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Home My WebLink AboutZ-15035TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN I-Li L L SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the / ! Building(s) /--I Use(s) located at 3775 New Suffolk Avenue Pre C.O. #- Z15035 Date- October 24~ 1986 Mattituck, N.Y. Street Hamlet shown on County tax map as District 1000, Section 115 , Block 03 Lot 27 · does.~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /!/Land /l/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 one story, one family~ stucco house; attached trellis over slate porch; accessory garage all situated in 'A' Residential A~ricultural zone with access f.n ~Tnw Suffolk Avenue, a Town road. The Certificate is issued to of the aforesaid building. Patricia A. Scherbaum (owner, xR~:ex~ ~x x x Suffolk County Department of Health Approval N/A UNDER\%q:~ITERS CERTIFICATE NO. N/A 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 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. ~uiiding hns pe ctor FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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 requ ired 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 October , 1986 Date .......................... New Building ............. Old or Pre-existing Building ....x ........ Vacant Land ............. Location of Property ...~?¥. o,,¢¢^~,,?.u~_. ~.u.~,...~..v?.L~..,..~..~.~..~..~.,..~.e-?..~.o.~. .......................... House No. Street Ham/et Patricia A. Scherbat~n Owner or Owners of Property ............................................................ 115.00 03.00 027. 000 County Tax Map No. 1000 Section ............... 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 Temporary Certificate ..................... Final Certificate ....................... 15.00 Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant .... ~.. ~...P~~ .................. PATRICIA S(MERBAUM, Owner of Premises Rev. 10-10-78 STATE OF ILLINOIS COUNTY OF ) )ss.: ) and says: 60098. PATRICIA A. SCHERBAUM, being duly sworn, deposes I reside at 621 Dean Street, Woodstock, Illinois, That the premises shown on the annexed survey made by PECONIC SURVEYORS & ENGINEERS, P.C., and dated October 7, 1986, and made a part of this affidavit by reference, ac- curately represent the premises as they existed prior to April, 1957. The various structures shown on the said survey were in existence prior to the year 1957. No other structures, as defined by the Zoning Law of the Town of Southampton, have been erected and no altera- tion to any of said structures since the above specified dates have been made. I am familiar with the above premises by reason of the fact that that I am the owner in fee simple of the prem- This affidavit is made to induce the Town of Southold, through its appropriate officials, boards or em- ployees, to issue a letter of pre-existing use; and knowing and intending that the said Town, its officials, boards or employees will rely upon and be induced to act by reason of the representations made herein. PATRICIA A. SCHERBAUM Swor~to before me this 1986.{ day of Octo~a~r, ,.- ' ~¥ ~d' '/ "" -- ~ My Commission Expires June 20, 1988 ~'~ NOTARY PUBLI(~ STATE OF ILLINOIS COUNTY OF and says: PATRICIA A. ) )ss.: ) SCHERBAUM, being duly sworn, deposes 1193.2 of Code. That I am the owner of premises located at New Suffolk Avenue, Mattituck, New York, known as Suffolk County Tax Map Number District 1000, Section 115.00, Block 03.00, and Lot 027.000, which is improved by a single-family dwelling. That at least one single station smoke detection alarm device is installed on or near the ceiling in this dwelling and that such device is in good working order. That I make this affidavit purusnat to Section the New York State Fire Prevention and Building i~ATRICIA A. SCHERBAUM Sworn to before me this ~0~day of October, 1986. Jeremiah Lynch S Notary J)ubllc State of llllnois S My Commission Expires June 20, 1988 N/O/F S. ?$ °OZ'IO" E: SUPPo SURVEY FOR ROBERT BARKER, JR. A T MA TTI TUCK Prepared in accordance with the minimum ~tandards for title survey~ a~ e~tablished by TOWN OFSOUTHOLD the L.I.A.L.$. and approved and adopted SUFFOLK COUNTY, N Y. for such use by The New York State Land Title Association. ~ooo -u5-~5-_? ?_ _ SCALF': ~": ~0' OCT. 7, 1986 NY S. LIC. NO ,:;961B CERTIFIED TO. SUFFOLK COUNTY NATIONAL BANK TICOR TITLE GUARANTEE 00. ROBERT BA~KER, JR. PECONIC SURVEYORS ~ ENGINEERS, (516) 765-5020 RQ. BOX 909 MAIN ROAD SOUTHOLD, N.Y. 1197! PC AREA=20,368 SO. FT. 86- 549