HomeMy WebLinkAboutZ-14359TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
Land
Building(s)
Use(s)
C.O.~ Z14359
Date April 24,
1986
located at 540 E. LEGION AVE. MATTITUCK
Street Hamlet
shown on County tax map as District 1000, Section 143 , Block
Lot 1 0.1 , does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area.
' bu'ilding.
accessory
Insufficieft rear setback on
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /~ Land /--/Building(s)
/_--/Use(s) existed on the effective date the present Building Zone Code of the
Town of Southold, and may be continued pursuant to and subject to the appli-
cable provisions of said Code.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this Certffi-
Property contains a one story, one family,
cate is issued is as follows:wood framed dwelling, with an accessory
building in the rear yard. Property situated in the "A" Residen-
tial zone with access to East Legion Ave; a town maintained road.
The Certificate is issued to
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO.
MARTHA LILLIAN WAITZ
(owner, 1~29~ ~ YD~f K~ )
N/A
N/A
Building Inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
, [ TOWN OF ~LIT'I~OLD j
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in ~pewriter OR ink, and submitted in duplicate to the Building In~ec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or t~pographic fea tu res.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal}.
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and instaila-
tioni, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peopert¥ showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C, Fees:
!. Certificate of occupancy $5.00 /
2. Certificateofoccupanc¥onpre~xistingdwelling/landuse--t~r,e-Exist, ing C.O. $15.00
3. Copy of certificate of occupancy $1.00
Vacant land ,C.O. $ 5.00
.... ..........
New Building ............. Old or Pre-existir}g Building ............ Vacant Land .............
L°cati°n °f Pr°partv · 'Y~' '~'0' · · ~' ~ ~
Houm No. . . , ' Street · Ham/et
Owner or Owners of Propertv ..~..~...~....~.~....~...~<.. .......................
co~.~ T~ M,p,o. ,000 Section .. l.~r.5 ........ ~,oc~ ..... ~ ....... '. ~.o,.../.q.'./. ......
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. Date of Permit .Applicant ~.(J.~OI .~.. ~t .'~.~
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .~. ....................
F.. ~,bmi~ ~,~...l.~,.~.. ............
Construction on above described building~i~ermit meets all applicable codes and regulations.
NORTH
R~LEY
AVENUE
WolloCe $. Field
STATE OF NEW YORK:
: SS.:
COUNTY OF SUFFOLK:
says:
being duly sworn, deposes and
THAT she resides
that she has been a resident of Southold Town for~'years;
THAT she is familiar with the property known as 540
Legion Avenue, Mattituck, New York; designated on the
Suffolk County Tax Map as: District 1000, Section 143000,
Block 04.00, Lot 010.000. A copy of a survey of these
Premises, d~t. gd ~~7,197.7_ prepared by
is attached hereto.
THAT on personal knowledge, information and belief,
your deponent can state that the structures shown on said
survey were built prior to April 23, 1957; and that there
have been no changes to said pre-existing structures, other
than normal maintenance, since prior to April 23, 1957.
Sworn to before me this
~8~day of~, 1986.
~'"PHYLLIS - i ~'
A ~K N,.,ON
I~IOTARY PUBLIC, Slate of l'.~ew York
No. 52-4665676
Qualil'ied in Suffolk Counly
~mrnission Expires Morch 30,
i ii \ . AP.f"', - I ,.::z. ou ii¢
! i.~LDG.
TOWN OF SOUTHOLD