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