HomeMy WebLinkAboutZ-14360TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN PLiLL
SOUTttOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
~/ Land Pre C.O. #- Z14360
~-~/ Building(s) Date- April 28,
/_-/ Use(s),
located at
420 Sigsbee Road
Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 143 , Block 1
· does~not)conform to the present Building Zone Code of the
Lot
Town of Southold for the following reasons:
Insufficient total area. Insufficient rear set-back on
1986
accessory building.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /X_--~ Land t_~]~uilding(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-
Property contains a one story, one family,
cate is issued is as follows: dwelling with an outside shower stall and
utility shed. Property situated in the A Residential Agricultural
zone with aqqsSs to Sigsbee Road: a town maintained road.
The Certificate is issued to
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERIVRITERS CERTIFICATE NO.
~, AMJAD ASSOCIATES
( own er, X~ Xd~ Xg~
N/A
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises tL~kS
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.
Building inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Depa, t,~ent
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BLDG. DEPT.
TOWN OF SOUTHOLD
Instructions
A. This application must be filled in typewriter OR ink, and submitted em to the Building Inept-
tot 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 disposel-(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 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:
0.. Certificate of occupancy $5.00
Certificate of occupancy on pre-existing dwelling
Copy of certificate of occupancy $1,00
4.Vacant Land C.O. $5.00
5. Updated C.O. $15.00
New Building ............. Old or Pre-existing Building
$15.00
.............
............ Yecant Land .............
Location of Property .......................................................
House No, Street Ham/et
Owner or Owners of Property /~/~., ?..,~,~. .................................................
County Tax Map No. 1000 Section .... ./..~/.T ...... Block..·/. .......... Lot...~. ...........
Subdivision ~.~¥7~.( ~?..~.~...~../~'/~....~..~-./.~?.~....Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ......................... o ........
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 meets all applicable codes and regulations.
Applicant ..............
Rw. 10-10-78
BUILDING DEPARTMENT : TOWN OF SOUTHOLD
In the Matter of the Application of
AMJAD ASSOCIATES,
for a Pre-Existing Use Certificate of
Occupancy.
AFFIDAVIT
STATE OF NEW YORK )
ss.:
COUNTY OF SUFFOLK )
ANN~ FLAHERTY, being duly sworn, deposes and says:
I reside at 415 Sigsbee Road, Mattituck, New York, and I
submit this affidavit in support of the Application of AMJAD Associ-
ates for a pre-existing use certificate of occupancy for the premises
known as no# Sigsbee Road, Mattituck, New York, SCTM #1000-143-1-6,
now owned by AMJAD Associates, and formerly owned by Anne E. Buono.
I have resided on Sigsbee Road for over thirty years and I
am fully familiar with the subject premises.
I have compared the subject premises with a survey of the
pre~.~ses entitled 'Burvey of lots 8 & 9, amended map of Mattituck
Park Properties, Inc.,"dated July 22, 1985 prepared by Peconic
Surveyors and Engineers, P.C. Except for an addition which was
added to the southerly side of the subject premises during 1974,
the above-referenced survey depicts the premises as it existed
prior to April of 1957.
Other than the addition made to the southerly side of the pre-
mises in 1974, no other additions or modifications have been made
to the premises since 1957.
This affidavit is made with the knowledge that the Building
Department of the Town of Southold will rely upon the truth of the
statements made herein.
Sworn to before me this
~/~'day of March, 1986
Notary Public
SURVEY OF
LOTS 8 & g
~AMENDED
MAP OF MATTITUCK PARK PROPERTIES INC.
FILED JAN. 12, 1926 FILE NO. 801
AT MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
I000 - 143 ~ OI ~ 6
SCALE I = 30
dULY 22, 1985
~ N.Y.S. LIC. 48668
SURVEYORS & EN61NEER$, P C.
14AIN ROAD
~O(~'NOLD, N. Y. 11971
85- 268 ~j