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~
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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)