HomeMy WebLinkAboutZ-17261 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORb1ING PREMISES
THIS IS TO CERTIFY that the
Land Pre C . 0. # - z 1726 1
,Q Building(s)
Q Use(s) Date- 9/2/88
located at 165 Walnut Avenue Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 142 Block
I , Lot 14 , does(not) conform to the present Building Zone
Code of the Town of Southold for the following reasons:
Insufficient total area; front yard setback; sideyard on accessory building.
On the basis of information presented to the Building Inspector's
Office, it has been determined that the above nonconforming LxJ 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 applicable 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
Certificate is issued is as follows: Property contains one story,one family
wood framed dwelling; an accessory building; wood fencing and all are situated in
"A"Residential-Agricultural Zone, with access to Walnut Avenue.
The Certificate is issued to MATILDA FIYALKOWSKI
(owner , %1~~X~IBTX{X$;~$ )
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE N0. N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
for to determine if the premises comply with all applicable codes and
ordinances, 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 regulations.
0.,i.
Building Inspector
• FORM NO. 6 D Q
TOWN OF SOUTHOLD D
Building Department ~e~s
Tawn Hall ~ 9 AaO
Southold, N.Y. 11971
765 - 1802 BLDG. DEPT.
APPLICATION FOR CERTIFICATE OF OCCUPANC TC)WN OF SOUTHOLD
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspec-
torwith the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property fines, 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 property 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling, $25:00, Accessory x$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
. 4.Vacant Land C.O. $ 20.00
S.Updated C.O. $ 50.00 Date AagUSt..26,..1,~$$........
NewConstruction,,,,,,OldorPre-existing Building .XXX........ Vacant Land
Location of Property .N.a.#..~.dSt.Sde,,,, Walnut.Place: Mattituck
Housa No. Street .Hamlet
Owner or Owners of Property ....MdLa.ldd.F.i,y,alkowski
County Tax Map No. 1000 Section ~ 4.? Block . ~,1, Lot . , .14
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 Certitfica~te .....................Final Certificate . , , XXX, , , , , , , , , , , , , , ,
Fee Submitted $ , .5.Q.04..:"~l .
Construction on above described building and permit meets all applicable codes and regulations.
~p~~~C~~',~~I A licant .
'"Ir-C-~ ~~~OI~ PP
w«. ,o-,o•~e William J.Clark, Attorney for
Matilda Fiyalkowski
suaveveD FoR " .fl ~'T/%L/ip = 1~=_% ; ~ 1 L G
Loc,wED AT MA TT/TLlCi(~ T~~ =~GC,~Tf/G~ G~. S C.,~F'.t"0~=-~ " C
LOT ~f.:,C. / / ~///r
STR FiES TO S D l~ ~'~Li /`J !~L
MAP OF /fi ~
~ R~~~~ ~I~;
ICARY LINES, ~
SCALEi"=~--~ EFOFP"~°cCiFlCUSE ~
SURVEY. AA ~
ONLY, AND ~'j`~~-``-p NOT BE U Sp
~?;ON OF FE' ~
FOR CONS ~r
OROTF~ER~~ICTUZES.
73 4~ 3~ M~. ~
~ ~
~ Fr`~ h n
~ ~ m
\
~ ~ y _i S C
J
~ Vl:
l,j 35.L I?.o~
N
V CrrE
~ (\j~
,n...w°t' I. O T J
S 73 ° 9° ~G , w
?YAU:HLdIZEU A~i';t.l W.. UN .m:,~~wn'
TO iHfS cb R..'. IS n vN...I WN OF
SECTION %[U9 OF m:; R_W iuiin STATE
EUUCAIIUI: c..W. R!
GOFILS U. ~ ..1 r..n. nUl o.ARING \`OY W p0
,nE E:... " ,~P iM
EM&ROS.l_U a_n. i.W tlE I.UNSIU. ~ '<~Q
GGAILV.: 1 LI' I U nch GN aMML R ,J Ci ~
o r~ UNEY Ga YGn YY ~ 1Y s11aY~r ~ : s
G UA/~
~9 r./ Tfz PF I, o rn~ r ~rr
f I_/a- ~ TITiE CoWr nl w 'rcV dl 1. ne n~Y An~j T 1 C'"....T ~',CJ
/i!/C".A ~ O T/ TL E- /~(5 ~ C T~wn_.....~..__o _.nU,nc msn ~'IS ~?0.4 ~4 VEYED/4 UC. 2~. 19L~'B BY
~ 6 tutYGn. _~.,.,.n~._;~,-..._ nw IN.,nsF.RABEE ,COD SJ~ WILLIAM R. SIMMONS 111
fj~Gb -S8 ,ow:...~..:,. I~.,.~~o,l~,.~ on sc., po_Nr ~ (qND f. 70 WEST MAIN STREET
~wuF,R:,_
EAST (SLIP, L. 1., N. Y.
/ ~ PAGE GRID
FILE NO.
J-'/ L
_ _
i7
STBTE OF tiEW YORK )
SS:
COUidTY OF SUFFOLK )
MATILDA FIYALKOWSKI, being duly sworn, deposes and
says:
That I resida at Walnut Place, Mattituck, New
york dn~' I am the ol~ner of the premises known as District
1000, Section 142, 3iock U1, Lot 14 since i4arch 2u, 1954.
That the said premises had been owned by Mary B. S
Seteksince about 1948 and had been used and occupied as a
one-family dwelling.
That the wilding erected on the said premises
is and has been in good condition and suitably For occupancy
as a one-family dk~elling.
Matilda Fiyalkowsk>
Sworn to before me this'25tii
day of ~9ugust~8~~~~
7:Ss~'~M~rtw!
~a In s~nak
4tra Fap.21 t