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Home My WebLink About30248-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30167 Date: 04/30/04 THIS CERTIFIES that the building ALTERATION Location of Property: 135 MOCKINGBIRD LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 15.61 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15, 2004 pursuant to which Building Permit No. 30248-Z dated APRIL 21, 2004 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 "AS BUILT" ALTERATION TO FINISH SECOND FLOOR OF AN EXISITING ONE FAMILY DWELLING AS APPLIED FOR. CONSTRUCTION CERTIFIED BY WARREN A SAMBACH, SR ENGINEER ON 4/26/04. The certificate is issued to TODD & KAREN SANFT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1204955 04/22/04 PLUMBERS CERTIFICATION DATED 04/08 04 PECONIC PLUMBING & HEAT Authorized Si ture 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. 30248 Z Date APRIL 21, 2004 Permission is hereby granted to: TODD & KAREN SANFT 135 MOCKINGBIRD LANE SOUTHOLD,NY 11971 for AS BUILT ALTERATIONS TO AN EXISTING ATTIC AS APPLIED FOR. ADDITIONAL CERTIFICATION MAY BE REQUIRED. at premises located at 135 MOCKINGBIRD LA SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015 . 061 pursuant to application dated APRIL 15, 2004 and approved by the Building Inspector to expire on OCTOBER 21, 2005 . Fee $ 300 . 00 A hor ed Sig e 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 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 similar 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)non-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,,Iterations 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 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: V" (check one) Location of Property: 0 1 dJ House No. Str&A Hamlet Owner or Owners of Property: O cls• GLn CL Kosj, a_fol (- Suffolk Coun't'y Tax Map No 1000, Section bBlock Lot IS. 0(v 1 Subdivision rt n�- Ltk�0�� Z. Filed Map. !M ( Lot: Permit No. 0 8 DatetfPermit�� Applicant: L L n Clf7 .n, Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) OV Fee Submitted: $ �' S �� lU 5799 a Applicant Signature La.Q Q L,;dc, wl \e n f eo_� WARREN A.SAMBACH,SR. CONSULTING ENGINEERS•PLANNERS 7675 COX LANE • P.O.BOX 1033 -CUTCHOGUE,NY 11935 - 6 3 1.';JR19 734-7492 -R IGM April 15 200�'� Building Department Town of Southold. P-0-Box 1170 Main Road Southold NY 11971 Re: Todd Sanft 135 Mockingbird Lane Southold NY 11971 SCTM: 1000-55-6-15 .61 To Whom it May Concern: Site observation reveals that all construction for second floor conforms to the Residental Building Code of the State of New York. Sincerely, " ��j^ Warren A. Sambach Sr. P.E. was:s �sript�� 69 o,.q � WARREN A.SAMBACH,SR. CONSULTING ENGINEERS•PLANNERS 7675 COX LANE • P.O.BOX 1033 CUTCHOGUE,NY 11935 6 3 1- (0p)734-7492 April 26 2oo4 Building Department Town of Southold P.O. Box 1170 Main Road Southold NY 11971 Re: Todd Sanft 135 Mockingbird Lane Southold. NY 11871 SCTM: 1000-55-06-15 .61 To Whom it May Concern: Be advised that the insulatiou,plumbing and construction conforms to the Building Code and New York State Residence Building Code. Sincerely, Lni,w,L� ktvw Warren A. Sambach Sr. P.E. was:s cc: Owner > 262004 Lt D0 0S-� �•�� TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET / 3-5 VILLAGE DIST. SUB. LOT To-ac� 0 Land SO o ld i h int ajows s°cs ACR. REMARKS TYPE OF BLD. p , s E-6 �L�u� �� q 9a - P a v 3 - w et ; � � PROP. CLASS LAND IMP. TOTAL DATE F -453906, 06 J Do: 3 av q2 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND /(000 BULKHEAD HOUSE/LOT TOTAL �� ■■■■■■■■■■■■■■■■!■■■ ■■■■■!■■■■■■!■■■■MEN ■■■■■■�I!'�'!li■iii■ii!■ ■■■■■■■IM■■iN■■■■MEM M■ ■N■■■■■■■IN■■■■O■■ ■■■■■■!■■■r■!®Mee■■■ UMM— Basement Ext. Walls Interior Finish Fire Place Rooms 1st Floor Driveway Rooms 2nd Floor r i o�'$uFFot,�oo Town Hall,53095 Main Road Q Fax(631)765-9502 P.O.Box 1179 'y�O ��`' Telephone(631)765-1802 Southold,New York 11971-0959 1 `�► BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: 4L,�-Lo Building Permit No. 0 Z y Owner: l b d d�- c�-nO-� IKLre:-) san f f-- (please print) Plumber: 8no VI ,(- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. lumbers e) Sworn to before me this day of /41)r, ) 20_Ly__ SNotary Public, County VKX Noisy P�II6k WW VA GuaMM ib commissimn Expires l�/ rIJ'' -' 51 o� y� BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 Upon the application of upon premises owned by G &S ELECTRICAL CONTR. TODD SANFT 5 P.O. BOX 215 135 MOCKINGBIRD LA. S SOUTHOLD, NY 11971, SOUTHOLD, NY 11971 5 Located at 135 MOCKINGBIRD LA. SOUTHOLD, NY 11971 Application Number: 1204955 Certificate Number: 1204955 e� Section: Block: Lot: Building Permit: BDC: ns11 5 S Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Second Floor, S A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 22nd Day of April,2004. Name QTY Rate Ra me Circuit T Te Alarm and Emergency Equipment Sensor 1 0 Carbon Monoxide Sensor 3 0 Smoke Appliances and Accessories Exhaust Fan 1 0 F.H.P. Wiring and Devices Receptacle 17 0 General Purpose Switch 9 0 General Purpose Fixture 5 0 Incandescent Paddle Fan 3 0 Receptacle 1 0 GFCI Ir 5 seal 1 of 1 S This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. WARREN A.SAMBACH,SR. CONSULTING ENGINEERS•PLANNERS 7675 COX LANE P.O.BOX 1033 --CUTCHOGUE,NY 11935 6 31;K54J1734-7492 R ! 6 April 15 200 ' Building Department Town of Southold. P.O.Box 1170 Main Road Southold NY 11971 Re: Todd Sanft 135 Mockingbird Lane Southold NY 11971 SCTM: 1000-55-6-15.61 To Whom it May Concern: Site observation reveals that all construction for second floor conforms to the R-Isidental Building Code of the State of New York. Sincerely, Warren A. Sambach Sr. P.E. was: s 765-7802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ J ROUGH.PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ INAL [ ] FIREPLACE 8 CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: � �� - ��i✓� DATE � � INSPECTO FIELD INSPECTION REPORT DATE COMMENTS la G FOUNDATION(1ST) � ------------------------------------- FOUNDATION(2ND) — V.A C v� • z 0 W ' � H ROUGH FRAMING& PLUMBING s1 y r- n � r INSULATION PER N.Y. � STATE ENERGY CODE H vl FINAL OVAL COMMENTS „O -� m m C3 �c CI O z x r b CEJ b y Apr 07 04 03: 46p Bertani Builders 6317653916 TOWN OF iOLD p' 1 -S� .- BUILDING DEPARTMENT BUILDING PERMIT APPLICATION CHEC� ST TOW11i HALL Do you have or need the following,before applying? SOUTHOLD,NY 11971 Board of Health TEL: (631) 765-1802 4 sets of Building Plans FAX: (631) 765-9502 Planning Board approv—�— WWW. northfork.net/Southold/ PERMIT NO. So Zyg Survey Check Septic Form Examined �I,� N.Y.S.D.E.C. 20_� Trustees Approved 41 20 Contact: z� , Disapproved a/c Mail to: Expiration 10\2-\ _,20 I' Phone: Q2i Building IREpect—or r� APPLICATIOIa i'Q_BUILDING PERMIT 1II A � 5 20 i Date 20�_ � INSTRUCTIONS a 1:tj F*i`ItuST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 ets o�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 reas,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 permit hall 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 what so ever until the Building Inspector ;sues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of :s Z ornot been completed within 18 months from such date.If no zoning amendments or other regulations affecting the r have been enacted in the interim,the Building Inspector may authorize, in writing,.the extension of the permit for an idition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,Ordinances or egulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The 3plicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit ithorized inspectors on premises and in building for necessary ins - i6 o 00 (Signature of plicant or name,if a corporation) ZLi2 111 (Mailing ad ess of a plicant) �ac� ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 3me of owner of premises j ��. �� fir► JI�f (As on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) tilders License No. P q .ambers License No. -ctricians License No. G-t 5 G�cz-�2t her Trade's License No. Locations land on which proposed work will be done: Douse Number �� h p "r -5'a�,,�`-� Street Hamlet CAQ County Tax Map No. 1000 Section `� Block 1�: Lot Subdivision I-41..�Tg4C-L--,s Filed Map No. %!_1 f Lot 04/07/2004 WF.D 15:23 ITX/RX NO 80921 Cunni ripr u t u-r uo: Y ip rserLan i nu i t aers b:j 1'ib5:i516 P. 1 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: r , a. Existing use and occupancy .u [ t •L-ad b. Intended use and occupancy 0�, 1, 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work =Lg-,,c.§Z (Description) 4. Estimated Cost 1-51000 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of 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 9r3 Rear 5; + Depth 3 to Height 22 Number of Stories aZ - Dimensions of same structure with alterations or additions: Front s 3 Rear 5- Depth Depth � 6 ' Height 2 ,2- Number of Stories 8. Dimensions of entire new construction: Front o Rear o Depth U Height o Number of Stories o 9. Size of lot: Front 7 , 2G Rear 7S, & i Depth r - 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated rf-. i 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ✓ 13. Will lot be re-graded?YES NO /Will excess fill be removed from premises? YES NO 11.Names of Owner of premises 1 r K Ja if-i- Addiess 7 ►JW&Ae: Vu-11e /Phone No. 'YID►-qev -grkQ4 Name of Architect �I[.r rc n J 4,�s In c:c�. , Address�7�I i Cu m41.t< 'ne No 631-72y--11 W Z— Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES 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 NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Providesurvey, 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. M,oc- .1and� STATE OF ) �.,- A , S: COUNTY O� I Xl S __V (dd N . being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the 0 W Il e-- (Contra& s g , Corper fficef,etct- 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 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. Swqqi to before me this day ofU AIL 20A ahgj U I � L — ( Notary Pulic signatj of Applicant CHRISTINE M.TIRADO NOTARY,PUBLIC,STATE OF MARYLAND My Commission Expires March 15,2005 04/07/2004 WED 15:24 [TX/RX NO 80931 9 001 &57 OCCUPANCY OR pPpROVR NOTED, USE IS UNLAWFUL _ s DATE: ' 2 y �. t 3048 . I � WITHOUT�I �� CERTIIUAE � n ...,, ��. UUANY �� OF oQ NOTI Y BUILDING DEP yn TIENT AT 765-1602 8 AM TO 4 PM FOR THE d FOLLOWING OLLOWING I1� 1. FOUNDATION TWO REQUIRED (� _. . FOR POURED CONCRETE �ITflSC��YIFICAT� f2. ROUGH - FRAMING & PLUMBINGREQUIRED 13. INSULATION f : L . f 4. FINAL - CONSTRUCTION MUST 4 FJI t: 6E COMPLETE FOR C 0. ., SH ALL CONSTRUCTION ALL MEET THE PlI)MBINO H , # REQUIREMENTS OF THE CODES OF P1EW ALL PLUMBING WASTE H{ WATER LINES NEED z ; YORK STATE. NOT RESPONS16L FOR TESTING BEFORE COVERINOa DESIGN OR CONSTRUCTIONiiRORS, s i ( i pLUMB � CERTIFICATION ON LEAD CONTENT BEFORE: CERTIFICATE OF OC SCLL®Fn USED IN WATER U�f'LY SYSTEM CANNOT � EXCE0 211® ® ®i® L = i' �• 1 _ # m S 44-11%kX�%l i „� G �f✓?f'°�� ".� �` 7 "�aI I� fil �. /Yg}� p d.Y lrvffle��'*p�)".yg t` �p a - .e � o-,. I