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Home My WebLink AboutZ-25346FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25346 Date OCTOBER 30, 1997 THIS CERTIFIES that the building Location of Property 575 RILEY AVENUE House No. County Tax Map No. 1000 Section 143 Subdivision ONE FAMILY DWELLING MATTI TUCK, N.Y. Street Hamlet Block 4 Lot 15 Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER E-25346 dated OCTOBER 30, 1997 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 WITH ACCESSORY ONE CAR GARAGR * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 JOHN & RUTH WH~LEN N/A LOCATION: BUILDING DEPARTNENT TOWN OF SOUTItOI.D ' HOUSIRG CODE INSPECTION REPORT 625 RILEY ArR. NATTITUCK, N.Y. (number & streetJ (~pality) SUBDIVISION NANE OF OWNER (s) F~AP NO. LOT(s) JOHN & RHTH WHELEN OCCUPANCY A- I RES . O~lqgR ~type ) -(~e r- tenant ) ADNITTED BY: ISVELYN RA~SSEN ACCOMPANIED BY: SA~qE KEY AVAILABLE SUFF.CO. TAX HAP NO. 1000-143-O4-15 SOURCE OF REQUEST: GARY FLAIqlffER OLSENp ATTY DATE: OCT. 9_. 1997___ Db/EI,LING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOHS: IST FLR. BATHROOH (s) ONE PORCH TYPE BREEZEWAY DONESTIC UOTb/ATER YES TYPE IIEAT LILCO CAS brOOD FRANE CEI~Ifl' BLOCK CEI,LAR 2ND FLR. TOILET ROO~I (s) DECK, TYPE ~o ST0VR TYPE IIEATER LILCO GAS b/ARM AIR ~ STORIES~i]~ { EXITS PARTLAL CRAWL SPACE PARTIAL 3RD FLR. UTILITY ROOF/ WOOD pA~IoBRICK PATIO GARAGE AIRCONDITIONING ]tO'I~FER XX OTIIER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWlI4HING POOL OTIlE R: CAR WOOD ~ STORAGE, TYPE CONST. · GUEST· TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE LOCATION DESCRIPTION ART. SEC. RSHARKS: BP #12826-Z-CO Z-13307 (ADD) BP #24428-Z--C0 Z-25347 (DECK) INSPECTED DATE OF INSPECTION OCT. 22, 1997 TIHE START 11:05 AM END II:20AM APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD · . Building Departmont Town Hall Southold, N.Y. 11971 765 - 1802 ' Instructions A. This application must be filled in typewriter OR ink, and submitted ,= aa,=maema to thc Building Inspec* tot 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-iS-9 form or equal). 3. Approval of electrical installution 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 Iprior to April 19§7}, Non-conforming uses, or buildings and "pre-existing" land u~es: 1. Accurate survey of pcoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner' as to u se, 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 $.25:00 -- I~USIHESS $50,00 2, Certificate of occupancy on pre-existing dwelling $ 50. OB 3. Copy of certificate of occupancy $'5;'B0, over 5 'years $10.00 4.Vacant Land C.O. $'20.00 5.Updated C.O. $"50.00 Date ..Oc.l~q~..9., .%9.9.7. .......... house and detached garage NewCOnm t, ruc t, ion ...... Old or Pre-existing Building . ~< ........ .. Vacant Land ............. 575 Ril'ey Avenue~ Mattituck New York 11952 ilo f P rty , House No. Street I/am/er Owner or Owners of Property Ruth Whelen County Tax Map No. 1000 Section ...1.4.3 ........ .. Block .............,.04 Lot...ql.5. .......... · ' ' Filed Map No Lot No Subdrvlsmn .......................................................... Permit No Date of Permit Applicant . Health Dept. Approval ........................ Labor. Dept. Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Fina~4~f~ate ....................... Constructmn on above described building and perm,t mee~. ~/~/o~e~and re'elations. .......... ..... ...... ney. 10.10.76 GARY FLANNER OLSEN, ESQ. P.O. BOX 706 CUTCHOGUE, NY 11935 CONSENT TO INSPJECTION Gary Flanner Olsen as attorney for Ruth Whelen ,o the undersigned, O~mer(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 575 Riley Avenue, Mattituck, NY , which is shown and designated on the Suffolk County tax map as District 1000, Section 143 , Block 04 , Lot 015 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in'tbs Southold Town ~ullcling lnspeuL~,..o oc~i.o ~o,~ +h. fnllowina: Private one family dwelling with detached garage 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 Lnspectlons, do(es) so with the knowledge and understanding that any information obtained in the conduct of such lnspect~ons may be used as evidence in subseque cut~ons for vi - lations of the laws, ordinances, rules or regulations o~f,.t~e~Tgwn,~__; of Southold. Dated: October 9, 1997 ////~/ t'~' -. /_.//' ' ' (signature) (print name) (signature) (print name)