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Home My WebLink AboutZ-14198TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /~; Land Pre C.O. #- Z14198 / / Building(s) Date-Feb. 5,1986 /-/ Use(s) located at 265 Rochelle Place Mattituck Street Hamlet shown on County tax map as District 1000, Section 144 , Block 04 Lot 009 , does{not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. _Insufficient front yard set back. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /~/Land /--/Building(s) /--/Use(s) ekisted 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 %vhich this Certifi- cate is issued is as follows: Propert~; encompasses three lots of the Bartley subdivision. It contains a one story, one ~amlly, wood framed dwelling, with an accessory building and an accessory shed. Main dwelling was added to by building permit 1848Z and C.O. Z1666. Property situated in the A-Residential-Agricultural Zone with access to Salt Lake Lane. The Certificate is issued to BRUGGEMAN~ DORIS M. & CHARLES A. (owner, ~ex~R~ of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. N/R 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 ff 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 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 Im 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 p~Coperty 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 $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 New Building ............. Old or Pre-existing Building ~ Vacant Land Location of Property ....... .~..~..~..~. .....~. ~. ~. ........ ~//~ ~/¢- House No. ~_ Street Ham/et Owner or Owners of Property...~.~J~, ~'~L%.v~~/ /.~ ...................... County Tax Map No. ,000Section./...¢'~f .... .'~... Block .~ ..... .~.. .... Lot..~......-~....?... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ~'~-~-~ ~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporarg Certificate ..................... Final Certificate ................... Fee Submitted $..~.~ ......................... Construction on above described building and permi/t~, eets all app?~able codes and regulations. ~ '~%q~ Applicant .... ~i/~~..~ ...... ...... Rev, 10-10-78 / AFFIDAVIT COTFAGE: 265 Rochelle Place M~k, N~ Yor~ I, EDITH HANS., de~ that the following statement~ ~re tr~e and to the but of my knowledge ~re That both my h~b~nd, A~ur and I, have owned our property on Ba~ Aven~e sin~e 19~and t~ our prop~j is adj~ent to the pr~se~ owner o~ cottage on 265 Rochelle Place, M~k. That the cottage dw~ng on 265 Ro~h~e Place was built prior to 1957. T~t th~ cottage dwelling on 265 Ro~h~le Place was ~ed by people p~r to 1957. Th~ the cottage d~ing on 265 Roch~le Place has been ~sed by people eont~n~o~l~ from 1957 to present, 1986. STATE OF N~ YORK: COUNTY OF SUFFOLK: In MatCh on the 16th day of De~b~ 1986, before me be p~t~ e~e~g t~e foregoing inst~u~ent, and she ~know~edged sa~d in~tr~ent, by her exec~t£d, to be her free aK. T!-tC~'~ .!. Z'~,MERMAN NOTA,-,'. i i; ,, .-:t 'e of New York Commission ~-xpire$ March 30, SURVEY FOR CHARLES A. 8, DORIS M. BRUGGEM~IN MATTITUCK TOWN OF $OUTHOCD 9UFIrOLK COUNTY) N.Y.. " ~ ~ GUARANTEED ~ ~ ~ J d ~ ~ r~