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Home My WebLink About22868-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANOY No Z-23756 Date JULY 11, 1995 THIS CERTIFIES that the buildin~ ADDITION Location of Property 420 NORT~ RILEY AVE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 3 Lot 36.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated O-ONE 20, 1995 pursuant to which Building Permit No. 22868-Z dated JULY 5, 1995 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 DECK ADDITION "AS BUILT" & NEW--TING SYSTEM INSTA?~D IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD A. & CAROLYN E. LUHRS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A H-045874 - JUNE 16, 1995 Rev. 1/81 FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 22868 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted t9: ..~!~.....~.,.:~ ............................................... ,,~..~...,~z~,'<.. .......... ~.....:~ .......... .//z.,:.z:..: ......... ,~....~..~.....~.....~. ......... ~..~..,.~..~,~.../~:..:~,..~...~.....-..~..~.~ ......... .... ~ ........ ~y ......... .....~.~:,~-,~.,.~......~-:../.~,~ ........ ~:. ............... .... ~/..~?..~ ........... ....~...~.........' ................................................... ........................................................... ....... ~. _ . . . _/, , . . . , . ././,Y.:. . .~. . Counh/Tax Map NO. 1000 Section .,,,.'~.,~,,.."~.. ............ Block ...... ...'~..........././ '!lot NO ...... . .~...~,..~.,.-~.... ...... pursuant lo application dated ............................................. 19 , and approved by the Building Inspector. Fe~ ~....Z~."~ ....... Rev. 6/30/80 '[OWN OF SOUTIIOLD BU 1LD I.N(; I)EPAWI'!IE~IT TOW~4 IIALI, 765-1802 APPI,[CATIoN FOR CCRT[FICATIi OF OCCUPAi',~Cy A. This appllcuttou mus~ be [~lled ~o by typewriter OR ink and submitted ~o elm building inspector with the followi.g: for new buiJding or new use: I. Final survey of property with accurute location of ail buildings, property lines, streets, and uuu ual natural or topogrol)hic featurc~. 2. Final Approval from Hehlth Dept. of water supply a,d sewerage-disposal(S~9 form). 3. Approval of eiectric~l installation from Board of Fire Uuderwriters. 4. Sworn statemeut fromQ>lumber certifying that the solder used in system contairs less than 2/10 of 1% lead. 5. Co,u, ercial building, industrial btilding multi le res' and ~nstallations,~ a certificate --= ~ , ~ ~ P ~dence8 and similar buildings 6/ respouslble for the building, m architect or engineer Submit Planning Board Approval of completed site plan requiremeets. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildSngs and "pre-existing" land uses: 1. Accurate survey of property showing all property li~ms, streets, building and unusual natural or topographic features. 2. A properly completed application aed a conseot to inspect, signed by the applicant. If a Certificate of Occupaucy is denied, the Building Inspector shall stute the reasous therefor iu writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buildiug $25.00, Additions to accessory building $25.00. Busimsses $50.00. " Certificate of Occupancy on Pre-exSstin[4 guiidiu~ - $~00.O0 · Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - ResJdential $15.00., Commercial $15.OO ?./!C .................... New Construction ........... Old Or P~e-existing Building...~. ........ , .......... llouse Bo, ' ................................. Street llamlet .... County Tax Hap No 1000, Section. ~ ~-- .......... ............. Lot. ~. .' .............. Subdivision .................................... Filed Map ........... Lot Permit Mo .......... Date Of Permit.. . - .... Applicant...~ ......................... Ilealth Dept. Approval ......... ................. Uuderwriters Approval ......................... ?lan.lng Board Approval ........................ Request for: Temporary Certificate ..... Fi.al ' ' ...... Certlcote.] ......... ee Submi_t ted: THE NEW YORK BOARD OF FIRE UNDERWRITERS 8054728 8UREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date J[JN~ 16 ~ 1995 /Jpplication lye. on fie 07293695/95 H 045874 THIS CERTIFIES THAT only the electrical equipment as c~scrlbed below and introduced by the applicant name~ on the above application nuntber in the premises of RICHARD LUHRS, 420 NO. RILEY AV~, , HATTITUCK, N.Y. ;n the followlng location; [] Bw, ement [] Ist FL [] 2nd [~. Sectlonl O~Bl~l~22o 3 Lot 26.3 tt~s examined on ~I~E ].2 ~ ~ 995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT OTHER DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R / V I C E OTHER APPARATUS: PER ~ OF CC, COND, OF HI-LEG OF NEUTRAL NO OFNEUTRALS R ICF~%RD LUI4Z~ S 420 NO.RILEY AV~. BOX 312 MAT?ITUCK, ~rg, 11952 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FO_R BUILDING DEPARTMENT. THIS COPY OF CERTiFiCATE M~ST NoT BE ALTERED IN ANY~MANNER. TOWN OF SOUTHOLD BUILDING DEPARTIViENT TOWN HALL SOUTHOLD, N.Y, 1197~1 TEL.: 765-1803 ,isapproved a/c ................................... ; ,. APPLICATION FOR BUILDIN~PERMIT B~RD'OF tlEALTIt ""--3 s£Ts OF PLANS .'-,'-'-"SURV£Y CHECK SEPTIC FORt{ t{o?I p¥ { CALL HAIL TO; Date INSTRUCTIONS a. This application must be completely tilted in by typ~w~'iter or in ink and submitted to the Building Inspector, with ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of l~t and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed deseriptio~ of layout of property must be drawn on the diagram which is part of this appli- rich. c. The work covered by this application may not be commenced hefore issuance of Building Permit. d.~ Upon approval of this application, the Betiding Inspector will i~sued a Betiding Permit to the applicant. Such pennit all be kept on the premises available for inspection throughout the work. e, No bnilding shall be occupied or used in whole or in part for any purppse whatever nntil a Certificate of Occupancy all 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 dlding Zone Ordinance of the Town of Southold, Suffolk County, blew York, and other applicable Laws, Ordinances or ~gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~e applicant agrees to comply with all applicable law~, ordinances, building code, housing code, and regulations, and to mit authorized inspectors on premises and in building for necessary inspections. ,/~ j.,[ . . -- (signaturp of applicant, or name, if a corporation) . (Mailing address of<a~pp!ipant) :ate whether applicant ~s owner, lessee, ·agent, architect, engineer, general contractor, electrician, plumber or builder. ................. :.. · · APPROVED AS NOTED. (as on the tax roll or latestNl)~ll=)f BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE applicant is a corporatioq, signature of duly authorized officer.' FOLLOWING INSPECTIONS: ~ I. FOUNDATION - TVVO REQU.]RED ....................................... . ...... ~f~"~ ~7_, ~~D, CONCRETE . (Name and title of corporate officer) ~! ]J [~ {[~2 I[Rd,[l(~ .~,~FRAM NG & PLUMBING ; ~ ,~, 3. IN~U~qJON UNDERWRITERS CERTIFICATE ~,~ .4. F NAL ~ ~ONiSTRUCTION ' ' ' i: AL[ CONSTRucTION SHAEL MEET Plumber's License No, r7, .... ' ........ .,' ......... . :~'-,THE'RE,GUIBEMENTS' OF THE N~Y. Electrician's License No ....................... ~ ....' STATE. CONSTRUCTION & ENERGY CODES· NOT RESPONSIBLE F~R, Other Trade's License 1~o.~' .................... DESIGN OR CONSTRUCTION ,E~ROR~ 'done.~. Location of land on which proposed work will be ' l-lotlse Number Street Hamlet ou'nty N 1000 S~ ti : ',/:2~2~. k ~. ' ]r,~* - C Tax Map o. c on ...... ' .... Bloc ...................................... · ' ~ ~ j.... . ' Filed Map No Lot StlbdlvISlOrl . .; ................... , ....... ' ............................. (Name) ' ' Statt~ existing use ant{ occnpancy of premises and intended use and Occupancy of proposed constrncfioni a Existing use and occupancy .dT-~ i . b Intended use'and occupancy ' ' . 3. Nature of work (check which applicable): New Bnildtng .......... Additim~ ~. ....... Alterationt/ .... ~ ...... Repair Removal Demolition . el ~r Work'. : ..... (Description) . 4 Estimated Cost .'7f.~o.°.:'7 ' ~ Fee : (to be paid ou tiling this application) 5. lfdwelling, numberofdwellin nits ............. .,. u er welling unitson each. floor .... If garage, number of cars .'77 6. If business, commercial or mlXedloccupancy, specify nature and extpnt of.each type o use . .---. ......... 7. Dimensions of existing structurei, if any: Front >.'~.-.., .... Rear . q ....... Depth .. 4~.. Height .~.'< Number of Stories J.'fY'. ' ' Dimensions of same structur~ with alterations or addmons Front ..~. .............. Rear ....... Depth qc~. I Height :~.~%.. i ' :., Nnmber of Stories /. '/~. ' ' 8 Dimensions of entire new eonst~ction: Front . Rear Depth Height ~ Number of Stories . . " Size oflot: Front t:.,i~.. ' ' Rear ,~ . . Depth (~?. DateofP rtl 1.~.9~. Nam oflormerOwner ~'O?~.t$ Zone or use district in which prelhises are situafed, ./~W.~.. ....................................... 0. 1. 2. Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimenmons from coperty lines. Give street and block nUmber or dbSc~ription acoording to deed, and show street Barnes and indicate Whether ~terior or corner lot. ~ ' .... Does proposed construction wola',te any zonin w, ordina ce or re ulation: A'~ Will 16t be regraded . .~. 9.. '... .................. Will excess ~fi!l be removed fron~pre~p)~gs: Yes Name of Owuer of premises~tO~i~...L.~..Cq...... Address ~.~..~.,. ,~..~..'~....~Y~..~fi~'f{o~..(~.~.~..;... ' Name of Architbct .'r'r. , .:. ....Address Phone No . Name of Contractor ~ I Address · Phone No I.s this property within 300 feet of a tidal' 'wetland? ~Yes..,..... No..,......~'~ ' ~If yes, $outhold Town Trustees Permit may.,be required. 'i PLOT DIAGRAM %TE )F NEW YO~K, .. 'o iS ' ....... '.~~ ...... ~.~,'" t>~. '..' .... . ..... b~ing ~uly sworn, deposes and says ~hM he is tho applicant (Nam~ of individual signik~ oontracO (gontraatoh agant, aor~ora(e officer, etm) said owner or owners, and is duly ~utl~orlz~(I to perfo~ or haw paffo~ed tll~ said work and lo make and file tiffs plicafion; that all statem~ls contain:ed in this'application ar~ true ta tll~ b~s~ o~his kn.owl~dg~ and b~li~f; and lllat ~rk wBl be paffo~d in lllo manner fat forth in tho application fil~d ,om to b~for~ m~ this NOTARY PUBLIO, Slate o{ N~ ~. ~51~, Suffolk ~IL (Signature of applican l) ,