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Home My WebLink AboutZ-13086TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN tLiLL SOUTHOLD, NEW YORK UPDATED PRE C.0. CERTIFICATE OF OCCUPANCY NONCONFORR~ING PRER'HSES THIS IS TO CERTIFY that the ~'! Land / / Building(s) /--/ Use(s) located ~ 4230 GRAND AVENUE MATTITUCK December 27, 1984 Pre C.0. Z13086 Street Hamlet shown on County tax map as District 1000, Section 107 , Block 02 Lot p/o 002 , does.~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: I~sufficient 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 /Z/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 appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upor~ 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 and one half story wood framed one family dwelling: a five car zarage; a barn; and an outside toilet. The Certificate is issued to of the aforesaid building. LYNN SAN ANDRES (owner, k~X ~E SE~ Suffolk County Department of Health Approval N/A UNDER~rRITERS 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 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. ou~dn,~ inspector Bo FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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 feature[ 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 features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safew 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 use -~ Fre-Ex is ting C, O. $15 · 00 3. Copy of certificate of occupancy $1.00 Vacant land C.0. $ 5.00 Date .. ,[,2/. ,~,0,/,8,4 ............... New Building ............. Old or Pre-existing Building ...X. ........ Vacant Land ............. Location of Property .. ,4,2,3,0 ................... .G.~.a.~.d. ,Ay,e.~,u,e ................. ~,~.r_,~.c~ .... Hous~ No. Street Hamlet Owner or Owners of Property ...~YPP..S.a.~. ~.~.d.~.e.s ........................................... County Tax Map No. 1000 Section ,.. ,[,0,7 ......... Block ... ,0,2. ......... Lot. P/P, ,0,0.2 ........ Minor Subdivision of Subdivision, .T,y.~.~. ~ /~d.~.e~ ................. Filed Map No ........... Lot No ..... 1~ ........ Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ... ,3 / .1.~ / .8 .4 .............. Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval . ,..7./.2.7./,8.4. ........... Request for Temporary Certificate ..................... Final Certificate ...... ~ ............... Fee Submitted $..1.5...0,0 ....................... Construction o n above described bu ilding~/~ e/~l~p~s;nxd ~gu lations. ~ Applicant/../,t~-~. CY/, ~ .'. ~~..~...~-~.. .............. ... ,o.,o.,,, z t STATE OF NEW YORK ) ) SS.: COUNTY OF SUFFOLK ) HENRY W. DRUM, being duly sworn, deposes and says: THAT he resides at (No#) Mill Road, Mattituck, New York, and that he has been a resident of Southold Town for the past ~years; THAT he is familiar with the property known as 4230 Grand Avenue, Mattituck, N.Y., shown and designated as Lot #1 on "Minor Subdivision Plan for Lynn San Andres", prepared by Young & Young, Licensed Land Surveyors, Riverhead, N.Y., dated 1/5/83 and last amended 4/23/84, which map was approved by the Southold Town Planning Board on 7/27/84. A copy of that portion of the above mentioned map, showing Lot #1, is attached hereto. THAT on personal knowledge, information and belief, your deponent can state that the structures shown on said survey were built prior to April 23, 1957. That a Certificate of Occupancy (pre-existing) No. Z10836, was issued by the Building Inspector of the Town of Southold on December 30, 1981, for the subject property prior to its subdivision. That there have been no changes to the present existing structures on the property, other than normal main- tenance, since prior to April 23, 1957. THAT this property (Lot #1) has access on a public road, and that this application is made for an update of the existing C.O. to reflect the property and the structures thereon as they presently exist. Swor~' to before me this /~d~y of December, 1984. Notary Public SUSAN M. CARDINALE NOTARY PUBLIC, State of New York No. 52-4619540, Suffolk County,%,,,-. Commission Expires March 30, 19~,,~ I I I / Mortin Surer