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HomeMy WebLinkAbout31862-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY ~o: Z-31510 Date: 04/04/06 THIS CERTIFIES that the building ADDITION "AS BUILT" Location of Property: 1800 SOUND AVE MATTITUCK {HOUSE NO.) (STREET) (HAMLET) County Tan(Map No. 473889 Section 120 Block 3 Lot 7 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21, 2006 pursuant to which Building Permit No. 31862-Z dated MARCH 21, 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 "AS BUILT" ADDITIONS, INCLUDING SUNROOM, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WALTER & MARILYN GATZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2088864 PLUMBERS CEi~TIFICATION DA'£KU N/A 02/23/06 /~Au orized Signature Rev. 1/81 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 ~f pr~perty with accurate ~cati~n ~f a~ bui~dings~ pr~perty ~ines~ streets~ and unusua~ natura~ ~r topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board o f Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of t % 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 applicanL 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, Swimmtng 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 _ ()id or Pre-existing Building: Street New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section (check one) Block Lot Hamlet Subdivision Permit No. ~0 ~ ~ ~)-- Date of Permit. Filed Map. Applicant: Lot: Health Dept. Approval: __ Undep~vriters Approval: __ Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: /~.~ck one) ppf nt 'gnature 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, WALTER GATZ 1800 SOUND AVE. MATTITUCK, NY 11952 Located at Application Number: 2088864 Section: Block: Described as a 1800 SOUND AVE. MATTITUCK, NY 11952 Lot: Residential 1200-1799 square fl. Certificate Number: 2088864 Building Permit: BDC: ns11 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 cede and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and feund to be in compliance therewith on the 23rd Day of F~6. ~ Name QTY Rate _Rating Circuit Type Miscellaneous as built 1950 with some upgrades Alarm and Emergency Equipment Sensor 2 0 Carbon Monoxide Sensor 5 0 Smoke Appliances and Aceassories Exhaust Fan I 0 F.H.P. Oven 2 0 I 1.4 KW Dish Washer 1 0 1.2 KW Cooking Deck 1 0 40 Amps Pump Motor 1 0 I 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 onNext Page I of 2 This certif cate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. re ~ 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, WALTER GATZ 1800 SOUND AVE. MATTITUCK, NY 11952 Located at 1800 SOUND AVE. MATTITUCK, NY 11952 Application Number: 2088864 Certificate Number: 2088864 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 1200-1799 square ft. occupancy, wherein the electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Outside, Attic, )remises electrical system consisting of 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 QTY Rate Rati~.g Circuit Type Receptacle 44 0 General Purpose Switch 41 0 General Purpose Dimmers 8 0 Receptacle I 0 20 amp Laundry Receptacle I 0 30 amp Dryer Paddle Fm~ 2 0 Heat, Light, Vent I 0 Receptacle 7 0 GFCI Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal 2 of 2 This ceAificatemaynotbe altered in any way and is validated only bythe presence of a misedseal atthe location indicated. 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. 31862 Z Date MARCH 21, 2006 Permission is hereby granted to: WALTER GATZ PO BOX 45 MATTITUCK,NY 11952 for : "AS BUILT" ADDITION TO /LN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1800 SOUND AVE MATTITUCK County Tax Map No. 473889 Section 120 Block 0003 Lot No. 007 pursuant to application dated MARCH 21, 2006 and approved by the Building Inspector to expire on SEPTEMBER 21, 2007. Fee $ 300.00 /' Authorized Signature ORIGINAL Rev. 5/8/02 Date: March 22, 2006 JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 .4AR To: Town of Southold Building Dept. Construction Certification Walter Gatz Sound Ave. Mattituck, NY 11952 To Whom It May Concern: To the Best of my knowledge the addition and sunroom at the above mentioned property and sunroom were constructed at or near the year 1972. After an inspection of these additions all work from the foundation up met all state and local codes at the time of construction and are safe to all inhabitants. Any other questions please call. JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 Date: March 22, 2006 To: Town of Southold Building Dept. Re: Date Of Construction Walter Gatz Sound Ave. Mattituck, NY 11952 To Whom It May Concern: To the Best of my knowledge the addition and sunroom at the above mentioned property and sunroom were constructed at or near the year 1972. Any other questions please call. Sincerely james J."Dee~koski TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING ['~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE '~ f ,9-3 "' 0 ~ FIELD INSPE~TIOI~ R~I~ORT I D~ATE [ FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FR-~MENG & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE CO~TS FINAL ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DI~PARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c , 20 Expiration ~/o3 [ , 20 (~ 7 IVlAR 2 I PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector Phone: '; APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ¢14-~c-Pl 2,0 ,20 O~ a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition 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 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~dlIrt'trr~dmit auth°rized inspect°rs °n premises and in building f°r necessary i~ ~-~"O~ ~ / ~ ~. ~t ($ign~l~e of applicant Dpfi/ame,~i ~ration) ?S&aik e lic ./ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ky3(a~X%~ 4' ?T}a:z"%-'-~,',; ~-~q'F= (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ] 22-<D Block Subdivision ~ Filed Map No. ' (Name) Lot Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed constmeqon: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~, o~-~ 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition 7 Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front fi'o Height '3c> Number of Stories 7.- Rear ~ c) Depth 3qo Dimensions of same structure with alterations or additions: Front %z> Depth ~ ,4 Height ~e_, Number of Stories Rear 8. Dimensions of entire new construction: Front g'o Height '-3 o Number of Stories 9. Size of lot: Front I '7 I . 0 ~) Rear I'0 © . 10. Date of Purchase 4/ ?YS. a~)O Name of Former Owner Rear :50 Depth Depth 7/03 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES 14. Names of Owner of premises Name of Architect Name of Contractor NO Y~ Will excess fill be removed from premises? YES__ NO ~m. C~a~r~ Addres (o 4~oe., %-~Gc~ Address ~ Phone No Address ~ Phone No. · - 1 5 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 propertywithin 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at I 0 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) /h~O ~' ~ ~t~ ~ ~ being duly sworn, deposes and says that (s)he is the applicant ame of individual signing contract) above named, (S)He is the (~CO IO ~_~ ~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, 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 tree 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. Swom to before me this _~_.~day of Notary Pbl~ q) JACQUELINE MARIE GATZ Notary Public, State of New York No. 01GA6015316 Qualified in Suffo k Counht Commission Expires Oct, 26, ~ 2006, /~- OWNER ~,E . SEAS. VL LAND IMP. TOWN OF SOUTHOLD PROPERTY RECORD CARD STREW' FARM TOTAL DATE AGE NEW NORMAL FARM Acre BUILDING CONDITION BELOW ABOVE Value Per Volue Acre V l LLAGE W COMM. CB. M~SC. DIST. SUB. I LOT TYPE OF BUILDING Mkt. Volue REMARKS l'illable 1 tillable 2 rillable 3 /Voodland ;wampland ~rushland 4ouse Plot FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH 'otal. BULKHEAD D0~K M. BId~, Extension ~tension ~tension Porch Porch Breezeway Garage. F~tio O.B. Total COLOR TRIM ~ ~/-~ 0 ~ndation Basement Ext. Walls Fire Place Type Roof Recreation Room Interior Finish Heat Rooms 1 st Floor Rooms 2nd Floor //('Z.~- Dinette I,',~'~,, . K. 1.4. ~J,.~" BR. L.~ ~a~.~-~ FIN. B.