HomeMy WebLinkAboutZ-17148TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
Zr Land
® Building(s)
Q
Use
Pre C.O. #-Z-17148
Date- August 2, 1988
located at 635 New Suffolk Avenue Mattituck, New York
Street Hamlet
shown on County tax map as District 1000, Section 114 , Block
11 , Lot 20 , does(not) conform to the present Building Zone
Code of the Town of Southold for the following reasons:
Insufficient total area; side yard set—back for accessory garage.
On the basis of information presented to the Building Inspector's
Office, it has been determined that the above nonconforming ® Land
/TC 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 a 2 story, one family
wood framed dwelling, with two attached porches; a black top driveway; an accessory
garage, all situated in 'A' Residential Agricultural zone, with access to New
Suffolk Ave., a town maintained road.
The Certificate is issued to RAYMOND F. NINE
(owner, =Rxm=xX )
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.
_N , ,� r; e_.,z
Building Inspector
FORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF
Instructions
A. This application must be filled in typewriter OR ink, and submitted = siumseai 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 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 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 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 $50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date . Jplv...... J9$$............
New C on s t r uc t i on ...... y�OldorPre-existing Building ..X......... Vacant Land .............
Location of Property New Suffolk Avenue .. Mattituck . .
House No. Street Hem/et
Owner or Owners of Property .Raymond F: Nine . . , , .. .
000
County Tax Map No. 1000 Section .. 114. 00 . , .. Block .. , .. . .. Lot .020.... . .
Subdivision .................................Filed Map No. ..........Lot No. .............
Permit No. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ... / ............ .
Request for Temporary Certificate .....................Final Certificate ... ..............
Fee Submitted $ . 59: 00,
Construction on above described building and permit meets all applicable codes and regulations.
Applicant ................... .
Raymo� ine
Rev. 10.10.78
R,-ec. 35df 5
0/it. co I V?) V
STATE OF NEW YORK)
SS..
COUNTY OF SUFFOLK)
RAYMOND F. NINE, residing at (No #) New Suffolk Avenue,
Mattituck, New York, being duly sworn, deposes and says:
That I am an owner of premises located at (No #) New
Suffolk Avenue, Mattituck, New York, Suffolk County Tax Map
#1000-114.00-11.00-020.000, as shown on the enclosed survey,
formerly owned by EVELYN K. REEVE, who died a resident of
Suffolk County on 1/18/86.
Deponent further says that the property was given to
EVELYN K. REEVE and her husband, ELWOOD K. REEVE in 1921 and
they built the house and garage shortly thereafter. No
alterations or improvements were made to the premises since
April, 1957 that would require a Certificate of Occupancy.
Deponent's residence adjoins this property and he is
familiar with it.
Deponent makes this affidavit to the Town of Southold
for a Certificate of Pre -Existing Use for the residence and
garage.
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