HomeMy WebLinkAboutZ-12418TOWN 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-12418
Date-April 11, 1984
located at 1700 Park Avenue
Mattituck, New York
Street Hamlet
shown on County tax map as District 1000, Section 123 , Block
8, Lot 5 , does(not) conform to the present Building Zone
Code of the Town of Southold for the following reasons:
ACCESSORY GARAGE IN FRONT YARD, WITH ATTACHED ACCESSORY SHEDS.
On the basis of information presented to the Building Inspector's
Office, it has been determined that the above nonconforming Z--7 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: 2 Story frame house; framed garage with
attached sheds; wooden bulkhead. 'A' Residential-Agricultural zoned.
The Certificate is issued to J.STANLEY PARKIN & L. VIRGINIA PARKIN
(owner,xl~XX~t~e~XX~xx1~lt~
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.
Buikl~d~g Inspector
GARY FLANNER OLSEN
COUNSELLOR AT LAW
MAIN ROAD
MATTITUCK, NEW YORK
AFFIDAVIT
Premises: 1~'~)~ Park Avenue
Mattituck, NY
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
J. STANLEY PARKIN, being duly sworn, deposes and states as
follows:
That I am the owner of the house described on Suffo!k County Tax
Map as lO00 - 123- 8 - 5; That I believe that said house was
constructed prior to the issuance of a Certificate of Occupancy
and has been used for many years as a residence and is, in my
opinion, suitable for single residential purposes.
Sworn to b o~orere ~e this 6th
day of Ap?~i 1, //198~
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
~outhold, 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 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 peoperty 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 $5.00 /
2. Certificate of occupancy on pre-existing dwelling/ land use --?re-E×±st±ng C. 0. $15.00
3. Copy of certificate of occupancy $1.00 Vacant land C.0. $ 5.00
Date ...~.~..~(.Z,..z~.../~..c~.4~. .......
New Building ............. Old or Pre-existing Building ~/~ Vacant Land
Location of Property . ./...~:~.. ..... . .~.~..~./~....~..//.~..A/.~..E~.: .....~..~..7'?-../...-/~,..c./~.,. ~..~'.. ........
House No. Street Ham/et
Owner or Owners of Property . .~....~..~.~O.~.t.:~..~...~..~..~.R'../.~...~..~....~.;..[/.~ .~..~'./.~..t .~....~.~..~../.~.,..~....
County Tax Map No. 1000 Section .... ( .~..~. ...... Block ...... ~ ...... Lot
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 . .~J~l~ r~P~.~ ........
Fee Submitted $. } .~-~. .........................
Construction on above described building and~e~all app~_ble codes and regulations.
App icant .................................
Rev. 10-10-78
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William n. Lot 17
Lot 16
Area= 2.492t Acres
Lot 15
_ ~' Lot. ltvells Estate
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B ost~ er
Ethel W. H°ydeP
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