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Home My WebLink AboutZ-13173 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the Pre C.O.Z 13173 Date 1/25/85 / X/ Land / V Building(s) / / Use(s) located at 13675 Main Bayview Rd. Southold Street Hamlet shown on County tax map as District 1000, Section 088 Block 02 , Lot 016 doesbnot)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient Total Area.. Insufficient Front Yard Set-back. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /g /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: Two story wood framed one family dwelling with attached porch with 3 accessory sheds; a barn and water tower; e_ situated in the A-Residential-Agricultural Zone with access to Main By View Rd. a Town Maintained Highway. The Certificate is issued to EST. OF ROBERT MAHNKEN (owner, 1 � ) 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 r' FORM IYO.6 TOWN OF SOUTHOLD Building Department Town Hall 41outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted dvp4+eateto 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, --Pre-Existing C . O . $ 15 . 00 . 3. Copy of certificate of occupancy $1.00 / Vacant hand C . O . $ 5 . 00 Date . . . 0� l,Z ' t "... . . . . . . . . . . New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . v . . . . . Vacant Land . . . . . . . . . . . ? Location of Property 3�?75 . . . ... y� House No. Street � �� Hamlef Gi Owner or Owners of Property . . v�,lJ . .�'. . .v�.J.A . . !/.� �• . . . . County Tax Map No. 1000 Section . . .U . . . . . . . . Block . . .,;�. . . . . . . . . Lot . . . .A6. . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant : . . . . . . . . . . ,1 Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . '# . . . . . . . . . . s-s UnderwritersApproval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . ... . . . . . . . . . Fee Submitted $ . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all a Pp 1* able codes and regulations. Qom- Applicant �!. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..�?- 10 -?- 1-61��j �' a9� Rf,v.10-10.78 ��`�— STATE OF NEW YORK COUNTY OF SUFFOLK ss . : ANNE-MARIE VAN MATER, being duly sworn, deposes and says : 1) That I reside at 43675 Main Bayview Road, Southold, New York, 11971 . 2) That I am the daughter of the late Robert Mahnken and the late Florence Mahnken, his wife; that I grew up in the premises known and described as 43675 Main Bayview Road, Southold, New York and; that since said premises was purchased by my father and mother in December, 1962 it has been used and occupied solely as a one family dwelling and that such use continues up to and including this date and that the condition of the buildings on the premises can be described as average for .structures of their age. 3) That I am making this affidavit at the request of the Town of Southold Building Department as part of an application for a "Pre-Existing Certificate of Occupancy1for the premises . ANNE-MARIE VAN MATER Sw n to before me this le day of December, 198 Notary Public :r.. Cai:;;ty C:rr ,iss r [;pires March 80, 194 i ii le N9 S-40OZ5 AIc I � \5.63� IT'�O'E.. �3�•8 � 'fYGO I 01 P�1 s J is a ;::D,-; ors E-a F-14Tu M , _xt N.6 z®i'W. TWI VG ScCa t� . 5Ca'= ti•, al MAP oi= Le,, No = i votti pi= SldRV -rla D FQR p :ire:r�:��:' 'cr' 4'. 1:c ;Z' , ' � N C�, Co s ee �+t pact � as uYv y d Nov, .. AT "W. VoH 1 uyI Y Sort 7OWN OF 50U``t WC�G De N _l� _ Lice"sc---J Lap�d 5uv��ucat•1-5 v