HomeMy WebLinkAboutZ-14385TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREIVIISES
THIS IS TO CERTIFY that the
/ X,$ Land
/ Yk Building(s)
/_/ Use(s)
Pre C.O. #-Z14385
Date- May 8, 1986
located at 2725 Skunk Lane & 55 Leslie Rd. Cutchogue
Street Hamlet
shown on County tax map as District 1000, Section 97 , Block 4
Lot 14 , doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area. Non -conforming garage and shed in front yard.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming $X/ Land FX/ 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-
Property contains a two story, one family,
tate is issued is as follows: wood framed dwelling with an accessory
garage and shed; and a rail fence across the rear. Property is
situated in the A -Residential Agricultural zone with access to
Leslie's Rd. a town maintained road.
The Certificate is issued to JUDITH & WILLIAM WURTZ
(owner,)
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERIVRITERS 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.
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 nv� 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 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. $5.00 �
5.Updated C.O. $15.00 Date.....::�.1.�.�:�.
v
New Building ............. Old or Pre-existing Building ............ Vacant Land ...®.'.... , ... .
Location of Property . -Aq Zh `� x�—� d v ted' S J L �� a � - Q �c ON k�
House No. ,...................... Street ..../.....................He let
Owner or Owners of Property ... r ..4t .7`7` • • • • T • • • • • .011111
County Tax Map No. 1000 Section .... T1 ....... Block ...... ....... Lot ....i ..........
Subdivision .................................Filed Map Ng�o.. ))..........Lot No. .............
Y.`.
Permit No. .......... Date of Permit ..........Applicant.1.0.1ftim ... W,.W,1!tlLr�...
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate .... ..................
Oo
Fee Submitted $ ,�D......................
Construction on above described building and permit eets a ppl able codes and regula 'ons.
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aB9Q2 Applicant ....... ... .. .. ....... . . ............. .
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