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Home My WebLink AboutZ-16152TOS _,F SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN FULL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORZIING PREMISES TIIIS IS TO CERTIFY that the Land Building(s) Use(s) Pre C.O. #- Z-16152 Date- September 10, 1987 located at 255 Oregon Road Mattituck, New York Street Hamlet shown on County tax map as District 1000, Section 100 , Block 02 Lot 01 doesinoOconform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient side yard set -backs for accessory buildings; accessory barn in front yard. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /_/ Land / x/ 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 2 story (one fam;t*) wood framed dwelling; two accessory barns; a garage; and three AbPac. The Certificate is issued to of the aforesaid building. LILLIAN GATZ, et al (owner, Suffolk County Department of health Approval UNDERWRITERS CERTIFICATE NO. N/A N/A NOTICF. IS IIE'REBY GINTEN that the owner of the above premises I -LAS NOT CONSENTED TO AN INSPECTION 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. .ui:di~,- .nspector --- FORM NO. 6 TOWN OF SOUTHOLD'Z'� Building Department Town Hall Southold, N.Y. 11971 TOWN OF SOUz OLD 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted a vw� 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 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 1. Certificate of occupancy New Dwelling $25 " 00 Accessory,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $ 5 . 0 0 , ov e ears $ 10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .....V..1`�:.�?�.?..... NewConstruction...... Old orPre-existingBuuilding........ Vacant Land ............. Location of Propertyc!� ...... Q.e�gO u C %......... /lA -(-r.l TC � ...... ... . House No. Street Ham/et Owner or Owners of Property ..... /. 1.��a ... 014.1. Z I ..0 f. � ..................... County Tax Map No. 1000 Section .. A90......... Block . 0*�............ Lot .... t........... 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 $............................. Construction on above described building and permit' Applicant ... Rev. 10-10.78 91Z<1 3315 GL eqkcoai(0 a app ' able des regulations. TOV 1, jF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN 11ALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES TIIIS IS TO CERTIFY that the Land Building(s) Use(s) located at Z t W Strdet Pre C.O. Date- Hainlet shown on County tax map as District 1000, Section / d -p , Block 02— , Lot 01 doe<no0conform to the present Building Zone Code of the Town of Southold for the following reasons: � S 1�1, I, Q)_ C om,, C" a aX4- 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) 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: The Certificate is issued too� (owner, 1 see or tenant) of the aforesaid building. Suffolk County Department of Health Approval J -A UNDERWRITERS CERTIFIC;A`PE INTO. `V/&q NOTICE IS HEREBY GI�TEN that the owner of the above premises 11/AS NOT CONSENTED TO AN INSPECTION 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. %,uiidi inspector STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) AFFIDAVIT LILLIAN GAT2, being duly sworn deposes and says that she is the owner of property located at OREGON ROAD, MATTITUCK, NEW YORK, (Dist. 1000; sec. 100; blk. 02; lot 01). The property is approximatley 70 acres in size and contains a single family residence as well as 2 barns, a garage, and 3 sheds. A Certificate of Occupancy has never been issued for this property, and the buildings existed prior to April 23, 1957, and has been continuously used since that time as a private one -family dwelling and farm. I have owned the buidlings for over 10 years and it is in good condition and liveable. �r&Fff " I LILLIAN GATZ Sworn to before me this T day of September, 1987. Notary Public EA L r. MILES NOTARY PUBLIC, State of New York No. 52 • 2694665 Qualified in Suffolk County Commission Expire: Sept. 30, 1989 SURVEY SOP_ fPRO L 0 CA TED - 'A T,MAT; SUFF0La rillZil-l-AMEHICAN TITLE -`INSURANCE. TrTLE NO.'605 F 45 A V t v 1 F_ 0 u N® - 544_ 300 E. Q_ 17 Ad 3 _j 3b SURVEY SOP_ fPRO L 0 CA TED - 'A T,MAT; SUFF0La rillZil-l-AMEHICAN TITLE -`INSURANCE. TrTLE NO.'605 F 45 1� .:SEE l "AD Jolml r46, INSERT F0 aIY 6 "]DETAILS W W 61 Cl 41 -at e�N U -1 iVr At -ov cc Q_ 1� .:SEE l "AD Jolml r46, INSERT F0 aIY 6 "]DETAILS W W 61 Cl 41 -at e�N U -1 iVr At P A R C E U--1 4n AREA: 0.338 A C RE -ov Q_ Ad P A R C E U--1 4n AREA: 0.338 A C RE