HomeMy WebLinkAboutZ-18324 c �
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE
CERTIFICATE OF OCCUPANCY
No Z-18324 Date AUGUST 30, 1989.
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property, 1770 REEVE AVENUE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 100 Block 3 Lot 8
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
CERTIFICATE OF OCC. #Z-18324 dated AUGUST 30, 1989
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 DWELLING WITH ACCESSORY 3 CAR GARAGE*
The certificate is issued to A.J. LUTZ
(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
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
BUILDING DEP.4RTI.1ENT ,
TO411 OF SOUTHOLD, N" Y.
HOUSIIIG CODE INSPECTION REPORT
Location 1770 REEVE AVENUE
�numoer & street (Municipality)
Subdivision MaD No. Lot(s)
Name of Owner(s) A.J. LUTZ
Occupancy RES-
(type) (owner-tenant
Admitted by: CECILIA LUTZ Accompanied by: SAME
Key available Suffolk Co. Tax No. 100-3-8
Source of request HENRY LUTZ Date8/25/89
M ELLING:
Type of construction WOOD FRAME #s-tories 2
Foundation CEMENT Cellar 3/4 Crawl space 1/4
Total rooms, lst. F1 5 2nd. F1 4 3rd. Fl
Bathroom(s) 2 FULL BATHS Toilet room(s)
Porch, type _ _ Deck, type _ _ Patio, type_ _
Breezeway — — Garage — - Utility room
Type Heat OIL Warm Air Hotwater xx
Fireplace(s) NONE No. Exits 2 Airconditioning - -
Domestic hotwater ELECTRIC Type heater
Other CARPORT, REAR MUD ROOM
ACCESSORY STRUCTURES:
Garage, type const. 3 CAR Storage, type const. - -
Swimming pool - - Guest, type const. - -
Other
VIOLATIONS:- CHAPTER. 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location Description �—
� Art. l Sec.
Remarks: HOUSE IN GOOD CONDITION.
Inspected by: Date of Insp. 8/29/89
��GA"FI . Time start10:00 end 10:25
_1 _ TOWN OF SOUTHOLD
AUG 2 S IM BUILDING DEPARTMENT
TOWN HALL
BLDG.DEPT. SOUTHOLD, NEW YOItK 11971
TOlnlN OF SOUTHOLCJ
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE .
,I NEW CO::ST RUCTION . . . . . . .OLD OR PRE—EgISTIt7G BUILDING._ _ _p /
. VACANT LAND. . . . . _
. Location of Property_ l ?� 6 - 5 �/ •
. '_ !mil-_r7/7 - - �< 1
HOUSE NO. STREET- - �- . . . . . .
/l HAMLET
Owner or Owners of Property. j � �J��_ f4, - /_ *� . . . . . . . . . . . . . . . . . . . ..
County Tax Map No. 1000 Section .�� Block - • -
3 . . Lot-
Subdivision. . _ _
. . . . . . . . . . . . . . . . . Filed Map - . . . . . . . Lot . . . . . . . . . .
Permit :10 . . _
- - - - - . . Date of Permit
. . . . - - - - -Applicant - - - - - - - - - -
13ca1[h Dept . Approval . . . . . . - ' • - - - - - -
- - - - Underwriters Approval
Planning Board Approval - - - - - - - - - - - - - - - - . .•. _ - - -
Request for Temporary Certificate -
- - - - - . Final Certificate . . . . . . . . . . . . . . . .
Fee Submitted : $ - - - - - - - - - - - - - - - - - - - -
APPLICAN
- - - - - - - - - - - - -
c.os,My
.eV. 10/ 14/88
.. FORM NO. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALT
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. This application must be filed in typewriter OR ink and submitted to the Buildin
Inspector with the following; for new buildings or new use: g
I. Final survey of property with accurate location of all buildin s
streets, and unusual natural or topographic features. g P1OPerty lines,
2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 fo ).
3. Approval of electrical installation from Board of Fire Underwriters_ rm
4. Sworn statement from plumber certifying that solder used
than 2/10 of lz lead_ in system contains less
5. Commercial buildings, industrial buildings, multiple residences and similar
buildings and installations, a certificate of code compliance from the Architect
at- Engineer responsible for the building_
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (Prior to April 9, 1957) non-conforming uses, or buildings
and "pre-existing" land uses: g
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.
C. For Vacant Land Certificate of Occupancy:
I- An application for vacant land Certificate of Occupancy shall be submitted,.
and a certified abstract of title issued by a title company showing single and
separate ownership of the entire lot prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant_
D. FEES:
1- CERTIFICATE OF OCCUPANCY - New Dwelling $25_00, Additions to Dwelling
Alteration to Dwelling $25_00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2 Certificate of Occupancy on pre-existing dwelling 3. Copy of Certificate of Occupancy g _ g - $100_00.
4. Vacant Land Certificate of 0ccupancy5-0$20.00er 5 years - $10.00
5. Updated Certificate of Occupancy - $50.00
6_ Temporary Certificate of Occupancy - $1.5.00 Residential
$50.0n Commercial
i
"v- 10/14/88"
CONSENT
TO
INSPECTION
Y le, 'y�Z_ 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 / 7;2 6 X r:5-2SV;S-7 IIXlj Z
which is shown and designated on the Suffolk
County tax map as District 1000, Section ,) 0-b , Block -3 , Lot
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:
That the 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: �S /
(signature)
/' 11VR r A IA V/-'Z
(print name)
(signature)
(print name)
I.
tA
is
r 1,
a Jr
�� r�*'s',t� .
a 1 q.n 0,,.. Jn
�t vco a2r4n of
CI J661i Ti47W /
Copies of this s!sr'Jay map not beating:
the lands Jneyor,,:utikeasea!o
r P^y j• • , r bog eG seal shalt not
e ho cpnSrderedj
ke a valid true.copy
I,. Guarantees fndre8ted hQeeort shall run
only tq the perspa'4or vuhom.tho survoy
'� � '�� ' is Prepar9d and on his beha�t to the
r 1 tale find,
f ndtng insntutlon lined h!tIW erid
to the assrgnaes`bt;he lendirlq Tnsti '
tutlon Guarantees are not tr2naferadl®'
s to additional mctituGons of sut qu®ttt
y'
G .��ff p, ff 4•� ti ` Z _ A H,
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W MT
r
TOWN OF SOU THOLD � PERTY RECOP'D CARD
OWNER STREET VILLAGE DISTRICT SUB. LOT
FORMER OWNER N E ACREAGE1
5uJ3. Dw- 2-Z
S W, TYPE OF BUILDING
DO W D
SEAS. VL. FARM comm. IND. CB. I misc.
LAND IMP. TOTAL DATE REMARKS
0
�Zaao food
R 612 8/7;Z
C�T
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
Farm Acre Value Per Acre Value
Tillable I
Tillable 2
Tillable. 3 7 �7
Wcodland
Swampland
Brushland
House Plot
Tcta I
t�4� - X a)�vt'' ,Gn>,f ,jl�:(��•t r, L 44 T,•y•• ,�F,�
i
1 . t yi hy. 4p✓ ` -. C, } ; r.
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■■■■■■ ■r■MINNEENNEEM
- ■ MEMO i M■ ■ ■ ■ ■
■■EE' ■■�1HEr1■G ES9.li�®E■
■ ■I■■■■E■ ■■
MENNEN
■■■■■■MOO■■■ ■NEONBasement
Ext. Walls
Fire Place
Rooms I st Floor
Driveway
� J •W:
i
BUILD r; DEP-'!RT:LNT
T0,9N OF SOUTHOLD, N. Y.
HOUSIidG CODE INSPECTION RE=ORT
Location 7;7c9
___t T F
�numoer cc street) Plunici ality)
Subdivision Map No. Lot(s)
Name 'o'f -Oaner(s) -
Occupancy
(typeowner-tenant)
A dni t ed by:
.. -Aco,bmp4ni ed by
Key available Suffolk Co. Tax No.
Source .of request "-
Date
D?jEL LING: —
Type of- construction
rstories vZ
Foundation p�� � Cellar �
Crawl space
Total rooms , 1st. Fl 2nd. Fl 3rd. F1
Bathrooms) Toilet room(s)
Porch, type Deck, type
Patio, type -
Breezeaay Garage
Utility room —
Type Heat '�Tarm Air
Hotwater
Fireplace(s)_4 No. E:tits
Aircond4 Lioni ng
Domestic hotwater ��J¢,� . Type heater
Other
Of
ACCESSORY STRUCTURES:
Garage, ' type const.
Storage, type const.
Swimming pool
Guest, type const. --
Other
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORri FIRE PREVENTION & BUILDING CODE
Locatiori� Description
Art. Sec.
wow
I
Remarks:
Inspected by: Date of Insp.
Time start 0i end '