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Home My WebLink AboutZ-11903TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN tL~t LL SOUTHOLD, NEW YOP, K CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the Land /~/ Building(s) /'~'! Use(s) located at 4275 Stillwater Avenue No. Zl1903 September 6, Cutchogue 1983 Street Hamlet sho~vn on County tax map as District 1000, Section 137 , Block 03 Lot 001 , doesinot)conform to the present Building Zone Code of the Town of Southold for the following reasons: There is a non-conforming garage/cottage in the frontyard, and a private one-family dwelling on the same property, and the area does not meet present requirements. On the basis of information presented to the Building Inspector's Office, it has been determined thai the above nonconforming /3/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 thai, 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 private one-family dwelling with two (2) attached concrete patios~ and a non-conforming garage/cottage in the frontyard. The Certificate is issued to of the aforesaid building. GEORGE E. MARCHAIS (owner Suffolk County Department of Health Approval UNDER\VRITEI~S CERTIFICATE NO. no record no record- NOTICE IS HEREBY GIVEN that the owner of the above premises H_iS 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~.dn~ inspector FORM NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office 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 Building Inspector 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 installations, 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 19§7), 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ................ Addition ................ Old or Pre-existing Building~ ..... ~...*. .... Vacant Land .............. Location Of Property .~...~.~..~..~.?...a..s..~...s..~.d..~....~.~...~.t;..j:~..l..~..a...C.~..~.....A..V.~..~..~...~.z...~.~.~.~...~~ ............ Owner Or Owners Of Property ...~.~.Q~G~...~I,...~.~,~,~,I~.~'~'.~..LvJ,~,~I~A,,T,.$. ................................................ Map of property of M.S. Hand, .8. .9. & Subdivision C,u~.4:h~g,j~-~..~L...%..,...~..y ................. Lot Nc~ .. ~..0.. Block No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ FinaJ Certificate .......X... ................................. Fee Submitted $ ...~,~5.^.0.Q .....................*PLEASE SEE ATTACHED AFFIDAVIT. Construction on above described building and permit meets all applicable codes and regulations. /~e-c. ,D~ ~-c~ 7, v/ ~'/-~) Appli?nt ~4~~~'~~ ...... ~,...>..~.: ..... ;"; ........... ; ............... ; ...... Swornto before me this '~/'//~$ '~ L'" q L ~ ' ~ ~ ' ~ ~ Ir ~ ..... // Suffolk r~orary~ty (stamp or seal) WILUAM WICKHAM STATE OF NEW YORK) : SS.: COUNTY OF SUFFOLK) GEORGE MARCHAIS, residing at Stillwater Avenue, Cutchogue, New York, being duly sworn, deposes and says: 1. That his wife, JEANETTE MARCHAIS, and he are the owners of certain property on Stillwater Avenue, Cutchogue, New York, known as Lots Nos. 8, 9 and 10, "Map of property of M.S. Hand, Cutchogue, L.I., N.Y. dated March 4, 1930", Suffolk County Tax Map No. ~OOO- ~b~- ~-~ · 2. That the property was purchased from M.S. Hand and wife in 1945 and 1946. 3. That the residence was built in 1947 , and the garage apartment in 1948. 4. That no additions or changes have been made to either building since 1957. 5. Deponent makes this Affidavit to obtain from the Building Department of the Town of Southold a Certificate of Pre-existing Use for both buildings. GEORGE MARCHAIS Sworn to before me this 31~t da/o~ August, 1983 W#,I~I~I~ ~I~CKHAM N~ ~ ~ ~ N~w Y~ CREEK