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Home My WebLink AboutZ-25525FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRS EXISTING CERTIFICATE OF OCCUPANCY No Z-25525 Date FEBRUARY 5, 1998 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 11875 MAIN ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 4 Lot 38 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-25525 dated FEBRUARY 5, 1998 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 ACCESSORY GARAGE & STORAGE SHED. The certificate is issued to DONALD F. & MAUREEN SACKER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A *PLEASE SEE ATTACHED INSPECTION REPORT. Build' g Insp c or Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOU HOLD 11011SING CODE INSPECTION REPORT LOCATION: 11875 MAIN ROAD MATTITUCK N.Y. number S street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) DONALD S MAUREEN SACKER OCCUPANCY SINGLE FAMILY type -------------- (owner -tenant ADMITTED BY:!—DONALD SACKER ACCOMPANIED BY: SANT _ KEY AVAILABLI? SUFE. C.O. TAX MAY NO.-1000-141-4-38---- SOURCE O.1000-141-4-38SOURCE OF REQUEST: DONALD SACKER_- i-_ — - DA'Z'E: NOV. 7„_1997 .-_- DWELLING: TYPE OF CONSTRUCTION WOOD FRAME G STORIES 2 # EXITS_-� FOUNDATION POURED CONCRETE h BLOCK_ _ _ CELLAR FULL CRAWL SPACE TOTAL ROOMS: IST FI.R. -4 - 2ND FLR. 4 3RD FLR. - - BATHROOM (s) 1 TOILET ROOM (s) 1 (BASEMENT) UTILITY ROOM PORCH TYPE COVERED FRONT STOOP DECK, 'TYPE _ CCA_ PATIO, TYPE^BR_ICK_ h COVERED SIDE ENCLOSED PORCH FIREPLACE YES GARAGE DOMESTIC HOTWATER YES TYPE HEATER GAS _ AIRCONDITIONING___ _ TYPE HEAT OIL FURNACE (RADIATOR) V HOTWATER OTHER: -- — -- ACCESSORY STRUCTURES GARAGE, TYPE OF CONST. WOOD FRAME=METAL SIDING STORAGE, TYPE CONST. WOOD FRAME SWIMMING POOI. YES GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP #10349 -Z -CO Z-17280 (I/G POOL) BP #24637 -Z -CO Z-25524 (AS_RUTLT DECK) INSPECTED BY:`"""`K/fjl �/ DATE 'ON INSPECTION 11/14/97 -REINSPECTED 2/3/98 MICHAEL J. VERITY TIME START 10:45 END 11:45 a i BLDG.OEPT. pF_Sr?UTHQIO TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FORCERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. t ll\ �B.` For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and .i "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 a 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 - .251�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0/0, Commercial $15.00 Date ..........[!� /................... New Construction......... . Old OrrDre7exiting Buildini,; ............. Location of Property...�Ir�..✓.!l%�1!L'..r�......lJff.%j/.'tC'��-..J� ll��li..... House No. Street Het Onwer or Owners of Property.... ��JT L ..1...... .�v.... ��.... . County Tax Map No 1000, Section..l ./.. ......Block... _...........Lot..... ........... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Reauest for: Temporary Certificate........... Final Certicate........... Fee Submitted: S ............. ................. ................ .. APPLICANT c;c)Ns1_;I ,I' 'I'( ) IN;;NIi;C;'1'lc:)IV 4,, .c,->,. , ___._�"'��.L��__._..�___ � ✓ � the r;nde:rsl sued, Owners) IH;unr:(s) (IOW ) he r'ehy aLEI Le; That file underell;nod (1:1) (arr:) lite owner(s) of tit(' premises In lilt: 'Town hl' tioulhold located at whlcth I:; :;howu and d(.s Irma led on Ihc Suffolk Comely llix 11111[) as Uislri(:L 101111, Secllciu %�/�lilocl< I.c,l. �� 'I'hill the 111vier'"iir(uecl (hrls) (hilve) fflud, or caused to he filed, lilt appllcu- lion In the Southold 'l'olvu liuildiuif Inspeclores (.)I'fic:e for the followhll;:.____._..._. 'I'h;II Ihc lnidersIt,IImI do(i hcrc:hy gIv1: conrir.ui. to Iho Ih111cllIII, III :;Iwclul:; of, Ilw 'Town of Southold to en Ler upon lhl-- ahovu described properly, inclodlug any Anti all buildings lociltud Iherc:on, to colidlicl such inspections its they olay coon nc:eessilry with respect to Lhe aforesaid clpplir.illloll, inchlding inspections Lo dcterloiue that said pl-Onlisus comply with ;111 04 Ille laws, ordhlnneos, 1.1111..9 and rEellulilt lolls of the 'Town of Southold. The undersigned, In conl;eulhlf; to such hlapuctioils, do(es) so with the luli,wludge raid urldo)-standlog, HIM any information obtained ht the conduct of :;uch hl:aper.11ons nuly h19 used nc: evidence in tilt hsc(IueIIt 1)r'osecntIo11s for' %,I hition::t of 1116' laws, ovdhlanccr,, rules ov regill;,llons of the 'Town of Southold. (siguahlre) (print ntullu �'.._._ //� 1Slrrn�lli l't:) (prhll mine) �--- 3,V TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT A—) FORMER OWNER NO4 E ACR. eL* te d.,q W TYPE OF BUILDING De vi�. (RES /0 SEAS. VL. FARM COMM. CB. mics. Mkt. Value LAND IMP. TOTAL DATE REMARKS 2 or 0 6/1 �(4qiii//—��fecv -�Y?c Jr 4z 6 S/ 41 1,Fr 55 6 /Z Iq 5-- BUILDING CONDITION AGE NEW NORMAL BELOW ABOVE --FARM Acre Value Per Value Ac re Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK old �°co � ZhPE� C 683. fF h°�,'y� x/ n 9P ° `✓ �G eir FE S ,yz °o.°p•. R yy °0 % d 'co N\ A 0 o0 f, N O; (k) (p '31 ��Al `Q;re- O OIL tt m CO�ro''-0 s q C °Rr y p it ^ 19.5 / FWN[ ry `\ °�'>Oh� / M WIRE _ f J o, \ �C" V� 1< . 4 'IQ �U LOT LINE MODIFICATION SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-141-04-38 1000-141-04-39 SCALE 1"=20' JULY 15, 1997 AREA DATA EXISTING PARCEL 1 14,465.88 sq. v a) Fk J& MAILING ADDRESS l 6 \R 0.352 ac. 666V44Sxiii` \ �C" V� 1< . 4 'IQ �U LOT LINE MODIFICATION SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-141-04-38 1000-141-04-39 SCALE 1"=20' JULY 15, 1997 AREA DATA EXISTING PARCEL 1 14,465.88 sq. ft. Fax (516)722-5093 0.332 ac. MAILING ADDRESS PROPOSED PARCEL 1 15,342.98 sq. ft. Riverbead, New York 11901 0.352 ac. EXISTING PARCEL 2 12.808.49 sq. ft. 0.294 ac. PROPOSED PARCEL 2 11.931.39 sq. ft. 0.274 ac. TOTAL 27,274.37 sq. ft. 0.626 ac. APPLICAA'T: DONALD SACKER P.O. BOX 813 MAT'ITUCK, NEW YORK 11952 SUBJECT PREMISES KEY MAP SCALE 1"=600' UNATHORZED ALTERATION OR ADDMON TO THIS SURVEY 15 A VIOIATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION UW, COPIES OF THIS SURVEY MAP NOT HEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO HE A VALID TRUE COPT. CERHFICATKINS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TILE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSRIUFION USTED HEREON. AND TO THE ASSIGNEE OF THE LENDING INSTI- TUTION CERTIFICATIONS ARE NOT 1MNSFERABIE. THE EXISTANCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED Joseph A. Ingegno Land Surveyor Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (516)727-2090 Fax (516)722-5093 OFFICES LOCATED AT MAILING ADDRESS One Union Square P.O. Box 1931 Aquebogue, New York 11931 Riverbead, New York 11901 BUILDING DEPAItTHENT TOWN OF SOITrHOLD 110115 I NG CODE 1 NSI'I UY I ON 1(EI'O1tT (number 6 street.) municipality SUBDIVISION _ MAP N0: _ LOT(s) NAME OF OWNER (s) , y� . �Q ��=�� ✓ I'll OCC[JPANCY (tyl%) I./,/ �' _ (owner—tenant) ADM yr ED BY: �( i2r�,e� �� ACCOMPANIED BY:_ KEY AVAILABLE _ S[J[rIT _ CO _ TAX MAI' NO. %pp U SOURCE OF REQUEST: /��— _DA'fE:_�7 — r DWELLING: '^ TYPE OF CONSTRUCTION L/� �'� I STORIES _ i EXITS -- FOUNDATION ,QCELLAR CRAWL SPACE TOTAL ROOM$: 1ST FLR. 2ND FLR._— _ _ 3RD FLR. BATHROOM (s) / TOILET ROOM PORCH TYPE G�(�,�.,,,� �i� DECK, 'TYPE Com-/' PATIO BREEZEWAY FIREPLACE GARAGE t— DOMESTIC 11OTWAT�ER TYPE HEATER AIRCONDITIONING -- TYPE HEAT G WARM AIR 110TWATER _ ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.(;( _ t,�t.y��2 STORAGE, TYPE CONST. SWIMMING POOL. GIIES'IYPE CONST'. OTHER: t1_1G,4 VIOI..A'rIONS: CHAPTER 45 N.Y. S'L'ATE UNIFORM FIRE PREVENTION 6 BUILDING COME LOCATION DESCRIPTION � — ART. SEC 0 er-7� A 112 _-e REMARKS: INSI'EC'rL,D BY �Y' r DA'L'E OF INSPECTION ,` / / TIME S'TAR'r END �/ al