HomeMy WebLinkAboutZ-22349FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22349 Date MAY 21r 1993
~Location of Property 495 RILEY AVENUE
House No.
County Tax Map No. 1000 Section 143
THIS CERTIFIES that the building TWO ONE FAMILY DWELLINGS
MATTITUCK~ N.Y.
Street Hamlet
Block 4 Lot 17
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-22349 dated MAY 21~ 1993
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 TWO ONE FAMILY DWELLINGS FRONT & REAR YARDS *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PI.RASE SEE ATTACHE~D INSPECTION REPORT.
Rev. 1/81
ESTATE OF MARY SULLIVAN
N/A
N/A
FRO~rr ROUSE
BUILDING DEPARTMENT
TO~N OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 495 RILI~Y AV~.
(number & street)
suBHIvISION 'MAP NO.
NAI4E OF ONNER (s) gSTATE OF I~RY SULLIVAN
MATTITUCK, N.Y.
(municipality
LOT (s)
OCCUPANCY A- I RES. OWNER
(type) (o~mer-tenant)
BERNICE (BOOKMII.I~R REAL ESTATE) SAME
ADMITTED BY:. ACCOMPANIED BY:
KEY AVAILABLE SUFF. CO. TAX MAP NO. 143-4-17
sOURcE OF EEQUEST: ABIGAIL WICIOIAM, Al-fY DATE:FEB. 12, {993
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS: 1ST FLR.
BATHROOM (s) ONE
WOOD FRAME
CEMENT BLOCK FOUND
4 2ND FLR.
TOILET ROOM (s)
PORCH TYPE WRAP AROUND ENCLOSEDDECK, TYPE ~SIDK & REAR
BREEZEWAY FIREPLACE NO
DOMESTIC HOTWATER YES TYPE HEATER LILCO GAS
TYPE NEAT OIL WARM AIR XX
OTHER:
# STORIES ONE # EXITS 2
CELLAR FULL CRAWL SPACE
3RDFLR.
UTILITY ROOM
PATIO, TYPE
GARAGE CARPORT
AIRCONDITIONING
HOTWATER
ACCESSORY STRUCTURES:
GARAGE, TYFE OF CONST.
S~II~IMING POOL
OTHER:
STORAGE, T~E CONST.
· GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P, EMARKS:
DATE ON INSPECTION
TIME START
4/]3/93 & 5/19/93
END
REAR ]lOUSE
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 495 RII~Y AVENUE
(number & street)
suBDIvISION 'I~[P NO.
NAME OF OI,/NER (s) ESTATE OF MARY SULLIVAN
MATTITUCK, NgWYORK
(municipality
LOT (s)
OCCUPANCY A- 1 RES . OI~I~R
(type) (o~ner-tenant)
ADMI'vrED BY:. BERNICE (BOOKMILLER REAL EST). ACCOI/PANIED BY: SkMg
KEY AVAILABLE SUFF. CO. TAXMAP NO. 143-4-17
sOuRcE OF REQUEST: ABIGAIL I~ICKHAM DAT~: FEB. 12, 1993
DI/ELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS: IST FLR.
BATHROOM (s) ONE
PORCH TYPE
BREEZEWAY
DOHESTIC HOTI/ATER
TYPE NEAT
OTHER:
WOOD FRAME
CF_.MEWr BLOCK
LILCO CENTRAL AIR
2~ FLR.
TOILET ROOM (s)
DECK· TYPE
FIREPLACE
TYPE BEATER
WARH AIR XX
{ STORIES ONE ~ EXITS 2
CELLAR SMALLAREA CRANL SPACE
- - 3RDFLR. - -
WrILITY ROOM
PATIO· TYPE
GARAGE
ELECTRIC AIRCONDITIONING
HOT~ATER
ACCESSORY STRUCTURES:
GARAGE, T¥~E OF cONST.
S~]~IING POOL
OTHER:
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOI~ FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REHARKS:
DATE ON INSPECTION 4/13/93 & 5/19193
TIHE START END
Form ;~o. 6
TOWN OF SOUTIIOLD
BUILD I,';G D£PARTM£NT
TOWN IIALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This.application must be filled in by typewriter OR 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 2710 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance.from architect or engineer
responsible for the building.
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 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, 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.
2. Curtificate of Occupancy on Ure-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
~bruary 12~ ~
Construction ........... Old Or Pre-existing Building...~ ............
· oeation of Property. 495 Riley Avenue, ~attituck
llousc No. Strcet Hamlet
nw~r or Owners of Property ...... g~.q~.M~.~ql~%MgB ................................ .....
~unty Wa× ~ap ~o 1000, Section .... !~qq .... nlock,..q~qq ........ Lot..Pj?~PPP .............
~bdivision .................................... Filed Map ............ Lot ......................
~rmit No ................ Date Of Permi~ ................ Applicant ....... ,. ....................
:alLh Dept. Approval .......................... Underwriters Approval .........................
Board Approval ........................
quest for: Temporary Certificate ........... Final Certicate ..... ~ .....
Submitted:
$
~' ~0}'0~"' Abiail . Wickha~ attor~ff~PLiCANTfo~ Estate..of Ma=y:.Sulli~a
CONSENT TO INSPECTION
Mary Sullivan F. stmtm , the undersigned, do(es) herO'by
Owner(s) Name(s)
state:
That the undersigned (is) (are) the/owne~(s) of the premises in the Town
of Southold located at 495 Riley Avenue. Mattituck. Naw
Which is shown and designated on the Suffolk County tax map as District 1000,
Section 143.00 , Block 04.00 , Lot 017.00
That the undersigned (~'as) (have) filed~ or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy for pre-existing buildinKs
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 inspec-
tions to determine that said premises comply with all of the laws, ordinances,
rules and regulations of the Tcwn 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.
Dated: February 12, 1993 _~~~~
JS~na t ~ r~ ~
A~Sigail A. Wickham, Attorney for the
Estate of Mary Sullivan
Print name
Signature
Print name
PLEASE CONTACT BEP. NICE FICN~R AT BOOKMILLER REALTy FOR ACCESS. 722-4423
FEB I 9 1993
SURVEY OF PROPERTY
SITUA TED A T
MATTITUCK ~/o ~o~®~
TOWN OF SOUTHOLD '..~
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-145-04-17 . ~
SCALE 1" =20' ~'
MARCH 51, 1995 >"
AREA = 15,005.97 sq. ft.
0.5445 ac.
CERTIFIED TO:
FIDELITY NATIONAL TITLE INSURANCE
COMPANY OF PENNSYLVANIA
FLEET REAL ESTATE FUNDING Corp.
PETER F. McLAUGHUN
NOTE:
LOT NUWBERS REFER
PROPERTY OF G~o.
475.00'
e
SToRy
/
/
~ STORy
FRAME HOUSE
70'51'00" W
,NY
75.00'
AVENUE
Land rveyor
PHONE (516)727-2090 Fox (516)722-5093 I ~ ~ ~ ~ ~ ~ ~ ~
.......... ~/OR ~ ~ RECORD, IF