HomeMy WebLinkAboutZ-13356 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEV6' YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PF~En-'USES
THIS IS TO CERTIFY that the
/X/ Land Pre C.O. 213356
Building(s) Date- April 15.,1985
/ /Use(s)
located at 840 Bray Ave. Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 126 Block O1 ,
Lot 014 doesinot3conform 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 /X/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: Property contains a one story, one family
wood framed dwelling. Addition under permit 64752 & C.O. 25478
done in 1962. Property also contains accessory bld .,B.P.9674Z
with C.O.Z9065 (1978) Property situated in A-Residential-Agri-
cultural Zone with access to Bray Ave. a Town maintained Rd
The Certificate is issued to FLISS, STANLEY AND JANICE
(owner, 3e3see~-i~)
of the aforesaid building.
Suffolk County Department of Health Approval N/A
U A'DER~~~RITEF{.S CERTIFICATE NO. N/A
I~'OTICE IS HEREBY GI~TEN that the owner of the above premises H_AS
NOT CONSENTED TO AN II~'SPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with all 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.
~c~
3ui:dirg Inspector
~ FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
' 4~outhold, 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-
torwith 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, acertificate 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 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.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy onpre-existing dwelling ~ land use --Pre-Existing C . 0. $1 5.00
3. Copy of certificate of occupancy $1.00 111 Vacant land C . 0 . $ 5 .00
Date ....MdrCh.74,.7985,.......
New Building .............Old or Pre-existing Building Vacant Land .
Location of Property ..8.4,0, ,B,rdy. AV.er1U@ ....Lhdttituck, .NY..........
Nouse No. Street .Hamlet
Owner or Owners of Property . , , , _ Stanley dnd Jani.Ce .F1 i.ss
County Tax Map No. 1000 Section ...12.6......... 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 Certificate .....................Final Certificate .
Fee Submitted $ .5.04 .
Construction on above described building and permit meets all applicable codes and regulations.
Cam? l3 3~ b Applicant
• Rai. to-to-~a GARY FLANNER OLSEN, ESQ.
~.b~ bCG P.0. BOX 706 ,
' CUTCHOGUE, LI., N:Y. 11935
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A F F I D A V I T
Re: Fliss to Giampietra
File 3865
Premises: 840 Bray Avenue
Laurel, NY
SCTM#: 1000-126-1-14
STATE OF NEW YORK )
ss:
COUNTY OF SUFFOLK )
JANICE M. FLISS, being duly sworn, deposes and states as
follows:
That I am the owner of the house descr~d on Suffolk County Tax
Map as 1000 - 126- 1 - 14; That I believe that said house was
constructed prior to April 23rd, 1957, and has been used for many
years as a residence, and is, in my opinion, suitable for single
residential purposes.
Sworn to b ore me this
day of Ma ch> 198
C%
o a y u y
GARY PLANNER OLSEN
Notary Public, State of New Yor4
No. 52-2959b00
Quotified in Solfolk County
T«~ ExPire> Mor<b 30, 19