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HomeMy WebLinkAboutZ-14778TOWN OF SOUTHOLD OFFICE OF BUILDING INSPIECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the C.O.#Z14778 Land J / Building(s) Use(s) Date August 9, 1986 located at Pvt. #15, 900 Holbrook Road Mattituck, N.Y. :Street Liamlet shown on County tax map as District 1000, Section 1 13 , Block 06 , Lot 1 1 , does not conform to the present Building Zone Code of the Town of Southold for the following reasons: insufficient total area non -conforming accessory shed and privy in front yard On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming X/ Land /X/ 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 upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: property containes a 112- s.tory, one family woodframed dwelling; an accessory shed and a Privy. All situated in the A -Residential Agricultural zone with access to a private R.O.W. The Certificate is issued to Shirley Strang (owner, 3.a eexOjZtAgxantdx of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted nem 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 pmperty 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 $15.00 3. Copy of certificate of occupancy $1.00 /� �� 4.Vacant Land C.O. $5.00 /Date ... /............ . New Building ...... .. . Old or Pre-existing Building ..!...... ... Vacant Land ............. Location of Property~/..'.....�.. '.: �.9 . .....?.1...... Mattituck........... House No. Street Hamlet Owner or Owners of Property ...... S1741Z�SY. S.tr=g....................................... County Tax Map No. 1000 Section ... 113. , , , , , . , . Block ... 6........... Lot .... 11, , , , , , , , , Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate . of occupancy. on, pre. existing dwelling. Fee Submitted $ .. 15._00 ...................... Construction on above described building and permit meets all applicable codes and regulations. Ap/plli/canit .�"�`� ^ ��j.. 4 :....... . Rev. 10.10-78 L RIC- �--- co} ���1g BUILDING DEPARTMENT: TOWN OF SOUTHOLD In the Matter of the Application of AFFIDAVIT SHIRLEY STRING, for a Pre -Existing Use Certificate of Occupancy ---------------------------------------x STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) JACQUELINE WEGGELAND, being duly sworn, deposes and says: I reside at 62 Ruth Court, Wantagh, New York and have spent my summers at Miller Road, Mattituck, New York since 19SQ. I submit this affidavit in support of the Application of my mother, Shirley Strang for a pre-existing use certificate of occupancy for the premises now listed under county map as Section 113, Block 6, Lot 11, located on Miller Road, Mattituck, New York now owned by my mother Shirley Strang. I have resided each summer on Mattituck Road for over thirty years and I am fully familiar with siihject pr�nises. I have compared the subject premises with a survey of the premises entitled Survey of Lot 11, Block 6, Section 113 prepared by William R. Simon Jr. on January 8, 1986, said survey hereby being annexed hereto and hereby state that the above - referenced survey depicts the premises as it existed prior to 1957. 1�b additions or modifications have been made to the premises since 1957. This affidavit is made with the knowledge that the Building Department of the Town of Southold will rely upon the truth of the statements made herein. Sworn to before me this S j y of August, 1986. 99 (?v� 31 ACQ INE WEGGFI1�dy-- t CONSENT TO INSPECTION Shirley Strang the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Miller's Road, Mattituck, Tuan of Southold which is shown and designated on the Suffolk County tax map as District 1000, Section 113 , Block 6 , Lot 11 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Application for Certificate of Occupancy pre existing land use of 2 buildings, (1) 2 story frame dwelling and (2) frame shed That the undersigned do(es) 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(es) 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 Town of Southold. Dated: January 17, 1986 (sign re) SHIRLEY STRANG (print name ignature) (print name) SURVEYED FOR:- SN/A--6 E' y Sj�A�I/G LOCATED AT /t/!-ar r/ T USA- -, TwN oF' SOUTH -/O e.,D� �vFFOGe Coy �/Y. LOT /5 0E'5 c,eI4945 O MAP OF L4 T /� 8 Go c,e �p f S 17Vo�v //,3 0/l /000 0 �v SVAFCO L AZ Co. 7 x SCALE 1--- .56 DRAWN BY W.,2.S . ¢ aVEe LIKE 4x4;«- Aet w y v$'.o uT���T Y FILE NO. �9. o o Z1 u 2.¢0�0 /d3 r.7 ,g o SNo�T uroao'^�'eE r Z FErvcE SURVEYED �,q,.l. B 19 S G BY WILLIAM R. SIMMONS .fie ,/ ,60x377 �s1n,Es�oeT 5 L. I., N.Y. PAGE 23 GRID, glo