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Home My WebLink AboutZ-13523THIS IS TO CERTIFY that the ~X/ Land / / Building(s) / / Use(s) TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORI( CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES C.O. $Z13523 Date June 14, located at 300 KNOLLWOOD LANE MATTITUCK Street Hamlet 1985 shown on County tax map as District 1000, Section 107 , Block 1 Lot 20 , does not conform to the present Building Zone Code of the Town of Southold for the following reasons: Tn~,~Fficient total On the basis of information presented to the Building Inspector's Office, it has been determined thai the above nonconforming /-~/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: One story-one family, wood frame dwelling with accessory shed in the rear yard in the A-Residential Agricul- tural zone with access to Kn011wood Lane~ a town maintained road. The Certificate is issued to of the aforesaid building. CHESTER & FRANCES BLASKO. (owner, Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A Attached inspection report Building Inspector BUILDING DEPART[~NT T0~'~! OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 3oo KNOLLWOOD LANE (num0er & streeT) Subdivision Map No. MATTITUCK (Municipality) Lot(s) Name of Owner(s) CHESTER & FRANCES BLASKO Occupancy A~mitted by: ONE FAMILy DWELLING (type) (owner-~=~) Owner Accompanied by: Owner Key available Suffolk Co. Tax No. 107-1-20 Source of request Date 6/13/85 D¥~LLING: Type of construction Foundation BLOCK Total rooms, 1st. F1 Bathroom(s) 1 Porch, type FRONT Breezeway Type Heat OIL Fireplace(s)..1 Domestic hotwater xx Other WOOD FRAME #stories 1 Cellar FULL Crawl space -- 2nd. FI -- 3rd. Fi -- Toilet room(s) -- Deck, type -- Garage NONE 'Warm Air xx No. Exits 2 ~ype hear'er Patio, type -- Utility room Hotwater Aircondi%ioning. NONE .OIL ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other NONE Storage, type const. 6'X8' METAL SHED Guest, type const. NONE NONE VIOLATIONS: Location Housing Code, Chapter 45 N.Y. Stat¢.~niform~Fire Prevention & Bu~±~in9 Come Description NEEDS SMOKE ALARM OUTSIDE BEDROOMS Art. I Sec. Remarks: Inspected by: WALT CORWIN ~ Date of Insp. -Time startl0:Q5 6/12/85 end 10:30 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~"operty 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 ~15.00 Date .... ~..%9~.~ ....... New Building ............. Old or Pre-existing Building .... ~. ....... Vacant Land ............. Location of Property ~Od Knollwood Lane, Mattituck, New York House No. Street Ham/et Owner or Owners of Property ...C..H.~.S?.~..~..B.~.A..S.K.O....&.. ~..~.A.N.C.~..S..A.....B.~.A.S.~..O ............... County Tax Map No. 1000 Section 107 Block Z Lot 20 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ............ Date of Permit .......... Applicant . .~.~.A.N..C.~.S...B.~.A.S.~.O.i. .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... .~. ................ Fee Submitted $..%5....0.0. ..................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ..... . .'~.. ~..~ ..................... ,.v.,0.,0.,, CONSENT TO INSPECTION Owner(s) FRANCES Name(s) A. BLASKO , the undersigned, do(d~ hereby state: is one of That the undersi~ned ~ (ar~ the owner(s) of the premises in the Town of Southold located at Mattituck, N.Y. Knollwood Lane, · which is shown and desil~nated on the Suffolk County tax map as District 1000, Section 107 , Block 1 , Lot 20 has That the undersigned ~~ve~ filedo or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Pre-existing Use es That the undersigned do0els) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary' with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. es The undersigned, .in c~senting to such inspections, do(~) so with the knowledge and understandir~ that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or re~rulatinns ~of the Town of Southold. Dated: June 10,. 1985 : (signature)' Frances Blasko (pripl~=name) · ._. ~., ,(si~nat~re) (print name)