HomeMy WebLinkAboutZ-11775TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY No. Z11775
NONCONFORMING PREMISES July 1 1 , 1983
THIS IS TO CERTIFY that the
Land
/ X / Building(s )
/X/ Use(p)
located at 515 South Drive Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 106 , Block 11 ,
Lot 021 , doe<not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
pre-existing premises with pre-existing accessory buildings in
the front yard.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /_/ Land 17/ Building(s)
/ x/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: a one -family dwelling.
The Certificate is issued to PAUL SCHISSEL
(owner, le-&�eitenaitQ
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 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. 1__,
.t
Building Inspector -
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, 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.
B. 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.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwellingcr land use $1 $5.00
3. Copy of certificate of occupancy $1.00 II
Date .. June- 1., 19$3
New Building ............. Old or Pre-existing Building(X) . _X___ __ _ 'Vacant Land .............
Location of Property ..•.'!Map--of..Share -AQres.. South Drive ...........MATTITUCK
House No. Street Hamlet
Owner or Owners of Property ...Paul .Schiss.el-..:....................................
County Tax Map No. 1000 Section ..106 .......... Block ..1.1............ Lot .. 2.1. , ....... , . ,
Subdivision .................................Filed Map No. .41 ........ Lot No. .............
Permit No. .......... Date of Permit ..........Applicant ... ............................ .
Health Dept. Approval ........................Labor Dept. Approval ......................,. .
Underwriters Approval ........................Planning Board Approval ..................r. .
Request for Temporary Certificate .....................Final Certificate .................. -
Fee Submitted $ ............................. 1 f
(�-c-• 2a�3"1
Construction on above described building and
:.,Ajrr AjI]EWV(�iigd.
regulations.
Applicant ;-P:03&38........,........ ..f..�..�...3.�.
Rev. 10-10-78 Main Road
Mattituck, L.1, N.Y. 11952
GARY FLANNER OLSEN
COUNSELLOR AT LAW
MAIN ROAD
MATTITUCK, NEW YORK
11953
A F F I D A V I T
Re: Schissel to Chase
STATE OF MASSACHUSETTS )
p SS:
COUNTY OF 6 )
Paul Schissel, being duly sworn, deposes and states as follows:
That I am the owner of the house described on Suffolk County Tax Map as
1000 - 106 - 11 - 21. That said house was constructed prior to the
issuance of a Certificate of Occupancy and has been used for many uears
and is suitable for single residential purposes in my opinion.
Sworn to before me this 7
40% -
day of June, 1983.
PaAJ.Q IU4
Paul Schissel
By:
Edmund Schissel, Attorney in Fact
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