HomeMy WebLinkAboutZ-13865TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN tLiLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/'~ Land Pre C.O. #- Z13865
/ / Building(s) Date- Sept. 18, 1985
/--/ Use(s)
located at 1760 Camp Mineola Road
Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 122 , Block 00,5
Lot 005 , does.~not)conform to the present Building Zone Code of the
Tom of Southotd 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 ~__.X~ Laud /Z/Building(s)
/Z/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-
Property contains a wood framed, one family
cate is issued is as follows: dwelling with an attached wood deck and gar-
age; an accessory swimming pool with concrete patio and an accessory
shed. Property is situated in the A-Residential Agricultural zone with
~rm~m~ f.n C~m? Min~ola ~d,; a f. nwn mmiaf~inRd road,
The Certificate is issued to
of the aforesaid building.
EDNA CAHOON BOOTH WILKEN
(owner,
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO.
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises H_zkS
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.
Buiidin~ ~mspe ctor
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
40L[)
This application must be filled in typewriter OR ink, and submitted m ~ 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 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 installa-
tions, 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 appl!cable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of pZOperty showing all property lines, streets, buildings and unusual natural or
topographic features.
~ 6-~ ~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 $5.00
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
$15.00
9/5/85
Date ..........................
X
New Building ........... ~. Old or Pre-existing Building ............ Vacant Land .............
! .... :~-~D ....... N~r, Camp Nineola Road, Nattituck
House NO. Street Ham/et
Edna Cahoon Booth Wilken
Owner or Owners of Property ............................................................
County Tax Map No. 1000 Section 122.00 Block 005.000 Lot 005.000
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 $../~..~..~. ....................
Construction on above described building and permit meet/~ll applicable codes and regulations.
Applicant . . ~ .,~..~f~.. ~.~%~ .~...~.~//~/~ .............................. A1 Lane
Rev. 10-10-78
~L£)G, DEPT.
TOWN OF SOUTHOLD
RE.:
AFFIDAVIT
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NO. #, ~ MINEOLA ROAD, MATTITUCK, N.Y.
STATE OF N~ YORK
COUNTY OF SUFFOLK SS.:
AL LANE, being duly sworn, deposes and says:
That I am a vendee in possession of the above entitled preaises at no
nunber, Car~p Mineola Road, Hamlet of Mattituck, Town of Southhold, New York
That I am personally familiar with all of the facts and circu-~stance$
surrounding the premises and make this affidavit in order to induce the Town of
Southhold Building Department to issue a certificate of preexisting use.
That the premises were constructed prior to April 1, 1957; that premises
include a single-family house, a garage, and pool shown on the attached survey
(which is incorporated by reference herein).
That the premises are used as a single-family residence with associated
accessory uses; namely, storage facility, garage and swimming pool.
The building has been extensively renovated and is in excellent
condition.
I make this affidavit knowing that the Town of Southhold will rely
thereon.
Sworn to before me this
~otary Publi~ '
ROBERT D. PIKE
Corn
F'q~Nt~ ~ N£TTi£
SUHVEY FOH
AL LANE
AT It1,~ TTITUCK
TOWN OF SOUTHOI_D
SUFFOLK COUNTY, N. Y.
T,4 ,~MAP NO. 1000-1,~-05-0,.~
SCA/. E: / '-- 40 '
JUNE $, 1985
Prepared M?a~oMoKe'w~ ~u minimum
~tandards for title mmmys al mtablished by
the LI.A. LS. and approved and adopted
for mJeh um by The New York State ~
AREA =$~868 SQ. FT.
OR O. 7775 ACHE
E5-204