HomeMy WebLinkAboutZ-23757 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-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 JULY 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. LIIHRS
(owner)
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.
uil cling Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION• 420 N. RILEY AVENUE MATTITUCK, NEW YORK
number & street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) . RICHARD A. . LUHRS
OCCUPANCY A-1 RES.
type (owner-tenant) .
ADMITTED BY: RICHARD A. LUHRS ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. IOUU-IZZ-03-36.3
SOURCE OF REgUEST: RICHARD A. LUHRS DATE.APRIL 7, 1995
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME STORIES ONE # EXITS 2
FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 2 3RD FLR.
BATHROOM (s) 3 TOILET ROOM (s) UTILITY ROOM
.PORCH TYPE HECK, TYPE WOOD PATIO
BREEZEWAY FIREPLACE ONE GARAGE
DOMESTIC HOTWATER YES TYPE HEATER LILCO GAS AIRCONDITIONING
TYPE HEAT LILCO GAS WARM AIR HOTWATER XX
OTHER:
ACCESSORY STRUCTURES: NONE
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL , GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
1
REMARKS: BP #11895-CO Z-13382 (Solar Add.) BP #13809- CO Z-14453 (Add)
BP #22868-CO Z-23757 (Deck Add & Heating System)
INSPECTED BY DATE OF INSPECTION MAY 5, 1995
H 9:50 AM 10:25 AM
TIME START END
^ � } Form No. Fi
TOl•IN OF SOUTHO LD
BUILDING DEPAiz-r LENT � _ -�v
N,
TOWN HALL
765-1802
APPLICATION FOR CERTIFICA•1'L' OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with tt+e follot,finb: for new building or new use:
I . Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from llealth Dept. of water supply and sewerage-disposal(S-9 form) .
3. Approval of electrical installation from Board of Fire Underwriters.
+: Sworn statement from 'plumber certifying that the solder used in system contains
I
ess than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations,1\a certificate of Code Compliance from architect or engineer
responsible for the building.
b• Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9 1957
'•'Pre-existing" land uses: ) non-conforming uses, or buildings and
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.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling
$ S ng $25 ,
Alterations to dwelling
$25.00, Swimmingpool 25.00 Accessory building 25.00,
Additions to accessory building $25.00. Businesses $50.00.
Certificate of Occupancy on• Pre-existing Buildine - $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 $15.00
Date 7:/-2,?• 1.��
idew Construction. . . . . . . . . Old Or Pre-existing i� . . • . • . . • . • • . . • � • �__ Buildiyng. . l-.,� .
Location of Property. . . „%✓,•�, .��%�j., ,��;-e. . .!E'L �,��`^�:/� • Hamletl . ..l
House No. Street � . "
� [
Onwer or Owners ��f Property. .��.!v'?�?n,� .�_ .�• C�.�17� •�. . L��� . . - . . . . . .
County Tax Map No 1000, Section. .a. ... . . . . .Block. . . . . . . . . . . . . .L o .6• . . • • . • . .
t. :.�. . . . . .
Subdivision. . . . • �
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fil.ed M:ip. . . . . . . . . . . .Lot. . . . . . . .
Permit No. . . . . . . . . . „ • . . .Date Of permit. . . . Applicant . • • • . • • . • • . . ' •
health Dept. Approval. . . . . . . • . . . • • . . • . . . . .
- • • • • • • • • • • • • • • • • . .Underwriters Approval. . . . . . . . .
Manning Board Approval. . . . . . . . . . . . . . . . . . • . • • . . • • . • . • • • .
A'equest for: Temporary Certificate. . . . . .
Final Certicate.... . . . . . . .
.ee Submitted: $��,�.;�. . . . . . . . . . . . . . . . . . . . .
7, ;
FRANCIS J.MURPHY ;a.ii• ! ly6ti; ' -s�.
,fir .'f. ... .;:
SUPERVISOR �, , ` r' TOWN HALL,53095 MAIN ROAD
�. his,' '. j- •.•
�p P.O.BOX 1179
TELEPHONE V � 1 SOUTHOLD, NEW YORK 11971
(516) 765-1800 ,
FAX NO.
(516)765-1823 OFFICE OF THE SUPERVISOR ,
TOWN OF SOUTHOLD
Dear Resident of the Town of Southold:
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;
LUHRS, RI,CHARD '
4 0 N RILEY,,.AV• , ,
'MATT I TUCK, ,' t` NY
11957
Please use this address in all your future dealings. If it is a change in
what you now consider as your address, you inay wish to obtain a supply of
"change of address" forms from the Post Office to use in notifying your regu-
lar mailers.
IT IS CRITICAL, ho:-lever, that any changes be ver•iried with 1 ) Southold Town
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.
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.
femy y urs,
rphy
s , Southold Town
Coy
INSPECTION
the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at �j�j Al o . �� ��� Zv11�S
7 «hich is shown and designated on the Suffolk-
County tax map as District 1000, Section 1,_22 , Block Lot 2bl.
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
�vT tom-1 CA �6 d Gr-w G
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.
Dated:
(sigt ture)
(print name)
(sign turc)
6
(print name)