HomeMy WebLinkAboutZ-11823 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES No. Z 1 1 823
August 1 , 1983
THIS IS .TO CERTIFY that the
/X / Land
/X / Building(s)
/X / Use(s)
located at 205 Cedar Drive Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 106 Block 10
Lot 018 doe<not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
land has insufficient area , width , and depth , insufficient front
yard ; the dwelling .has insufficient livable area .
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)
/X/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: one-family dwelling and accessory
"shed" building.
The Certificate is issued to HENRY & KATE MARTENS
.(owner, le
OIL 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
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 $5.00
2. Certificate of occupancy on pre-existing dwelling r land use-$ 1 $5.00
3. Copy of certificate of occupancy $1.00
Date . .
New Building . . . . . . . . . . . . . Old or Pre-existing Building(X) . X _z 'Vacant Land . . . . . . . . . . . . .
Location of Property . . . . c!�:' ,_.,_. . ._Cedar Driye , , , , , , , , , , , , , , , ;Ma�tt tu¢Ix, , , . . . .
House No. Street Hamlet
Owner or Owners of Property . .Xate ,Martens„-: ,_
County Tax Map No. 1000 Section . :!QrP. . . . . . . . . . Block . . _ 10 . . . . . . . . . Lot . . . 1$ . . . . . . . . . .
Subdivision Property of Mattituck DevelFInn No. 776 . . . .Lot No. 5-6-7. . . . . .
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 $ . . . . . . . . . . . . . . . . . . . .
Construction on above described building and permit meets aa�l/l�appl{cablqGode$and regulations.
Applicant(_ .,/. l S-f?�' ' . . . . . . , . . . . . . - . . . . . . . .
l` �} CCO � tl $23
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STATE OF NEW YORK )
COUNTY OF SUFFOLK )
KATE MARTENS., being duly sworn, deposes and says:
That I reside at 12 Palmetto Point Street, Toms River,
New Jersey, and I am the owner of the premises known as Lots 5,
6 and 7 on Map of Property of Mattituck Development, Inc. , Map
No. 776 since 9/18/67.
That the said premises had been owned by William Bauer
and Helen L. Bauer, His Wife, since 4/3/44 and had been used
and occupied as a one-family dwelling.
That the building erected on the said premises is and
.has been in good condition and suitable for occupancy as a
one-family dwelling.
date Martens
Sworn to before me this W-4
day of 1983�
,A�I CLAR
N ARY PUBLIC.state of Now V0*
No. 52.6712600 ruy ��
Term Expires March March 30 198..7