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Home My WebLink About20021-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20093 Date JULY 22, 1991 THIS CERTIFIES that the building Location of Property 590 RILEY AVENUE House No. County Tax Map No. 1000 Section 143 Subdivision ADDITION MATTITUCK~ N.Y. Street Hamlet Block 5 Lot 1I Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 10~ 1991 pursuant to which Building Permit No. 20021-Z dated JULY 18~ 1991 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 EXISTING DECK ADDITION TO ONE FANILY DWELLING AS APPLIED FOR The certificate is issued to 590 RILEY AVENUE ASSOCIATES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A ~/~ Builh~in~ Inspector Rev. 1/81 lvOR,H NO. S TOWN OF SOUTHOLD BUILDING D£PARTMrNT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 20021 Z Permission is hereby granted to: ~'", ....~.~...~....~.~..:...~..: .... I _~ ..... ~.~....~....~.~..,.:..~.~..~ ~ ,,~ ..... ~~...,.~.....~..,...~,~...~~ ................ ~ ............ at premises located at ...~....I.?......'d....(w:~...~L~......~.LL~L ........... ~..~ .................... County Tox Map No. 1000 Section ..... /...~....~... ....... Block .....~...~.~.. ........ Lot No ....../..( ................ pursuant to application dated ......... --/"'~' "~'"'"!'"Q"'i ....... ~..., 19..~..I.., and approved by the Building Inspector. d t, dlm~ Ins~ecto Rev. 6/30/80 . ~otm ~o~ 6 TOWN OF SOUTUOLD BUILDING DEPARTMENT TOWN I[~LL 765-i802 APPLICATION FOR CERTIFICATE OF/occUPANCY This application must be filled in by typewriter OR ink and submitt inspector with the following: 1. for new building or new use: Final survey of property with accurate location of ail 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 buildings and installations, a certificate of Code C,~pliance from archiuect or engineer responsible for the building· 6. Submi~ Planning Board Approval of completed site plan requirements. ;. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and pre-exzst~ng land uses: 1. Accurate survey of property sbowing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. · . Fees 1. Certificate of Occupancy - New dwelling $25.00~2Additions to d~elling $25.00, Alterations to dwelling $25.00, Swimming pool ~ 5.00, Accessory building $25.00 Additions to accessoKy building $25.00. Businesses $50.00. ' 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy _ $5.00 OVer 5 yea~s - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of OCcupancy - Residential $15.00, Commercial $15.00 _ ' ......... ~ C°nstructi°n''¢' ........ O~d,Or Pre-existing Building .............. ;;; ................ ,ca,on of Property.. .?q... Zh . .... .... ................. House No. Street Hamlet unty Ta~ Map No 1000, Scction/~.., ~ ~.~.~..~.~. ....... Bloel,.. · .... ~ot..~.gl.. ~'..~..q. ~divtsion . '''' · ilcd Map ......... Lot ................. rmit No ~ , ...... Date Of Permit ' .......... ' ............... Applicant ....................... ~lth Dept Approval ' · ' ........... ' Underwriters Approval nning Board Approval ............ uest for: Temporary Certificate ........ Fisal Certicate..~. ........ ; ........ FOUNDATION FOUNDATION 2. ROUGH FRAME .FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL (lst) fPnd) ADDITIONAL COMMENTS: D .t h.o~ I INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R, WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 7654800 590 RILEY AVE. ASSOC. P.O. BOX 312 Mattituck, N.Y. 11952 July 15, 1991 In order to issue a Building Permit for your proposed construction for buildings located on lots adjacent to tidal water bodies, we will need a waiver of jurisdiction or a permit from the New York State Department of Environmental Conservation, and if within 7'5 feet of tidal water bodies or wetlands you will also need action by the Board of Town Trustees (waiver or permit) Very truly yours, SOUTHOLD TOWN BUILDI/~ DEPT. Phone Numbers: DEC - 761-7900 Town Trustees: 765-1892 !t~ ' ~. TOWNOFSOUTHOLD · '-- ........... ' ' BUILDING DEPARTMENT ' -' ", 01991 TOWN HALL SOUTHOLD, N.Y. 11971 --L ..... d/l ':' TEL.: 765-1802 BLDG. DEP'r. Examined ..... I. Z... l, permit No..a .e Approved '['"7 Disapproved a/c .... .......................... · · . . . .f"~) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... ~SURV£Y ..~, SEPTIC FORM .............. Date.. '~:,: .... 19. f/ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets of plans, accurate plot plan to scale. Fee according to schedule. a 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 of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspectqr will issued a 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 Ordinanze 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 ail applicable laws, ordinances, building cod~,.he~ing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections./,~ --- (S~ature of applicant, or name, if a corporation) · - (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . ~ .~..,2. ~.~..-..~.~.~_~. ................... '.: .' ......................... - ........................ - Name of owner of premises .~. ~. ~... .~77'. L~. .~.~.4'd.~.. .... · ......... APPROVED.AS NI~TED ............. (as on the tax roll or latest dr,,ell~ I ~ ,, ,~ o DATE: ~ o.r. ~ re If applicant is a corporation, signature of duly authorized officer. FEE: ~BY: ~ ~ NOTIFY BUILDING DEPARTMEN~ .............................................. 765-1802 9 AM ~ 4 PM (Name and title of co~orate officer) i, FOLLOWING INSPECT~O~e~ " ~,, 1, FOUNDATION IWO Builder's License No. '~' FO~ Pt)uRED CONCRETE Plumber's License No. ~ 2 ~(~tlf21'~ ~ FRAMING ~ 4 MNA[ CoNSTRUCTiON Electrician's License No. ~. - S: COMm. ETE FOR CO ALL CONGfRUCTION S~.~>MI Other Trade's License No ...... ~HE REQtIIPtEMENT~ OF S~A~ CO~SmUCT~ON Location of land on which proposed work will be done ................ C¢~.S...UOL .e~OB~t~, t~j~. ..... 1. .... ~. .~ ...... ~ ~ ~ ..... .......... zy/~ / ~G . ~ ~ . . / /. z ~_~ ........... Street House Number / Hamlet County Tax Map No. 1000 Section_. BI k ........................................ S,,Vdi~i~io, .~.~..~:~Z.f~ . Filed ~'No. X~ .......... rot t~ ........... (Name) State existing use and occupancy et premJse~ and intended use and occupancy of proposed construction: ~. E~isti.~.~ and o~an~ ../:~. ~ .............................................. ~. ~,~,~a ,,~ ,,a o~,,an~ df~2~. . ~ .............................................. , .: · , ~;~,,,,,.,. ; 3. Nature of work (cheek which applicable): New Building .......... Addition .......... Alteration ... Repair .............. Removal ............ Demolition .............. Other Work ............... 4. Estimated Cost . .~.t~g~ "" (Description) ..... ! ..................... Fee ......... ~,t: ,:o')'"'"".~&~. ' ~ ......... ~fflFff~ ' ' ' (to be ~ on th~s apphcation) 5. If dwelling, number of dwelling ~nits ...~ ........... Number o f dwelling units on each~fl~Of .-. ~. ............ . If garage, number of c~ ..... ~ ............................................... ~ :~;~37 ................ 7.6' HDimensi°nslf business, commercial or mixed occupancy, specify nature and extent of ea~tvOe of use. of existing~ stmcture~ if any: Front .......... ~ ~ Rear ............ ~ ..................... Depth ~ .......... eight . ~ ........... Number of Stories .. ~. .............. ensions of same structure with alterations or additions: Front Z~ Rear ........... .................. ....... Depth ' · .... ' HeiSt ...................................... Number of Stories .................... 8. Dimensions of entire new construction: Front ......... .: ..... Rear ............... Depth ............... Height .............. ~mber of Sto~es ......... . .......................... 9. Size of lot: Front .... .~ ..... ~ .......... Rear .. ~.P. ........... Depth . ~.~..~ I0. Date of Purchase ........... ; ........ ......... Name of Fo~er Owner ......................... 11. Zone or use district in which premises are situated ~. ~ 12. Does proposed constru~tion viol~te any zoning law, ordina~ce or regulation: ~ ............. ~ ............... 13. Will lot be regraded .~ .... ~'.b ........ ~..., ...... Will excess fill be removed~ f~om premises: Yes ,~o 14. N~e of Owner of premises ~~.. ~ ~ Address ~.~.~Z. ~. Phone No.~~.. Nme of Architect .......... ~ ................ Address ................... Phone No ................ Nme of Contractor ......... ~ ................ Address ................... Phone No ................ 15. Is thSs property w~thin 300 feet of a t~dal wetland? *Yes ........ No..~ ..... · Ig yes, 8outhold ~gwn Trustees PermSt may be required. PLOT DIAG~ Locate clearly and distinctly ~1 bulldogs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from prope~y ~nes. Give street ~d block n~umber or desc~ptioh accord~g to deed, and show street nines and indicate whether integer or corner lot. ' ~ : · ¢ , STATE OF NEW YDR~ ] S ~ .......... ...... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ...... ~~. Y~~ J... (Contractor, agent, corporate officer, etc.) of said owner or. owners, ~d is duly Cuthorized to perform or have perfo~ed the said work and to m~e and file this application; that all statements, contained, N this application are true to the best of his knowledge and belief; and that the work w~l be perfomaed ~n the m~ner set forth in the application filed therewith. Sworn to before me this ...................... day or.~. ........... 19 ~ot~. Vu~li~ ................. ~ gff~/~ .... '. County ~ ~ ~ w York No. 48948~72, Suffolk Coun~ (Signature cE Term Expires May 18, 1~