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Home My WebLink AboutZ-14201TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /__/ La.d /X/ Building(s) /-/ Use(s) Pre C.O. #- Z14201 Date- Feb. 5,1986 located at 2735 Park Ave. Ext. Mattituck Street Hamlet shown on County tax map as District 1000, Section 123 , Block 08 Lot 022.2 , does[not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Insufficient front yard set back. 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) ekisted 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 one stor~;, one family seasonal cottage with attached garage and wood deck. Property situated in the A-Residential-Agricultural Zone with access accross unopened R.O.W. to Bungalow Lane extention. The Certificate is issued to of the aforesaid building. ROSS0 FREDERICK A. & BETTE H. (owner, :~m~x:~r~c~lk) Suffolk County Department of Health Approval .. N/R UNDERWRITERS CERTIFICATE NO. N/R 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~ for to determine ff the premises comply with al! 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. Buildin~ inspector Ao FORM NO. 6 TOWN OF SOUTHOLD Building Depar~,.ent Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD Instructions This application must be filled in typewriter OR ink, and submitted ma ~ 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 $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 December 26,1985 Date .......................... New Building ............. Old or Pre-existing Building .. ?. ........ Vacant Land ............. Location of Property .... ~a..~.~..A.¥ .e.~.~.e...~.x?.e.~..s .~.o.~. ...................... .N.a..~.~.~.u.(;.~ ..... House No. Street Ham/et Owner or Owners of Property .. ?.~.e..d.e.~.~..c .]5..A. ~..aD.d, .]~.t.~q~. [-[ .... I~Q~ ...................... County Tax Map No. 1000 Section ~. 2..3.".8. U .2 .2 .-. 2. . . . Block ............... Lot ................ Subdivision..S.~.~.~.e.y..A.~..~..a .c.h.e.d. ..............Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant . .~T.e.d.e.~. ~..~,. ~q~$ ............ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . .x. .................... Fee Submitted $ 15.00 Construction on above described building and per/nit meets allopp, licabl9 codes and regulations. C0-~t -~J~\ Applicant .... Y.'Y. ~..¥?.,../)[~'...'~. ........................ Rev. 10-10-78 AFFIDAVIT STATE OF NEW YORK) ) COUNTY OF NASSAU ) SS.: I, Frederick A. Ross, make this Affidavit in support of my application for a Pre-existing Certificate of Occupancy for County Tax MaD 123-8-22.2. I have personal knowledge of the structures on this property consisting of a summer cottage with attached garage, all of which was constructed prior to April 23, 1957 and is now in habitable condition. Frede~r~ss~ ~ Sworn to before me this ~ day of December, 1985. Not&~y P~ublic JANET S. ,SO'INEII~ NOTARY PUBLIC, Stye of New Ymt T No. 48180~1, Nassau CourlN~ 9rm Expires March 30 t~ ~ ~reDared ID aceon:10~c~ w/fh the minimum standards for title surveys os establishod ky the L.I.A. g S. and approved and adoptoo for such ese by The Now York b~ato Loft,4 T/fie ~dsociation, S.N88o 2 7' E 00' 'o CERTIFIED TO: CHICAGO TITLE INSURANCE COMPANY TITLE NO. 8508 '091794 EQUITY ABSTRACT, INC. / NORTH FORK BANK AND TRUST CO. FREDERICK ARTHUR ROSS BETTE H. ROSS LOT 18 ~ REA =15,65 7 SO. FT. OR 0.$142.4CRE 8.URVEY FOR FREDERICK ARTHUR ROSS BETTE H. ROSS AT IdATTITUCK TOWN OF SOUTHOI..D SUFFOLK COUNTY, N. Y. ~~ I000 -' ,23 B - 2Z.002 SCALE I" .z 30' ] LOT NOS. TO: ., "MA P OF MARRATTOOKA ~INT ~ ' NY.3. LIC. NO. 49668 FILED IN THE SUFFOLK ........ COUaTY CLERKS OFFICE ~ 616 ) ~- 502~"- ~ EN6INEER3, R C. ON MAR. 9, 1927-HAPNO. 351 ' BOX 909 i MAIN ROAD SOUT~LD~ N. Y. 11971 m