HomeMy WebLinkAboutZ-15499 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
X/ Land Pre C.O. #-Z15499
/_/ Building(s) Date- December 12 , 1986
/ / Use(s)
located at 345 Wickham Ave. Ma.ttituck
Street Hamlet
shown on County tax map as District 1000, Section 107 Block 09
Lot 10 doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total. area; width; side-yard setback on house
and accessory building.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming ) X/Land / / 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 two story; one family, wood
framed dwelling with two one story extensions; an accessory 2 car
garage: sea wall (concrete) asphalt driveway with cement curb and all
situated in the A Residentail Agricultural zone with access to Middle
Road; a town highway.
The Certificate is issued to THOMAS R. YASSO
(owner, �IKXX
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 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.
Building :Inspector ___
FORM NO.6
u TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
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 or land use $5.00
3. Copy of certificate of occupancy $1.00
November .17, .1986
Date , . . . . _ . . . .
New Building . . . . . . . 3�S Old or Pre-existing Building . . .X. . . . . . . . Vacant Land . . . . . . . . . . . . .
Location of Property Wickham Avenue•,. Mattituck
House No. Sireei Hamlet
Owner or Owners of Property . ,Thomas R. Yasso. _ . . , , , . . . • , , , , , , , , „
County Tax Map No. 1000 Section . . . 1.07. . . . . . . . . Block . . 09. . . . . . . . . . . Lot . . 10 . , , • , , , , . ,
Subdivision . . . . . . . . . ... . . . . . .... . . . . . . . I . . . . . . .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 $ .1500. . . . . . . . . . . . . . . . . . . . . . .
Construction on above described building and perm" eets all 7"cable codes and regulations.
Applicant . . . . .�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9 THOMAS R. YASSO
Rev.10-10-78 .30 9 f
a
STATE OF NEW JERSEY)
SS. .
COUNTY OF /3�2G�z•- )
MARGUERITE RUSSELL, residing at 58 Regent Street,
Bergenfield, New Jersey, being duly sworn, deposes and says:
1. I lived at the premises located at (No # ) Wickham
Avenue, Mattittuck, New York shown on the attached survey,
for many years. My grandfather purchased it from Mr. Bayer,
who sold it to Mr. Siebold. The premises is currently
owned by THOMAS YASSO.
2. I lived there for many years and the buildings, as
shown on the attached survey, were constructed many years
prior to 1957. The premises consists of a one and a half
story frame dwelling, frame garage and a one story frame
cottage.
3 . To my knowledge, there have been no changes or
alterations made to the buildings that would require a
Building Permit or Certificate of Occupancy, since 1957.
I make this affidavit in support of the THOMAS YASSO' S
application to the Town of Southold for a Certificate of
Pre-Existing Use for the dwelling, garage and cottage.
M RGU ITE RU SELL
1;64-
Sworn to before me this
/3%� ay of November, 1986.
tary Public
LUCILLE F. CORN
NOTARY PUBLIC OF NEW JERSEY
MY COMMISSION EXPIRES JULY 10, 199(1
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