Loading...
HomeMy WebLinkAboutZ-16064 TO%\ .... ~F SOUTIIOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTItOLD, NEW YOP~K CEriTIFICATE OF OCCUPANCY NONCONFORMING PREMISES TIIIS IS TO CERTIFY that the }[ / Land ~ / Building(s) /-/ Use(s) 280 Youngs Ave. located at 4 15 Pine Street Pre C.O. #- z-16064 Date- August 17, 1987 Mattituck, New York Street Hamlet shown on County tax map as District 1000, Section 14 I , Block 01 Lot 37 , does.[not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; front yard set-back; side yard set-back for accessory shed On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /Z7/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 appli- cable provisions of said Code. IT IS FURTHEI% 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 1 story, one family, wood framed dwelling with attached deck; accessory garage; shed; hedge all situated in 'A' Residential Agricultural zone, with access to Pine Street & Youngs Avenue. The Certificate is issued to DANIEL H. WALOSKI of the aforesaid building. (owner, ] x~ X txaSf~gU{ x Suffolk County Department of Itealth Approval N/A UNDEt~Wt~ITE£tS CEIUFIFICATE NO. N701260 NOTICE IS t{EREBY GIVEN that the owncr of the above premises I-L~S 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 Buildinff Zone Code, and therefore, no such inspection has been conducted. Ti~is Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and reffula- tions. f:uiidin; inspector FORM NO. 6 ~ : TOWN OF SOUTHOLD ~ Building Department ~ Town Hall Southold, N.Y. 11971 765- 1802 1 ....... APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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. I B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" , I land uses: -~j~----~/ '~l. Accurate survey of pz~perty 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. J, ~/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 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$ ]0.00 Business $50.00 ----~ 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConstruc%ion ...... ~ Pre-existing Building ....V~.. ..... Vacant Land ............. Location of Property ,~,,0 CJk]~ '~.~TJ~.~--T' J'YJ,~;TTI'J~CJ~ Jk.)~'"~. J[CJSo-~ House'' No.''''''''''''''''''''''''''''''''''''''''''''!Street ~'''' .... ''''''''''Hamlet Owner or Owners of Property . .P .~. ~ !..~..L:,...U.~.~.....[~...~./.¢..~...~..T~. ................. County Tax Map No. 1000 Section ..... J..q. ! ...... Block ..... ~ .~. ...... Lot....~..~..t ...... 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 $., .~.0: .O..O. ................... Construction on above described building and permit meets all applicable codes and regulations. Applicant . '.. /.%~..C..~. ?...~.'...c~.. ~?L. ....................... NANCY T. FUSCO NOTARY PUBLIC, State of New Yorl~ 4882475 QueJlfled In Suffolk County Commission Expires J~n. 20, 19~ Rev. 10-10-78 Sworn before me this 3rd. day of August,1987 O0 '00 1