HomeMy WebLinkAboutZ-17060 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
Land
Building(s)
Use(s)
Pre C.O. #- z-17060
Date- July 6, 1988
located at 1495 Central Dr.,520 Zena Rd., & 1420 Capt. Kidd Dr. Matt{r,,~k: N.Y.
Street Hamlet
shown on County tax map as District 1000, Section 106 , Block
02 , Lot 43.1 , does(not) conform 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 ~ 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 I story, one family,
wood framed dwelling, additions, permit #1100Z,C/Q 2794Z; Permit #6834Z,C/O Z5686;
Accessory garage #6835Z, C/O 5686Z, and all situated in 'A' Residential Agricultural
Zone with access to Central Drive, a town maintained road.
The Certificate is issued to ERWIN LaPAUGH & ANO. ( ROSALIE GOWEN)
(owner, ]X~J~X~X:XMX~a~MX)(X
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. 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-
tor 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.
Building Inspector
FORM NO. 6
TOWN OF $OUTHOLD
Bu ilding Depa, [,,~ent
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OC
Instructions
A. This application must be filled in typewriter~R ink, and submitted m ,.~.~m 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 topogral~hic 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 p~'~perty showing all property lines, streets, buildings and unusual natural or
topographic featu res.
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 $25.00 -- BUSINESS $50.00 ACCESSORY $10.00
2. Certificate of-occupancy on pre-existing dwelling $ 50. O0
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
o.oo
5.Updated C.O. $ 50.00 Date ..................
NewConstz'uction ...... O[do~Pre-exlst~ngSulld~ng ...~ ..... Vacant kand .............
Location of Property./.~.~ ..... ~..~ ................ '~ ...............
Hou~ No. ~, ~ ~ ~ ~t~ , ~. Ham/et
Owner or Owners of Property . . '~'~l ........................................... ~~~
County Tax Map No. 1000 Section 1 0-~ - Block O ~ Lot ~- /
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit ~o ........... ~ate of Permit .......... ~licant .................. ~..
Health ~e~t. ~roval ..... . ................... kabor ~e~t. A~roval ........................
Unde~riter~ ~Oroval ........ ~i ............... Plannin~ ~oard Ap~rovol ......................
fleqUest for Tem~orarg Certificate ..................... Fina~ Certificate ~
Construction on above described building and permit meets/~ll applicable codes and regulations.
Rev. 10-10-78
STATE OF NEW YORK:
: SS
COUNTY OF SUFFOLK:
Rosalie Gowen being duly sworn, deposes and says:
THAT she is familiar with the property known as
1495 Central Drive, Mattituck, New York, designated on the
Suffolk County Tax Map as: District 1000, Section 106.00,
Block 02.00, Lots 043.001. A copy of a survey of these
premises dated August 16, 1985 prepared by Roderick Van
Tuyl, P.C., is attached hereto.
THAT on personal knowledge, information and belief,
your deponent can state that the structures shown on said
survey were built prior to April 23, 1957;
THAT there have been no changes to said structures,
other than normal maintenance, since prior to April 23, 1957
except as set forth in C.O.'s 9Z794, ~Z5687 and #Z5686.
Dated: June~--~1988
R~Gowen
Sworn to before me this
day of June, 1988
'~~Notary Pub~li ~c~~
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