HomeMy WebLinkAboutZ-17063 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. #-
Z-17063
4= Building(s) Jul 6, 1988
Q Use (s) Date- July
located at 200 Center Street Mattituck, N.Y.
Street Hamlet
shown on County tax map as District 1000 , Section 123 Block
02 , Lot 22 , does (not) conform to the present Building Zone
Code of the Town of Southold for the following reasons :
Insufficient total area; lot width
On the basis of information presented to. the Building Inspector ' s
Office , it has been determined that the above nonconforming 2:17 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 applicable 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
Certificate is issued is as follows : Property contains a 1- , story, one family
wood framed dwelling with permits 5112Z-C/0 Z4227' for accessory storage building;
permit 3596Z-C/0 3051 Z for addition and alteration; Permit 7241Z-C/0 Z-6441 for
accessory garage; permit 15133Z-C/0 Z15147 for pool and fencing, and all situated
in 'A' Residential Agricultural zone, with access to Center Street, a Town maintained
Road.
The Certificate is issued to RICHARD & BARBARA MATHEWS
(owner, � ��xcX �
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
ordinances , 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 regulations .
Building Inspector
/ear Cal/ Qs soon as �eQ
7hf� FORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted 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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
�1. Accurate survey of p=. perty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occtpancy 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: Additions $25 . 00 POOLS $25 . 00 ALTERATION $25 . 00
1. Certificate of occupancy New Dwelling,$25.,0.0, Accessory,$ 10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50-. 00
3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $ 10 . 0 0
4.Vacant Land C.O. $ 20 . 00
5.Updated C:O. $ 5 0 . 00 Date . . . . . . . . . . . . . . . . . . . . . . . . . .
NewConstruction• • • • • • Old or Pre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . . . . . . . .
Location of Property . . . . . cio. . . . . . . . . . . . . . � r. .se . : . . ... . . . . . . ! 4 { vC,lc.•
House No. Street Ham/et
Owner or Owners of Property . . . .&q ?Q?V • •F • c?Rd • • • • . • _ •
County Tax Map No. 1000 Section . . ./-?-3. .. . . . . . Block . . . .,2 . . . . . . . . . Lot . . . `�- a- . . . . . . . .
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 . . . . . . . . . . . . . . . . . . . . .
Fee Submitted $ . . . . . . . . . . . . . . . . . . . . . . . . . . .
Construction on above described building and permit meets all applicable codes and regulations.
Applicant . . . °:y`• �. • • . . . . . . . . . . . .
Rev.10-10-78
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PATRICIA A. SPE iv
Notary Public, State of New York
No. 4791709
Qualified in Suffolk County
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