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Home My WebLink AboutZ-16318TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /X-/ Land /x-7 Building(s) /-7 Use(s) Pre C.O. #- z-16318 Date- October 21, 1987 located at 1070 Bay Avenue Mattituck, New York Street Hamlet shown on County tax map as District 1000, Section 143 , Block 03 , Lot 18 , 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; accessory side yard set back; lacks minimum livable floor 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 with attached porch; accessory garage with attached shed and all situated in 'A' Residential Agricultural zone with access to Bay Avenue; a Town maintained highway. The Certificate is issued to THERESA NINE (owne r, x~g~>~xxt~t~wnv~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 SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Bt. DG, ~ TOWN OF SOU 'Ci2L?.:. i:_~.._.. Instructions This application must be filled in typewriter OR ink, and submitted I ~...~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 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty 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. 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 . .O .c .t .o .b .e ,r . .5 ~ . .1.9 .8 .7 .......... NewC°nstruction ...... Old or Pre-existing Building .... .~ ....... Vacant Land ............. 1070 Location of Property . . .(~..~.ay. Avenue, ,~,a ,t ,t ,~ .t .u ,c ,k ; . ~,e,~. ,~,o,~,k ........................... House No. Street Hamlet Owner or Owners of Property . .~.h.e~.e.s.a..M....N.i.n.e ............................................ County Tax Map No. 1000 Section .... 1.4.3...0.0. ..... Block .. 9.3:99 ........ Lot.. P. P:999 ....... 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 $ 50.00 Construction on above described building and permit meets all applicable codes and regulations. , THERESA M. IqI'N'E' ................................... Rev. 10-10-78 STATE OF NEW YORK) SS.: COUNTY OF SUFFOLK) THERESA M. NINE, residing at 145 Merrits Pond Road, Riverhead, New York 11901, being duly sworn, deposes and says: I am the owner of premises located on (No #) Bay Avenue, Mattituck, New York, Suffolk County Tax Map #1000- 143.00-03.00-018.000, as shown on the enclosed survey. The premises was purchased by me in 1946 from MARIE PARKER. To my knowledge and belief, no alterations were made to the premises that would require a Certificate of Occupancy. I make this affidavit to the Town of Southold for a Certificate of Pre-Existing Use for the residence. THERESA M. NINE Sworn ~o be~oreme this Commi~ion Explrel Julle au. ~m 46 AFF preco.doc FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hell Southold, N.Y. 11971 76S- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted 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 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. 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. Co Fees: 1. Certificate of occupancy $25.00 -- SUS[NES$ $50.00 ACCESSORY $10.00 2. (',ertificate of occupancy on pre-existing dwelling $ S 0.00 3. Copy of certificate of occupanc¥ $ 5.00, over 5 7ears $i0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date . .O .c .t .o .b .e .r . .5 ~ . .1.9 .8 .7 .......... Newc°ns tz'uc ti°n ...... Old or Pre-existing Building .... .Z ....... Vacant Land ............. Location of Property ...(.No..#~..B.a,y..A.v.e.n.u.e.,..Ma..t.t.t.t.u.c.k;..N.e.w..Y.o.r.k ........................... House No. Street Ham/et Owner or Owners of Property Theresa H. Nine County Tax Map No. 1000 Section ....1.4.3...0.0. ..... Block ...0.3:.0.0 ........ Lot.. 9.1.8:.099 ....... 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 $ .5.0...0.0. ....................... Construction on above described building and permit meet~s all applicable ~:odes and regulations. , App,cant ..... THER~fS'A' '~.' 'N'I'N'E' ................... ~ .............. Rw. 10-10-78 I I I