HomeMy WebLinkAboutZ-31511FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 31511
THIS CERTIFIES that the building DWELLING & ACCESSORIES
Date: 04/04/06
Location of Property 1800 SOUND AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 120 Block 0003 Lot 007
Subdivision
Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 31511 dated APRIL 4, 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 ONE FAMILY DWELLING WITH RAISED SLATE PATIO, ACCESSORY 3 CAR WOOD
FRAME GARAGE, AND ACCESSORY CORROGATED METAL BUILDING.*
The certificate is issued to WALTER & MARILYN GATZ
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL
NO_
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
uthorized Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1800 SOUND AVE MATTITUCK
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): WALTER & MARILYN GATZ
OCCUPANCY: ONE FAMILY WALTER & MARILYN GATZ
ADMITTED BY: MARILYN GATZ ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO.. TAR MAP NO.:
SOURCE OF REQUEST: MARILYN GATZ
DATE: 04/04/06
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 5
FOUNDATION: CEMENT BLOCK AND CEMENT CELLAR: 1/2 CRAWL SPACE: 1/2
TOTAL ROOMS: 1ST PLR.: 5 2ND PLA.: 3 BED PLR.: 0
BATHROOM(S): 2.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: RAISED SLATE PATIO
BREEZEWAY: FIREPLACE: 3 GARAGE:
DOMESTIC HOTMATER: YES :['YPE HEATER: OIL AIRCONDITIONING:
TYPE BEAT: OIL WARM AIR: HOTWATER: X
OTHER: *WASHER & DRYER, WALK-IN CLOSET 2ND FLOOR
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: 3 CAR WOOD FRAME STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER: CORROGATED METAL BUILDING 74.7 X 40.2
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: BP 3917 Add CO2: -3366 BP 5268 Add to Ag Bldg COZ-5324
INSPECTED BY:��DATE ON INSPECTION: 03/23/06
Z
GEORGE GILLEN TIME START: END:
Form No. 6
TOWN OF SOUTHOLD --
BUILDING DEPARTMENT 5
TOWN HALL
765-1e02 JAN 2 0
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department w1 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-coulorming 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.
Certificate of Occupancy on Pre-existing Building - tLqOO
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
New Construction:
Location of Property:
Date. T n)uarua ao66
Old or Pre-existing Building: , _Y� M (check one)
Lill
House No.... 11 L Street Hamlet
biOwner or Owners of Property: a 1- e � I- Ia 1"t (c, JU
Suffolk County Tax Map No 1000, Section q % 3 ��� _ Block_ / 20 Lot
Subdivision Filed Map.
Permit No.-- - -Date of Permit.
Health Dept. Approval:_ _ -_ Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted:
Ce c, to � 9 I'_}
Lot:
Final Certificate: x _ (check one)
Appli t Signator
CONSENT TO INSPECTION
a Yt (y N G4fz , the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 1800 Soong 4ue., J'%Q7Z//740ok, /V -y - II46Q,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 4789i , Block /20 Lot .
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: (2.0.
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
�J
Dated: Qll uq r4 J� a006 �O
—'(Signa/ttu�+re1)
Waliek 1;012-
(P nt Name)
(Signature)
— M�ercXiv G iz
(Pnnt Name
)
REMARKS:.
lr
lam-mac'"'N'' + �� �iyn,✓
OUTHOLD BUILDING DEPT.
765-1802
PECTI ON`'�°��
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IND [
WING [
IMNEY [
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INSULATION
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VILLAGE
DIST.
SUB. LOT
OWNER
STREET
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/
FORMER OWNER
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ACR.
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TYPE OF BUILDING
ZES. 2/6
SEAS.
VL.
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COMM. CB. MISC.
Mkt. Value
LAND
IAADTOTAL
DATE
REMARKS
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AGE
BUILDING CONDITION
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NORMAL
BELOW
ABOVE
FARM
Acre
Value Per
Acre
Value
tillable i
tillable 2
tillable 3
/m v J �u., 7
0,0 rJ % w/
4
Noodland
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swampland
FRONTAGE ON WATER
3rushlond
FRONTAGE ON ROAD
Z p c
louse Plot
DEPTH
BULKHEAD
otal
DOCK
I�,,v%
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Young & Young
400 Ostrander Avenue, Riverhead, New York 11901
631-727-2303
Howard W. Young, Land Surveyor
Thomas C. Wolpert, Professional Engineer
Robert C. Tast, Architect
Ronald E. Pfuhl, Landscape Architect
Douglas E. Adams, Professional Engineer
NOTE
AREA = 3.0054 ACRES
SURVEYOR'S CERTIFICATION
• NE HEREBY CERTIFY TO WALTER GATZ THAT THIS
SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF
PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEN YORK
57ATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS.
SURVEY FOR
WALTER GATZ
At Mottituck, Town of Southold
Suffolk County, New York
County Tax Map SII 1000 S�df.� 120 em�x 05 W Oi
BOUNDARY SURVEY
MAP PREPARED JAN. 9, 2006
o = MOWMENT sET ■ = nwwr T rano Q = 9TAK ser ♦ = sTA� Fcuno I I SCALE:5N_ 0
c - cHM as - rso ave A JOB N0. 200 005 b
DWG. 2006_0003_ba
LOCATION: ) 0 0 0 AX4 Gr^�
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY: ®/✓F
(type)
NO.: —
(municipality)
LOT(S): -�
(owner -tenant)
ADMITTED BY: _� (.� Aj GJ z ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- o'er —,3
SOURCE OF REQUEST: DATE: -—o
of
DWELLING:
TYPE OF CONST UCTION: arjrA # STORIE : �_ # EXITS:
FOUNDATION: ¢ CELLAR: �y CRAWL SPACE:
TOTAL ROOMS: 1ST FLR: 2ND FLR: 3- 3RD FLR:
BATHROOM(S): -/'�j,o _ TOILET ROOM(S): Qv k, UTILITY ROOM:
PORCH TYPE: DECK, TYPE: PATIO, TYPE: n
BREEZEWAY: FIREPLACE: J GARAGE: �—
DOMESTICHOTTER: -kt TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: WARM AIR: HOTWATER:
OTHER: f -OW r. )..) (e.r I-1 (Cj_—
ACCESSORY STIWCTURES:
GARAGE, TYPE OF CONST.:f�¢�_ W TORAGE, TYPE CONS ..
SWIMMING POOL: GUEST, TYPE CONST:
OTHER: o7ef► 7 x�A0 e
X 7—
VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION-' ART. SEC.
Fv
9r;r14 /7
REMARKS:
INSPECTED BY: DATE OF INSPECTION: //,O;z%p`
TIME START:
END: �L <�
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET — NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
PUMILLO ELEC.
P.O. BOX 323
LAUREL, N.Y. 11948,
Located at 1800 SOUND AVE. MATTITUCK, NY 11952
Application Number: 2088864
Section: Block:
Lot:
WALTER GATZ
1800 SOUND AVE.
MATTITUCK, NY 11952
Certificate Number: 2088864
Building Permit:
BDC: ns11
Described as a Residential 1200-1799 square ft. occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, Outside, Attic,
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 23rd Day of February, 2006.
Name
OTY
Rate
Rating
gEgIft Tyke
Miscellaneous
as built 1950
with some upgrades
Alarm and Emergency Equipment
Sensor
2
0
Carbon Monoxide
Sensor
5
0
Smoke
Appliances and Accessories
Exhaust Fan
1
0
F.H.P.
Oven
2
0
11.4
KW
Dish Washer
1
0
1.2
KW
Cooking Deck
1
0
40
Amps
Pump Motor
1
0
1
H.P.
Furnace
2
0
Oil
Wiring and Devices
Outlet
39
0
Fixture
Fixture
36
0
Incandescent
Fixture
3
0
Flourescent seal
Outlet
74
0
General Purpose
Continued on Next Page 1 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
°
C.I7 LT= CTC.�J�C�C.I7C.I�C.TC. fne�CrC�Cn
5
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5
BY THIS CERTIFICATE OF COMPLIANCE THE
5
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NEW YORK BOARD OF FIRE UNDERWRITERS
5
BUREAU OF ELECTRICITY
c5
40 FULTON STREET — NEW YORK, NY 10038
S
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S
SCERTIFIES
THAT
S
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C5
5
Upon the application of upon premises owned by
5
SS
5
PUMILLO ELEC. WALTER GATZ
5
P.O. BOX 323 1800 SOUND AVE.
5
LAUREL, N.Y. 11948, MATTITUCK, NY 11952
S
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Located at 1800 SOUND AVE. MATTITUCK, NY 11952
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Application Number: 2088864 Certificate Number: 2088864
S
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Section: Block: Lot: Building Permit: BDC: ns11
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Described as a Residential 1200-1799 square ft. occupancy, wherein the premises electrical system consisting of
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electrical devices and wiring, described below, located in/on the premises at:
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Basement, First Floor, Second Floor, Outside, Attic,
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A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
was conducted in accordance with the requirements of the applicable code and/or standard
c5
Sherein,
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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 23rd Day of February, 2006.
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Name OTY Rate Rift Circuit Tie
5
5
Receptacle 44 0 General Purpose
CSJ.
Cj
Switch 41 0 General Purpose
Dimmers 8 0
5
SReceptacle
1 0 20 amp Laundry
5
Receptacle 1 0 30 amp Dryer
5
Paddle.Fan 2 0
5
5
5
Heat, Light, Vent 1 0
Receptacle 7 0 GFCI
5
5
Service
S
1 Phase 3W Service Rating 200 Amperes
5
5
Service Disconnect: 1 200 cb
Meters: 1
5
C,
'
An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to
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be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system.
S
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S
seal
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2 of 2
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This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
S
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