HomeMy WebLinkAboutZ-12269TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YOP, K
CERTIFICATE OF OCCUPANCY
NONCONFORI~ilNG PREMISES
THIS IS TO CERTIFY that the
No. Z12269
February 16,
/~'/ Land
/~/ Building(s)
/-/ Use(s)
located at
5350 County Road 48
Mattituck
1984
Street Hamlet
shown on County tax map as District 1000, Section 140 , Block 02
Lot 015 , does~not}conform to the present Building Zone Code of the
Town of Southold for the following reasons:
'the property has insufficient area. The dwellin9 has an
insufficient front yard setback.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /X~/Land /3~: Building(s)
/5/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: a private one-family dwellin9 with
accessory 9arage in the rear yard. This property is located
in the 'A' Residential-Agricultural Zone.
The Certificate is issued to ROY L. WINES, JR. & VIOLET A. WINES
of the aforesaid building.
(owner, l~e-o~ [~i~ml£~
Suffolk County Department of Health Approval no record
UNDER\VRITERS CERTIFICATE NO.
no record
NOTICE IS HEREBY GIVEN that the owner of the above premises tLzkS
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.
ELIZABETH
NOTARY
Term Expires
FORM NO. 6
TOWN OF SOUTHOLD
Building Deparbnent
Town Hall
:~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.
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 peoperty showing all property lines, streets, buildings and unusual natural or
topographic featu res.
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/ land use --?~e-~;×±s t±ng C.O. $15,00
3. Copy of certificate of occupancy $1.00 ~'acant~ l&nd C.O. $ 5.00
ate .......
New Building ............. Old or Pre-existing Building ........... Vacant Land .............
Location of Property..Hou~e. 5.No..~..~..~. ............ ~OL~)'~t~eet~ ;' '~' ' ~' ....... '~'~' ~' "' '~' ' ' '~Hamlet
Owner or Ownersof Property ....~..~...~' ,.~...~-~,5,.,..~".~.....~..~3~.~. ,~..
County Tax Map No. 1000 Section ... j . .~..O. ...... Block ...~..,'~, ....... Lot .... O..(. ~ ......
Subdivision ......... ~ ...................... Filed Map No. )~ .Lot No, . .~.
Permit No...t~j~y~...... Date of Permit .......... Applicant ..................................
Health Dept. Approval .... L/tJ~ ·..~..~. ~.~ ..... Labor Dept. Approval ..... ~... ,~. C~ ....
Underwriters Approval .... ~ ..... ~..~, ~...Planning Board Approval ....~....../t~,~. ....
Request for Temporary Certificate ..................... Final Certificate ........ .~.. ...........
Fee Submitted $ .... I. ,~,: ?,0,, .~.. ~.-.~ .........
Construction on above described building and permit meets all applicable codes and regulations.
Applicant .
Fdl DOLE ~QA.D C,~. 48
NI.S$'OZ' 20' E. liB,7~