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Home My WebLink AboutZ-13556TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HiLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORA%ING PREMISES THIS IS TO CERTIFY that the ~_~/ Land Pre C.O. #- Z13556 ~X/ Building(s) Date- June 25 /-/ Use(s) ' located at 412 PARK AVENUE MATTITUCK 1985 Street Hamlet shown on County tax map as District 1000, Section 123 , Block 07 Lot p/o 009 , does{not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Non-conforming accessory shed & garage. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /i~ Land 6/Building(s) /i/Use(s) existed on the effective date /he 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 a two story, one family, wood framed dwellin~ with accessory garage and shed. Property situated in the A-residential asricultural zone with a R.O.W. access to Park Ave., a town maintained road. The Certificate is issued to KATIE J. DEXTER (owner, X!~ ~ ~ ~(AuFXX~nt) of the aforesaid building. ~ Suffolk County Department of Health Approval N/A UNDERVrFtITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS 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 Lnspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~,~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Ao 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. Accu,rate survey of peoperty 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. Co Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use --?z-e-F.x~_st±ng C.O. $15.00 3. Copy of certificate of occupancy $1.00 l/acant, land C.O. $ 5.00 Date ...,tune .2t, .t985 .......... New Building ............. Old or Pre-existing Building . ~( .......... Vacant Land ............. Location of Property .... ?!.."~.,, .P.a.t~k...Ay.e.n.u.e ............. .IVl. a, tt.i.tL~cX,. J~ mY...1, t~52. ' House No. Street Ham/et Owner or Owners of Property ....... Katie. J... De,x.te~' ....................... ~/;. · .~.~. · County Tax Map No. 1000 Section .... .123,... ..... Block . J:).7 ............ 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 ....................... Fee Submitted $..15.00 ...................... Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 Applicant ........... '~l~ i~l~lk~k' 0L~£1~I: ~,~: .................. P.O. BOX 706 CUTCHOGUE, Lk-N.Y. 11935 '-/7 AFFIDAVIT Re: Dexter to LcConti STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) KATIE J. DEXTER, being duly sworn, deposes and states as follows: That I am the owner of a certain house located on Park Avenue, Mattituck,New York, designated on the Suffolk County Map as 1000-123-07-009 (part of), more particularly known and designated on a minor sub-division map (parcel 2) approved by the Southold Town Planning Board on November 24, 1980. That located on said parcel is a house and garageAboth of which were constructed prior to April, 1957 and, in my opinion, the house is suitable for residential purposes. h GARY FLANNER OLSEN ota~ Public, State of Ne~t Qu ' .N.o.. 52-295~00 ' _./ a.~ieo in Suffom Cou_my Commission Expires March 30, ! ~,~ , ,'-4.-~.8:35 CO E. · ~D.EY. T E 12. /' / ,/ ;1 / /: /1 / ..... t~7/LEZ) "tN T~JE SUg'F7 CO: ~ E~-I, t~ mMMomd In~t~ut~ ~ su