HomeMy WebLinkAboutZ-11903 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES No . Z 1 1903
September 6 , 1983
THIS IS TO CERTIFY that the
/X/ Land
/X/ Building(s)
/X/ Use(s)
located at 4275 Stillwater Avenue Cutchogue
Street Hamlet
shown on County tax map as District 1000, Section 137 Block 03 ,
Lot 001 does�not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
There is a non-conforming garage/cottage in the frontyard , and
a _private one-family dwelling on the same property , and the area
does not meet present requirements .
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/Uses) 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: a private one-family dwelling with two
( 2 ) attached concrete patios , and a non-conforming garage/cottage
in the frontyard .
The Certificate is issued to GEORGE E . MARCHAIS
.(owner, oa� )-
of the aforesaid building.
Suffolk County Department of Health Approval no record
UNDERWRITERS CERTIFICATE NO. no re'cord-
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.
BuLdin� inspector — Y
FORM NO. 6
TOWN- OF.SOUTHOLD
Building Department
Town Clerks Office
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
Inspector 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
installations, a certificate of Code compliance from the Architect or Engineer responsible for
the building.
S. 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 property 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 in-
formation 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
Date .........
New Building ................ Addition ................ Old or Pre-existing Building;.....X.:�.... Vacant Land ..............
Location Of Property Northeast side of Stillwater Avenue, Cutcho�ue, NY
............................................................................................CutchoEl�, �y
.........................................................................I..................
Owner Or Owners Of Property ...GUNE...4TA... ................................................
Map of property of M. S . Hand, 8 9 &
Subdivision Cut hogue,...L...Z_... .U..Y.................Lot NcFa ....10... Block No. ............ House No.............
PermitNo. .................... Date Of Permit ...................:Applicant ..................................................................
HealthDept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval ..............................................Planning Board Approval ........................................
Request For Temporary Certificate ........... Final Certificate ....?...........
............................. .. ......................
Fee Submitted $ ...1S...OQ..................... *PLEASE SEE ATTACHED AFFIDAVIT.
Construction on above described building and permit meets all applicable codes and regulations.
e0 --2- it 903
R@r . 'aa�9 IS
7, ✓��fg ApplicantGEORG.... ...R/.:C.4 ..............................................................
� (�
Sworn to before me this 4'/1��3 ® (`�`�" ( G`' F_V_
31 s t ,,,,,Apgps,t.,,,J. 8.
....,.... daryf ........ (stomp or seal)
Notary PubSuffolk ty WILLIAM WICKHAM
.... ..... .. ..... .., c.oun
Notary Pubft Siam of Niw Yak C� Z
Ift 62412111101M a su 006
Ca111 l-bo lbo"Mr10h�0,1
STATE OF NEW YORK)
ss . :
COUNTY OF SUFFOLK)
GEORGE MARCHAIS, residing at Stillwater Avenue,
Cutchogue, New York, being duly sworn, deposes and says :
1. That his wife, JEANETTE MARCHAIS, and he are the
owners of certain property on Stillwater Avenue, Cutchogue, New
York, known as Lots Nos . 8, 9 and 10 ,. "Map of property of M.S.
Hand, Cutchogue, L. I . , N.Y. dated March 4 , 1930" , Suffolk County
Tax Map No. 1000- I - % -
2. That the property was purchased from M. S. Hand and
wife in 1945 and 1946.
3. That the residence was built in 1947 and the
garage apartment in 1948.
4. That no additions or changes have been made to
either building since 1957 .
5 . Deponent makes this Affidavit to obtain from the
Building Department of the Town of Southold a Certificate of
Pre-existing Use for both buildings .
'f rl' C�NG�ati.
GEORGE MARCHAIS
Sworn to before me this
31s/Y;2At, 1983
1NIWAM VOCKHAM
Notary PUIft•Mb of New York
No. 62P4259M•Suffolk County
CommW=�Murah 30,105-
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AMER/CAN .TITLE INSURANCE CO.
✓OESEPH BURGER $ JANE ; UX
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30, 130.06 BA BA RA JANE M c CL USKY
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3yo 6 donack associates
OF NEIV
W. DON90'F land surveyors and
consulting engineer--
313 west main street
riverhead new york 11901
�0. 4926� '
Fo SAND (516) 369 1717 (212) 746-302(
Aug.l6, 1983 Job N° 83- 321
S 1000 - 137-03-01 Scale : 111 =30'