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Home My WebLink AboutZ-37354 FFOI/r- Town of Southold Annex 1/5/2015 54375 Main Road Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 37354 Date: 1/5/2015 THIS CERTIFIES that the structure(s)located at: 1560 Pike St,Mattituck SCTM#: 473889 Sec/Block/Lot: 140.-3-17 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 37354 dated 1/5/2015 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling and accessory shed.* Note:BP#11787 deck addition to dwelling COZ-23722; BP#15009 in ground swimming pool and deck COZ-18424. The certificate is issued to Hallenbeck III, Geoffrey&Hallenbeck, C (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A 6 o eM ignat e BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1560 Pike St,Mattituck SUFF.CO.TAX MAP NO.: 140.-3-17 SUBDIVISION: NAME OF OWNER(S): Hallenbeck III, Geoffrey&Hallenbeck,Carol OCCUPANCY: ADMITTED BY: Bob Celic SOURCE OF REQUEST: Hallenbeck III, Geoffrey&Hallenbeck, Carol DATE: 1/5/2015 DWELLING: #STORIES: 1.5 #EXTTS: 2 FOUNDATION: Cement Block CELLAR: Full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: X TYPE HEATER: Natural Gas AIR CONDITIONING: TYPE HEAT: Natl Grd Gas WARM AIR: HOT WATER: X #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: Unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: Accy. Shed SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 12/30/2014 TIME START: END: 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. Conunercial building, industrial building, multiple residences and sirailar 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, 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary,Ceftifiicate of Occupancy-Residential$15.00, Commercial $15.00 Date. December 12 2014 Please contact Bob Celic at 298-6124 to arrange for the inspection. New Construction: Old or Pre-existing Building: X (check one) Location of Property: 1560 Pike Street, Mattituck House No. Street Hamlet Owner or Owners of Property: Geoffrey R. Hallenbeck, III and Carol Hallenbeck Suffolk County Tax Map No 1000, Section 140.00 Block 03.00 Lot 017.000 Subdivision Filed Map. Lot: Permit No. Date of Pdr nit. Applicant: Health Dept.Approval: . Underwriters Approval: Plamling Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 100.00. OLSEN A OLSEN LLP 32495 MAIN ROAD -Applicant Signature PO.BOX 70'6' . . . . . . . . . . CUTCHOGUE, NY 11935 CONSENT TO INSPECTION David Worthington Olsen as attorney for Geoffrey Hallenbeck the undersigned, Ow-ner(s) Name(s) ITL and- Carol ff=enbeck do(es-) hereby state: That. the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 1560 Pike Street, Mattituck which is shown and designated on the Suffolk County tax map as District 1000, Section 140.00, Block 03.00 , Lot 017.000 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion iri tho Southold Town L'uilcling lnspc:cLj.L lcnvinV: One 1/2 story framehhouse 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 deter min e.that said .premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspactions,_ do(es) so with the knowledge and understanding that any information obtained In the conduct of such inspections maybe used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: December 12, 2014 (signature) (print name) (signature) (print name) *** Please contact the real estate broker Bob Celic at 298-6124 to arrange for the inspection. Thank you. -20.0 . Q Porcfi �y`pl� '��" tam. �+.��..4 H9'W_ `�}.: :,.� � ppb• y{j� . �.. ..•.i' 1 .YL4:.:: �.. U ."M1NT1, i4r'"+�+•+:w�i �M:':1'Ytl�N r'y.e�.�7•• ��,,,�,.�� •Y':'�%'iL''—.- F arr:. lj,/, • a �.P # n �' �J:'r•• r'YG;y�^':y. '�. `' ,.:��CL:•: ='�, =w"Y=`�';•-'gar.:: �=;.�v'".'�':, ,"'QOWY SUIlDiftOEFARTMI1N',V-AT �-,•„ :'`~ A "' ��602./' :(ijlyMyy. �yy'�4yp�phk-Pon-THE i t"a tJ:rA`('.."d'.�..'♦?i. �'•1 ♦.'•.!'W�.Lr6fT,f1Y�'`.1Pi��1•A"'V IIMIM�: q! �e,�g•.•aJ�PN. �wi:l PIy�7�•ffrI,11G �' IVVC REQUIRED, , •'r.uY'! :M•,•;�Iw� "��.' FOR pQL�til'''�:I:ONCH�'fl" Routu f f;4M)NG a PLUMBING"' D i'';;:r i• ;}, 4 FINAL de*:*;°i'I#U.C'T1ON MUST• �-U- W in' •;i ' I.: `, 4l t: Nf« lQiSl$11I1L' f1llE ti .:� 1,. = :�:- ': •'• '{NIE 1IEUUo i �S 6-THE N.Y• ,d 'r•=r.i�•'a;a•+< s C,e%hF$. yy riwslON ola°opN 66 most ERwao�s• T �I' •• r,a�; �.•`ai'�^m.•...,:s� .� .�y';•i�:SZ�:a;•a,•_ fS'• ' �'� -R � ,' ..gyp F•'eu �;�5�"�t �Ny�a;: •'�h,/1' ';ra. '�i'"_�- �9�s� ` ' � ��:a. 4' "Awn t•5r'""4"10-:"Y�I • ." ; =f_t:• •5.' kYr "",.rY 1/��1.:Sa-i� 1•��'�fi•�1'rtep, , ^ �.: u.,b�fA'��.i,��;�.a;�,�.•�' '''-;''w,�t��l.7 WOO ("!'.�1 ya�,��.,. •, _ _ '' ;U7��" .. ''� �SAGV•4.• �1'4•.0 Ci�."'"t-t�' 1�'l�`,'a7hl��-• {- �' '.{�ivcti•tn�c��i.'SmYrr'4ti+�a�.f`�caw� yc'of't+t:40`-+S''Ir� . . r .•. ' 1,, -' ., „.�_w�.s�c�rv+>r�3��+:',3w1�. �;�1��4. .r•�' .. ,. ,.. -• -- t�yr��anlpa,r*, 1+ll�a'r YCa+r•4�•';- 80/E0 39VcJ S331sndi G-10Hinos Zb9999Lt89 St:TT PTOZ/90/ZZ Z600 - PROPERTY RECORD OWN:f2 STREET RD -Hot �Yt VILLAGEDIST, SUB. LOT FORMER OWNE n Nc-id's ACR. 1,4 TYPE OF BUILDING 'a, 0-/1 , RES. � � SEAS. . �'+3,- VL. FARM CaMM. cB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS � � ��/!J �� .J �/,��y .�T ��saY� C«f.STJ'• r�a cFc �'r •�`}:Nj . 3 a aicy Yep s .L g r�lfa 4 - � L-ar�r�� a 1 � o 1 !U$ AGE BUILDING- CONDITION NEW NORMAL BELLOW ABOVE FARM Acre Value Per I Vclue ---- i Acre Tillable FRONTAGE ON WATER Woodland I FRONTAGE ON ROAD _ Meadowland DEPTH House Plat 15�� i - BUL:KHEAD Tatal I DOCK _ -wv COLOR G 1 }f TRlM =;:A�--�aF'i :�5• i I ! M. Bidd. r f Extension 1 I i i I 1 - i Extension Extension Foundation G G� • j / ! Dinette Porch ! ' Basement [ L Floors ,� K. r '`� 1 Parch ! I Ext. lr!!al[s ! �[nterfor Finish ( LR. Breezeway ' = Fire Place a Heat I t r DR. i Garage ` !Type Raaf Rooms Ist Floor i , BR. _ c¢ �. ��vc- • � IRecreation Room] i Rooms 2nd Floor I FIN. B O. B. Dormer Driveway I I i Total 1 OLSEN & (O LS EN, L.L.P ATTORNEYS AT LAW GARY FLANNER OLSEN DAVID WORTHINGTON 01-SEN ATTORNEY AT LAW ATTORNEY AT LAW 32495 MAIN ROAD • P.O. BOX 706 CUTCHOGUE, NEW.YORK 11935-0706 T PHONE 631-7.34-7666 FAX 631-734-7712 • olsenlaw@optonline.ner �° 1 December 17, 2014 Re: Hallenbeck to Mouzakitis Our File 10428 To Whom It May Concern: Enclosed please find the following in re the above matter. 1. Application for Pre-existing CO. 2. Consent to Inspect. 3. Existing survey. 4. Check in the amount of$100.00 payable to the Town of Southold. Please make arrangements with Bob Celic at Dougls Elliman(298-6124)to arrange for the inspection. Thank you. Very truly yours, ' DAVID WORTHINGTO OLS. DWO:Imk Enclosures Southold Town Building Dept. P. O. Box 1179 Southold,NY 11971 LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): . NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant)- � cJ` ADMITTED BY: U _ ACCOIVIPANIED BY: KEY AVAILABLE: SUFE. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: IAJ6 _ # STORIES: '#EXITS: FOUNDATION: C . BASEMENT:•�CRAWL SPACE!— . # OF BEDROOMS: IST FLR: 2ND FLR: ' 3RD FLR: BATHROOM(S): /6LR TOILET ROOM(S): - UTILITY ROOM: . PORCHTYPE: DECK, TYPE: ..`� - PATIO;TYPE: �---� t6P 1i� �� BREEZEWAY: _ FIREPLACE: , GARAGE: DOMESTIC HOTWATER:. VEA 4v TYPE HTERi_. &_fS- AIRCONDITIONING: TYPE HEAT 44 .4 <:4A72M AIR: HOTWATER: # OF KITCHENS: Vis° FINISHED BASEMENT:- YES NO OTHER: ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.: _ STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: - L1411 DATE OF INSPECTION: TIME START: END: