HomeMy WebLinkAboutZ-10495FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No... ZAQ495........ Date ..... MAY.. 1� ..................... 19 $j
THIS CERTIFIES that the building ................................................
1275
Location of Property.Bun. aloes Lena,.. Mattituck , New York
House No. Street *Ham%t
County Tax Map No. 1000 Section .... 123 ..... Block ...... 03 ....... Lot ......I= 17
Subdivision ...............................Filed Map No. ........Lot No. .............
kF� � 1d'-elld t o built_ prior
conforms substantially to the pp1l�t§oi�ie
A Q . A.P.01. AI ........ 19 5:. pursuant to li Id �rnti NoOc c u p� ............ 4 95.... .
May 18
dated ...... ..................... 19 ..el.. 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 .........
Private One -Family Dwelling
................................................................................
The certificate is issued to ... AcnaA .Llnd4ay.. .... .. ................. .
(owner, %e eri+ed of the aforesaid building.
Suffolk County Department of Health Approval ......NIR ................................
UNDERWRITERS CERTIFICATE NO... MA ....................... ................ .
4/8/2015 Corrected lot number from 13 to 17
and address corrected from 1155 to 1275 Bungw Lane, .
Building Inspector
Rev. 1/81
Location
BUILDING. MWARTHMT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Subdivision Map No. Lot(s)
Name of Owner(s)
Occupancy -
type
Admitted by:
u �
Key available_
��.ctl� cey Accompanied
Suffolk Co.
by • �v
17
Tax No./,._.Z 3„=,Q,
Source of request zl /6 /Q/L k,4XILI Date
`gal
Mobss,"Pa 1144- 17
DWELLING: and address corrected from 1155 to 1275
Type of construction_( %Jr 2,U1�-lam stories oc�c /•c
Foundation (�� j-.,,7 CellarZl- Crawl space
Total rooms, lst. Fl. – «ss. 2nd. F1DA,v e -R. 3rd. Fl
Bathroom(s) ;E�uG L. _ Toilet room(s)
Porch, typeDeck, type Patio, type
Breezeway — Garage '%lUc7-�',q� Utility room
Type Heat (,. 'Warm Air o « Hotwater
Fireplace(s) No. Exitsi wo „ Airconditioning
Domestic hotwater �. Type heater
Other
AGQE..ASSORY STRUCTURES:
.�.Yali�.l
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Remarks:
Inspected by
Date of Insp. %/� 4 l.S
Time start✓: LSend 2- RAA .
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with 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, 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 peoperty 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-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date . • May 11 , 1981, , . , ... .
New Building ............. Old or Pre-existing Building ..... X...... Vacant Land .............
Location of Property ..............Bungalow. Lane,................. Mani tuck•,• NY....
House No. Street Ham/et
Owner or Owners of Property . A91`19s• jnds4y . • ... ....................................... .
County Tax Map No. 1000 Section .323.00 ........ B lock .. 03r 00........ Lot ... 017.000..... .
Map of Marratooka Park
Subdivision Bay Lots a d Bungalow. Sites . .Map No... 19..... ... Lot No... 13..... • • • •
Permit No. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate ....... X ..............
5
Fee Submitted $ ..5.00 .......................
e building and er iA'A
I'cable codes and re-PZ.
ul ions.
Construction on above described b 9 p W H & R LER P
Applicant ...lit. • • V"
WW' W ICKHAM
Rev. 10-10-78 �v
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�... Survey for
LLOYD & AGNES' LINDSAY
Mattituck
Town of Southold
Suff. Co.,N.Y.
Sca I e. I"=50" GUARANTEED
SAVINGS BANK
SECURITY TITLE 8 GUARANTY CO..
Oct . 26,1963
NOTE MONUMENT C_ _
LOT NOS. REFER TO "MAP OF MARATOOKA PROFESS100_ EN INEE AND
PARK BAY LOTS AND BUNGALOW SITES" LAND -SURVEYOR, N.Y.S. LIC. NO. 121145
FILgQ IN —SUFFOLK 'COUNTY CLERK'$ 9ICEl RIVERHEAD; N.Y.
SURVEY OF
LOT 13
PLAN OF
MARRATOOKA PARK
BAY LOTS AND BUNGALOW SITES
FILE No. 19 FILED MAY 7. 1914
SITUATED AT
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-123-03-17
SCALE 1"=20'
JUNE 8. 2005
AREA = 31.008.81 sq. ft.
(To RE LME) 0.712 oe.
BASED ON ORIGINAL SURVEY BY:
JOSEPH A. INGEGNO
LAND SURVEYOR
PO BOX 1931
RIVERHEAD, NY 11901
ORIGINAL SURVEY DATED:
DECEMBER 13, 2004
—1-
1.ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS: so
EXISTING CONTOUR LINES ARE SHOWN THUS:-
- YSY[M OMK
- CM/CE ROLA
!0. - IUP Oi BIIRI.iM
ua - eolrw of suv.Rw
sv- rov a wu
.- eona a w.0
2. FLOOD ZONE INFORMATION TAKEN FROM:
FLOOD INSURANCE RATE MAP No. 36103C0452 G
ZONE AE: 13ASE FLOOD ELEVATIONS DETERMINED
7014E: E %• AREAS OF 500 -YEAR FLOOD; AREAS OF 100 -'FEAR FLOOD WITH AVERAGE
DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS :HAN
1 SOUARE MILE, AND AREAS PROTECTED BY LEVEES FROM 100-YEAP FLOOD.
ZONE Y: MEAS DETERMINED TO BE OUTSIDE 5DO-YEAR FLOODPLAIN.
LO, 1A
,D
N/O/L,NDSRS
CWpEOND F
OWNER: LOUIS GIGLIOLI
SITE ADDRESS: 1275 BUNGALOW LANE
MATTITUCK, NY 11952
TOWN OF SOUTHOLD
ADJACENT PROPERTY OWNERS
MR. & MRS. RONALD ZITO
1185 BUNGALOW LANE
MATTITUCK, NY 11952
MR. CLIFFORD SAUNDERS III
525 VILLAGE LANE
MATTITUCK, NY 11952
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OWNER: LOUIS GIGLIOLI
SITE ADDRESS: 1275 BUNGALOW LANE
MATTITUCK, NY 11952
TOWN OF SOUTHOLD
ADJACENT PROPERTY OWNERS
MR. & MRS. RONALD ZITO
1185 BUNGALOW LANE
MATTITUCK, NY 11952
MR. CLIFFORD SAUNDERS III
525 VILLAGE LANE
MATTITUCK, NY 11952
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OWN OF SOUTHOLD PERTY RECORD CARD
143 -13
OWNER
STREET' `j
ViLILAGE
DISTRICT
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ACREAGE
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DATE
REMARKS
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Value Per Acre
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O. B.
I . A TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
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STREET
VILLAGE
DISTRICT
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LOT
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FORMER OWNER
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ACREAGE
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TYPE OF BUILDING
RES. SEAS. VL. FARM comm. IND. CB.
LAND I IMP. TOTAL DATE REMARKS
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
Form Acre Value Per Acre Value
Tillable I
J
Tillable 2
Tillable 3 1 1
Woodland
Swampland
Brushland
House Plot
Total
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Foundation
Bo
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Extension
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Floors
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Ext. Walls
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Interior Finish
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Heat
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Patio i
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Garage
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