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Home My WebLink AboutZ-13112 1 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the DATE : January 7 , 1985Pre C . O. #Z13112 / Land /X1 Building(s) Use(s) located at 10450 Sound Ave . Mattituck Street Hamlet shown on County tax map as District 1000, Section 122 , Block 02, Lot 14 doesinot)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area . Non-conforming mobile home , insufficient side yard set-back on mobile home . 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 contains a 2 story wood framed one family a� dwelling with- accessory garage and mobile fixed home , situated in an "A" Residential-Agricultural zone with access to Sound Ave . a town maintained road *B . P .#12857 --C . O . #Z13108 Alteration to existing porch . The Certificate is issued to Geraldine Worthington ( Geraldine Davis ) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERI�TRITERS 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. wilding inspector __ Y~ IPTIq_ •R` f 1. *"�,,; .. �t a. •i p� " (a � 4 _'�''S� �. .1 ,,{�' M .may+ ' •tom 'r 'f^ s� j3 tt {}i•{?> _. n ` r r ./r Yf r _;� .'+�,^,�7':(,,. 1 (' a �. �{, r ,tr a, 4.k71: A •.I.t 1� + {, �l(W5 �Jl.� �1 f `� :._y� ' + I �ltr} �15 -t r•S�' ��'p. ss. )•+s�4t �'� �h•VF .. �,.xlt Y.T 4 ACtrYY+l yt �F +7�rd 1(•...jJ1T }� 1 5 �y,, Y a is �� •�{ f ' , y,� �.�. ykY f :r t�ri�'4�Y�' 1'�Y'IyK` 7C,�f'W�T•,?t�"�eri�i�+ �rr•L+tt,r�ln i - rc ' Y ,fa 1 N.85036,00"E 1� S.85 36 00 W IM 8� I I I N•�I .o' � a1.6� p 1 Q `• «,w .. r •'A. ,. ... -.!al_ r�;li+�'�na Y' . 'I r r •� kn of co } 14 C'1 lOy .. , r'rJ F:��Syi, •• yr!.�,;;_......_. ; N er T W O W O{ O . A Or � � 82 S f,9og� 'W o66S. ,f i '7009' "w 8 1� I A rdinko .MOrE• et o \ Be N=MONUMENr prI5c0II JOmgS E• I REVISIONS YOUNG & YOUNG 400 oSTRANDER AVENUE, RIVERHEAD, NEW YORK I j� ALDEN VJ.YOUNG HOWARD W.YOUNG II}{ PROFESSIONAL ENO NEE�R AND ' LAND PURVEYOR '(MOK;ZiJ AITIAATION OR ADDITION LAND SURVEYOR,N Y.B. LIC. NO, 12040 }:'• AMM IS A VI:IA11ON OF _ N.Y.S. LIC,NO. 468DJ :N. >:CV L, iiat N:Vr %4K 'FATE SURVEY FOR: LAfr WILLIAM E.- WORTHINGTON & GE LID THINGTON- f¢ Tur. ai;`V. rt AY NC,T UARING ... �' '`. : .. L.a OLD W, O ,A.•� 6.11 CGFF. �I►�,,R G :NASLRUN T.f, #•a : . 14, SUovE7 AT UA ANT 4 ... A.0 . . L rr.-{ lo !Ilk MAT ri T UC K 0 THOL• S BA K' "..4'•", l."V;�:,r.l•.A. A,.J.CT AN —,—r•'• UA NTEEb""f'ITLE DI 131 N OF .m.—i.q., L.f... KeIVS. A�.J TOWN 0,.. L�Oh' 'HOLD 9A. 'n4WNSU ANC CO. .. Aid nul I..Ar,SFu AOLE ?nl .hSUWI{dN►OR 6vp.41,11LN ^ r 9Y SUI�C) -' (X.)., N.Y. SCALM 1; �.,• Da�T61 NO. ,y " " ""^------r=----'---,>-•-�...-- - _ .--ter?.. .:a-• .. _ '. :i•. FORM NO.6 D TOWN OF SOUTHOLD DEC ( 11984 < Building Department 3 Town HallA _.- 8iouthold, N.Y. 11971 I cw=pt" TOWN C F 5GU i'EC3f_D. APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submittedieet$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 / land use '--Fre-Existing C . 0. $15 . 00 3. Copy of certificate of occupancy $1.00 r Vacant°' land C . O. $ 5 . 00 Date . , 12/10/84 . . . . . . . . . . . . . . New Building . . . . . . . . . . . . . Old or Pre-existing Building . , kx. , , , , . Vacant Land . . . . . . . . . . . . . Location of Property no, ; ,Sound,A,,venue,,. . . . . . . . . . . „ . . . . ti tuQ:�. . . . . . . . . . . . House No. Street .Ham/et Owner or Owners of Property , Geraldine, Days,,, ,fpXq �y, ,]�r�Qyur� ,�5, ,Gq ��,di, �, ,Vaghington County Tax Map No. 1000 Section . 122. . . . . . . . . . . Block . . .Q?. . . . . . . . . . Lot . .14� . . . . ... . . . . 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 . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ .1,5.00. . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and ' rmit meets al pplicable codes and regulations. Applican . . . . . . . . . . . . . . . . . Rev.10-10-78 � r TOWN OF SOUTHOLD COUNTY OF SUFFOLK -----------------------------------------X In the Matter of the Application of GERALDINE B. DAVIS, formerly known AFFIDAVIT as GERALDINE B. WORTHINGTON, for a Pre-existing Certificate of Occupancy ------------------------------------------X STATE OF NEW YORK ) ss. . COUNTY OF SUFFOLK ) ROBERT S. DAVIS, being duly sworn, deposes and says : 1. That I am over the age of 18 years and I reside at no# Sound Avenue, Mattituck, New York and I submit this affidavit in support of the application of Geraldine B. Davis for a pre- existing Certificate of Occupancy. 2. I am married to Geraldine B. Davis and have lived at the subject premises, identified by Suffolk County Tax Map No. 1000-122-2-14, for over five years. Prior to that time, I lived to the subject in the premises adjacent/premises on the east for thirty years and I am fully familiar with the subject premises. 3. There have been no additions or modfications to .the subject premises that I know of except for the addition of a deck on the easterly side of the premises for which a building permit has. been obtained from the Town of Southold. 4. I have compared the physical description of the premises with a survey prepared by Young & Young dated October 31, 19.72 , job No. 72-744. There have been no changes in the premises except for the addition of the aforesaid deck and the premises remain the same as they have been for over thirty years and prior to- April of 1957. 1 1. L 5. This affidavit is submitted to the Building Department of the Town of Southold knowing full well that the Building Department will rely upon the truth of the statements made herein. obert 87. Davis Sworn to before me this day of December, 1984 Nota Pu'151ic HENRY S. SAXTEIN NOTARY PUBLIC, State of New York No. 4687817, Suffolk County Coomussion Expires March 30, 19 2.