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Z-12287
TOWN OF SOUTIiOLD OFFICE OF BUILDING INSt'ECTOR TOWN tIALL SOUTtIOLD, NEW YOP~K CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the 1~/ Land / [ Building(s) /-/ Use(s) located at 14500 M~rM RD MATTITUCK Sir eet Hamlet shown on County tax map as District 1000, Section 114 , Block Z'12287 2/22/8~ Lot 4 , does~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: _ Pn©PFRTY HAS INSUFFICIENT TOTAL AREA On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming f/Land /i/Building(s) /l./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 o~cupancy and use for which this Certifi- cate is issued is as follows: A ONE FAMILY DWELLING LOCATED IN A-RESIDENTIAL-AGRICULTURAL ZONE The Certificate is issued to of the aforesaid building. LAWRENCE & ELLEN MURDOCK (JR.) (owner, lessee or tenant) Suffolk County Department of Health Approval N/A UNDEP~\VI~ITEt~S 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. hlspector AFFIDAVIT Re: Murdock, Jr. to Larsen STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) LAWRENCE MURDOCK, JR., being duly sworn, deposes and states as follows: That I am the owner of premises located on Main Road, Mattituck, New York, designated on Suffolk County Tax Map recorded on May 7, 1973 in Liber 7392, Page 276. Tax Map. #1000-114.00-09.00-004.000. That said premises were constructed prior to the time that premises were required to have Certificate of Occupancy issued. I submit that in my opinion this house is suitable for a single family residence. I submit this Affidavit in support of my application to obtain a pre-existing Certificate of Occupancy. ~ Lawrence Mu~ock, Jr./~ / GARY FLANNER OISEN COUNSELLOR AT LAW Sworn to befor~me ~his 27th day of danua~ , 1974. GARY FLANNER OLSEN Notary P~bli.c., State of New ¥~ J ^ .N°, 52-295~S00 -'" ,/ / C-- ~U~liFied in Su~.,.~Jk CotJ / / C FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 1197~ APPLICATION FOR CERTIFICATE OF OCCUPANCY Instrtlctiolis 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 u.se: 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- lions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Plann;ng Board approval of completed site plan requirements where applicable. 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 alko 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. Fees: 1. Certificate of occupancy $5.00 Ir ~/ 2. Certificate of occupancy on pre uxisting dwellin(l land us~; /; / $5.00 3. Copy of certificate of occupancy $1.00 Date .. January 27, 1984 New Building ............. Old or Pre-existing Building(,'~) . _. ~,: = /Vacant Land ............ Location ofProperw . ~¢~D-.~g~,.~ituq~.~ ......................................... ~ House N~ Srr~,et Hzunlet Owner or Owner~ of Property ..... Lawrence Hu qk-, .Jr .... a.n.d. ~.1~. HPreP¢~,. b ~ ~. ~ ~ ~, ...... County Tax MapNo. 1000 Section .... 11~,QQ ..... Block .q~.~ .......... Lot.~¢~,¢~O ........ Subdivision'q ................................ Filed Mnp No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. HealthDept. Approval ........................ Labor Dept. Approval ......................... Unde~riters Ap3roval ........................ Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificate ................. Fee Submitted S ..... .1,5.00 ........ ~' 'r'' ~YF NNER OLSEN ESe Construction on abow~ (t .~;r:ribcd I}uihlin ] ,t ~d I~rmit nlu :~; ;~.~pl[<,~. co, ms moX ...... . ......... ............................ ,.v. ,o.,0.,. Mattituc L N.Y. !i952