HomeMy WebLinkAboutZ-15034TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN I~Lt LL
SOUTtIOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/~_/ Land Pre C.O. #- Z15034
/ / Building(s) Date- October 24. 1986
/-/ Use(s)
located at 39695 Main Road Orient, New York
Street Hamlet
shown on County tax map as District 1000, Section 015 , Block
O8
Lot 15 , does,~not)conforrn to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /i/Land /l/Building(s)
/i/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 ~llows: Property contains one story~ one family wood
framed dwelling, replaced by fire 1973; Permit 6952Z C.O. Z5875; with
attached deck; barn; shed; accessory apartment and situated in the 'A'
Residential Agricultural zone with access to Main Road; a State maintained
highway.
The Certificate is issued to
of the aforesaid building.
Thomas & Lorine Young
(own er, ~mR xD~x ~t x x
Suffolk County Department of Health Approval
N150489
UNDER%q:tlTERS CERTIFICATE NO.
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises tLiS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with al! 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-
Building inspector
FORM NO, 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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:
I. 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 disposel--(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 iprior 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 df 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
(~. Certificate of oc~:upancy on pre-existing dwelling
Copy of certificate of occupancy $1.00
4.Vacant Land C.C. $5.00
5. Updated C.C. $15.00
NewCOns truc tion ...... Old or Pre-existing Building
$15.00
Data ..........................
·. ~ ........ Vacant Land .............
Locat,on of Proparty ................ .... .......
House No. Street Hamlet
Owner or Owners of 'rope,y ~ ~~ ~~/ ..............
V --
County Tax Map N . 1000 Section ........... Block ............. Lot ,/~, .........
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 $ .............................
Construction on above described building and~t meets all applicable codes and regulations.
Applicant.. ~z~f., ~.~ryz~.~ ........................
Oct. 17,
To whom it may concern---
We, the undersigned, do say and declare that
the existing out-buildings, namely garage and shop,& apartment
on the property owned by Thomas W.amd Lorine M. Youn~ --
District X000; Section 15; Block 8; Lot 15 on the Main
Road, Orient Point, N.Y. 11957, were existin~ on said
property prior to April, 1957.
Sworn before me this
21st daz of October 1986.
--Not~ry Publ~
FLOYD F. KING, JR,
Notary Public Slate oJ~ New Yorl~
No. fl2-7267800 Suffolk County
Term Expires Merch 30, 19j~J .~',~
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