HomeMy WebLinkAboutZ-13976TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/_/ Land Pre C.O. #- Z13976
/X/ Building(s)
/--/ Use(s) Date- November 1,1985
located at 1820 Trumans Path
Street
East Marion
Hamlet
shown on County tax map as District 1000, Section 031 , Block 13
Lot 003 , does[not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area. Non-conforming accessory garage
in front yard.
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) ekisted 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
story, one-family dwelling, with an accessory garage and steps
to the beach. Property situated in the "A" Residential-Agricul-
tural Zone with access to a R.O.W. (Truman's Path)
The Certificate is issued to
of the aforesaid building.
BOLLMANt MARY O'BRIEN
(owner,
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO.
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 Lnspe ctor
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BLDG. DEPT.
TOWN OF SOUTHOLD
Instructions
A. This application must be filled in typewriter OR ink, and submitted mm 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 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 dwellin~
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
New Building ............. Old or Pre-existing Building .~. ........ Vacant Land .............
Location of Property .,~~c/,~7~/~/~/'~/~ ~- f_4/~)- ~x-~ ~ ~. ~ .~ ~,.~---./~__~. ~~/~,~'
Ho'u ; ;v;.' ................ ,-' ........ ;r'e;t ....
Owner or Owners of Property . ./~..~.~ ~...~.. ?~../'~../.Z~.../~....~..~..~. ?.'../~..,~.../~/. .................
County Tax Map No. 1000 Section ....~../. ........ Block....//~. ........ Lot.. ~ ..........
Subdivis on ........ 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 permit meets a)l~applicable codes and regulati9ns
~ '~q~ ~_~., Applicant..~.~~.~~.
STATE OF NEW YORK
COUNTY OF SUFFOLK SS.:
Re: District 1000, Section 31,
Block 13r Lot 3
JOAN FUCCILLO, being duly sworn deposes and says:
1. I am the holder of a power of attorney dated June 19,
1981 from my mother, Mary O'Brien Bollman, who is the
owner of the premises on Private Right of Way off
Route 25, East Marion, New York, and known on the
Tax Map for the County of Suffolk as District 1000,
Section 31, Block 13, Lot 3.
2. I hereby request the issuance of a pre-existing Cer-
tificate of Occupancy and I state that the dwelling and
shed on said premises were erected prior to 19~. I
further state that same have been used by my family
since that date with no change; ~/,~
Joan Fucczllo
Sworn to b~re me
this ~ dY-ay o~ October, 1985.
Notary Pu~ic
~ED~I~ J. TEDES~I
NOTARY PUBUC, State ~ New Yo~
No. 52-3~5400
Oua!lfi~ in S~olk CourrP/
Commission Expires March ~, 198~
50.0
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