The URL can be used to link to this page

Home My WebLink AboutZ-12697TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES DATE: AUGUST 10,1984 THIS IS TO CERTIFY that the PRE C.O. #Z12697 /x/ Land Building(s) Use(s) located at 120 PINE STREET MATTITUCK Street Hamlet shown on County tax map as District 1000, Section 141 , Block 01 , Lot 27 , doe<not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Insufficient front yard setback On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /xx/ 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 -One story wood framed, stucco dwelling with -attached garage. Situated in an A -Residential -Agricultural Zone with access to Pine Street, a town maintained road The Certificate is issued to CLARA M. HORTON of the aforesaid building. (owner, Suffolk County Department of Health Approval No Record UNDERWRITERS CER'T'IFICATE 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. U�l.C.tal-u Building inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall `: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- tor with the following; for new buildings or new use: 1. Final surrey 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 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-Exis ting C . 0. $ 15 . 00 3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00 Date .Au9Ust, 5.j. ,]_9.8.4 New Building ............. Old or Pre-existing Building ... x ....... Vacant Land Location of Property .-jW(120). Pine. Street, Mattituck, N.Y. House No. Street Hamlet Owner or Owners of Property Clara M. Horton ............................................... County Tax Map No. 1000 Section .141, .... , , , , , , Block .. P1..... , , .... Lot ... ?� .......... Subdivision .................................Filed Map No. ..........Lot No. Permit No. .......... Date of Permit ..........Applicant William Wickham, as Attorney, 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 a d e p i I des and regulations. Applicant .. . . Rev. 10-10-78 liam Wi am, as attorney kL.'e, Ira4" A rlfoN PAA- C,0, 4-�z IQ417 n MAP OF DESCRIBED PROPERTY AT MATT/ TUCK TOWN OF SOU THOLD SUFFOLK CO, N Y AREA = .'6,611 50. FT, OF+ 0.39/3 ACRE donack associotes 313 west main street riverhead,new york 11901 (516) 369-1717 .JULY 25, 1984 JOB NO 84-603 1000-141-01-27 SCALE I"= 30' .J CERTIF/EU TO AMERICAN TITLE INSURANCE Cd,,fPANY TITLE NO. 07/06459 RIVERHE'AD SAV/NGS BANK A. C-HARLES ADAMS,✓R B ALISON L. ADAMS <P -A A o_ HOP 1-0N M�Np; po / G Z • "` is O_ CERTIF/EU TO AMERICAN TITLE INSURANCE Cd,,fPANY TITLE NO. 07/06459 RIVERHE'AD SAV/NGS BANK A. C-HARLES ADAMS,✓R B ALISON L. ADAMS <P -A A o_ HOP 1-0N M�Np; STATE OF NEW YORK) :ss.. COUNTY OF SUFFOLK) CLARA M. HORPON, residing at New Suffolk Lane, Cutchogue, New York, being duly sworn, deposes and says that: Deponent is the owner of a certain premises on Pine Street, Mattituck, New York, which she purchased from Edith M. Young on August 5, 1953 and recorded in Liber 3561 page 483. Deponent further says that inmdiately on the purchase, she had a residence built, which she occupied before April, 1957. Deponent makes this application to the Building Department of Southold Town for a Certificate of Pre-Exising Use. We,/. M • •�, • Sworn to f ore me this 2nd c of Auaust WICKMAM No. 62g�-f�y� Comm►1'1Pan FxsA8uffotk CoR�nty �—