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Home My WebLink AboutZ-15724TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN PLiLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORA~ING PREA~IISES THIS IS TO CERTIFY that the /--~/ Land Pre C.O. #- Z-15724 /~/ Building(s) Date- May 5, 1987 /-/ Use(s) located at 345 Mesrobian Drive Laurel, New York Street Hamlet shown on County tax map as District 1000, Section 145 , Block 04 Lot 10 , does.~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; width; sideyard set-back On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /--x/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 Certifi- cate is issued is as follows: Property contains 2 story, one family, wood framed dwelling with attached porch; fencing; 2 sets of stairs in rear yard; all situated in 'A' Residential Agricultural zone with access on Private Road to Peconic Bay Blvd. Has Accessory building #6723Z and C.O. Z5595 The Certificate is issued to MALCOLM ADAMSON ( o %v n e r ,X X~eV~ ~ X~ ~X~Y~ ~ ~iX of the aforesaid building. Suffolk County Department of Health Approval UNDER\%q{ITERS CERTIFICA~f'E NO. N/A N/A NOTICE IS HEREBY GIVEN that the owner of the above premises H_iS 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 theref6re, no such inspection ~as been conducted. This Certificate, thercfore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~im~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 applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pm3perty 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 $25.00 -- BUSINESS (;50.00 2. Certificate of occupancy on pre-existing dwe lng $ 50.00 3. Copy of certificate of occupancy $ 5 '00, 4.Vacant Land C.O. $ 20.00 ' over 5 years $]0.00 5.Updated C.O. $ 50.00 Date ..6DrJl.27..~987 .......... New Cons tr uc t i on ...... Old or Pre-existing Building , [(~( ....... Vacant Land ............. Location of Propert~::~'~ ('~ Mesrobia~ Drive, Laurel, House No. Straet Ham/er MaicoIm Adamson Owner or Owners of Property ............................... County Tax Map No. 1000 Section 145:00 4.00 10.000 · , Block ..... Lot ..... Subdivision ......................... Fil d Map N ........ e o ........... Lot No ........... Permit No ........... Date of Permit .......... Applicant ............................. Health Dept, Approval ........................ Labor Dept. Approval ....................... Underwriters Approval ..................... Planning Board Approval ...................... Request for Temporary Cert f cate .~PTNal ~ertlf .... ' XXXX eeS-,bmitted$. "0.00. / Construction on above described building and pe~p~cable codes and regulations. ~c. 31qo(,, F.u .... ~ i .~ P.O. POX 706 ,% ,. ~,.~.. U gHOGUE, L.I., BI.'/. 11935 TOWN OF SOUTHOLD PI~OPERTY RECORD CARD OWNER I STREET FORMER OWNER E ACREAGE, ?~""- ,~ W TYPE OF BUILDING RES. ~ /~; SEAS. VL. LAND IMP. TOTAL AGE NEW Farm Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot Total NORMAL Acre BUILDING CONDITION BELOW ABOVE Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD DOCK M. Bldg. ¢~'//'~z Z- ~ ~.4~F-oundaticn Extension ....... F;re Piece ~2'Z~ . _~t d~ /¢~ ~ . Porch Roof Type ~ ~: Porch Breezeway, ] Patio Goroge ! ! Driveway Rooms 1st Floor / Rooms 2nd Floor /_7 Dormer AFFIDAVIT STATE OF NEW YORK) ss: COUNTY OFj~/~T~W ) Malcolm Adamson, being duly sworn, deposes and states as folIows: That I am the owner of certain premises located at Mattituck, New York, designated on Lhe Suffolk County Tax Map as District 1000, Section 145.00, Clock 04.00, Lot 010.000; That the house located on this property was built prior to Apr11, 1957, and, in my opinion, is suitable for residential purposes. I submit this affidavit in support of my application for a Pre-Existing Certificate of Occupancy. Malcolm Adamson Sworn to before me this day of April, 1987. Nora y Public ~ PF--.CON JC '0 J~A'"( ~0 U LF__..¥A~-..I::) Z u 0 , 1 )"