HomeMy WebLinkAboutZ-13448TO\VN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN PLiLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORAfING PRE]¥IISES
THIS IS TO CERTIFY that the
/X_/ Land Pre C.0. #- Z15/I/18
/ / Building(s) Date- May q? q~8~
/-/ Use(s) '
located at f6155 Middle Road
Street
shown on County tax map as District 1000, Section
Cutchogue
Hamlet
10~ , Block
01 ,
Lot ~5-~ , does.~not~conform to the present Building Zone Code of the
Town of Southold for the following reasons:
i{sufficient total area. Prooerty size by Zonin~ Board of
Aooeals, #2001.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /~/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 follows: property contains a one and one-half stomy
wood framed, one-family dwelling with attached patio; an accessory
oumo house; and accessory shed. Property situated in the A-Resi-
· dentiat-Agricultural Zone with access to County Rd. 48, a County
maintained road.
The Certificate is issued to
of the aforesaid building.
IOLA ADAMS
(owner,
Suffolk County Department of Health Approval no record
UNDER%lrRITERS CERTIFICATE NO.
no record
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 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-
tions.
Building inspector
TOWN OF SOUTHOLD
Building Depa,tment
Town Hall
Southold, N.Y. 11971
Instructions
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 pz"operty 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.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
$15.00
Date ....~.a.7.2,:..19..85.,,: .........
New Building Old or Pre-existing Building × Vacant Land
I~{"~--"('~ f/~'Middle RoAd Cutchogue New York
Location of Property ~,o , ,
House No. Street Ham/et
IOLA ADAMS
Owner or Owners of Property ...........................................................
County Tax Map No. 1000 Section . .~.0.~ ........... Block ...~ ............ Lot..-~...~.5.~ ~ .....
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 $ 15.p0
Construction on above described building and permit meets all applicable codes and regulations.
p~.~ .~. I~/~J~ Applicant ...... ~ / ..................
IOLA ADAMS
Rev. 10'10 78 (~' '~oL~o.~ II
AT
STATE OF NEW YORK)
SS.:
COUNTY OF SUFFOLK)
IOLA ADAMS, residing at San Simeon By The Sound, Inc., (No #) North
Road, Greenport, New York, being duly sworn deposes and says that:
Deponent is the owner of premises located at (No #) Middle Road,
Cutchogue, New York as shown on the attached survey by Roderick Van Tuyl, P.C.
dated April 19, 1985. The premises were purchased by Deponent and her late
husband, JAMES E. ADAMS on August 4, 1947.
Shortly thereafter the residence and shed were constructed on the
property. No exterior alterations, additions or extensions have been made
on the property since 1957. This has been the residence of Deponent since
it was constructed.
Deponent makes this application to the Building Department of the Town
of Southold for a Certificate of Pre-Existing Use.
IOLA ADAMS
Sworn to before me this
Not r u llc .....