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Home My WebLink AboutZ-15021TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN tLiLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORA%ING PREMISES THIS IS TO CERTIFY that the /~/ Land Pre C.O. #- ZI~0~I /~/ Building(s) Date- October 21~ 1986 /-/ Use(s) located at ?00 Sound Beach Drive Mattituck, New York Street Hamlet shown on County tax map as District 1000, Section 099 , Block 01 10 Lot , does.~not~conform to the present Building Zone Code of the Town of Southold for the following reasons: insufficient total area On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /Z/Land /Z/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 Certifi- cate is issued is as follows: framed dwelling with roof C.O. Z1538 situated in 'A' Property contains one story, over oatmo; Addition p~rm~f. Residential agricultural zone with access one family wood Suffolk County Department of Health Approval UNDER~rRITERS CERTIFICATE NO. NOTICE IS HEREBY GIVEN that the owner of the above premises tLiS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with al! applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. ~uiiding Inspector N/A to Sound Beach Drive, a town maintained road. The Certificate is issued to Henry M. Whi f,~ (owner, l~:,~e~x ~x X ~ ~ ~b~ x x of the aforesaid building. AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOLK SS: Henry M. White be ng duly sworn, deposes and states as follows: That I am the owner of Beach Drive, Mattituck, certain premises located on Sound New York, designated on the Suffolk County Tax Map as District 1000 Section 99 Block ! Lot 10. That the origina! house and one story extension as shown on a survey prepared by A. Prescot Halsey dated April 25, 1958 were constructed prior to April !957. I hereby submit this affidavit in support of my application for a pre-existing Certificate of Occupancy for the original one story frame dwelling and one story extension to the westerly side thereof. That in approximately 1963 a living room extension was added to the easterly side of the premises by my builder, William Riley Sworn to/b/~re me this 3 day o/f:ep/ember, 1986. Not~r~ Pffblic GARY FLANNER OLSEN Notary Public, State of New Yor~ No. 52-2959~300 Qualified in Suffolk County Commission Expires March 30, FORM NO. 6 '[OWN OF SOUTHOLD Building Department Town Hall " ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- 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 topographic features. 2. Final approval of He~ith 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 installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. §. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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. Fees: 1. Certificate of occupancy $§,00 .~. Certificate of occupancy on pre-existing dwelling · Copy of certificate of occupancy $1.00 land use --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date . .9.-.9.-.8.6. .................. New Building ........ Old or Pre-existing Building ............ Vacant Land ........... Location of Property (.Ro #) .5.°.u.n.d Beach Drive, Mattituck Ne.w.Y.o~.k. House No. Street Hamlet Owner or Owners of Property ....H.e.R.ry, .H... .~.hj~.e. ......................................... . County Tax Map No. 1000 Section . .9.9 ............ Block ...1 ............ Lot .1.0, ............ Subdivision ................................ :Filed Map No ........... Lot No ............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .............. ., ~ ........ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $... GARY FLANNER/OI_SEN, ESQ. . Ray. 10-10-78 P. 0. BOX 706 CUTCHOGUE, NEW YORK 11935 c o a 6'1