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HomeMy WebLinkAboutZ-15022TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HiLL SOUTttOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the iix/ Land / x/ Building(s) /-/ Use(s) Pre C.O. #- Z1D02z Date- Ontnha~ 71, 1986 located at 155 Rose Lane Mattituck, New York Street Hamlet shown on County tax map as District 1000, Section 099 , Block 05 Lot 20 , does(not)conform to the present Building Zone Code of the Town of Southold for the following reasons: in.~dfficient:total area; front yard set back On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming g/Land /_~/Building(s) /i/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 a one story, two family stucco dwelling with basement garage and enclosed porch and situated in the 'A' Residential-Agricultural zone with access to Naugles Drive a Town highway. The Certificate is issuedto of the aforesaid building. Vito & Anita Agucci (owner, Suffolk County Department of Health Approval N/A UNDER\%rRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises 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. iluiiding inspector · - FORM NO. 6 , ,~ TOWN OF SOUTHOLD il~ SE~ Building Department Town Hall ~ ~ Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions / g- 5~ ~ A.This application must be filled in typewriter OR ink, and submitted I 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 property showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 $15 o 0 0 3. Copy of certificate of occupancy $1.00 4. Vacant Land C.O. $5.00 .'./. ~..~.~//.~''~. 5.Updated C.O. $15.00 Date .................. NewC°ns tr'uc ti°n ...... Old or Pre-existing Building . ><' Vacant Land Location of PropertyHouse'' '/"~'~'~' 'No. ~.o.~.~ . .4.2~ ........................... '~' '~ Street ~' '~' ''/-/-~'~' ~'~'/ '~ ' "L/' ~' H~rnlet Owner or Owners of Property ~ ['~.~ ~)Ff.~ ~.~d; ~.~ ~/~ .~ 14 ~..(~i County Tax Map No. 1000 Section ........... Block ............... Lot Subdivis on ...... 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 $ ,~,/.~/. ~ ..... ~ /~ oO~O~ . Construction on above described building and per~j,t meets all applic/a~le codes and regulations. Applicant... Rev. 10-10-78 SS.** I, JU~AA~ WA~Q2, being duly sworn depose and say: T~at I am a neighbor ef Vite and Anita Agueci, who reside at 1§5 Rose Lane, Ma~tituck, N.Y., 11952, and am familiar with the premises owned by them, being County Tax Map Ne. 1000, Sect. 099,~ Block 05, Let 020; That te ~ kuewledge, the house leeated em the above preaises was built prier te 1957. oose~ LeoGron6e NOTE: I=MONUMENT FOUND DIFTZG[N 135 11846 Title No. S-428558 REV,S,ONS YOUNG & YOUNG 400 OSTRANGER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY F0~: ANITA AGUECI AT M AT T ITU C K GUARANTEED TO: SECURITY TITLE & GUARANTY CO. TOWN OF SOUTHOLD SUFFOLK CO., N.Y. "~/~/¢'~'~,A /_~.~~ SCALE: 1"=40' IOAT£:MAY 15, 1972 IN°' 72-333