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Home My WebLink AboutZ-12796 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. # Z12796 Land Date Sept.20 ,1984 Building(s) Use(s) located at 2570 Bray Ave. Mattituck Street Hamlet shown on County tax map as District 1000, Section 126 Block 10 , Lot 005 does�'not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total 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) /_/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. story wood frame dweilina in .tie A-Residential-Agricultural Zone with access. to. Bray .Ave;,a. Town • Maintained Highway, The Certificate is issued to Wm. J.. GRAF. (RIEBLING.,former owner) (owner, tessee-zz tenant) OIL 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 FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall ;I outhold, 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. . 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 J 2. Certificate of occupancy on pre-existing dwelling / land use --Pre-Existing C . O . $ 15 . 00 3. Copy of certificate of occupancy $1.00 r Vacant land C . O. $ 5 . 00 /Date . . . . . . . . . . . . . . . . . . . . . . . . . . 1928 New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . . . . . . . . . Vacant Land Location of Property a 5QC) . . . . . . . . . . . . . :. , ,Bray Avenue:. Mattituck.• • . . House No. Street Hamlet ebl - I Owneror Owners of Property • • • • • • , •Catherine• R. . . . . . . • • • . . . • . . • • • • • • . • . • • • . . 1 County Tax Map No. 1000 Section . . 26A 0 . . . . . . . . Block . . 10,00. . . . . . . . . . Lot 005,000 ! Subdivision . , George ,I:• Tuthill • • • , • , ,Filed Map No. : . 861 . . . .Lot No. •91j p•/o•.90,,92 PermitNo. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . • . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . , . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . Fee Submitted $ ,15 .00 • • • • • • • : • Construction on above described building and permit meets all applicable codes arid regulations. Applicant . . . . . . . . . . . . . .%.. . . . . . . . . . . . . . . . . .. Rev.10-10-78 STATE OF NEW YORK) ss . : COUNTY OF NASSAU ) CATHERINE. K. RIEBLING, being duly sworn deposes and says: I am the previous owner of property located at Bray Avenue, Mattituck, New York. Having - owned same since September 21, 1956 , I am familiar with the property since on or .about D.ecember `1944 when my mother�; � Cather ne K. Riley, acquired .title to the .premises . From said time to the present, the premises has been used and occupied as a single family dwelling, and the one-story frame dwelling with attached porch has been the only structure thereon. This affidavit . is made to induce the Town of Southold to issue a Certificate of Occupancy on the subject premises . CATHERINE K. RZEBLING Sworn to me this 20th day of August, 1984 , CORNELIA C.AR OLD Nobuy Public.State of New Yak QnIMW In Nassau County No.30.4?UW Commission Expims March 30,19W \ F CC•TAk t-4 4 P LD! F: i 0 7 - V� All 47. {.1j J�Cl-l� -- + CL i :. C) - -1 _ - j.. -. ,;. . S,h .L a P�T10✓t1i wLS• lury uewravtTtOq .. r E'�-(�`� ., 10 DO S1FSy;E3 16 A Wa"TtrVt OF T—vA N1; ,E±j; OCTIo-N»s op TpLr I*w Yoa- szArF 3 - LAW. L2 IMMES OF THIS SLIMY WAP Not UA INOt' G.t !a-a.,'N;T�C.i,'r Et�ST_.CGHZT ABS72fi CT Lt�t�. ..T4 .:liA EA_i g:10/EYORS I NJ DEAL CA L:Q.1 !�. Y'-�is E-:.; s� ". .T.�-�;-1•,'_ �.>. ::� .:a 1.'^+a-.V c�*.�EG. +`4�'T" ^`.+ 1�;•. _ ` 3 o:wU)SEAL SHALL rmT I12:'cor�-"�-.:,a �•[ �,.•�1•e4 3Q 9i A VALID TRUE COPY, ; 15 j(�i / ED N.. tf`•I ?;I j��.� I,r ji1/3LSAMM LMCATMf,(S+i/l!L {. 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