HomeMy WebLinkAboutZ-12347TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/X / Land
/X/ Building(s)
/ / Use(s)
located at 620 Sigsbee Road
# Z12347
Date March 13,
Mattituck
1984
Street Hamlet
shown on. County tax map as District 1000, Section ] 43 , Block ~
Lot 8 , does~not]conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient Total Area
Seasonal Dwellinq
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /_~/Land /~/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-
cate is issued is as follows: A-Residential-Ac.[ricultural Zoned
The Certificate is issued to
of the aforesaid building.
Arnold A. Bocksel
(owner, lessee or tenant)
Suffolk County Department of He'alth Approval
UNDERWRITERS CERTIFICATE NO.
N/A
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS
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
$outhold, N.Y. 11971
78 MILLER BLVD.
~YOSSET, N.Y. 11791
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.
B. 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
topograph ic 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. Certificateofoccupancyonpre-existingdwelling/landuse--?z-e-E×±st±ng C.0. $15.00
3. Copy of ce~ificate of occupancy $1.00
Vacant la~ C.O. $ 5.00
,Date ...... ~ ~/~.~ .....
/.
New Building ............. Old or Pre-ex,ting Building ...~.~ ..... Vacant Land .............
Location of Prope~ ~.~..~.. ~4 ~.. ~?_~~~ ~,
Owner or Owners of Prooe~ ~O.~b ~. ~C~--~ ( ¢'~/~~
CounWTax~ No.~';;c~on~'"']~.5'~...T~'Bloc''';'7....'"'~)~7~j~'~il]~]~'
~~:: ..... ~: ./. 4 ~[ ....... ~led Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporarg Certificate ..................... Final Certificate /
Fee Submitted $. /~" ~'~
Construction on above described building and permit meets all apRlicable,godes and regulations.
Applicant ~~..; ...............
Rev. 10-10-78 ~ ARNOLD A. BOCKSEL
SYOSSET. N.Y. 11791
i..ot
UNAUTHORIZED ·LTERATION OR ·DDIT1ON TO
THIS SURVEY IS · VIOLATION OF SECTION
NO?E:
· =MONUI~EN?
SUBDIVISION MA P FI£ED IN TI~ OFFICE
OF THE ¢£ERI~ OFSUFFOI i~ COUNTY ON
,/AN. 12, 1926 AS
REVISIONS
~/\.,~10'~° YOUNG & YOUNG
.400 OSTRANDER AVENUE, RIVERHEAo, HEW YORK
ALDEN W. YOUNG HOW'ARD W. YOUNG
PROFESSIONAL ENGINEER AND LAND SURVEYOR
SURVEY FOR:
JAMES P. HINES
LOTI2 8, 13
"AMENDED MAP OFMATTITUCKPARK PROPERTIES, INC."
AT LAUREL
I TOWN O~ MA'ETITUCK
SCALE:
SUFFOLK CO., N.Y.
= 40' I DATE:
GUARANTEED TO:
COMMONWEALTH LANDTITLE INSURAN(
/ CO.O~NEW YORK