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Home My WebLink AboutZ-12997TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the C.0.#Z12997 /X Land Building(s) Use(s) Date November 20, 1984 located at 1420 Marlene Lane Mattituck Street Hamlet shown on County tax map as District 1000, Section 144 , Block 02 , Lot 036 doe<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 /XLand /_/ 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: One story; one family wood framed dwelling with concrete patio: and an accessory 2 car earage situated in the A -Residential Agricultural zone with access to Marlene Drive, a town maintained road. The Certificate is issued to NADIA YOUNG (owner, 12�k6ftffX?,IiH�) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all 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. Building inspector FORM NO. 6 NOV 2 0 I TOWN OF SOUTHOLD Building Department �. oepr. Town Hall UF SOUTHOLD Southold, 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 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 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling / land use --Fre-Existing C.O. $15.00 3. Copy of certificate of occupancy $1.00 r Vacant land C.O. $ 5.00 Date.......................... New Building ............. Old orPre-existing Building .)P ...... Vacant Land Location of Property ..WO.44VIC140. .. House No. Street Hamlet Owner or Owners of Property .... NADIA YOUNG ........... . . ............................ . County Tax Map No. 1000 Section .. I.......... Block ... Q2 ......... Lot ....Q36........ . 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 ...XXX ................ Fee Submitted $ !?!9 ....... • • . • • • • • . • • ... . Construction on above described building and permit ,meeetts all applicable codes and regulations. Applicant ..... .! L.l�:'!`: "- :. ...................... . Rn. 10-10.78 Nadia Young Pic, IF q it /do/Ey STATE OF NEW YORK ) COUNTY OF SUFFOLK � SS: NADIA YOUNG, being duly sworn, deposes and says; That I reside at 1420 Marlene Lane, Mattituck, New York 11952 and I am the owner of the said premises designated as District 1000, Section 144, Block 02 and Lot 036 since September 27, 1971. That the said pemises had been owned by my husband, George Young since May22, 1954, and have been used amd occupied by us as a one - family dwelling. That the building and garage erected on the said premises is and has been in condition and suitable for occupancy as a one -family dwelling. Nadia Young —� Sworn to before me this lith day of November 19a4 on&� WILLIAM J. CLARK NOTARY PUBLIC, State of New York No. 62-6712500 Qualified in Suffolk CourHy i� Term Expires March 30, 18 7 05, r5,M Wim" s TE .11V W -A �A'l 2 0 q &I .60 .�Y ? Zsc a: Ac. 'Z tt7 ORIZED KJERAJKIN,bR-ADDITION U Ey_85ANIQLATIbAil OF ECT047�O9:Pi�THE PjEiX-VQRK STATE- - IN't , 7 shy- hy "MAP N01 BEARING S LAND SURVEYOR'S NP�Ems_F; Et' jSSEUSEAL S --ALL r40T BE c TTUECOPY TEFS opJ HALL Rlkp j., ONLY TO THE PEPSq,�:7F± P, I HE SURVEY ASPREPAREDTITLE COMPA'N'j LC P_ 7 'z E. 'Tn Ti -i[ ASS:�',. Ybrk T, I ----------- State of New 7� Z; zzcVJL• NT Licensed. Land Surve.YurLs-' 'I WILLIAM R. SIMI()NS, 3r - No.- 492 37 JC I. SURVEYED BY WILLIAM R SIMMONS III 138ADODLAND Sl E�AS7 IS I y