HomeMy WebLinkAboutZ-17259TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
= Land Pre C.O. # - Z-17259
Q Building(s)
Q
Use Date- September 2, 1988
located at 420 Private Road 1117 Off Camp Mineola Rd. Mattituck,NY
Street Hamlet
shown on County tax map as District 1000, Section 123 , Block
06 , Lot 17 , does(not) conform to the present Building Zone
Code of the Town of Southold for the following reasons:
Insufficient total area; 2nd habitable dwelling; 2 accessories in
front yard.
On the basis of information presented to the Building Inspector's
Office, it has been determined that the above nonconforming ® Land
/:S7 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 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 two, one family
wood framed dwellings, one two story, one I story; two accessory buildings; bulk-
head and jetty and all situated in 'A' Residential Agricultural zone, with access
to Pvt. R.O.W. Permits issued on property 15621Z for garage CO 17246, Permit
15790 for addition CO 17247.
The Certificate is issued to ADLYN SYVERSCN & MARGARET BEST
(owner, kcas xvtxnuiq*M)
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO.
N/A
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.
- ; ., r�4 -. - -
Building Inspector
oi*
\V/
FORM NO. 6 so
TOWN OF SOUTHOLD
Building Department EPT.
Town Hall SOUTHOLD
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted =§Nw� 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 property 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling, $25.00, Accessory $ 10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00 , over 5 years $10-00
4.Vacant Land C.O. $ 20.00 -
5.Updated C.O. $ 50.00 Date
NewConstruction,,,,,,�Old orPre-existingBuilding x..... Vacant Land .............
Location of Property ..�.�. �' • ..Q. �� ..��5"-C.. CJj� �..L..i.� .► 1) Yl�.�....,
House No. Street Hamlet
Owner or Owners of Property . 74�.yiC� 1�.`( 4 J l... • G 1� �. C ..N•�.�+
County Tax Map No. 1000 Section .... Block .....(� ........ Lot ..... /.7....... .
Subdivision .................................Filed Map No. ..........Lot No. .............
PermitNo. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate .......................
Fee Submitted $.............................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant. .......................
Rw. 10.10-78
(.3s6 13
STATE OF NEW YORK)
: ss.:
COUNTY OF SUFFOLK)
ADLYN J. SYVERSON, residing at 9 Boston Road,
Bellerose, New York, being duly sworn, deposes and says:
1. I am the owner, together with my sister,
Margaret Best, of certain property located on Peconic Bay in
the area commonly referred to as Camp Mineola. The property
is shown on the attached map. I have been acquainted with
the property all of my life.
2. The property was acquired in 1922 by my
grandfather, T=.readwell D. Carpenter, and has been in my
family since that time.
3. Upon information and belief, the main house
and garage were built in the early 1920s.
4. The garage was converted into living quarters
by my parents in 1950. Prior to that time, it had been used
as maid's quarters. Since 1950, the smaller structure has
been used as living quarters. No improvements which would
:require a Certificate of Occupancy have been made to the
smaller structure since it was converted to living quarters
in 1950.
5. Deponent makes this affidavit to request the
Building Department of the Town of Southold to issue a
Certificate of Pre—existing Use for the residence.
ONE
S!w�or to before me this
G(b ay�q�
August, _, 1986
C
otary Public
DANIEL C, ROSS
Notary Public, State of New York
No. 24-4786331
Qualified in Kings County�i�
Coanmission Expires March 30,1
co3
so ,
0
,oFc
�If//c
unnnma r. wns. mc, ietn
2
_+s
'pd,
09 .
• t}j , c�'
Mr
y'o,t.
NOTE: /. II _ MONUMENT
2. AREA: /. 302! A07ES
.3 SUFFOLK COUNTY TAX MAP:
D/ST. SECT BL PARCEL
%000 - %23 - 6. - 17.
SURVEY FOR
MARGARET M. BEST, TREADWELL D. C. SCHM/TT
B ADLYN J. SYVERSON
AT MATT/TUCK DATE : OEC. 29,1983
TOWN OF SOUTHOLD SCALE: / " = 50'
SUFFOLK COUNTY, NEW YORK NO. 83-1103
*UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY IS A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW.
*COPIES OF THIS SURVEY NOT BEARING THE LAND loo7��p
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SIIALLNOT BE CONSIDERED TO BE A VALID TRUE COPY. THE PERSON FOR WHOM T E*GUARANTEES INDICATED E SURVEY 113 PREAREO REON $14ALL RUN ONLY TO �'r H�, 0 ' 4
AND ON HIS BEHALF TO THE TITLE COMPANY, OOVERN- ,r�
MENTAL AGENCYAND LENDING INSTITUTION LISTED
HEREON, AND TO THE ASSIGNEES OF THE LENDING L? .
INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OWNERS. �4
*DISTANCES SHOWN HEREON FROM PROPERTY LINES
TO EXISTING STRUCTURES ARE FOR A SPECIFIC
PURPOSE AND ARE NOT TO BE USED TO ESTABL13H dry 45w4
PROPERTY LINE! OR FOR THF RRFCTInR nF FFYCFI J. J.,.
YOUNG a YOUNG
`14NO SURaY
400 OSTRANDER AVENUE
RIVERHEAD, NEW YORK
ALDEN W. YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S. LICENSE NO. 12845
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE NO. 45893
I!
0
P
�Ov
ti
Ory
�o
03
o<
t
a��yoc
°♦t�
♦a
0
,oFc
�If//c
unnnma r. wns. mc, ietn
2
_+s
'pd,
09 .
• t}j , c�'
Mr
y'o,t.
NOTE: /. II _ MONUMENT
2. AREA: /. 302! A07ES
.3 SUFFOLK COUNTY TAX MAP:
D/ST. SECT BL PARCEL
%000 - %23 - 6. - 17.
SURVEY FOR
MARGARET M. BEST, TREADWELL D. C. SCHM/TT
B ADLYN J. SYVERSON
AT MATT/TUCK DATE : OEC. 29,1983
TOWN OF SOUTHOLD SCALE: / " = 50'
SUFFOLK COUNTY, NEW YORK NO. 83-1103
*UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY IS A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW.
*COPIES OF THIS SURVEY NOT BEARING THE LAND loo7��p
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SIIALLNOT BE CONSIDERED TO BE A VALID TRUE COPY. THE PERSON FOR WHOM T E*GUARANTEES INDICATED E SURVEY 113 PREAREO REON $14ALL RUN ONLY TO �'r H�, 0 ' 4
AND ON HIS BEHALF TO THE TITLE COMPANY, OOVERN- ,r�
MENTAL AGENCYAND LENDING INSTITUTION LISTED
HEREON, AND TO THE ASSIGNEES OF THE LENDING L? .
INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OWNERS. �4
*DISTANCES SHOWN HEREON FROM PROPERTY LINES
TO EXISTING STRUCTURES ARE FOR A SPECIFIC
PURPOSE AND ARE NOT TO BE USED TO ESTABL13H dry 45w4
PROPERTY LINE! OR FOR THF RRFCTInR nF FFYCFI J. J.,.
YOUNG a YOUNG
`14NO SURaY
400 OSTRANDER AVENUE
RIVERHEAD, NEW YORK
ALDEN W. YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S. LICENSE NO. 12845
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE NO. 45893
I!
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
Land Pre C.O. #-
Building(s)
Use(s) Date-
located ata?o t�'iT 1 oM•..
Street Hamlet
shown on County tax map as District 1000, Section /a? S , Block
n(o, Lot 1:1 , does(not) conform to the present Building Zone
Code of the Town of Southold for the following reasons:
On the basis of information presented to the Building Inspector's
Office, it has been determined that the above nonconforming 0 Land
0 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 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: L J
"J". c , ORs_ .� `�n �Ils�. qli 4 , ;. o, c. c.c r +,qi t�
The Certificate is issued to
(c wner, lessee pr Jenant)
of the aforesaid building.
Suffolk County Department of Health Approval A�14
UNDERWRITERS CERTIFICATE NO. &LA
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