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Home My WebLink AboutZ-40895 ofFG14, Town of Southold 12/5/2019 Qoo� coGy 53095 Main Rd Southold,New York 11971 o y�ol PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40895 Date: 12/5/2019 THIS CERTIFIES that the structure(s)located at: 295 Jackson St,New Suffolk SCTM#: 473889 Sec/Block/Lot: 117.-9-2 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- 40895 dated 12/5/2019 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 seasonal one family dwelling with rear covered porch.* Notes: BP 12335 existing attached garage converted to living space and converted to year round dwelling COZ-12513 The certificate is issued to Lupton,Robert (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. f�' Auto ' Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 295 Jackson St,New Suffolk SUFF.CO.TAX MAP NO.: 117.-9-2 SUBDIVISION: NAME OF OWNER(S): Lupton,Robert OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Lupton,Robert DATE: 12/5/2019 DWELLING: #STORIES: 2 #EXITS: 4 FOUNDATION: concrete block CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): yes PORCH TYPE: rear covered porch DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: WARM AIR: forced hot air HOT WATER: #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 11/1/2019 TIME START: 9:37am END: 10:10am Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ' 765-1802 ® Q '` ` L7_5 ` 1 APPLICATION FOR CERTIFICATE OF OCCUPANCY _ i" JUN 17 This application must be filled in by typewriter or ink and submitted to the Building Department with the following: Ye A. For new building or new use: I. 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 I%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 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$50.00, Additions to dwelling$50.00,Alterations to dwelling$50.00, /2 . Swimming pool $50.00, Accessory building$50.00,Additions to accessory building$50.00,Businesses $50.00. d 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 f j Date. `�� I New Construction: Old or Pre-existing Building: V (check one) Location of Property:2 � `61 /J /y Street Hamlet House No. P Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 11-7 Block / Lot 2 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature CONSENT TO INSPECTION o 6 r�fi M L u lo-to /V , 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 o S ky A 6Lk N • I which is shown and designated on the Suffolk County Tax Map as District 1000, Section J 1 -7_,Block 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: 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. S 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. 3 Dated: (Signature)� (Print Name) (Signature) (Print Name) Attn John When you inspected my house at 295 Jackson st. New Suffolk NY. 11956,you had a question about my back porch. The porch existed prior to April 1957. When I had my roof replaced by the J.P.Hunter Co. Inc.on 12/6/2017 they also replaced the roof on the porch which they determined was rotted out and repaired the rest of the porch. If you have any questions for me,feel free to call me on my cell phone. 303-809-4937 Sincerely Robert M. Lupton ASHL M HEND RSON y NOV 2 6 209 NI ARY PUBLIC E OF COLORADO R; STA ,- NOTARY ID 20134072138 MY COMMISSION EXPIRES SEP.18,2022 � l Vl 111�p Awe r Ll ' �� Tor b� n I/Vd �- o UN 17 2019 IL � S 46 4e dv � �� `$ fie,,�w �►� �,�� S 17130 OWNER STREET j VILLAGE DISTRICT SUB. LOT fal�+ FORMER OWNERt� N E ACREAGE ��G��.it T J J I ,`! ✓��I°`' `"„'t Y� ��1 !N E' S 1 W TYPE OF BUILDING + - _ RES.,,;/'j �' SEAS. VL. FARM I COMM. I IND. I CB. I MISC. I Est. Mkt Value _ LAND ` IMP. TOTAL DATE REMARKS r Lee e � Y/y�i SCC a,v n �fr�r, n }•c�V;`�r�9c=..�.._�-•jj_,*`-�:'•s=�-. 0 �U1% a.r.,, .0 1 FSR i� F C� v a -/ -';? hy L-m,7. L) / // ' y� ty /�f'� f , _ 'S C /PY ? rt G f \�u D J, r jL35 i J . 5/�� - ��Zn -f-1�a�vl .1��s v�-��1-rLs l.'-� as if;•-':�.. t AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK 1 v � Tillable 3 �- �Y Woodland �� ✓ -- - - Swampland Brush!a nd House Plot '��' � `" I' s �r ` —_ '"� —✓ - �1 Total t I ®A(® 7 : --+ �: - �;'"ate.,.'`• _ 1 --�- ..d� i i .L{ i �� I i ,!r, 1 o i I ! I M. Bldg. Foundation I �� Bath Extension ! 3 _ i Basement Floors Extension ' — �,- r! I Ext. Walls If� J rr'� l Interior G� N Hea Extension o ( �� ! Fire Place �q _ •°J� _ 1 -j- i i=mac��✓� Porch Roof _ -- � - ----`----- � Porch-�---------- --�Rooms 1 s Floor Breezeway Patio f Rooms 2nd Floor Driveway i Dormer I! ------------ _ I i W SUFFOLK A�NUE NE [ASPHALT ROADWAY] � 250.00 S77'5900°E , 21,.411'M W Cn 2 0 ` Imam] N [CRS] 0 M ti N N/F RUDECK I1 [TAX LOT 41] N/F KIMOGENOR PAINT CORPORATION [TAX LOT 1] - [1 srczY] Certified, as noted and limited below, only to: [1 STORY] 2 STORY — ROBERT WPTON g % �> ["°"SE No.2J5]/ 127 s/ LO I n1 / 719' I M SUBJECT PREMISES AREA= 154,351 SQ.FT (1 2477 ACRES) z / sips S 1% THE PREMISES HEREON IS KNOWN AND DESIGNATED AS DISTRICT 1000 / c / SECTION 117 BLOCK 9 TAX LOT 2 AS SHOWN ON THE OFFICIAL TAX f / [GRASS/—ED] MAPS FOR THE TOWN OF SOUTHHOLD IN SUFFOLK COUNTY, N Y. �� S 63 6' THE SURVEYOR'S SEAL, SIGNATURE AND ANY CERTIFICATION f / [ ED] APPEARING HEREON SIGNIFY THAT,TO THE BEST OF HIS KNOWLEDGE I f AND BELIEF, THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE I I MINIMUM STANDARDS FOR LAND SURVEYS AS SET FORTH IN THE CODE I I OF PRACTICE ADOPTED BY THE NEW YORK STATE ASSOCIATION OF _ _ _ _ I f 250.04 (SURVEY) 250.00 (DEED) N71'900°W PROFESSIONAL LAND SURVEYORS,INC. f \ 110NIU61 FOW&READ \` C-Q> ® (0.1 S 0.2 W) CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THIS -- SURVEY WAS PREPARED,AND ON HIS BEHALF, TO THE TITLE ? COMPANY,LENDING INSTITUTION AND GOVERNMENTAL AGENCY LISTED LAND SURVEY HEREON; SAID CERTIFICATIONS ARE NOT INTENDED TO RUN TO JACKSON STREET PREPARED FOR ADDITIONAL TITLE COMPANIES,LENDING INSTITUTIONS,SUBSEQUENT [ASPHALT ROADWAY] OWNERS OR FUTURE CONTRACT VENDEES ROBERT Ij UPTON UNDERGROUND IMPROVEMENTS,STRUCTURES,UTILITIES OR ENCROACHMENTS,AND ANY EASEMENTS RELATED THERETO, ARE NOT /PROPERTY SI TUA TE AT SHOWN HEREON UNLESS OTHERWISE NOTED. NEW f% 295 JACKSON STREET UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING COP NEW SUFFOLK A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION a I 7209, SUB-DIVISION 2 OF THE NEW YORK STATE EDUCATION LAW. Y O SUFFOLK CO UNTY CONTRACTORS' LINE & GRADE SOUTH L.L.C. - �sooST>< STATE OF NEW YORK 23 Nepperhan A venue 1 QJ SCALE: 1" = 40' Elmsford, New York 10523 LAND Phone: (914) 347-3141 ' ►, Date. MAY 7, 2019 officed!'ineandarade.net - - - -- Copyright (c) 2019 CONTRACTORS' LINE & GRADE SOUTH All rights reserved. ' 0.137-2436 295 Jackson Street, Southold NY1dwg12436-SURVEY.dwg ,I ho�aOE SOUI,�°� * # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 INSPECTION ' [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ` [ ] FOUNDATION 2ND [ ] INSULATION/CAUL-KING [ ] FRAMING /STRAPPING [ ] FINAL -] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ _] FIRE RESISTANT CONSTRUCTION [ ] FI RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] LECTRICAL (FINAL) - [ ] CODE VIOLATION [ PRE C/O REMARKS: ow 6( �e Vl' 440j) DSICL - 6Y44 - DATE A 1 INSPECTOR LOCATION: 60th ✓ (number & street) (municipality) SUBDIVISION: _ MAP-NO.: -LOT(S): NAME OF OWNER(S)': - OCCUPANCY: In W ��- (type) (owner- tenant)-ADMITTED BY: _ ACCOMPANIED BY: KEY AVAILADLE: SUFF. CO. TAS MAP' 0. 1 0. r SOURCE OF REQUEST: DATE: 01r DWELLING �Gj 6(7n TYPE OF CONSTRUCTION: dDf�" # STOMS: # EXITS: FOUNDATION: ,(,D &' . �I . tASgMENT: 'CRAWL SPACE: # OF BEDROOMS: IST FLR:'y 2ND FLA.: 3RD FLR: ,BATHROOM(S): TOILET ROOM(S): UTILITY ROO.M": - PORCH,TYPE: 60 D-ECK, TYPE: PATIO;TYPE. BREEZEWAY:' FIREPLACE: W ! GARAGE: DOMESTIC HOTWATER: TYPE HEATER. AIRCONDITIONING: TYPE HEAT: 010, WARM AIR: HOTWATER: # OF KITCHENS:. . FINISHED BASEMENT:- YES NO OTHER: ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: _ GUEST,'TYPE CONST: OTHER: VIOLATIONS: APTER_144.&N.Y. STATE UNIFORM FARE PREVENTION &BUILDING COIJE LOCATIO DESCRIPTI N ART. SEC. slwfiW NA/ 1 Ir f J6 -- REMARKS: INSPECTED BY,6k �� .)�dw DATE OF INSPECTION: ,� b TIME START: �• T END: ,/ho