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Home My WebLink AboutZ-21111FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-21111 Date OCTOBER 28~ 1992 THIS CERTIFIES that the building Location of Property 1045 MEDAY AVE.&695 HOWARD AVE. House No. Street County Tax Map No. 1000 Section 113 Block 9 Subdivision Filed Map No. ACCESSORY STRUCTURE MATTITUCKr N.Y. Hamlet Lot 3 Lot No. conforms substantially to the Requirements for an Accessory Structure built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-21111 dated OCTOBER 28~ 1992 was issued, and conforms to all of the requirements Of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY GARAGE IN FRONT YARD The certificate is issued to CLAIRE BECHT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /~ B~ilding Inspector Rev. 1/81 FORM NO. 6 TOWN OF SOUTI'IOLD · Duildin~ Dapurtmont · ' Town Hall Southold, N.Y. 11971 76.5- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submit'~cd m ~ to the Building Inq~ec- tot with the following; Ior new buildings or new usa: 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-B form or equal). 3.Approval of electrical installation from Board el Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and ins/alia- [ions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning hoard approval of completed site plan requirements where applicable. B. For existing buildings {prior to April 1957)0 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 leatures. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. :3. Date of an,/ housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupanc¥ $25~00-- I%USZNE£S $50.00 2. Certificate of occupancy on pre-existing dwe.lling $ 50.00 :3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5. Updated C.O. $"$0. O0 Date .... .~ ............... NewCons t, ruct, ion ...... Old or Pre-existing Building . .'~ .~.h~..~.~acant Land ............. County Tax Map No. 1000 Section ... ~) .~. ....... Block ...... .~. ....... Lot.. ~.~. .......... Subdivision ................................. Filed Mall No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Cer~cate .................... ./~al Certificate ~..~..~. :?. .......... Fee ,~ubmitted $..~. ~ .0... .................... / ,' ~ Constructmn on above de~nbed budding and pe pli code~ and reoulations, .................... n.,. ~o.~o.~o P.0.~'~,~X' 706 ~ ~ CUTCHOCUE, LL, N.Y. H935 AFFIDAVIT STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Bertha Mahoney, being duly sworn, deposes and states as follows: That I presently reside at 332 Hamilton Avenue, Riverhead, New York. That for many years I lived on Howard Avenue, Mattituck, New York, and prior to that I use to visit a friend on Howard Avenue. That I am familiar with the property owned by Mrs. Becht located on Howard Avenue. That the garage that is located on the premises owned by Claire Becht was constructed prior to April of 1957 and was on the property prior to the construction of the house. That I remember that the garage was used for the storage of boats. That I submit this Affidavit in support of the application of Claire Becht to obtain a pre-existing Certificate of Occupancy for the garage. Sworn to before day of ~ Notaf!F~Pub~it - ' .iCi ~ , i':' ' I '.' ' '/ ~ b~~'' " I ,Lo~. w. vou.~ ~Wa.~W ~.,0; ' CONSENT TO INSPECTION Claire Becht " Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is~p0 (are) the o2mmrls) of the premises in the Town of Southold located at (no #) Howard Avenue Mattituck, NY - _~~, which is shown and designated cn the Suffolk County tax map as District 1000, Section 113 , Block 9 3 · Lot That the undersigned (h~_~s) (have) filed, 'or caused to be filed, an applica- tion in'X~a Southold Town Bullcilng lnspec~,~, .o otf~,o ~o,, ,ha fnllnwln~: pre-existing certificate of occupancy for garage That the undersigned do(..~_es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, incl9dlng any and all buildings located thereon· to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspecqons to determine thai said premises comply wi~h all c: ~he laws, ordinances, ,_'...'_es and regulations of the Town.of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: October /~ , 1992 (signature) Claire Becht (print name) (signature) (print name)