HomeMy WebLinkAboutZ-34485FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~-RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 34485 Rte: 07/30/10
T~IS C~RTIFIES that the building DWELLING AND ACCESSORY
Location of Property 1235 LUPTON PT RD
(HOUSE NO.)
County Tax ~ap No. 473889 Section 115
subdivision
MATTITUCK
(STREET) (HAMLET)
Block 0011 Lot 008
Filed ~ap No. Lot NO.
confor~ substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 purs-~nt to which ~'~IFICATE OF
~UUP~C~I ~[~B~ Z- 34485 dated JULY 30, 2010
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 WITS ACCESSORY ONE CAR GARAGE.*
The certificate is issued to JANE MIZRACH & ELLEN MARKEL
( OWNER )
of the aforesaid building.
EI~RCTRICAL C~TIFI~ATE NO.
PLU~4B~R~ u~TIFICATION DA'r~
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
~/A
N/A
N/A
/Jhor~d Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
BOUSING CODE INSPECTION REPORT
DWELLING:
· "~VPE OF C~-r~(]~: WOOD FPJ%ME # STOP, ES: 2.0 # EXITS: 2
F(~I(~: CEMENT BLOCK (~: 1.5 (/~ SPA(~: 1.5
ACCESSORY STRUCTIIRES:
C~, ~ OF CO~ST.: 1 CAR WOOD FRAME ST~,
~ POOL: (~, ]~'PE C~.:
~A~: BP 6958 SEED COZ 6254
VIOLATIONS: CN~PTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
R~: BP4295 ADD C0Z3809, BP 6172 ADD/ALT C0Z5453
DA~ (~ II~SPECTI(~: 07/29/10
TI~ START: 9:30 ~): 10:00
765-1802
~PLICA~ON FOR CER~FICATE O~ ~CUP~ ~CY
~is appli~tion must ~ fill~ in by ~wfiter or i~ ~d su~i~ to
For new bui~ing or new use:
1. Fi~ s~ey of pro~ wi~ ~mte l~ion of ~1 buil~ngs, pm~ lines, s~, ~d ~ na~ o~-
to~phic fea~.
2. Final Approval ~m Heal~ ~pt. of water supply ~d sewe~e~is~sal (S-9 fo~).
3. A~rov~ of el~c~ ~lafion ~m Bo~ of F~ Unde~tem.
4. Sworn statement ~m plm~ ~i~ing ~m the solder m~ in system ~nm~s l~s ~ 2/10 of 1% lead.
5. Co~e~i~ building, indus~ building, multiple msidm~s ~d s~il~ buil~ngs ~d ~lations, a ceaificate
of Code Compli~ ~m ~chit~ or engin~r ~s~mible for ~e buil~g.
6. Submit Pl~g B~ A~roval of ~mplet~ site pl~ ~ui~en~.
F~r existing buildin~ (prior to Ap~!9~ non~onfoming or b~ildin~ and ~p~xb~g" land
1. A~te su~ey of p~ show~g ~1 pm~ l~es, s~, building ~d unm~ natural or to~phic
f~s.
2. A pro,fly ~mplet~ application ~d cons~t to ins~ si~ by ~e a~lic~t. Ifa C~ificate of ~up~cy is
deni~ ~e Building Ins~tor sh~l state the mmons ~for in ~ting to ~e applic~t.
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.
(~. Ce'*~ffc~te nfOc~np~cy on pre-existing Rnilding - $100.00~
Copy of Certificate of Occupancy - $.25
4. Updated Certificate ofOecupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction: Old or Pre-existing Building:
LocationofProporty: j ~ ~h~ I--,O,OY'OVI JOT'.
Iq~se ~o. ' ' Street
Owner or Owners ofProperty: ,~_/~1 l, qff_ J/~
Suffolk County Tax Map No 1000, Seetion / [ ~-
Subdivision
Permit No. Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
~'~' (check one)
Hamlet
I'vl &.r kt.z
Lot ~
Block
Filed Map.
Applicant:
Underwdtem Approval:
Final Certificate:
Lot:
L~ (checkone)
Fee Submitted: $ / ~.)
~licant Sign~ture~
CONSENT TO INSPECTION
Owner(s) Name(s)
, the undersigned, do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at /oq~5' . /~ PT-O~S PT--. P'~Tt~, T-O ~
which is shown and designated on thd Suffolk County ~fax Map as District I000,
Section [/~" , Block ]/ , Lot ~
That the und6migned (has) (have) filed, or cause to be filed, aa application in the
Southold Town Building Inspector's Oftiee for.the following: ,~//~ tD ~
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, includ'mg inspections to detennine that said premises
comply with all of the laws, ordinances, roles and'regulations.of the Town of Southold.
The undersigned, in ~onsanting 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, ordinaaees, rotes or
regulations of the Town of Southold.
Dated:
(Sig a '
(Print Name)
'(Signature)
(Print Name)
TOWN OF SOUTHOLD P~ROPERTY RECORb CARD
OWNER
j~F~RMER OWN ER
RES.
lAND
Farm
TilJ~le
Tillable
Tiffa~l~ 3
Swamplan8
~me Plot
Tofol~
IMP.
VL
TOTA[~
FARM
DATE
VI L L.AGE
Ke.( y
COM~. ~I IND.
DISTRICT ~ LOT
TYPE OF BUILDING
CB.
REMARKS
NORMAL BELOW ABOVE
Acre Value Per Acre Value
~ I
~tension ~ X~ = ~ ~ .- Basement V ~ Fl~rs
- ~ Porch - ~ Attic
B~e.ezewa~ Patio R~ms 2nd Floor
LOCATION:
(number 8~street)
~-T~ ~c__
(municipality)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
LOT(S):
(type)
ADMITTED BY:
KEY AVAILABLE:
SOURCE OF REQUEST:
(owner-tenant)
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING:
TYPE OF CONSTRUCTION: t)-)0~ ~Pt~,tej # STORIES: ~ # EXITS: ~
FOUNDATION: ~f-~q~,) ~ ]LJ.~. lc CELLAR: t/t~ CRAWL SPACE' ~-"---~
TOTAL ROOMS' 1ST FLR:t " 2 · ?' ~ '
· ~ ~ NDFLR.. /t _ 3RDFLR: ~
BATHROOM(S): ~g- TOILETROOM(S): - .- ~JTILITYROOM~ ~
PORCH TYPE: DECK, TYPE: -- PATIO, TYPE: '~
BREEZEWAY: ~ FIREPLACE: ~ , GARAGE: -- '
DOMESTIC HOTWATER: 7E-Y TYPE HEATER. &tc-A ~IRCONDiTi'-~-NiNG.7 ,
TYPE HEAT: ~ WARM AIR: HOTWATER: ~
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY:
~ ~]~--. ~P} DATE OF INSPECTION: . 7/¢,~¢O TIME START: ~ >.~ ~ t END:
>.,~ o
o o
0 ~'
1226.34'+ TO
MARRATOOKA AVENUE
N88'36'58'E
19.76'
EDGE OF LAWN
N88'15'O0"W
EDGE OF paVEMENT
PRIVATE ROAD
(LUPTON POINT ROAD)
Survey for:
CARRIE TINTLE
Mattituck
Town of
$o~thold
Suffolk County, New York
S,C,T,M,: 1000-115.00-011,00-008.000
20 0 20
SCALE: 1"= 20'
NOTES:
1, AREA = 12,614 S.F.
2. · = MONUMENT FOUND, A = STAKE FOUND.
5. REFERENCE DEEO L. 12519 CP. 455
WALL
~._u
o~
E
JULY 21, 2010
DATE: JUNE 50, 2010
JOB N0:2010-228
ADDED CER~F[CA~ONS
CERTIFIED TO:
CARRIE TINTLE
FIDELITY NATIONAL TITLE INSURANCE
COMPANY OF NEW YORK
HUDSON CITY SAVINGS BANK
DAVID H. FOX, L.S. P.C. N.Y.S.LS. ~50254
FOX LAND SURVEYING
64 SUNSET AVENUE
WESTHAMPTON BEACH, N.Y. 11978
(651) 288-0022
OWG: 2010-228