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Home My WebLink AboutZ-14129 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /X/ Land Pre C.O. #- Z141 .9 /X/ Building(s) Date- 12/30/85 I / Use(s) located at 2200 Grand Avenue Mattituck Street Hamlet shown on County tax map as District 1000, Section 107 Block 02 , Lot 010. 1 doesinot)conform to the present Building Zone Code of the Town of Southold for the following reasons: . _ insufficient total area: accessory garage in side yard: insufficient front yard area. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming F / 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: property contains a two-story, one=family wood framed dwelling with an enclosed porch & decks Property also contains an accessory garage and an inaround swimming pool with enclosed fences.**Property situ?ted in the A Res-Agr. Zone. The Certificate is issued to MARK L. ROLLINS SR. & BEVERLY ANDREWS .(owner, 1�-s-� e-trr-#errf� of the aforesaid building. Suffolk County Department of Health Approval no record UNDERWRITERS CERTIFICATE NO. N 726698 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. *B. P. 10305Z issued for open deck, C, O. Z11239 issued for same. **B. P. 12211 issued for pool, C. O. Z11756 " same. Building inspector 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 n v�iiiii 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 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 -- —2. Certificate of occupancy on pre-existing dwelling $15 . 00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5. 0 0 Date . . . . . . . . . . . . . . . . . . New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . . . . . . Vacant Land ... . . . . . . . . . . . Location of Property . . .�'.2".0 0. . .C'r+!'ae-r,CY . . .t'!'. �. .. . . . . . . . . . . . . . . . House No. Street 1 Ham/et Owner or Owners of Property . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . . . f.`.0 . . . . . . . Block . . . .Z . . . . . . .Lot . . .®�.�'. 1. . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . ..:. . . . . . . . . . . . Health Dept. Approval . . . . . . . . . .-. . . . . . . . . . . . . .Labor Dept. Approval . . . .. . . . . . . . . . . .... . . . . ... Underwriters Approval . . . . . . . . . .6.41. . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . .. . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . Fee Submitted $ : . . . . . . . . . . . . . . . . . . ... . . . . . . . Construction on above described building and permit meets all a Iicable codes and regulations. Applicant .. . . . . . . . . Rev.10-10-78 INS . $ B V,E'" R.LY A IN D 12 N/lAF'Y" F-Y) Al /I.T : .f -Z-f %AJO 0 0 C L wi L se s )'L'A L KEY rAAP 7 L2 f V 3 A M E-:r-I P E 0 :5 5. P 1'. 196 57 ------------ GyLJA.P.A.N'TI-EED TO THE AMEWCAN T11-LE INIS.U'KANCF MMPANY. ur,a,ttin.!zed site-ration or addition AJ SUPVEYED' AUG. 1011978 to is survey is a violation n of P Section 7209 of the New Yolk SWO 0 D�'R I V 71 31, Education Law. Copies of this OUNSY M&P nut bgldf* j -r,P iand surveyor s traced seal or ve embossed Seat SIIZII not be CGrdk'WW to be a valid true coPY. Guarantees indicated 11001MCM11" ICENS-Eft) LAND V, C) only to the person for VdMM Ole MWVWLI-� is prepared,and on WS behalf to ttte title company.governmentel QOWW end lending institution listed hereon and to the assignees;of the tending Ined- tution.Guarantees are not transferable to ixidit bonv.1 institutions or sub"RuGnt 222 h1•� `C2CC)2,, •�2��GG�T ci Q w ' 2 W IN d t � � • � fF��c/1 EY � . cofoPvOLS s vi i C' 3► !r:" � cYl _ PORCH LL) v'N 2 7OPY L.YYSrORYa GAR. . . . .FR.Ho. ; eorc CN -- U) 5.75.44'00'W, . . 210.00 MAPLE . /PRiVA''E ROAD AVkNUE . SiJ�F;>t.Ft C�..`� k t yry DI".Sic��"�Az..fO� f : .,. . .. 4�-•�� C►S71OX) .LE:.CT. ,;7 . _.awe-a.r .......«+-_.ar+..r._._.+..+ . . .rr ._ .,.-r +cr•a .a .. .... _ .__ _— _ V. • , ® •• InteriorFULL SLAB Ext. Walls r • Fire Place ' 1 • Woodstove lr Rooms 1st Floor gt _._ ._.. ._ :„.�..d•.1.ast:.::._�...._.__...........�.r..... ._......�.._.....- - --_-. _ ............._.............r.�a.a:ie -P"-"" - «-.attics.-:ma'4�:a<:•<.:-�.�-.'%*!-'^Sai'1ri��.t�• TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT �.a FORMER OWNER N E ACR. p U r --`~i %3eVerl S revlS C� 4 j W TYPE OF BUILDING Mqr{C Ro►I"nS ad", 4ko RES. Z IC) SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 24 PT z -L 10 5 - s i,f .o -r 3 . � a a�a 212 z 2- , 4W- vC� 3 Z c�C� 3 U c� l�, t ✓ %J— u— r7 o O 3 I o 8 00 v5 .ra q 2 3 -G6YtJ o 'b f�c 7 P� ZIoo 2 YoD P# e I4et,--f 66,QQ 1 0 C&SS bid IF4 Saov la S- 11-75-f7p Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH -2 House Plot BULKHEAD Total