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HomeMy WebLinkAboutZ-23757FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PR~ EXISTING CERTIFICATE OF OCcupANCY No Z-23757 Date JULY 11, 1995 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Property. 420 NORTH 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 Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23757 dated 4u~¥ 11, 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 ONE FAMILY DWELLING * The certificate is issued to RICHARD A. & CAROLYN E. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A *Pr~%sE SEE ATTAuHKu INSPECTION REPORT. ~ector Rev. 1/81 LOCATION: 420 Ho RILEY AVENUE (number & street) SUBDIVISION NAME OF OWNER (s) RICHARD A. LUHRS OCCUPANCY A-] RES. (type) ADMITTED BY: RICHARD A. LUHRS KEY AVAILABLE SOURCE OF REQUEST: RICHARD A. LUItRS BUILDING DEPARTHENT TOWN OF SOUTilOLD IlOUSING CODE INSPECTION REPORT NATTITUCK, NEW YORK (municipality) HAP NO. LOT(s) (owner-tenant) SANE ACCOHPANIEO BY: SUFF.CO. TAX MAP NO. 10OO-122-O3-30.3 DATE:APRIL 7, 1995 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY DOMESTIC HOTWATER' YES TYPE HEAT LILCO GAS OTHER: IST FLR. 5 3 WOOD F~ t STORIES ONE CELLAR FULL CRAWL S~ACE 2ND FLR. 2 3RD FLR. TOILET ROOM (s) UTILITY ROOM BECK, TYPE WOOD · PATIO FIREPLACE ONE GARAGE TYPE HEATER LILCO GAS AIRCONDITIONING WAP~! AIR tIOTWATER XX EXITS ACCESSORY STRUCTURES: NONE GARAGE, TYPE OF CONST. SWIIqMING POOL OTteR: STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: ClIAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP Ji1895-CO Z-13382 (Solar Add.) BP #13809- CO Z-14453 (Add) BP ~22868-C0 Z-23757 (Deck Add & Heating System) INSPECTED B~~~ DATE OF INSPECTION TIME START 9:50 Abi I~AY 5, 1995 END 10:25 AI~ Form No. 6 TOWN OF SOUTIIOLD BU [ LD l NG I)EPAP,'[¥1E}IT TOWN HALL 765-1802 APPLICATION FOR CERT[17ICATE OF OCCUPANCY This apPlication must be filled in by typewriter OR ink and submitted to the building inspector with the following: 1. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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 inspect signed by ~he applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in 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 building $25.00 Additions to accessory building $25.00. Businesses $50.00. ' Certificate of Occupancy on Pre-existing Buildint - $100.00 Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15 O0 ~ ' ......... ~' -~'sting Building....~...~iiiiiiill .................... · · ......... /' .... ...... : .... ..... Street Hamlet Onwer or Owners ,.,f Property..~.~..~...~..f~..~../~.y~..~..~p~.~.. County Tax Hap No 1000 Section. /c~ ~-~. ..Block..4] ............ Lot.~i~.,.~. Subdivision .................................... Filed Map ............ Lot Permit No ................ Date Of Permit. ............... Applicant ............................. Itealth Dept. Approval .......................... Underwriters Approval...t ..................... Planning Board Approval -lequest for: Temporary Certificate ........... Final Certicate..~.'. ....... ~ee Submitted: $/. .......................... - ?5? for new building or new nsc: . Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from llehlth Dept. of water supply and sewerage-disposal(S_9 form). 3. Approval of electric?llinstallation from Board of Fire Underwriters. 4. Sworn statement from p umber certifying that the solder used in system contairs less than 2/10 of 1% lead. 5. Co,mm.ercial buildin.g, industrial building, multiple residences and similar buildings ann ~nstallations,~a certificate of Code Compliance from architect or engineer responsible for the building. 6.~ Submit Planning Board Approval of completed site plan requirements. FRANCIS J. MURPHY SUPERVISOR TELEPHONE (516) 765-1800 FAX NO. (516) 765-1823 OFFICE OF THE SUPERVISOR TOWN OF SOUTHOLD Dear Resident of the Town of Southofd: TOWN HALL, 53095 MAIN ROAD P.O. BOX 1179 SOUTHOLD, NEWYORK 11971 I am pleased to announce that your Town will introduce Enhanced 9-1-1 Emergency Service, This forward step into modern technology will greatly assist in the dispatch of police, fire and emergency medical services, I'm sure you can appreciate the difficulties encountered while attempting to lo- cate the site of an emergency where there is no systematic house numbering to guide emergency personnel. As part of the implementation process, we under- took revisions to the address plan that affect many of your residential. commercial and other properties. Many structures have been assigned a new address, Others. however, will continue with their present address. We consider the changes beneficial. Deliveries to your home or business will be made easier. More importantly, they will improve the ability of your police, fire or emergency medical services to respond to any emergency. Effective immediately, your address at this location in Southold Town will be: · ' 420 N ' RILEY AV ' HATTITUCK :~; ~':' NY I 11952 ~'~ *~'~ ~:,i':,' Please use this address in all your future dealings. If it is a change in what you now consider as your address, you ~nay wish to obtain a supply of "change of address" forms from the Post Office to use in notifying your regu- lar mailers. IT I~ CRITICAL. however, that any chan~j~s be verified with 1) $outhold Iown Building Department (516-765-1802) and 2) New York Telephone Company. who supplies the data for our Enhanced 9-1-1 system. You may call New York Telephone toll free at 800-462-7220. Monday through Friday between 9 A.M. and 5 P.M. In order for the system to work optimally. New York Telephone must be informed of your new house number. I close with the fervent wish that you may never require emergency services, but you can rest assured that they will be there if you should ever need them. // ~Sdpervis6~. Southold Town C O ' INSPECTION Ovrner (s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of tbe premises in the Town of Southold located at ~/l_.ep /V C. ,~//~ ~ /l//~TZ?zT/-~' ~' 7. //~Z' , which is shox~ and designated on the Suffolk County tax map as District 1000, Section/~2 , Block ~ , Lot~. ~ . That the undersigned (has) (ha~e) ~iled, or caused to be riled, an applica- tion in the Southold To~ Building Inspector's Office for the ~ollow~g: / That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described pr. operty, including any and ail buildings located thereon, to conduct such inspections as they may deem necessary xvith 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. (sig~Jture) (print name) (print name)