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HomeMy WebLinkAboutZ-20094 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20094 Date JULY 22, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 590RILEY AVENUE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 143 Block 5 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #2-20094 dated JULY 22, 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 ONE FAMILY DWELLING * The certificate is issued to 590 RILEY AVENUE ASSOCIATES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. c Bu ding Inspector Rev. 1/81 _ BUILDI_:G DE?i:.?T:LiiT TO:+i`I OF SOUTi-TOLD, DI. Y. HOUSIidG COD Ii•iS?EC^lIOi`1 Rte:.°ORT Location 590 RILEY AVE. MATTITUCK N.Y. lnt:nber Gc street) li-iunicipaiity) Subdivision Map TIo . Lot (s ) Marie of Ormer(s) 590 RILEY AVE. ASSOCIATES Occupancy A-I OWNERS hype owner-tienant) Admitted by: RICHARD LUH11S Accompanied by: SAME Key available Suffolk Co. Ta;c No. 143-5-11 Source of request RICHARD LUHRS Date JUNE 26, 1991 D'.`IELLI~IG Type of construction WOOD FRAME rstories I Foundation CEMENT BLOCK Cellar FULL Crawl space - - Total rooms, lst. F1 5 2nd. Fl 3rd. Fl Bathroom(s) 1 FIILL BATH Toilet room(s) Porch, t'yp~'RONT ENCLOSED Deck, type Patio, type_ Breeze:•~ay Garage Utility room Type Heat LILCO GAS 'alarm Air FLOOR HEATER Ho twater Fireplace(s) No. Exits Aircor_ditioning Domestic hotwater YES Type heater LILCO GAS Other ACCESSORY STP.UCTURES : NONE Garage, type const. Storage, type const. Seri~;uning pool Guest, type const. Other VIOLATIODIS; .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE - Lncation Description (Art., Sec. BASEMENT INSULATION IN BASEMENT MUST BE COVERED AS STATED ON THE INS 1 ' Remar'.~cs• BP #20021 CO Z-20093 ISSUED FOR DECK ADDITION p, JULY 17, 1991 Inspected by• ~ Date o~ Ins G FISH ~ Time start 9:40 end 10:00 ~ . Form No. ~i ~ TOWN OF SOUTIIOLD D BUILDING DEPARTMENT T ~i TO[dN BALL V 765-1802 ~ ' BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUP~INCY This application must be filled in by typewriter OP, ink and submitted to the building 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 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Cc,de Compliance from archi~:ect or engineer responsible for the bu".lding. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "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 inspecC 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, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessorv building $25.00, Additions to accessory 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 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ,,,June,26,,,,1991,,,,,,,,,,,,,,,,,,,,,,, ew Construction........... Old Or Pre-existing Building..,.~.....•••.••• ocation of Property., 590.Riley,Avenue,,,,,,,,,,,,,,,,,,,,,,,,,,Mattituck Flousc No. StreeC Hamlet rover or Owners of Property.,590,Riley,Avenue,I~ssociates runty Tax Map No 1000, Section.. 143 :00• , _ , ,Block... 05,.,OQ, , , , , , .Lot. , ,011,.,000, . _ :bdivision Map of Pro~ert~•of•G.H.,,W.T:, D.T.,Pilcd Map...1$~......Lot...l? 'Riley ~rmit No ................Date Of PcrmiC................Applicant............................. ~alth Dept. Approval ..........................Underwriters Approval......................... anning Board Approval quest for: Temporary Certificate........... Final Certicate.. X....... Submitted: $,1.00: 00,... •,,,,,,,,,,,,,590 RILEY AVENU ASSO IATES BY. ~o~a~ - . • • . • ~ .....APPLICANT. Richard •A. ~ Luhrs~ F~c c~ ~aOO a -t~ ' ~ `p ~ ~ ~ i t„ ~ I'; ~ ~ ` 4 ~ ~ , n, p s ~ ICI lr 4 ~ Y. ~ ~ w w~ } Q. _ ` a. ' ~ ~ - - ' . . Sri- ~ l.. -"",-„~„fit _ _y V ~ : ~ , ~ ~ J t ~ _ - c .4l 'Y 0 tlx t ~ ~ ~ ~ ~ , a . W t~ i' ,s 13` 2 1 Fe.,cc- p ; s Xx ~ ~ ts1 ~ N. ~9 ~9 ~ i ! -i~t1 - j ' L / ..k a f ~a#, Lod ~ - Y ~ y ~ x t n- _ CONSENT TO INSPECTION 590 RILEY AVENUE ASSOCIATES the undersigned, Owner(s) Name( do(es) hereby state: e of the ~rt~ s of That the undersigned (is) (axes)gthe owners) oe~he premises in the Town of Southold located at 590 Riley Avenue, Mattituck, New York which is shown and designated on the Suffolk County tax map as District 1000, Section 143.00 , Block 05.00 , Lot 011.000. That the undersigned (has) (i~su~) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Pre-Existing Use , That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules ' and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. 590 R EY VENUE ASSOCIATES Dated: June 26, 1991 By , (signatu e) Richard A. Luhrs, Partner (print name) (signature) (print name)