HomeMy WebLinkAboutMiller, ChuckFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No..Z. 9~.8.Q .......... Date ...I?eb,.~tarT. 2.1 ................. 19 80.
THIS CERTIFIES that the building ................................................
Location of Property ...1.'1250. ~:{.rl. ~Oa~ .......................... ~.4~.t.l;J,~h,tC~ ~. NsX,
House No. Street Hem/et
County Tax Map No. I000 Section ....122 ..... Block ... O5 ......... Lot .... ,005 .........
Subdivision ............................... Filed Map No ......... Lot No ..............
requirements for a Boarding and Tourist house built prior to
conforms substantially to the ...
Certificate of Occupancy
.... April. 27 ........ ,1953. pursuant to which.l~l'diltt~P~ No ......... ~.~8~.0 .......
dated .... F. e~0134glTy. 2'1. ........... 1980., 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 .........
....... BO arding, and. Tour&st..Hous~ ........ Ocnuparmy..-. t~I .p eraons ........
The certificate is issued to ............. C..h.a.r.l.e..s..V.:..M.i.l.l.e..r..&..w..f.. ...................
of the aforesaid building,
Suffolk County Department of Health Approval ............ ~I/.R ..........................
UNDERWRITERS CERTIFICATE NO .................... ~T/.R.
/
/
Rev 4/79
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 featu res.
~'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. Feesi
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5,00
Date January 25, 1980
New .... u,,,g ............. Old or Pre-existing Building ..... X. ...... Vacant Land .............
Location of Property Hain Road Hattituck
House No. Street Hamlet
Owner or Owners of Property. .... Hrs., Luck Hiller
County Tax Map No. 1000 Section . .1.2.2...qq ....... Block ....... Lot...qqs...qqq ......
Subdivision ........ N./.A. ...................... Filed Map No..N,/,A. ...... Lot No...N./.A. ........
Rural New York Farmworker Opportunities/
Permit No ........... Date of Permit .6./.].2./.7.9...Applicant .S.t.q~.~.t..5... ?!&.t. qhe. l.1' ...............
Health Dept. Approval ...6/.1.2./.7.9. .............. Labor Dept. Approval ........................
Underwriters Approval 8/9/79 .Planning Board Approval
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and~ ,~ .~....~...permit n~'eets all applicable codes and regulations.
Applicant ..................................................
Octobe~ &, 1980
StApex'vilo~ Wlllia~ R. Fell
To~nH&ll
~outhold, New York 11971
Re ,'
Luck ~lle~
Roo~ Houae
Nain Road
N&ttitu~k, N.Y.
Deaf H~ Fell=
The above ii a p~e-exiating dwelling and isa permitted
use in ~he aoned die~iot.
find no vioXation of ou.~ oode.
Vez"7 tr~17 ~u~n,
8~..~ Build~ Xnspeoto~
COUNTY OF SUFFOLK
DEPARTMENT OF HEALTH SERVICES
MEMO TO:Michael Antonelli, Social Services, Riverhead,
Southold Town Building Dept., S0uthold, NY
FROM :Richard A. Sandstrom, Senior Sanitarian
NY
DATE :February 26, 1930
SUBJECT:
Miller Residence, Main Road, Mattituck, UY
CODE ~ :09-4493
This Department has inspected the above referenced facility which
has been determined to be a Roominm House
as defined in Part 21 of the New York State Sanitary Code.
A permit to operate has been issued to the operator, Stuart J.
whose address is ~30 East Avenue. Rochester, NY and whose tele-
(Rural NY FarmworkeP Opportunities)
phone number is 716_546-7150 f .
The capacity of this facility has been determined to be 008
The above is being supplied for your information.
Hitchetl
Permit Expires: February 26, 1981
Occupancy : Male: 3
/PS
cc: James Herriman, Program Supervisor
SCDHS
Renewal
OF'FlOE
TO
LD
42S MAIN ST.
P'REENPORT, 1. I., N.Y. 11944
November 24, 1979
Edward F. Hindermann
Southold Town Hall
Main Road
Southold, New York 11971
Re:
Application of Zoning Codes
to Halfway Houses, Group Homes &
Similiar uses established pursuant
a State Law, program or policy
Dear Ed:
Enclosed herewith are several court decisions dealing with
the establishment of halfway houses, group homes and similiar
types of uses pursuant to a State Law or program. As a general
rule, the courts hold that such uses are exempt from the provisions
of local zoning codes.
I believe that a reading of these cases will give you some insight
on how the courts have handled such uses.
Yours very truly,
Robert W. Tasker
RURAL NEW YOItK FARMWglIKER OPPOIITUNITIES, INC.
The HIL
(Home for Independent Living)
The boarding house operated by Rural New York Farmworker Opportunities,
Inc. (RNYFO) at Main Road, Mattituck, provides an alcohol-free living
environment for recovered farmworker alcoholics. Through program ex-
perience during the past five years, it was determined that this type
of home was vitally needed to ensure the successful recovery of our
farmworker clients. Prior to the initiation of this program, many of
our clients had been referred to alcohol rehabilitation programs where
they successfully completed the required stay. On leaving the treatment
facility, however, they had nowhere to go except back to the farm camps.
In that setting sobriety was extremely difficult to maintain and the
clients inevitably returned to drinking and once again, were referred to
a treatment facility. In an effort to reduce this "revolving-door syn-
drome'', we are operating a boarding house which we feel will meet the
need for an alcohol-free environment. We provide no treatment of any
kind and no services beyond those found in any other boarding house.
Enclosed is a list of resident rules and eligibility requirements.
Rural New York Farmworker Opportunities, Inc. is a non-profit, statewide
corporation which provides a wide network of services to migrant and
seasonal farmworkers in New York State. Although the agency itself is
multi-funded, the alcohol service component is flmded directly by the
National Institute on Alcohol Abuse and Alcoholism {NIAAA) to provide
services to farmworkers. These services include information and refer-
al; education; individual, family, and group counseling, and are provided
by staff located in field offices throughout the state. The closest
field office to Mattituck is in Riverhead.
~4ATTIS'UCK BOARDING HOUSB
Resident Rules
1. Alsolutely no drinking of alcoholic beverages by m%y resident, either on
or off the premises. Any violation of this rule will result in immediate
dismissal.
2. Smoking in designated areas only. No smoking is allowed in bedrooms.
5. Ail eating will be done in the dining room. No food is allowed in bedrooms.
4. No gambling for money.
5. No electrical devices except clocks and radios are to be used in bedrooms.
6. Out of consideration for other p~ople, there should be no disturbances
(for example, loud radio playing) after 11:00 P.M.
7. Meals will be provided at regularly scheduled times each day. If for some
reason you miss a meal, check with the manager to find out what is available
for you.
8. Bedrooms must be kept clean at all times. Beds must be changed weekly.
9. If you plan to move from the boarding house, please inform ~he maqage~
two weeks'prior to moving.
10. Residents will share responsibility for maintaining an orderly, homelike
atmosphere of house and grounds as deemed appropriate by residence manager.
11. Visiting hours will be from 9:00 A.M. - 11:00 P.M. Visitors may be
entertained in individualrooms. An ~pen-door policy will be enforced.
6/22/7~
~MATTITUCK BOARDING HOUSE
Bligibility 'Requirements
1. Residents must be alcohol-free for at least 21 days and have demonstrated
a sincere desire to live an alcohol-free life.
2, Residents must be ambulatory and require no personal care.
3. Residents must have the ability to understand and comply with house
rules.
4. Residents must provide a satisfactory means of room and board payments,
i.e. through employment or Department of Social Services.
S. Residency will not be denied because of race, color, religion, sex,
or national origin.
6. Eligibility for residency will be determined through a personal interview
with the residence manager and local alcoholism counselor.
MATTITUCK BOARDING HOUSB
Residenu Contrac~
I, o have read (or have had
read to me) the rules governing the Rural New York Farmworker
Opportunities, Inc. Ma~ti~uck Boarding House. I fully understand
these rules, and agree to abide by ~hem while a residen: o£ the
boarding house.
Futhermore, I understand that violation of these rules will result
in disciplinary measures and/or termination of my residence at the
Matti~uck Boarding House.
Date Signature
Date Witness
6/22/7~
December 28, 1979
Rural New York Farmworker Opportunities,
10 Coy Street
Canandaigua, New York
Inc.
To Whom it May Concern:
I, the daughter of Fay Kimbell and widow of Charles Miller,
state that the building I own, located at S/E Main Road in
Mattituck, was previously used for the business of antiques,
furniture stripping and the rental of rooms. The condition
of the building is good.
Signed:
Luck Miller
P.O. Box 593
Mattituck, N.Y.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, H. Y.
CERTIFICATE OF OCCUPANCY
No. ~..../I:Q.Q~ .............. Date ........................... .~e.p.t .......... 2.9....., 19.~.0...
THIS CERTIFIES that the building located at ..S..~.~....1;'!.a..~.~....~.o...~..d....: .................................. Street
Map No..~ .............. Block N~ ............... Lot-No. ;T--,T~....}i~.~..~,~I~gJ~ .......... ~.,.~.~ ...............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
........................................ .J~.~.. ......... 26...., 19..~.0.. pursuant to which Building Permit No....~.~.0~..
doted ............................ ,~ .........~,6......, 19...~Q, 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 ........
.... ~u~ ine s.s..huil&in~....,~..f.u~itu~.e.. ~pa4L~a..~t c ........................................................
The certificate is issued to
(owner, lessee or tenant)
of the aforesaid building.
House # 11250
Building Inspectbr
RURAL NEW YOIIK FARMWORKER OPPOR1UNITIES, INC.
November 28, 1979
Edward F. Hindermann
Building ~ Housing Inspector
Southold Town Hall
Southold, New York 11971
Dear Mr. Hindermann:
I have received your letter of November 20 along with the Application
for Certificate of Occupancy.
I have requested a sworn statement from Mrs. Luck Miller as to the
previous use of the house. As soon as I have all the required in-
formation I will complete the application and return it to you,
along with a description of the boarding house operation. This
should take no longer than ten days.
In the meantime, if I can answer any questions you may have, please
call.
Sincerely,
Alcohol Program Administrator