HomeMy WebLinkAboutZ-16957;? SOUTIIOLD
OFFICE OF BUILDING INSPECT(bit
TOWN HALL
SOUTItOLD, NEW YOP, K
CER. TIFICATE OF OCCUPANCY
NONCONFO[tMING PREMISES
TIIIS IS TO CEFtTIFY that the
/~/ Land
/--~ Building(s)
/-/ Usc(s)
located at ]475 Pine Neck Road
Pre C.O. #- Z-16957
Date- June 3, 1988
Southold, N.Y.
Street Hamlet
shown on County tax map as District 1000, Section 070 , Block 05
Lot 40 , does.~not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area;
non conforming 2nd dwelling four accessories
in front yard. Insufficient side yard set-backs on two d~ellings and
rear setback on one dwelling. One dwelling insufficient habitable
Space.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /--~ Land /~/Building(s)
/i/Use(s) existed on the effective date the present Building Zone Code of the
To~,vn of $outhold, 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 -~_o~nd use for which this Certifi-
cate is issued is as follows: Property contains 2 one family, wood framed dwellings;
four accessory buildings; wood retaining wall; dock and all situated in 'A' Residential
Agricultural zone, with access to Pine Neck Rd. a Town Road.
Permit 1204Z for addition to Main Dwelling C/0 Z873.
The Certificate is issued to
of the aforesaid building.
Suffolk County Department of Ilealth Approval
UNDEt~WI~ITEfiS CEIUFIFICATE NO.
CHESTER & ANNA ALBERTSON
(owner,
N/A
N/A
NOTICE IS I{ER, EBY GIVEN that the owner of the above premises tL~S
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine ff the premises comply with all applicable codes and ordh~-
ances, other than the Building Zone Code, and therefore, no such inspection
has been conducted. This Certificate, therefore, does not, and is not h'~tended
to certify that the premises comply with all other applicable codes and reffula-
tions.
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 I 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 featu res.
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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p: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.
C. Fees: Additions $25.00 POOLS $25.OOALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory .$ ]O.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 $10.00
5.Updated C.O. $ 50.00 Date .......................
NewC°nstructi°n ...... Old or Pre-existing Building .... /~. ...... Vacant Land .............
House No. Street Ham/et
County Tax Map No. 1000 Section ....... ,~¢~.. ..... Block ...... ~ ..... Lot .... .~, .O, ........
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 . ~ ....
Construction on above described building and~permit meets all applicable codes and regulations.
Rev. 10-10-78
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