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Home My WebLink AboutZ-17092 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORbIING PRgMISES THIS IS TO CERTIFY that the /-~ Land Building(s) Use(s) located at 379 Riley Ave. Pre C.O. #- z-17092 Date- July 18, 1988 Mattituck, New York Street Hamlet shown on County tax map as District 1000, Section 143 , Block 04 , Lot 21 , does(not) conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; side yard-rear yard set-backs; accessory garage in side yard; unapproved 280A access On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming ~%7 Land /~/ Building(s) /-7 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: Property contains 1 story, one family wood framed dwelling, with attached enclosed porch; accessory garage; wire fencing; all situated in 'A' Residential Agricultural zone with access to a R.O.W. The Certificate is issued to ESTATE OF EDWARD J. SMITH (owner, 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. Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 BLDG. DEPT. . TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted .,, ~m~mmm 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. C. Fees: 1. Certificate of occupancy $25.00-- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5 .Updated C .O. $ 50.00 Date . .O.u.l~/..6.,..1.9.8.8. ............ framehhouse and detatched garage NewC°nstrucbi°n ...... OId or Pre-existing Building ...A. ........ Vacant Land ............. Location of Prope .ftyS?.~. .R.i.I.e~v..A,v.e~.u.e.,. Ma~ctituck, NY House No. Street Hamlet Owner or Owners of Property ...E.s.t.a.t.e..of..E.d.w.a.r.d..J....S.m.i.t.h. ................................ County Tax Map No. 1000 Section ...143,QQ ...... Block . .Q4,QQ ........ Lot...Q2.[,QQQ ...... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... ApI~L cant .................................. Health Dept. Approval ........................ Labor Underwriters Approval ........................ Plannit Request for Temporary Certificate ..................... )ept. Approval ........................ Board Approval ...................... :inal Certificate ....................... Fee Submitted $ 50.00 Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 Ke, c.35 t Applicant .................................................... Gary Flanner 01sen, Esq. P. 0. Box 706 Cutchogue, NY 11935 A F F I D A V ! T Re: Grim to Berliner STATE OF VIRGINIA) COUNTY OF FAZRFAX) SS: Murie! Grim being duly sworn, deposes and states as follows: That I am the Administratrix of the Estate of Edward J. Smith, the owner of certain premises located in Mattituck, Town of Southold, designated on the Suffolk County Tax Map as District 1000 Section I43 Block 004 Lot 21. That located on said premises is a one story detached frame "single family cottage"';style residence which is approximately 60 years o!d. The structure has a total living area of approximately 535 square feet and a covered screen porch of approximately 288 square feet. The residence contains four rooms and one bath: kitchen, two bedrooms and living room. The structure has no heating system. Since this house was built prior to April of 1957 I submit this Affidavit in support of my application for a pre-existing certificate of Occupancy. Murie! Grim Sworn to before me this day of~YY~ox~ __~ , 1988. No~(~ry Public 7-/~-/?~(~ N/O/F tWALLACE & RUTH FIELD N/O/F EILEEN BERGEN HIOIF J ~.&,UDIFI t4 ?0 S74 °$1'30'£ 2.58' i oo~ SURVEY OF PlO LOT 7 MAP OF PROPERTY OF G.H. , W. T.& D. T. RILEY A T MA TT/TUCK TOWN. OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000- 143- 04 -21 Scale 1" = 30' May 13, 1988 · Prepqred In qccordance wllh the minimum standards for lille surveys as eslab/lshed by lhe L,I.A.L.$. nnd npproved and adopted /_o.r..suc. h ese,..b,y. The New York Slale Land CERTIFIED TO~ AOUESOGUE ASSTRACT~ CORPORA TION TITLE NO. 652 S 1390 WILLIAM BERLINER 00DHUL L ~~~ ~ro~s, ~.c. ~.~ so~o N. Y.$. LIC. NO. 49(