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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)