HomeMy WebLinkAboutZ-34007FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 34007 Date: 10/14/09
THIS CERTIFIES that the building DWELLING
Location of Property 280 MUNN LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 017 Block 0004 Lot 002
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- 34007 dated OCTOBER 14, 2009
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 ENCLOSED ENTRY AND ONE CAR GARAGE UNDER*
The certificate is issued to IRMA TOTH HUPFEL LVNG TRT
(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.
AuXbrized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATTOM: 280 MUNN LA ORIENT
SUBDIVISION- HAP NO.: LOP (S)
NAME OF OWNER (S): IRMA TOTH HUPFEL LVNG TRT
OCCUPANCY: ONE FAMILY DWELLING IRMA TOTH HUPFEL LVNG TRT
ADMITTED BY: REGINALD TUTHILL TRUSTEE ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 17.-4-2
SOURCE OF REOUEST: REGINALD TUTHILL TRUSTEE DATE: 10/14/09
DWELLING:
TYPE OF COHSTRUCPIOH: WOOD FRAME # STORIES: 1.0 # EXITS: 3
FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: IST FLR_: 5 2ND FLR.: 0 3RD FLR.: 0
BATHROCN(S): 2.0 TOILET ROCK(S): 0.0 UTILITY ROCK(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BEgg23?AY: FIREPLACE: 1 GARAGE: 1 CAR UNDER HOUSE
DOMESTIC HOTbATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: CENTRAL AIR
TYPE BEAT: OIL WARM AIR: X HOTNATER:
OTHER: REAR ENCLOSED ENTRY WAY
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION I ART. SEC.
INSPECTED BY: - DATE ON IS)sPECTION: 10/14/09
GARY J TIME START: 10:00AM END: 10:30AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
D EC WE
OCT - ° ° Yi D
BLDG. DEPT.
TOWN OF SOUTHOLD
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:
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 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 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 Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Date. October 2009
Old or Pre-existing Building: X (check one)
Location of Property: 280 Munn Lane Orient
House No. Street Hamlet
Owner or Owners of Property: The Irma Toth Hupfel Living Trust
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Request for: Temporary Certificate
Fee Submitted: $ j 00, 00
17 Block
Lot
Filed Map. Lot:
Martha Tully @ Twomey, Latham, Shea &
Applicant: Kelley
Underwriters Approval:
Final Certificate: X (check one)
'Applicant Signature t ?�
Reginald Tuthill, Trustee
CONSENT TO INSPECTION
Reginald Tuthill, as Trustee of the Irma
Toth Hupfel Living Trust 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 280 Munn Lane, Orient
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 17 , Block 4 , Lot 2
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: Letter of Pre—Existing
Use for single family dwelling
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 in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated: October , 2009
(Signature
Reginald Tuthill, Trustee
(Print Name)
(Signature)
(Print Name)
TOWN OF SOUTHOLD PROPERTY RECORD CARD _
OWNER
STREET
VILLAGE
DIST. SUB. LOT
-�
(w .. S
)'(-1 ✓ �C/
FORMEROWNE
/
ACR.
S
W
TYPE OF BUILDING
ZES. ) O
SEAS.
VL
FARM
COMM. CB. MISC. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS /o o O
�5 o 0
00
oU
�,...
8 000
Al6r6o
3ZIeZ7LI
< - Se a SGhnetbr 1 IMs ap �dPif
3 h -5- 10o — L 12033 _y Zk — gUACe I h AAeA&l Bonn {WLI &sol
o - L Zl ZS 77—PUP fie/ ?r a c�T
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable 1
Tillable 2
tillable 3
Noodland
iwomplond
_
FRONTAGE ON WATER
3rushlond
j
FRONTAGE ON ROAD
7 S-4
louse Plot
DEPTH
31
v �.r
BULKHEAD
Total
DOCK
FIX?- .w:
5URVEY OF PROPERTY
SITUATE: ORIENT
TOWN: 5OUTHOLD
SUFFOLK COUNTY, NY
SURVEYED SEPT. 25, 2009
SUFFOLK GOUNTY TAX u
1000-11-4-2
OIERT= TO:
bUCHAEL D. HANNARN
�
41
KATHLEEN M. HANNAFIIN
ELITY TlTLE IINS
2E
18.5' Ln 4.6' I Story Frame ��
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Land
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COMPANY
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NOTES:
MONUMENT FOUND .>.
'm�Y � q P w vgrn�uw vvy
AREA = 11,120 S.F. OR 02553 AGRE
RIGHT OF WAY RECORD OWNERSHIP AS
"PRIVATE ROAD JOINT OWNERSHIP"
6RAPHIG SGALE I"= 20'
O 20 40 60
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF. \\Compagserver\pros\09\09-153.pro
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NOTES:
MONUMENT FOUND .>.
'm�Y � q P w vgrn�uw vvy
AREA = 11,120 S.F. OR 02553 AGRE
RIGHT OF WAY RECORD OWNERSHIP AS
"PRIVATE ROAD JOINT OWNERSHIP"
6RAPHIG SGALE I"= 20'
O 20 40 60
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF. \\Compagserver\pros\09\09-153.pro
LOCATION:
(number & street)
(municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S): j+U A rk, _
OCCUPANCY: I
(type) (owner -tenant)
/y
ADMITTED BY: _ G,i„�/,�" // u� r JN (� ( ACC f7 D BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 -
SOURCE OF REQUEST: DATE:
DWELLING:
TYPE OF CONSTRUCTION: am i # STORIES: �— # EXITS:
FOUNDATION: 64.tet, CELLAR:_ CRAWL SPACE:
TOTAL ROOMS: 1ST FLR: _5__ 2ND FLR: — 3RD FLR:
BATHROOM(S): �- TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE:. DECK, TYPE: r PATIO, TYPE:
BREEZEWAY: FIREPLACE: 6— GARAGE:
DOMESTIC HOTWATER: Mc_S TYPE HEATER: AIRCONDITPNING:
TYPE HEAT: &I/ WARM AIR: HOTWATER:
OTHER: IA_4.., a'_ / „ , , ( z- . _ _ _ . .
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
REMARKS:
INSPECTED BY: A07
`
DESCRIPTION
ART. I SEC.
DATE OF INSPECTION:
TIME START: / °' END: 10 ".o