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Home My WebLink About9837-zFORM NO. ~, TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . &.~.O..l~..1.e~...A.v.? ........... ~ Map No....1.8.6. ...... Block No ........... Lot No ......... .1.4 ...................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ... Ju~y. .... 1.0 ........ , 19.7.8. pursuant to which Building Permit No ..... 98~7Z dated ... July. .... 1.? ......... , 19.7.8., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Private..One. Eaml~hy..D~ell&nE .......... ..................... The certificate is issued to ......... Johr~ .W,. Lu~k ................................. (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval 8-S. 0,-80 November 3, 1978 ................... I~: 'Vii1& ...... UNDERWRITERS CERTIFICATE No ........... N..~. ~,7.0.'~. HOUSE NUMBER .... ~3..0 ...... Street. ..... ~i.~.ey..A¥$ ....... _., .............. ............................... ............ .,,..,,, ./: ..... Building Inspector :: County Tax l~$~ Number 1000-1~S-~-9 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9837 Z Permission is hereby granted to: ................. ................. ~/~ ....... J~hn..~,..L~k.,..[ ............. ; ........ ~oar~,..-e~..Appe~.,~.~:; ....... : ....... .,~ ...... :...~ ...... :;...~;.~ ............. ;~ ....... :....,., ...... ; ......... : ....... at premises located at ....................................................... ~... ................. . p~uan~ to ,applicatiOn dated B~ild~ng Inspector. Fee $......6.1.,~)0..; TOWN OF SOUTHOLD BUILDING DEPARTmEnT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No: Z-26481 Date: 05/25/99 THIS CERTIFIES that the building DWELLING Location of Property: 430 RILEY AVENUE MATTITUCK {~OUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 143 Block 5 Lot 9 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 10, 1978 pursuant to which Building permit No. 9837-Z dated JULY 7, 1978 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 GUEST HOUSE AS PER ZBA ~1582' The certificate is issued to JON & JANIS KERBS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 8-SO-80 ELECTRICAL CERTIFICATE NO. N0403707 PLUMBERS CERTIFICATION DATED N/A 11/03/78 09/27/78 Inspector CUEST HOUSE WIT~ SLEEPING QUARTERS & BATE ONLY.// Rev. 1/81 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 dwetling or land use $5.00 3, Copy of certificate of occupancy $1.00 Date.. New Building .... . .~..,... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .-~..~.. ~f~/~/.. ~..~....~..I,?~/~.., ./~/Z~./~f./~.,, ff//~..~.'b('..~ Hodse No. r &treet Ham/et Owner or Owners of Property .-~.~ J~...t~},,../~./~.b....~'~./~./~t~."~ ..... . .~.~.~..~' .............. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Map No, /~.(~ .......... Lot No .... /.~.. ....... Permit No ........... Date of Permit .......... Applicant J~ .N{.-~0C.'~;..-~2... ~>.L. ~,... ,C_~o...~4¢_, Heatth Dept. Approval . .;~...~. ~..O.-..~.O ......... Labor Dept. Approval ........................ Underwriters Approval .~...~. ~ .~.Q.~ .......... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .., ~ .............. Fee Submitted $ ............................. Construction on above described building and p,ermit me, ts all applicable codes and regulations. Applicant . ~. '.~..... /~~/~/~ .................. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thi~ application must be filled in by typewriter OR ink and submitted to the buildin inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form) 3. Approval of electrical installation from Board of Fire Underwriters. ,~ 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildi and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a '/pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the apptican If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in w~itlng to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~ming pool $25.00, Accessory building $25.00, Additiogs to acces$.ory building ~$_25+.00,-- ~Bus-inesse$-$$0J00. __ 3C~Copy bf Cer~ific~_~; ~ OeeS~pancy -~ ~25¢~'~ ........... <~ ~ U~dated Certificate of Occupancy - ~50.~ ~ p.'--- ~-'~emporary~icate of Occupancy - Re~sidential $15.00, Commercial $15.00 5 -~- Date ..~.~...~/. .......................... New Construction ........... Old Or Pre-existing Building ............... ~' ' l / --' P Y -7 ......... ~-'-..~ .......... -.~ ......... ;~ ...... ~ -~-.¢ ..... House No- , Street, / , Hamlet Onwer or Owners of Property ............ ~ ................................................. ... County Tax Mmp No 1000, Section.../.,..-~. ..... Block .......... Lot .................. Subdivision ............................... .... . Filed Map ............ Lot .................. Permit No.. . ate Of Permit ................ Applicant ......................... Health Dept. Approval .......................... Underwriters Approval ..................... Planning Board Approval ................ . .. .... . Request for: Temporary Certificate ........... Final Certicate ........... /' ' ¥~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 i THIS CE~]FIES THAT John William Lusk, s/s ~lley Av6~ qO0 e/o ~ ave., ma~uo~, ~.A. in the fotlotving location; [] Basement [] 1st F~ [] 2nd FI. Section BIoek Lot ~.e=.,.i,~ao. Sept;embe~' 2.)j ~-97 and found to be ~n compllance wlth the requirements of th;s Bo~rd. FIXTURE FIXTURES RANGES OVENS OUTLETS SWITCHES 20 35 21 20 TIME CROCKS EXHAUST FANS DIMMERS SERVICE DtSCONNECT S E R 1-Smoke De~ee~oP C John T, Sap&nato Inc. 102 Oak Ave. Shi~leYs L.I. 11967 Llc.33qE This certificate must not be altered in any manner;, return to the office of the Board if incorrect. ! be identified COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALilBED XI ~ ~ TOWN' OF $OUTHOLD Building inspector's Office Town Clerk Building Southo~d, N.Y. 765-l~3' ~ppe~ ~o. 1583 Oared June %, 1972 ~CT~O~' OF THE ZOX~W* BO~O Riley Ave~e ~,~ttftmck, New York DATE "~U~'"29, 1972 Appellant at a meetLng of the Zoning Board of Appeals on was considered smd the act/on indicated below was taken on your ( ) Request for v~ce due ~ lack of' access to proper~ ( ) Request for a spe~ exception ~der the ~g Ord~ce (~) Request for a v~i~ce to the Zo~g Or~a~ce ( ) the appeal 1. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be g~anted ( ) be denied pursua~ %o A~t~cle .................... ~ctio~ .................. .~%lbsection .................... paraEraph ................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be ~o~m-m~d banana 9:10 P'M." {E.S.T. ), upon applica~ion of F~rgaret and ~ehn Lusk, Riley Aven~e, M~ttltuck, New York, for a variance in accordance with the Zoning Ordinance, Article III, Section 301, for permission to divide property and'build a second dwelling. Locati.cn of !m~cperty: east side of Riley Avenue, l~tt.ituck, New ~ork, ..or No. 14, Map of G. W. & Do Riley. Fee paid $1%.00. 2, VAP~ANCE~ By resolution oi the Board it was determined that (a) Strict applAcation el the Ordinance (would) (~vould net) ~ produce practicdl diflicul~ies or hardship because tm~ecessar~ (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all propeFdes allke ia the immediate vicinity of this property and in the same use district because (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) chan~e the character of the d/~trlct because SEE REVEP~E (would net) and therefore, it was further determhued that the requested variance ( ) be granted ( that the previous declslons of the Building Inspector ( ) be confirmed ( ) be reversed. SEE REVERSE FORM ZB~ ) be dedied mud ZONING BOA-~D OF APPEALS MarJcrie McDermott, Secretary -~cuthold Town Board of Appeals After investigation and inspection the Bos~d finds ermisstcu to divide property and build a Riley .... as a s~ ~-~ '--~ ~ ~ are that applzcan~k~ p~c~Y and t~t it w~ be impossible front section of ~an~ t~ v~tauce unless the kitc~n facilities fo~ t~ Board ~o ~e rem~ed from the existing house. This would, tn effect~ it a ~est house. The Bo~d finds that strict application of the ~dtnance Icul~ies o~ unnecess~y h~dsh~p; w~ produce practical dt~f --= wou~ ~ot be s~ed by all the ~dship crested is un~que m~ properties ali~ in t~ l~dtate vicinity of this proper~y in t~ sa~ use district; and the v~teuce will not c~nge the ch~aCter cf the netg~orhood and w~l~ 9bse~e the spirit of the ~dtnance. ' . ~et and ~ohn Lusk~ Riley AVe~e~ ~ W~ REZOL~D ~ .... ~ ~ide oroperty ~utld'a m~cona dwelling on pz-~-~ - subject to the tle AVenue, ~ttttu~k~ New Yo=k, as applied fo~ f ollowtn~ conditions. . ties be ~emoved f~om t~ ~ ~ a~ kit hen facfll~ --~ ~ e~ t~ ~u~ m, 1973 .~= ~ope~Y n tcheVe~ st uotUre on t~_P . sod new house~ wh ~ co~le~io~ ~f the m~oPo ~ unit. Vote of the Board: Eul~e · Ayes=- Messrs: Gtlllepie~ Bergen~ Grtgonts, L ; i/ r/ //? 7/ ~0~ NO. ! TOWN O~ $OUTSOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. Examined ............T~t~.~-.....'J .~ ........... 19..78. Approved ..........0'T/~L~"'"'I~ .......... , 19.~8. Permit No ..... ~ .................... Disapproved a/c ............... ~. ;~'~ ~]~]~'?~ ........................................................... (Building Insp~tor) - ~ , ' ~/~ , APPLICATION FOR BUILDING PERMIT . ............................................... ~ ~,J~ ~ INST~U~IONS Application No ..........~8~ ............. a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Building inspector, with :3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. -, ................................................ ~'"~'b ........................ : ............. (Signature o¢ applicant, or ~me, Jfa corporation) (Address of applicant) State whether appJicant is owner, Jessee, agent, architect, enginee~,~g~olgenerol ~rcontrQ~lectricion, plumber or builder. Name of owner of pJ~es ........................ J ........................................................................................................................... If app~lifadj~is a c~rporat~, s!gnature of duly authorized officer. .......... ....... .............................. (Name and title att corporate officer) Builder's License No ..................................................... Plumber's License Electrician's License No. ~ocmio~ o~ land o~ which proposed work will be done. Map No.: .......... ~, ..................... ~.~,.. ~ot No ......................... State existin~ use ond occuponcy of premises ond intendod uso ond oocuponcy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................ b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building' '~l'~' '~ ...... Addition .................. Alteration Repair .................. Removal .................. Demolition .................... Other Work ~'~ (Description) 4. Estimated Cost~..~.O.,.(,~.~ ...................................... Fee ' (to be paid on filing this application) 5.If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ......... / .................................................................................................................................. ~. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ /~ Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Deptl~ ................................ Height ............................ ~Number of Stories ................ 8. Dimensions ot entire new construction: Front ...ff..(q .......................... Rear ...../~..~ ................. Depth ...~(.~ ............... I-leight ..f.L.L .............Number of Stories ......... J ........................................................................................................... 9. Size of lot: Front ..... /.2} .............................................. Rear ...... J.;;~ .............................. Depth ................................ 10. Date of Purchase ............................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............... ~.~(.L2.....? ............................. 13. Will lot be regraded ....I..iL:...¢.~- .............. Will excess fill be removed from premises: ( ) Yes (/xQ No 14. Name of Owner of premises .>.~.,..~.,....~.,.b...,.f ...................... Address ................................ -~ tC ~ Phone No ....................... ............................... Phone No ....................... Name of Architect .............................................................. Address , ) ~'7 · ,r ' '-, f/.:7.: Nome of Contractort,.L~l:JA~.~?.].~....~'...~.,o....:~t..~'!.~': .......... Address ' ' '~ Phone No. )...,~..~.../.tf/ ..... f ~,~ .~ .~. ~.. (~. 4g./.~. .. PLOT DIAGRAM Locate clearly and distinct y a bui d ngs, whether existing or proposed and indicate all set-back dimenslons..from property lines. Give street and,~lock number or description according to deed, and show street names aha ina,cate whether inter'or or corner lot, /~) :r~ ~ --,~ ^ , ~ STATE OF NEW YORK, COUN' .i" i~...~..~..j~ ...... being duly sworn, deposes and says that he is the applicant Is (Name of individual 'g ' g contracf) above named. He is the ............................................. , ............... .~ .................................. : ............................................................................. (?Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly a~ to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be parried in the manner set forth in the application fil~ therewith. Sworn to before me this , ~ BABE~ ~, CO~Oy~ignature OT applicanT) ~ ~~ 'OTARY PUBLIC, Stat e of New yo~ BAY AV~ .'~I ;,~ 'IAIEEY AVENUE 0 Z ILl DEEO~L.~I ,R~JO s UFFOL~< CO.,EAt_'r. DEP'~'. $~kTEM~NT OF INTI~NTT WILL CONCOrd ~TNE 5T~S ~ ~.~L~OLA CO~JNTy BEPA~ENT; Of N~LTN SERVICES, FOI~ APP~OV~AL OF CD~JSTI~UC TIO~ APP~O~/EDI r~:~NOV 0 5 197,8 SEAL j TEST HOL~ ~-'SN I IJ ~Ll~ M 01,' L [7 FP. ONT~ ELEVATION ~MF-T~- t. ,I II ELEVATION ¸/1 2 LEFT SIDE ELEVATION R,.~ G H T SlOE NOTIFY BUILDING DEPARTMENT AT 765-2660 9AM to 4PM FOR REQUIR. ED INSPECTIONS: I~BEi~OI~E BACKFILLING FOUNDA- TION OR START FRAMING 2. FRAMING INSPECTIOFI 3, BEFORE COVERING P'.F;S OF ANY K[:"~ :INAL WHEN JOB COh.PLETEb ,E FOR D£SI::N ELEVATION ,~,/,~;~ R - 273, SHEET PLAN - 2 TOTAL ~/~ ]i , ~' j . . I~-I~~ ~ . ~ , . I11~1 i J ..c, - -' I~ r ; ~ , ; ~&~u ~M./ ~.~ ,w~ ~ ,~ ~,. ~,~,~ ' :~""'~ "~ '~?".~C~~ ~ ~ -- ~ l ~"i~"-I~ ~. c. ~111 Il / / --.-'~ - ..... ~-' ~ ~ ~vf~r~LE~ ~" ~,C~ ItT; / ;J~ I I -~' ~' PLAN - 2 12 12 I: P. ON T TOTAL - a