HomeMy WebLinkAboutZ-17528FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE-EXISTING
CERTIFICATE OF OCCUPANCY
No Z-17528 Date NOVEMBER 21, 1988
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 850 LUPTON POINT ROAD MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 115 Block 11 Lot 16
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a private one -family
dwelling built prior to: APRIL 9, 1957 pursuant to which
CERT.OF OCCUPANCY # Z-17528 dated NOVEMBER 21, 1988
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
The certificate is issued to DONALD W. & JUDITH L. LUCHSINGER
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE-EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE-EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE-EXISTING
Building Inspector
Rev. 1/81
BUILn '
�I-,G DEP:-Rl.•1E T
TO'PiI1 OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 850 LUPTON POINT ROAD MATTITUCK, NEW YORK
tnumber 6c street i,iunicipaiity)
Subdivision Map No. Lot(s)
Name of Own er(s) DONALD W. & JUDITH LUCHSINGER
Occupancy 'A" RESIDENTIAL
(type) owner -tenant
Admitted by: SELF Accompanied by:
Key available
Suffolk Co. Tax No. 1 15-1 1-16
Source of request DONALD LUCHSINGER
Date 11/4/88
DWELLIPTG :
Type of construction WOOD FRAME U y
rstories 12
Foundation CEMENT BLOCK Cellar 2 Crawlspace 2
Total rooms, lst. Fl 7 2nd. F1 1 3rd. F1
Bathroom(s) 2 Toilet room(s)
Porch, type Deck, type rear Patio, type_
Breezeway Garage2 car attached Utility roomyer
Washer & Dr
Type Heat Oil 'alarm Air Hotwater x
Fireplace(s) ONE No. Exits 3 Airconditioning
Domestic hotwater OIL Type heater
Other
ACCESSORY STRUCTURES: NONE
Garage, type const. Storage, type const.
Swimming pool Guest t
COriSt.
Other Bulkhead and small jetty down by the water. _
VIOLATIONS: Housing Code, Chapter 45 N.Y. State_
Location I Description
ATCHED
GARAGE Attached garage does not have 3/4hr separation
and 3/4hr door.
iform Fire Prevention
/1_J' _
Art. I Sec.
3 F
Remarks: BP #2069-C/q Z1662 for add. BP #4300 -C/O Z-5524 for add.BP #14411 -CO Z15522
Inspected b for a d.
y: Date of Insp. 1 1/ 15/ 1988
GARY F H
Time start 9:25 am end 9:50 am
B.
IL
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
U Town Hall
DEPT.
Southold, N.Y. 11971
TO SOUTHOLD 765 - 1802
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 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.
.. -i
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, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $ 5.00
4.Vacant Land C.O. $ 20.00
5 -Updated C.O. $ 50.00
$100.00
over 5 years $10.00
Date..........................
NewConstruction...... Old orPre-existing Building XXX .. Vacant Land
Location of Property ...$20 Lupton .Point Road, Mattituck, New York
... ..... .. . .. .........................
House No. Street Ham/et
Owner or Owners of Property DONALD W. LUCHSINGER and JUDITH L. LUCHSINGER
...................................................
County Tax Map No. 1000 Section , 115 . Block ... 1' ......... Lot . , 16
Subdivision .................................Filed Map No. ..........Lot No. .............
Permit No. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................ al ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate .......................
Fee Submitted $ ............................ .
Construction on above described building and permit meets 11 a pplica le codes and regulations. Q /-
Applicant
(Do a1d W. Luchsinger) a (Judith L� Lu ger)
Rev. 10-10-78 iiV
SZ>lc . 36115
%o -,2- 1'75,8'
15,941
CONSENT
TO
INSPECTION
DONALD W. LUCHSINGER & JUDITH I,. LUCHSINGER the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 820 Lupton Point Road, Mattituck, New York
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 115 , Block 11 , Lot 16
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy on pre-existing 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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: I, Lag—, 81�
10
(signa—tu e)
DONALD W. LUCHSINGER
(print name)
✓a .µ,'Vi'°-�'"d..� .�.�'�`rc�.�:�s oC.
(sign'ature')
JUDITH L. LUCHSINGER
(print name)
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TOWN OF SOUTHOLD
rROPERTY RECORD CARD
OWNER
STREET
VILLAGE
DISTRICT
-SU4;---
LOT
I IND.
CB.
I misc.
LAND
IMP.
FORMER OWNER
N
E
ACREAGE
-2
-7oo
t
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t
-5104
V
E-4, 4P
TYPE OF BUILDING
67
7
RES.
SEAS.
VL.
FARM
comm.
I IND.
CB.
I misc.
LAND
IMP.
TOTAL
DATE
REMARKS
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3 fo
-5104
V
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67
7
OLU
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-77
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B��QING CONQ_IT,10�,
AR
440!�4� CC ad
ch:51,nq-'r -1-tof 4p
NEW
NORMAL
BELOW
ABOVE
Farm
Acre
Value Per Acre
Value
Tillable I
Tillable 2
Tillable 3
Woodland
Sw mpland
131hiand
House Plot
""w
Tcta I
ke
51
tk
... ........... ..................
BUILDIi1:G DEPARTI�L=. T
T01.111\1 OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location OF -5-0 P{•
(number & st ee-c
Subdivision clap No.
Name of Owner(s)
Occupancy.
1.
cipality)
-Lot(s)_
(type) (owner -tenant
Admitted by: Accompanied by:
Key available Suffolk Co. Tax No. IIS --
Source of request Date
DWELLING: -
Type of construction #stories
Foundation 41ea Cellar f 2__-- Crawl space
Total rooms, 1st. F1 7 2nd. F1 3rd. F1
Bathroom(s) oZ Toilet room(s)
Porch, type Deck, type ?A,,#., Patio, type_
Breezeway Garage ,2c04 &Ta- tility room A,,&-
Type Heat_ Idarm Air Hotwater ��
Fireplace(s) Bk -t- No. Exits 3 Airconditioning =
Domestic hotwater Type heater
Other gvaykeil rnLn ,
ACCESSORY STRUCTURES: U ��
Garage,
Swimmin
Other 1
type const. Storage, type const.
pool Guest, type const.
.-t/AZ4--
VIOLATIONS: Housing Code, Chapter 45. N.Y. Statq_Uniform_Fire Prevention
Remarks:
Inspected by: A-24 Date of Insp.
Time start 9 :-Irend'"S�