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Z-17528
FORM 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 V Building Inspector Rev. 1/81 ~ _ BUILDIi',G DEP ARTi1iEI T T0.'l'i\1 OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 850 LUPTON POINT ROAD MATTITUCK, NEW YORK (number do s treez) (14unicipaiity) Subdivision ivlap No. Lot(s) Name of Owner(s) UONALD 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 DVELLING: Type of construction WOOD FRAME JL tories 1 z Foundation CEMENT BLOCK Cellar 2 Crawl space z Total rooms, lst. F1 7 2nd. F1 1 3rd. F1 Bathroom(s) 2 Toilet rooms) Porch, type Deck, type rear Patio type_ Breezeway Garage 2 car attached Utility room Washer &. Dryer Type Heat oil Warm 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, type const. Other Bulkhead and small jetty down by the water. VIOLATIONS: Housing Code, Chapter 4.5: N.Y. State Uniform Fire Prevention Building Code Location Description AT Art. ` Sec. GARAGE Attached garage does not have 3/4hr separation and 3/4hr door. 717 3 F I I Remarks: BP #2069-C/ Z 1662 for add. BP #4300-C/0"Z-5524 for add.BP # 144 1 1-CO Z 15522 for add. Inspected by: Date of Insp. 11/15/1988 GARY F H ' Time start 9:25 am end 9:50 am y ` ' FORM NO. 6 lot ( $ TOWN OF SOUTHOLD Building Department �VVJ Town Hall BLDG.DEFT. Southold, N.Y. 11971 TOWN OF 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. B. 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 C 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. 1.-Certitica`te of occupancy on pre-existin dwellin $]00.00 3. Co 9 9 - - -- Copy of certificate of occupancy $ 5 . 00 , over 5-years $ 10 . 0 0 4 .Vacant Land C.O. $ 20 . 00 5-Updated C.O. $ 50 . 00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . NewConstruction_ , , , , , Old or Pre-ex isting BuildingXXX . . . , . Vacant Land. . . . . . . . . . . . . Location of Property . . .$?0, Lupton ,Point Road, Mattituck, New York House No. . . . . . . . . . . . . . . Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hamlet Owner or Owners of Property .DONALD W. LUCHSINGER and JUDITH L. LUCHSINGER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section , , .115 11 16 . . . . . . . . . Block . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . , , , , , , , , , . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicabblle,codes and regulations. Applicant �'�,'� e�� �(-�", li .�1 ✓ ��Cw ac ..� (Dohald W. Luchsinger) (Judith L. Luchsinger) Rev.10-10-78 4-— - - O,tt. Coq-- 175,? ' 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: � .w/ �� �y (signature) DONALD W. LUCHSINGER (print name) ✓°4 Zj (signature ' JUDITH L. LUCHSINGER (print name) - - -- ----------- JP } --b t} -- - rL�l;i_ d ° ;--. �''•. � ,• yy. _.f"'-At±�...A „r1 ir. •. �- '�.�' t 7' �,-0?�- F i4o.^• _ t A~��.. fir .f••••'2 t i i ��.� +�... � ✓''\�'"ice '` l _ •,� ,smJI •.�t� t`+.•I.t/ Jr� F' h2 ``..1' '•JH. S. 7' �C-G.:f"'J s`✓E st... vfti~u� '�' �_..._a i� i' �s h'•.G°ti.p.Jes a.,'�_! 'r+1' �- �' y 3'^�t,i. �.Q� �� �.; �t<,: t� , .;j �S`f 44 La � n "a VM `y i]t .^ i�}�[� \l• t i � ., :`a t,a0..3 tlC ..3�-,:5�11' t A4 lk F. a� GA � a�� O E �y to r,�_>►si' vim' kmP--zt .F.�4 •!tIF SJ #' ..r.�.'.,�S.t �••-^n. �`X'.,� -•fir - f s� y.i�.�.4 L.. 1 G�.--,`�-i�i__.tL_—'ti—' ..! ., t9{i � i• _ p- ,.-,s Y �-. i ( s� R r+} y i� �+ � � w�.gip•+ t... �4 t.J i.r i 4.9 '` �• : '\:1. .� ! 1,� , 8 b'•- � ,' a''A 1• f t I i J'i t' e . _ ECORD CARD "Z TOWH OF SOUTHOLD rROPERTY RE .OWNER STREET VILLAGE DISTRICT -SUB,- LOT FORMER OWNER N E ACREAGE S TYPE OF BUILDING RES. SEAS. VL. FARM comm. IND. I CB. misc. LAND IMP. TOTAL DATE REMARKS -n 0 3 ?o o 417 ,90 V, 4-i E-:1 _2 J 0- ofu (I r)tO K, 44of,1-�_l r,(- P_ B�qE T10�ING CONQ_IT.)0 LO + g, 4o Ge- NEW NORMAL BELOW ABOVE Form Acre Value Per Acre Value Tillable 1 62 6; Tillable 2 0 Tillable 3 Woodland SwAmpland B4shland House Plot Tctol �5�;��`'�,. ��'a ,r,�► �� ram' MENEM , �► 1 ■■■■■■■■■®■■® NONE ■■■■■■■M■■_Np_■_� ■NONE ._ --� �� .=Y a •� ■■■■mo-�■IN■■■"u6■NOON■ J r r - o ■■■■E S I■■[NON■■■,NOON ! ■■NEMO NINE■Ell Li■�i ■■©i■Oil===.•:=_■O IN a Basement Fire e 1. '8' `�i'h �► • • • � Place Porch Patio ills. Driveway u• yaa �KeY BUILDIN,G DEPARTiiE:iT T0:'TN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location (number & st eez) (Municipality) Subdivision clap No. Lot(s) Name of Owner(s) Occupancy ' type owner-tenant Admitted by: Accompanied by: Key available Suffolk Co. Tax No. //S"- Source of request Date // O pop DWELLING Type of construction IF � s tories Foundation � „ �i1 Cellar Crawl space z Total rooms, ,lst. Fl 2nd. Fl 3rd. Fl Bathroom(s) Toilet room(s) Porch, type Deck, type Rk, 0"--19--- Patio, type_ Breezeway Garage o2ru,, ate,[-, ��_ CTtility room G,,A_ Type Heat 'alarm Air Hotwater Fireplace(s) 8x,�e- No. E:cits 3 Airconditioni ng ---* Domestic hotwater Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool _ Guest, type const. f Other ✓ � � VIOLATIONS: Housing Code, Chapter 45.. N.Y. State Uniform Fire Prevention B ild' Code Location Description Art. ` - Sec. A-- Remarks: Inspected by: -,7&4M Date of Insp. Time -start 9 = end =f�