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Home My WebLink AboutZ-26224FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26224 Date: 01/20/99 THIS CERTIFIES that the building DWELLING Location of Property 1150 LUPTON PT RD MATTITUCK (HOUSE NO.) {STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 0011 Lot 013 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- 26224 dated JANUARY 20, 1999 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~ SCREENED PORCH, REAR DECK AMD ACCESSORY TWO CAR GARAGE. * The certificate is issued to LOIS W BARKER of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD EOUSING CODE INSPECTION REPORT LOCATION: 1150 LUPTON ~ RD SUBDIVISION: NAME OF OWNER (S): LOIS W BARKER OCCUPANCY: A-1 RESIDENTIAL ADMITTED BY: LOIS W. BARKER MAP NO.: __LOT (S) -- LOIS W BARKER ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 115.-11-13 SOURCE OF REQUEST: GARY OLSEN DATE: 01/28/99 TYPE OF CONSTRUCTION: WOOD FP3%ME # STORIES: l.O # EXITS: FOUNDATION: C~/~NT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: O 3RD FLR.: O BATHROOM{S): 2.0 TOILET ROOM(S): O,0 UTILITY ROOM(E): -- PORCH TYPE: SCREEN PORCH BREEZEWAY: FIREPLACE: ONE DOMESTIC EOTWATER: YES TYPE HEATER: OIL TYPE EEAT: OIL WARM AIR: ~ HOTWATER: OTHER: DECK TYPE: WOOD DECK - REAR PATIO TYPE: ~ARAGE: AIRCONDITIONING: GARAGE, TYPE OF CONET.: SWIPING POOL: OTHER: 2 CAR WOOD FRAM~ STOP, AGE, TYPE CONST.: GUEST, TYPE OONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PP~EVENTION & BUILDING CODE LOCATION DESCRIPTION DATE ON INSPECTION: 12/17/98 TIME START: 10:45 END: 11:15 FORM NO. 6 TOWN OF SOUTHOLD · Building Department Town Hall Southold. N.Y. 11971 765- t802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ' Instructions A. This application must be filled in typewriter OR ink, and submitted .., ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of ,~11 buildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal}. 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings. Industrial buildings, Multiple Residences and similar buildings and Installa- lions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B..For existing buildings {prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all properW lines, streets, buildings and unusual natural or topographic features. 2,Sworn statement of owner or previous owner as to uso, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C, Fees: 1. Certificate of occupancy $25200 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5,'00, over 5 years $10.00 4.Vacant Land C,O. $'20.00 5.Updated c.g. $"50.00 Date December.8,.19g8 .......... One story frame house With attached screen porch & deetached · New C on s t ruc t i on ...... Old or Pre-existing Building . ~( .......... V~l¢i~i3'~/[./Ifi~f~rame .ga~;a~ · · Location of Property ...1.1.-~Q .~,~gt~o.~.'.s..P.cO4v..,. M,~t,t.i~:~ck.. New. ]fork ......................... Hou~ No. Streut Ham/at Owner or Owners of Property Lois N. BarEer County Tax Map No. 1000 Section . .]j.5 ........... Block . .[.1 ............ Lot..[3. ............ Subdivision ................................ . Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... 100.00 Fee Submitted $ · Constr?cfion on above described building and permit meets all applicable codes and re;]ulations, 5>~ Applicant .................................................... (~J:ly FLANNER OLSEN, Ese ne~. le.lO,?a P.O. BOX 706 (~U'rCHOOUE, NY 1~1935 CONSENT TO INSPECTION Lois W. Barker · , the undersigned, Owner(s) Name(s) do(es) hereby stat(;: That the undersigned (is) (are) the owner(s) of the premises in the Town 1150 Lupton's Point, Mattituck, New York of Southold located at · d · which is shown and desxgnate on the Suffolk County tax map as District 1000, Section 115 , Block 11 , Lot 13 That the undersigned (has) (have) filed, 'or caused to be filed, an applies- tion in'th. Southold Town L~uxlcling lnspeu~,,~'o or,to, ro~ +h. fnllmvin~: ~ One story frame house with attached screen porch and detached frame garage 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 laxvs, ordinances, rules and regulations of the Town of Southold. Thc undersigned, in consenting to such inspections, do(es) so with thc knowledge and understanding that any information obtained In the conduct of such inspections mafbe used as evidence in subsequent prosecutions for vio- lations o~ the laws, ordinances· rules or regulations of the Town of Southold. Dated: December 8, (signature) '~' Lois W. Barker (print name) (signature) (print name) SURVEY OF PROPERTY SITUATE, F~ATTITUGK TOkeN OF SOUTHOLO SUFFOLK C_,OUNTY, NY E:,URVE"F'ED lO - 21 - cl6 SUFFOLK C.,OUNT'F TAX fi' IOOO - 115 - II - I~, S 0 N8q °O8'52"1A1 IOI.ql' GERTIFIE~ TO= LOI~ !Al. DARKER · h4ONUHENT FOUND PIPE FOUND AREA = 51, ql~ 5P OR I.Iq AGRE5 ALI_ ~JOHN~ LAND SURVEYOR 6 EAST NA[N STREET RIVERHEAD, N,Y. ~90t 369-82BB Fax 369-B287 N.Y.S. LIC. NO. 5020E REFERENCE # 9B-0258