HomeMy WebLinkAboutZ-16423 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSP:CTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the PRE-C.O. # Z- 16423
/Xx/ Land ~ Date November 19, 1987
J / Building(s)
/ / Use(s)
located at 1325 Lupton Point Road Mattituck, New York
btreet am et
shown on County tax map as District 1000, Section 1 15 Block 1 1 ,
Lot 09 does not conform to the present Building Zone Code of the
Tor n of Southold for the following reasons:
Insufficient total area and set back from water
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /x~ Land Building(s)
/_/Use(s) existed on the effective date the present Building Zone Code of the
Town of Southold, and may be continued pursuant to and subject to the appli-
cable provisions of said Code.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this Certifi-
cate is issued is as follows• Property contains one story, .one family wood
framed dwelling, with attached garage and situated in `A' Residential Agricultural
Zone with access to Lupton Point Road
The Certificate is issued to JACQUELINE D. KELSEY
(owner, ~~~~~~r~t~X
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
Building Inspector
.
. • • BUILDhiG DEP.~RTIE~iT
T0~•Ii~1 OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
LOC~tion 1325 Lupton Point Road Mattituck, New York
t,number & street Municipality
Subdivision Ivlap No. Lot(s)
Name of 0~•mer(s) JACQUELINE KELSEY
Occupancy ONE FAMILY DWELLING
type ourner-tenant
Admitted by: Mrs. Kelsey Accompanied by:
Key available Suffolk Co. Tax No. 115-11-09
SOUr•Ce Of request OWNERS LAWYER RICHARD F. LARK Date 11/19/87
D'rIELLI~iG
Type of construction wooD FRAME #stories 1
Foundation Cement block Cellar x Crawl space
Total rooms, lst. Fl 5 2nd. Fl 3rd. Fl
Bathroom(s) 1 Toilet room(s) 2
Porch, type enclosed Deck, type Patio, type_
Breeze:•~ay Garage attached Utility room
Type Heat oil 'rlarm Air x Hotwater
Fireplaces} No. Exits 3 Airconditioning
Domestic hotwater x Type heater oiI burner
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 45 N.Y. Statelaniforodeire Prevention
Location Description Art.) Sec.
Remarks: SMOKE DETECTOR IN HALL BY BEDROOMS
Inspected by: i+-C Date of Insp. 11/19/87
VICTOR LESSARD -Time start 10:05 end 10:21
D
' FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspec-
torwith the following; for new buildings 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 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-
tions, acertificate 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 property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
lion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy New Dwelling. $25.00, Accessory -$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $ 10.00
4.Vacant Land C.O. $ 20.00 November q,, 1987
5.Ubdated C.O. S 50.00 Date
NewConstruction , , , , , ,Old orPre-existing Building X........ Vacant Land .
Location of Property ...1325..... , . , Lu~ton.s ,Point. Road,,,, , , , , , , , , , , *?attituck, , , ,
House No. Street Hamlet
Owner or Owners of Property .Melv,il~e, ,Fs. ,Kelsey,,, ,Jr; , , Jacqueli;n~, p ; ,)Ce,l,~@y, , , ,
County Tax Map No. 1000 Section ,115.00. , , , , Block , , , 11:00_ , , , , , Lot ,009; 000, , , , ,
- 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 ......X............... .
Fee Submitted$.50...00,,,,,,,,,,,,,,,,,,,,,,
Construction on above described bui{ding and permit meets all//applicable codes and regulations.
Applicant 2N~G~?;U, ~ , .
~ J queline ~D. ~Kelsey~ ~ ~
Rev. 10-10-78
~ ~ ~ 14~I a3
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jSTATE OF NEW YORK:
ss.
COUNTY OF SUFFOLK:
JACQUELINE D. KELSEY, being duly sworn, deposes and says:
That I am the owner of premises at 1325 Luptons Point Road,
iMattituck, New York (Suffolk County Tax Map No. District 1000,
I Lot 009.000). That I ac uired title
Section 115.00 Block 11.00, q
to this parcel along with my husband, Melville A. Kelsey, Jr. by
(deed dated March 14, 1963 and which was recorded in the Suffolk
!County Clerk's Office on March 21, 1963 in Liber 5322 Page 404.
TThat my husband, Melville A. Kelsey, Jr. died on December 29,
11980 at Greenport, Suffolk County, New York.
i
Ij Located on the property is a one story frame house with an
I~attached one car garage in good condition which was constructed
~~prior to 1957.
This application is made for the purpose of obtaining a
pre-existing Certificate of Occupancy from the Building Department
~~of the Town of Southold.
!I ~l n
1~ i
~i _
~ J ~queline D. Kelsey
I
i
i
~5worn to before me this
(~th day of November, 1987
i
Notary Public
NOTARY PUBLIC, State of ~::vr Yerk
No. 4635190, Suffolk Ce•~nty
Commission Expires October 30, 1988
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PRIVATE
~.'.~inUYiLlB 4liERAiION OR A~ITR;~ Survey for
O iNI$ SURVEY IS A VIOLATION OTtd1ELVILLE A. J R. 8, JACQUELINE D. KELSEY
KTION 7109 01 THE NFW YORK ST
nUCAIicN LAW
~n'I` O/ ,HI' SURVEY M,4f
NOT OEARIN( Matt i t uck
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r~ 6i a ~AIIC TFUf COPY
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NOTE: LAN ff1tOR;`N„Y.$. UC. N0. 12945
¦•CONCRETE MONUMENT RIVERN