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Home My WebLink AboutZ-12727TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN I~iLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORA¢ING PRE]~IISES THIS IS TO CERTIFY that the /X_/ Land /X / Building(s) Use(s) Pre--C-O-# Z]2727 Date Aug.27,1984 located at 245 Bartley Road Mattihuck N.Y. Street Hamlet shown on County tax map as District 1000, Section 144 , Block 03 , Lot 024 , does.~not~conform to the present Building Zone Code of the Town of Southold for the following reasons: Ir~sufficient total area~Insufficient siSe y_=rd and rear yard set backs,N~n-conform~ng cottagc On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /i/ Land /~L~/Building(s) /i/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 occupancy and use for which this Certifi- cate is issued is as follows: Property contains a wood framed one story dwelling & a wood framed one story cottage having an addition put -- on it'in 1978,B.P.9937Z. This property has access to Bartley Rd., a private street. Property is situated in A-Zone(Residential&Agricultural) The Certificate is issued to Estate of Edith G. Rafford (owner, qe ~ ~ ee ~r- t~rrar~) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDER~q{ITERS CERTIFICATE NO. N/A 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. Building inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 bu-ildings 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 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 $5.00 / 2.' Certificate of occupancy on pre-existing dwelling/ land u se -- ? r e - g x ls tin g C. 0. $15 · 00 3. Copy of certificate of occupancy $1.00 Vacant land C.0. $ 5.00 Date .-...A.u ..gx~s. ~..~.0.,..~.9.8.4 ........ New Building ....... ... ,.,,?. Old or Pre-existing Building . .x. ......... Vacant Land ............. Location of Property . .(.Ng. ?)..B. ,a~. ~.ey..l¥.a.d,,. ,~c3,t.~,' ~.u.c~,.,' .N,..Y... ............................. · House No. Street Ham/et Owner or Owners of Property . .~.s.~.a.~.e. p~. ,~.c~,'.t~...G.....~. ~.o.r.~. ................................ CounW Tax Map No. 1000 Section . ;..~.4.4 ......... Block ...3 ......... .'.. Lot..2.4 ............. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .~.~.u~...Q....H~. j.e.s.~.~..~.~9..c~t~..o.~..~e. ~Lstate of Edith G. Rafford Health Dept, Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .~.5...0p ........................ Construction on above described building and peri, it m~ets ;~1 a~plicable c~des and regulations. k ..c _ lqoq App, cant · ' '" ../7//H./'"";"/ ....................... STATE OF NEW YOtC{) :.SS: ~ OF SUFFOLK) PAUL J. ~%~%3ESKI, residing at 1315 Bray Avenue, Mattituck, New Yonk, being duly sworn, d~poses and says that: Deponent is the E~cutor under the Last Will and Testament of EDITH G. RAFFORD, d~ceased, and the grandson of Edith G. Rafford. Deponent further says that the ma~n house was built in 1955 and 1956 and that the oottage was built prior to 1952. This information was secured from neighbors who have lived on the block and also from a family photo album, showing construction and dates. Attached hereto is copy of a survey of the premises prepared by Lee Lut_z/Lioensed Land Surveyor showing the location of the two houses. Deponent makes this application to the Building Department of the Town of SQuthold requesting a Certificate of Pre-Existing Use for both the main house land the cottage. Sworn to bef~re me this · y ~ t, 19 . /V o$'0~,1