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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