HomeMy WebLinkAboutZ-29237MNXNf,1161 �1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 29237
Date: 02/04/03
THIS CERTIFIES that the building DWELLING AND ACCESSORY
Location of Property 4400 SOUND AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 121 Block 0003 Lot 005.003
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- 29237 dated FEBRUARY 4, 2003
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 REAR COVERED PORCH AND ACCESSORY TWO CAR
*
The certificate is issued to EDWARD MOCKLER III & I
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
uth rize Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 4400 SOUND AVE MATTITUCK
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): EDWARD MOCKLER III & AND
OCCUPANCY: SINGLE FAMILY EDWARD MOCKLER III & ANO
ADMITTED BY: TARA HARTIGAN ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 121.-3-5.3
SOURCE OF REQUEST: EDWARD MOCKLER III & TARA HARTIGAN DATE: 02/04/03
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3
FOUNDATION: POURED CONCRETE & CEMENT BLOCK CELLAR: 1/4 CRAWL SPACE: 3/4
TOTAL ROOMS: IST FLR.: 5 2ND FLR_: 4 3RD FLR.: 0
BATHROOM(S): 2.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S):
PORCH TYPE: REAR COVERED DECK TYPE: PATIO TYPE:
BREEZEWAY: NO FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: X
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST_: 2 CAR WOOD FRAME STORAGE, TYPE CONST_:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION I ART.
INSPECTED BY: DATE ON INSPECTION: 02/04/03
GARY F FI H TIME START: 9:20AM END: 9:50AM
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I' 4.4y 8 2002
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Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 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. Photocopy of Certificate of Occupancy - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
House No.
Date.
Old or Pre-existing Building: (check one)
'o %vvo ,Qvz�- /vI,4 /rr�c,� A401141
Street 14amid
Owner or Owners of Property: LD)WA'e�o /00c/r/ CfL
Suffolk County Tax Map No 1000, Section - , 3 Block
Subdivision Filed Map,
Permit No.
Health Dept. Approval:
Date of Permit. Applicant:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ / OO 0 O
aI-) � D°la3^7
c (0 3.3 a
5
Underwriters Approval:
Lot
Lot:
Final Certificate: (check one)
Applicant ature
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
/�
REMARKS: �/ `�e�wi
DATE j3 y INSPECTOR
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CONSENT
TO
INSPECTION
- -:
Owners) NarAe(s)
., the undersigned,
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
11220
of Southold located at
which is shown and designated on the Suffoll:
County tax mapl;as District 1000, Section /Ll Block Lot 5� 3 .
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in -the Southold Town Building lnspecw. orf.�� for +ha fnllnWina:
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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated:
(signa e _
(print name)
TOWN OF SOUTHOLD PROPERTY RECORD CARD
4aa o
STREET -
VILLAGE
DIST.
SUB. LOT
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FORMER OWNER
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TYPE OF BUILDING
RES.
SEAS.
VL.
FARM
COMM.
LAND
IMP.
TOTAL
DATE
REMARKS
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4 i'�
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y✓ 3 S- u
FRONTAGE ON WATER
TILLABLE
FRONTAGE ON ROAD
WOODLAND
DEPTH
MEADOWLAND
BULKHEAD
HOUSE/LOT
TOTAL
616445
E TITLE No. O/-�S- 23327
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V,00" OI$T IOoO SEC. ('Z.I BI.K• 3 t,oT S. 3
MEASUREMENT IN U.S. STANDARD
TTHE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED.
THE DIMENSIONS SHOWN HEREON, FROM THE STRUCTURES TO THE PROPERTY LINE, ARE FOR A SPECIFIC PURPOSE ONLY. THEY ARE
NOT INTENDED TO BE USED FOR THE ERECTION OF FENCES, STRUCTURES OR ANY OTHER IMPROVEMENT.
UNAUTHORIZED ALTERATION OR
ONLY COPIES FROM THE ORIGINAL
`jl� GUARANTEES INDICATED HEREON SHALL RUN ONLY TO
THE PERSON FOR WHOM THE SURVEY IS PREPARED,
ADDITION TO A SURVEY MAP BEARING
OF THIS SURVEY MARKED WITH AN
AND ON HIS BEHALF TO THE TITLE COMPANY,
A LICENSED LAND SURVEYOR'S SEAL
ORIGINAL OF THE LAND SURVEY-
GOVERNMENTAL AGENCY AND LENDING INSTITUTION
IS A VIOLATION OF SECTION 7209, SUB-
OR'S EMBOSSED SEAL SHALL BE
LISTED HEREON, AND TO THE ASSIGNEES OF THE
DIVISION 2, OF THE NEW YORK STATE
CONSIDERED TO BE VALID TRUE
LENDING INSTITUTION.
GUARANTEES ARE NOT TRANSFERABLE TO ADDI-
TIONAL INSTITUTIONS OR SUBSEOUENT OWNERS.
KULHAIEKFLAN
SECTION
BLOCK
DATE
LAND,SURVEYORS, C.
J - 2 Co - O I
GUARANTEED TO
FIRST AMERICAN TITLE I&IzwAAr.I(lE Co.
OF NF -%N 7o RK
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LING AD
cow^Ap. mviram ✓vt/qt/.9 Dav/Sop(
ITa so c EssoA_s f/�,e
S�FFo �-�-.
(516) 431-9358 P. O. BOX 178
c qsr/cL.s
•Y(rEE a•rr 'gee vs)
COUNTY
JOB NO.
(914) 764-0304 73 WESTCHESTER AVE.
(718) 347-3533 POUND RIDGE, NY. 10576
Ao vw N TA ce T/Tt-Lf A c ENC'y
TELEPHONE: 800-641-6124
6GwgRC MocKtE4 $
FAX: 800-242-4955
Tq CA Nq e T /6 qN
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E-MAIL: kplspc@erols.com
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S): Oh4b tqa c-Ec UA -r-- ?—,f -/-.F l t4& ► C-A�
OCCUPANCY:
(type) (owner -tenant)
ADMITTED BY: 149 LA . ACCOMPANIED BY: T40 %`%j k r _-
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 -
SOURCE OF REQUEST: DATE:
DWELLING:
TYPE OF CONST UCTION: FXj-jm4 # STORIES: # EXITS:
FOUNDATION: M,,h CELLAR: CRAWL SPACE:3 _
TOTAL ROOMS: 1ST FLR: �_ 2ND FLR: 3RD FLR:
BATHROOM(S): 7i TOILET ROOM(S): liu-e-- UTILITY ROOM: ^---
PORCH TYPE:DECK, TYPE: PATIO, TYPE: —""—
BREEZEWAY: Pk FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YPE HEATER: AIRCONDITIONING:
TYPE HEAT: f, WARM AIR: HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: A' L G .�TORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST: _
OTHER:
VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION I ART. I SEC.
REMARKS:
INSPECTED BY:
DATE ON INSPECTION:
TIME START: END: