 2. ( SF)- ( SF SF SF SF)= SF X $__=$ +$ INIT OTHER TOTAL FEE FEE FEE +$ =$ SF)= SF X $__=$ +$ +$ = $ 765-1~0Z BUILDING DEPT. INSPECTION [,~FOUNDATION 1ST [ ] ROUGHPLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE , Z.~ INSPECTOR 7G5-'1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS~IL'ATION [ ] FRAMING [~ FINAL []FIREPLACE&CHIMNEY REMARKS: DATE ///~ /~ ~ INSPECTOR FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & -- PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS BUI[LDfNG DEPA_RIWiENT TOWN' HALL SOUTHOLD, NY 11971 TEL: 765-1802 , E~c~5~ed ., 20 Appzovcd ,20 Dis~oved ~'c P~RIHT NO. · Phone: Buila;,,S ~r ,20 .INSTRUCTIONS a. Tbxs application MUST bc sets of p~a, acc~;~.plot p~ ~ ~. F~ ~n~ ~. b. Plot p~ ~o~ l~on 9f~ ~ ofbmq~ ~p~c~ ~a~o~.W ~S~s or pubic s~cets ~aS, ~d WaI~ays. c. The work oov~'by &. L~on ~o~ of sba U bc kept on ~ pr~i~ a~ f~ is ~sued by ~e' ~g Rogations, for ~¢ 6o~on of ~. ~dP~O~, ~ ~ or f~ ~ ~ ~ ~ ~ dcs~bed. ~c appHc=t a~ees to c(-%-ly ~ ~ ~ hW~ ~, ~ ~ ~'~S ~ ~~, a~d to admi~ State whemcr applicant is. oWner, lcd. Cc,' agcat, a~ caging, gear..~ c0~r, cl~tti~m, pluzxber or.bnitder (as on thc mx roll orht~ If apphcant is a corporation, signature of&J!y antho~.' ed officer (Name and title of corp0~tc Pl~bers Lice~e No. Electricians License No. Other Trade's License No, 1. Location of land on whida propo~ work w~ll 1~ do~: House Number cowry Tax Map No: t000 $~Xioa [¢} 0' Subd/vision . ~ Existi~.~e and omait~cy, ~ ~_¢-~i 'x-_ ., . 3. Nature of work. (check which at~plicab!e): New. Building' · Aa,,,,,on Repair 'P~mowl Demolition ~7' .Other Work 4. Estimated Cost -~_:_OrD -- ' . l~ce ;' 5. I£dwetli~g, m~rnber of dwelling ~m{B / tf garage, number of cars / Alteration (Description) (to be paid on 61i'r,g gais atYplScadon) Number of dwelling mzits on each floor Dim e~sions of eaztire new COnstruction: Front Height 'Number of Stories ' Number of Stories Rear .... Depth Rea r 9. S/ze o£k>t: Front . Rear ...... . .Depth . ] 0. Date of Purchase Name ofFo~,,,er Owa~ 3worn to before me this _ . 11. Zon.e or use district in'whieh t>rem~e, are sim,t_~l' ' ~. Does proposed.consa~--tton vrolate ~ny z .orang law, ordinance or ~b:nllati°~' 13. W'iJL1 lot be re,graded ~ d-~:~ · VCffi ~c~ ~ be. re~l:laoved.:fzlxll ~remlses: YES Name.of Architect' u 2~rl._t~,r~. ' . Phozte No ' Name of Contra~or_.Qc~aa TcJrr~-~c~, gl~tm(~ Addre~ tF20 ~_0r- _%~td Phozze NO,' l $' Is this property with~ni l OO feet °f a lirl~ w~land? *YES' 'NO t 6. Pro%de survey, to scale, Wi~ m foundatiozi plan end dLqtances'to propewy li~e~.. STATE OF N'EV¢ SS: COUNT'z- OF~i_~~ .' .. ~,,¥,,,. ~,,,, ...... ', ,,.. SUR¥ EY FOR LOT 15 "SALTAIRE ESTATES" N.' MATTITUCK T~N OF SOUTHOLD $ECU~I~ TIT~E $ GUARANTY SCALE' I "· 40' SOU~OL~ S~S ~X YOUNG ~ YOUNG RIV[flH[AD ~ N.Y, m : MONUMENT SUtDtVIIION NAP FIL£O IN THE OFFICE: OF' THir CL.[~K OF' ~UFFOLK COUNTT ON AUG. ], 1966 AS MAP NO. 4682, V