HomeMy WebLinkAboutZ-14706 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. #- Z14706
/ / Building(s) Date- July 24 , 1986'
/ X/ Use(s)
located at 125 Maiden Lane, Ma.ttituck, New York
Street Hamlet
shown on County tax map as District 1000, Section 140 Block 01 ,
Lot 10 doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Residential .dwellings in Business zone; insufficient total area;
insufficient. front.,. rear and side set-backs.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /_/ 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 Certif -
cate.is issued is as follows: Property contains a. three. family dwelling; a
second one .family dwelling; fencing and all .situated in. the. B-1 Zone
with access. to Maiden .Lane, a private R.O.W.
The Certificate is issued to Mildred G. Long
(owner, bezxieRxxxc
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.
Buildinc. inspector
KU
FORM NO.6. Z ' � )
TOWN OF SOUTHOLD Loo
Building Department BLDG. DEPT.
Town Hall TOWN OF 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 s�iiiii 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 p.mperty 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 $1.5 .00
3.Copy of certificate of occupancy $1.00
4 .Vacant Land C.O. $5. 0 0 J U L y (ci
5.Updated C.O. .$15 .0 0 Date . . . . . . . . . . . . . . . . . . . . .
New Building . . . . . . . . . . . . . Old or Pre-existing Building Y. . . . . . . . . Vacant Land . . . . . . . . . . . . .
Location of Property. . . . ZS r'I/�ID N l ,P! N Mf T( T L 0 . . . . . . . . . . .
House No. Street Hamlet
Owner or Owners of Property . . 0 N M ( iLDR E� G r. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
j .
County Tax Map No. 1000 Section . . . . . . . . . Block . . . . . . . I. . . . . . . Lot . . . . j . .
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 . . . . . . . . . . . . . . .
DO
Fee Submitted $ . . . . 1.5.l . . . . . . . . . . . . . . . .
Construction on above described building and permit meets;all appli�codderegula ' ns.
Applicant . . . . . . . . . . .
Rev.10-10-78
A F F I D A V I T
STATE OF NEW YORK,).
SS:
COUNTY OF SUFFOLK)
Mildred Gr.athwohl Long, being duly sworn deposes and states -as follows:
( 1 ) That I am the owner of certain premises located at 0 Maiden Lane, Mattituck,
New York, designated on the Suffolk County Tax Map as District 1000,
Section 104 Block 1 LotlO.
(2) That located on said premises are the following buildings:
A) A main house consisting of a separate upstairs rental apartment having
its own bath and cooking facilities.and two separate and distinct living
units downstairs, one of which I have •occupied for my own residence and the
other which is a separate rental unit, each having its own kitchen and bath
facilites and having its. own separate entrances.
B) A separate rental cottage having• its own bath and cooking facilities
and separate well and sanitary disposal system and electric meter...
C) The metal storage building for which a Certificate of Occupancy Z6448
was i.ssued.under building permit #6679Z.
(3) That the three separate living facilities in the main house and the separate'
r
rental cottage all pre-date April 1957,and the rental facility i•n the
cottage and the upstairs and downstairs rental units in the, main house have
been continuously occupied since prior to April 19,57 by rent paying tenants
h cr
and have/been unoccupied-for more then 2 months.
(4) I submit this aff,idavit, in support of my application for a pre-existing .
Certificate of Occupancy for a three family house and separate- rental cottage.
F
i
In my opinion, all of said living units are habitable units.
Mildred Gr-athwohl Long
Sworn.. to befor me this
day of July, 9 6.
Notary Public
GARY riANNER OLSEN
G.4R'd Elr+;!!•'Ir C)INplary Public, Sic-to of Now York
Nolory Public. .. of
No. 52-2959600
Qualified in SuffA Coun
r1'" - :; ,..;.,,7�r(p Expiros Mo,Ft 30.19
Quolifi-c in :ulicii, C? :.. '�w'77777T'
Term Exp,ses ;V;orch oo, 1,�71
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TOWN OF SOUTHOLD PROPERTY IRECOR'D SCAR®
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FOR/1ilER iOWNER• N - r / 'E -
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= LAND IMP. TOTAL DATE REMARKS
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(o/ o tZ) 67 ,96 7/ 6
AGE BUILDING CONDITION `
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
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Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD _
Meadowland DEPTH
House Plot BULKHEAD
Total DOCK
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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. #-
l / Building(s) Date-
Use(s)
located at
Street Hamlet
shown on County tax map as District 1000, Section J Y o , Block 0,
Lot 1 O doe< ticonform 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 /_/ 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:P ,
The Certificate is issued to
(ow: 6r tenant) ,
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO:
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.
CJ
Building inspector