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Home My WebLink AboutZ-12053TM�'N OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TO%V'C% ILILL SOUTHOLD, NEI'' YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREItIISES THIS IS TO CERTIFY that the / Land Building(s) Use(s) Z12053 11/10/83 located at 10950Sound Ave. Mattituck Street Hamlet shown on County tax map as District 1000, Section /,,, , Block 01 , Lot 17 does no0conform to the present Building Zone Code of the Town of Southold for the following reasons: The Property has insufficient area and width. _ The dwelling has insufficient front and sideyard setbacks On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /g/ Land /2/ 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: A one family dwelling with accessor G 71 garage l� in frort Xard arpn,r lnnated in the A—rpeidentin7 agricultural zone The Certificate is issued to EDWARD K. HOLLAND,JR. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval no record UNDERIVRITERS CERTIFICATE NO. no record NOTICE IS HEREBY GIVEN that the owner of the above premises HAS 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. Building , pector I 4I ' , 1 ISD[l,tifU S / V AIJL'f b b i i . I u G t I MAP OF PROFr. Rr/ .SCT VEYEO FOR /f,V/NG J. J0,141V60N Ar IMSA-rrlruGIC i 6uaearr teed to - V. aS• Li�Fs iit'/e- /rt3v►'arttct CD. r*s Jur .Voya'C l7/97S Azo doeof';k Von nv y/, P. c GiGlt Nie d Lam Isu• �c:�C/nrt arsorribloi•�''1 N. Y. UNAUTHOA17E0 ALTERATION 01 ADDITMEM .� TO THIS SULVIV IS A VIOLATION O, , SECTION 72CV O/ THE NEW TOM STATS j EDUCATION LAW 1 COPIES Of THIS SMVTY MAI` NOT MAAsi L THE LA;. D SL: ,.EOI'S INR -D SIAL 01 Ia&DSS:D SI: -L !YA;L N:.T 4 C:JNSIDERa TO Y A VALID I.UI CCH. GUAIIANTTIS LN:1.-AI[D NIITUN SNAIL RIM ONLY TO TNF Of SON TCA VM -.M INE S<s7EEEP IS fall AICD, A D ON SYS I:.VAU 10 TEST SUU COWAIA. JOV:6J1L:M•AI AGWQ PMP RE"D*4 &ID-II01117N USDA N -4E0:41. AMS 10 TIRE ASLCi@S Oa OST ut D=40 sial URIDPC QMRAMLLS AY NOS I1AMURS"M 1D AOOTII4MI owntruum a wAmeow i 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 B ' ding Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, y lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and age disposal—(S-9 form or equal). 3. Approval of electrical installation from Boa ire Underwriters. 4. Commercial buildings, Industrial gs, Multiple Residences and similar buildings and installa- tions, a certificate of Co pliance from the Architect or Engineer responsible for the building. 5. Submit Plannin 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 on pre-existing dwelling land use --Pre-Existing C . 0.1('$15-.0/0 J 3. Copy of certificate of occupancy $1.00 Vac t -` land C. 0. `$-5 Date �, .. O C4... I q� 1U New Building ........ Old or Pre-existingBuilding...K ..... Vacant Land ............. Location of Property .... .......... .... . House No. Street 1 1 Ham/et Owner or Owners of Property /u?C� .15�`.. �. `. \!A� `... �� ................................ County Tax Map No. 100000 Section .. !.. [ . ..... Block ..... ......... Lot .... P7 ....... Subdivision .........,... ..................Filed Map No. ./.C.�....Lot No. .. �.... . Permit No. .......... Date of Permit ..........Applicant .................................. HealthDept. Approval ........................Labor Dept. Approval ........................ UnderwritersApproval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate ....................... ` CJJ Fee Submitted $ ......1. .............. Construction on above described buildi a it meets all applicable codes and regulations. Appn 'r+G.� .. ................ gev.10-10-78 -_ STATE OF NEW YORK ) COUNTY OF SUFFOLK ) and says: AFFIDAVIT SS.. EDWARD K HOLLAND, OR., being duly sworn, deposes That I am the owner of certain real property located on Sound Avenue in Mattituck, Town of Southold (Section 142, Block 1, Lot 17). That I have owned the property since 1979 , and prior to that date Pori)fs.Helf owned the property in question. According to her re.c;e. ,`,.the house and garage ;are the- same, as they appear on the attached survey and have been so since prior to April , 1957. That the house is maintained as a one family dweliing. That the attached survey represents an accurate state of facts as of today. EDWARD . OLLA D, JR. Sworn to before me this day of October , 1983. NOTARY PUBL 4ANOMA I• �Fl�CHEII, N,O�R1►' F11:��,g�to No,;41 u ?.Or Ott h:38;