HomeMy WebLinkAboutZ-12153TOWN OF SOUTHOLD
C)FFIC1' OF BUILDI\G INSPEC"Mr-
TOki N BALI.
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/ X/ Land
/_/ Building(s)
/X/ Use(s)
No. Z12153
December 20, 1983
located at 15405 Main Road Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 1 14 , Block 06 ,
Lot 003 does no0conform to the present Building Zone Code of the
Town of Southold for the following reasons:
the property has insufficient area, and the two-family use is
non -conforming.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /x/ Land /_/ 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 CERTIFLEI) 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 private two-family dwelling.
The Certificate is issued to PRISCILLA STEELE
(owner, lessee -o -r Ee�rant�
of the aforesaid building.
Suffolk County Department of Health Approval no record
UNDERWRITERS CERTIFICATE NO, no record
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS
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.
,\V",�, 'L
— Building inspector
BUILDI!.G DEPART:rMT
TO4TT OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location /�5" X05 )%%► (J
A
number do street)T�
Subdivision
Name of Owner(s) ?/u'-� cxja
Occupancy �
r
icipality
Map No. Lot(s)
It Ili 141-- 1 _ owner, enant )
Admitted by: ,� /� Accompanied by: II,o
Key available
`
Suffolk Co.
Tax No.
Source of request
�a ��,,P
F
�►/�
Date
3d (��3
D WELLING :
Type of construction �J
#stories
Foundation �: �..Cellar_Crawl space -
Total rooms, 1st. Fl S 2nd. F1 3rd. F1
Bathroom(s) Toilet room(s) --
Porch, type �,lnuc(eck, type Pat
type
Breezeway Garage Utility room
Type Heat 'alarm Air Hotwater
Fireplace(s) No. Faits Airconditioning
Domestic hotwater Type heater
Other I?
c -
ACCESSORY STRUCTURES:
Garage, type const. ��� Storage, type const.
Swimming pool Guest type e const.
Other
VIOLATIONS: Housing Code, Chapter 52
�Zo
Remarks:
Inspected by:
Date of Insp.
��
-Time start/! °0 end �f�
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11871
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 dwelling r land use $/J 55.00
3. Copy of certificate of occupancy $1.00
Date ..November 30, 1983,. ..
New Building ............. Old or Pre-existing Building(X) . ..X_ __,'Vacant Land .............
Location of Property ..15AA5 .Mattituck, New. York ............
House No, Street Hamlet
Owner or Owners of Property .. PX.1,gq Ila Steelg : _ . . . . . . . . . ... .
' County Tax Map No. -1000 Section ... Block ...06.......... Lot ...03....... .
Subdivision .................................Filed Map -No. ..:.......Lot No. ..............
Permit No. .(iilA• • • • .Date of Permit Applicant ... N/A .......................... .
Health Dept. Approval .......
N%A
.............Labor Dept. Approval , , NIA:. , - .... ...�.
Underwriters Approval .......
NiA
.............Planning Board Approval
... N�A ...........,, • .
Request for Temporary Certificate ............... Final Cartificate .... X........... .
Fee Submitted S .............................
-Construction an above described building and per ~i is all�app Rpk, des and regulations.
�. L �:O Applicant �.-..:.",• ...� �.. ...........
�I5 Richard F. Lar as attorney for
Rev. 10.10.78 1 3 Priscilla Steele
CONSENT
TO
INSPECTION
Pri gA741 a Tandy_Steale—
Owner(s) Name(s)
do(d%9 hereby state:
the undersigned,
That the undersigned) Azza)cthe owner(a) of the premises in the Town
of Southold located at Main Road, Mattituck, New York -
, which is shown and designated on the Suffoll:
County tax map as District 1000, Section 114 Block 06 , Lot 03
That the undersigned: vz) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspectors Office for the following:
Certificate of Pre-existing Use for Two Family House.
That the undersigned daw) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(Wk) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Torn of Southold.
Dated: November 30, 1983
(signature)
I2iSCrt_cA{A ty 0_0
1-t_=Et_E
(print,:name)
(signature)
(print name)
Property at Main Road,
Mattituck, New York
Suffolk County Tax Map No.
1000-114-6-3
STATE OF NEW YORK:
ss..
COUNTY OF SUFFOLK:
PRISCILLA TANDY STEELE, being duly sworn, deposes and says:
I am the owner of the premises located at Main Road, Mattituck,
New York, which are the subject of this application for a pre-
existing Certificate of Occupancy.
In the early 1800's the easterly portion of my house was
moved from Maratooka Road, Mattituck, New York, to its present
location. In the late 1800's the westerly portion of the house
was constructed as an addition to the easterly portion. In 1964
Toppy Jones obtained a building permit from the Town of Southold
(Building Permit No. 2995) and constructed an addition to be used
as a living room for the easterly portion of the house.
My aunt, Ritie Tandy, purchased the house in the 1940's at
which time it was already being used as a two-family house. Since
that time it has continued to be used as a two-family house.
Presently, my parents, Mr. and Mrs. Burton Tandy, reside in the
apartment upstairs, and I reside in the apartment downstairs.
This affidavit is made for the purpose of obtaining a pre-
existing Certificate of Occupancy for a two-family house from
the Building Department of the Town of Southold.
Priscilla Tandy eele
Sworn to before me this
30th day of N vember, 1983
,�. MARY Lou BOROSKf
Bu NOTARY PUBLIC, Stateef-Now Yee*
N,'q(tdry Public No. 52.1000858 Suffolk County
Cemmissiao Expires Mandl -M, 98'9S