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Home My WebLink About28881-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29758 Date: 10/02/03 THIS CERTIFIES that the building ADDITION/ALTEP~ATIONS Location of Property: 325 HOWARD AVE MATTITUCK (HOUSE NO.) (STREET) {HAMLET) County Tax Map No. 473889 Section 113 Block 11 Lot 7 Subdivision Filed Map No. __ Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 1, 2002 pursuant to which Building Permit No. 28881-Z dated NOVEMBER 4~ 2002 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 ADDITION Ab-D ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JANES R WELLS JR ( OWNER ) of the aforesaid building. SUFFOLK COUNtrY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1152438 PLUMBERS CERTIFICATION D~£~ N/A 08/01/03 Rev, 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PEP~4IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 28881 Z Date NOVEMBER 4, 2002 Permission is hereby granted to: JAMES R JR WELLS 245 HOWARD AVENUE MATTITUCK,NY 11952 for : ADDITIONS ~ND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING at premises located at County Tax Map No. 473889 Section 113 pursuant to application dated NOVEMBER Building Inspector to expire onM AY 325 HOW~LRD AVE MATTITUCK Block 0011 Lot No. 007 1, 2002 and approved by the 4, 2004. Fee $ 150.00 COPY Rev. 5/8/02 Form No. 6 TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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, umltiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Platming Board Approval of completed site plan requirements. For existing buildings (I)rior to April 9, 1957) non-conforming uses, or huildings and "pre-existing" land uses: l. Accurate su~ey ofprope~y showing all property lines, streets, building and dnusual natural or topographic features. 2. A properly completed application and consent to inspect signed by thc applicant. ICa CcrtificaIe of Occupancy is denied, Ihe Buildiag Inspector shall stale the ~casons thetefor in writing to lhe applicanl C. Fees 1 Cel-iificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sxvimming pool $25.00, Accessory buikling $25.00, Addilions to accessory building $2500, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3, CopyofCe~ificate of Occupancy- $.25 4 Upclaled Ce~lifhca~c of Occupancy * $50.00 5 Tenlpolaly Cetfi[]cate of Occupnncy - Residential $I5 00, Connnelcial $1500 New Constructioo: Location of Property': Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision PermitNo. 2g'~l -~- Dateofmermit._ Health Dept. ApprovaI: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Old or Pre-existing Buikliou: [/'/ (check one) House No. Street Hamlet 113 Block / / Lot Filed Map. _ Lot: Applic ant :__ '~ ~.. LOO~.~q Underwriters Approval: Final Certificate: ~ (check one) Applicant Signature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUI~EAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 1OO38 CERTIFIES THAT Upon the application of upon premises owned by KENNETH F. SCHUHMANN P.O. BOX 1505 RIVERHEAD, NY 11901, JIM WELLS 245 HOWARD AVE MATTITUCK, NY 11952 Located at 245 HOWARD AVE MATTITUCK, NY 11952 Application Number: 1152438 Certificate Number: 1152438 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the Name Appliances and Accessories Dish Washer Wiring and Devices Receptacle Switch Fixture Lighting track Lighting track (head) Dimmers Receptacle 1st Day of August, 2003. QTY Rate Rating Circuit Type 1 0 1.2 KW 10 0 General Purpose 4 0 General Purpose 10 0 Incandescent 2 0 FT 2 0 2 0 2 0 GFCI seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. CHRISTOPHER R. ARCHITECTURE AND PLANNING STRESS, A.I.A. A P.O. BOX 821 JAMESPORT, NY 11947 PHON£?FAX (631) 722-7865 10 January 2003 Town of Southold Building Department Main Road Southold, N.Y. RE: Wells Residence addition Permit No. 28881-2 To Whom it may concern: Please be advised that the foundation as constructed at the above referenced project is accepted and approved by this office. It is a 14" x 12" deep poured footing with an 8" concrete masonry unit wall on top. This meets NYS code to the best of my knowledge. Should you have any questions, kindly contact r~ directly. Christopher Stress, A.I.A. Permit Number Checked By/Date MECcheck Compliance Report New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lc Data fllename: Untitled TITLE: Wells residence addition COUNTY: Suffolk STATE: New York HI)D: 5750 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric DATE: 10/30/02 DATE OF PLANS: October 2002 PROJECT INFORMATION: Wells residence 245 Howard Avenue Mattituck, N.Y. COMPANY INFORMATION: None COMPLIANCE: Passes Maximum UA = 48 Your Home = 46 4.2% Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Cathedral Ceiling (no attic) 100 19.0 0.0 Ceiling 2: Cathedral Ceiling (no attic) 95 30.0 0.0 Wall 1: Wood Frame, 16" o.c. 252 15.0 0.0 Window 1: Wood Frame, Double Pane with Low-E 42 Floor 1: All-Wood Joist/Truss, Over Unconditioned Space 195 19.0 0.0 Boiler 1:, 80 AFUE 0.320 5 3 16 13 9 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to me~e,Nxew York State Energy Conservation Construction Code requirements. When a Registered Design Prof~sion¥ ha~ stamped an/~this page, they are attesting that to the best of his/her knowledge, belief, anq'profes~ond, l~ c'/~-~/ jud_~s~ or specifications are in compliance with this Code. Builder/Designer MECcheck Inspection Checklist New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lc DATE: 10/30/02 TITLE Wells residence addition Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Cathedral Ceiling (no attic), R-19.0 cavity insulation Comments: [ ] 2. Ceiling 2: Cathedral Ceiling (no attic), R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c., R-15.0 cavity insulation Comments: Windows: [ ] I. Window 1: Wood Frame, Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Floors: [ ] 1. Floor 1: All-Wood Joist/Truss, Over Unconditioned Space, R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Boiler l:, 80 AFUE or higher Make and Model Number Air Leakage: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-lC rated, the fixture must be instal]ed with a 3" clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-8. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-4. [ ] Supply ducts in unconditioned spaces must be insulated to R-8. [ ] Return ducts in unconditioned spaces (except basements) must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: [ ] All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Each dwelling unit has at lesat one thermostat capable ofantumatically adjusting the space temperature set point of the largest zone. Electric Systems: Separate electric meters are required for each dwelling unit. Fireplaces: Fireplaces must be installed with tight fitting non-combustible fireplace doors. Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State, the Residential Code of New York Slate or the New York City Building, Code, as applicable. Service Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part ora circulating system. Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: All heated swimming pools must have an on/off`heater switch and require a cover unless over 20% of the heating energy is fi.om non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating lIat FFater Pipes~ Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Temperature (F) Up to 1" Up to 1.25" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Circulating, Mains and Runouts 1.5" to 2.0" Over 2' Table 2: Minimum Insulation Thicl~ness for HVAC Pipe~ Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Pioin~, System Tvoes Range (F) 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: DATE SUBMITTED: II/~_/02 ~1/_~Z/02 SCTM# DISTRICT: 1,000, SECTION: tt~ , BLOCK: IL, LOT: ~]~ STREET ADDRESS: ~.25'- ~ ,,~,'~ _4~.~'- CITY: SUBDiViS iON: '7%//¢ t-~o~ PROJECT DESCRIPTION: t~bO ! 7-/0,4/ / COST:~e0'Z~ g~-~i~T/ENGINEER: ~'-r}fl~5$ FAST TRACK? ,'20 ESTIMATED PROJECT ! SINGLE & SEPARATE CERTIFICATION-REQUIRED? fido NOTES: LOTS 40,000SF -100 24 Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 I 0( -25 Me~ger (A no contbmfing at any time after %1/83 ZONING DISTRICT: ~/0 CONF.~)RMING? _ ~/~ ~. ~ REQ. LOT SIZE: //,~'Z~ ACT. LOT SIZE: ~REQ. LOT COV. ~_ACT. LOT COV. PROP. FRONT."v REQ SIDE ~- ~/Z-~ ACT. SDE PROP. REAR /'"' REQ. i(tEIGHT.- PRO~ ~ REQ. FRONT REQ. REAR ~ WATER FRONT? DESCRIPTION: PANEL #: ~ FLOOD ZONE~'~ , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH [~Fs~T: YES or OBED #): DTE: / / TOWN SEPTIC RECEIPT: Y or 1S.d NEW YORK STATE DEC: PRE-DECg/1/75 YES or~ SOUTHOLD TOWN TRUSTEES: YES or~.~ ZONING BOARD APPROVAL: YES or~ TOWN TOWN PLAN. BOARD APPROVAL: YES ~ TOWN HISTORICAL PRE (SPLIA): YES Or ~ NYS ENERGY.t~ NO : ~'; ~ / EGRESS (18 H min.? 4 sq total) --- VENT (SQ. FT. x 4%). BUILDING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- HAVE PRE CO'S: Y OR N BP -Z / C/0 Z- ,_ NOTES: PERMIT #:R10- LIGHT (SQ. FT. x 8%) ~ FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: ~ ~q..~ 1. ( c~/~ _SF)- ( SF)= SF X * 2. ( _SF)- ( SF)= SF X $ SF SF SF SF INIT SF FEE =$ +$ =$ +$ OTHER TOTAL +$ FEE~ +$ = $ //$-/:- ? TOWN OF $OUTHOLD OWNER FORMER OWNER ST OZ_m PROPERTY /I LLAGE S W FARM RECORD CARD h/- ~ RES. !,~ / 0 L~ND 2-00 .,qoo s~AS. IMP. VL. TOTAL DATE coMM. liND. AGE NEW Farm Tillable t Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot Total NORMAL Ac re BUILDING CONDITION B E LOW Value Per Acre ABOVE Value 765-1802 BUILDING DEPT. .. SPECTION [ ,~J FOUNDATION 1ST [ ] ROUGH PLBG. [ U~/FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL FIREPLACE & CHIMNEY DATE 765-~802 BUILDING DEPT. INSPECTION I ] F~DATION 1ST [ ] ROUGH PLBG. [ ~OUNDATION 2ND [ ] INSULATION [ ~/] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~ REMARKS: ~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]/~OUGH PLBG. FOUNDATION ~ND [/~ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I/,ySULATION [ ] FRAMING [,,/] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: c~.,~,~ DATE /1'"/1~'~"~"~'~'-'~ FOUNDATION (1ST) FOUNDATION (2ND) ROUGit I~I-.~IlN PLUM~ING STATE F_~NE.RG~ CODE "-/'- ~DmON~ CO~S TOWN QE SOETHOLD BUILDING DEPARTMENT TOWN HALL , SOUTHOLD, NY. 11971 TEL: (6311 765-1802 FAX: (6311 765-9502 www. northfork.l/3~t~lhold/ PERMIT NO.~ Expiration ~/ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the fo,!lowi~,g,._bc fore applying? Board of Health ~3 sets of Building Plans Planning Board approval x~Check Septic Form N.Y.$.D.E.C. Trustees Contact: Mail to: Phone: ~; Inspector APPLICATION FOR BUILDING PERMIT Date ,20.__ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted 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 waterways. 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 a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance cfa 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 building for necessary inspections. ~/ (Signature of applicant or name, if a corporation) (Mailing address of applicant} ] ?~51~z~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. l l Location of land on ~which proposed w.~rk will be done: House Number Street Hamlet County Tax Ivlap ,N,o. 1000 Section Subdivision L,t){ {, }1_~ ./~ f~ · ~Dd~(..-~r~ (Name) Block/] Lot ~.D ./?~D Filed Map No. r7'~4~- Lot ~.a ~'3¢ State existing iise and occupancy of premises and iatended Use and o&cupancy of proposed construction: a. Existing use and ocCUPaney I f-C2nql D6c(lli ' b. Intended use and occupancy. I I Nature of work (check which applicable): New Building__ Repair Removal Demolition Estimated Cost ~ ~P/~)(~) ,OO Fee If dwelling, number of dwelling units. I If garage, number of cars -~0 '- Addition Other Work Alteration (Description) (To be paid on filing t~is application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front 50 Rear_ ~'(') Depth Height [/Q~ Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Dimensions of entire new construction: Front ~(5~ Height Number of Stories Size oflot: Front I I '&/~ Rear ] '7~ Number of Stories Depth Rear 12- O. Date of Purchase Name of Former Owner L 1. Zone or use district in which premises are situated [2. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ?( 13. Will lot be re-graded? YES NO X/Will excess fill be removed from premises? YES NO [4. Names of Owner ofpremises~r'~ff ~/2~ b~A~dress~)3/5''- t~/dlOrj) ~Phon,e No. ~2_~ ~" 4'~ 3 Name of Architect f_~ t-q_'~'~..J'-£~:~.5' Address~L)~Z~ T.~r~'41~e No r/Z2- rW~642~'~ Name of Contractor <> Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. ~' d'c" 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) S8: COUNTY OF ) 7o.. .rs ¢-. b_;dl5 being duly swom, deposes and says that (s)he is the applicant ('Name of individual signing contract) above named, (SJ~ is the 0 tO ~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to rnake and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. FRANCIS J. WOB~T NOTAS"f PUBUC, State of New York No. 4833123 IlllalifC~d m Suffolk Colmt¥ ,,,/ - ' ignature of Applicant co~C (~-~ ~ / CESSPOOL LOIS F/o ~o~ ® ~06.AA' -/6 o %05. ° ~o~ (~ SURVEY OF MAP OF LOTS LOCATED AT MATTITUCK 37 PROPERTY OF WILLIAM B. CODLING FILE No. 74.5 FILED MAY 10, 1921 SITUA TED A T MATTITUCK TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-115-11-07 SCALE 1'=20' OCTOBER 26, 2002 AREA = 11,729 sq. fi. 0.269 ac. UNATHORIZED ALTERATION OR ADDITION TO IlS SU~ IS A VIOLATION OF CERTIfqCATIONS INDICATED HEREON S~L RUN ONLY TO TH[ PERSON FOR ~¢dOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGiNCY AND LENDINC INSTITUTION LISTED HEREON, AND THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. _ _~N.Y.S. Lic. No. 49668 Nathan Taft Corwin III Land Surveyor ~tle Su~eys - Subdivisions Site Plans Construct~n Layout PHONE (631)727-2090 Fox (651)727 1727 OF~CES LOCATED AT M~UNG ADDRESS 1380 ROANOKE AVENUE P.O, Box 1931 RIVERHEAD, New York 11901 Riverheod, New York 11901-0965