HomeMy WebLinkAboutZ-14559 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN tLtLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NON CONFORMING PREMISES
THIS IS TO CERTIFY that the
Building(s) Date- June 25, 1986
/-/ Use(s)
located at 2215 Pine Tree Road Cutchogue
Street Hamlet
shown on County tax map as District 1000, Section 098 · Block 01
Lot 014 , does.~not)conform 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~E/ 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 %vhich this Certifi-
Property contains a two story, one family,
cate is issued is as follows: wood framed dwellin9 with attached porch
and patio; an accessory bulkhead~ fencing, ramp, dock and masonry wall.
All this situated in the "A" Residential Agricultural zone with access
to
Pine Tree Rd. a town maintained road.
The Certificate is issued to JOHN J. BOMBA (DECEASED)
(owner, ~x~xx~"~k
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERErRITERS CERTIFICATE NO.
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 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 ~nspector
Y; B.
FORM NO. 6
TOWN OF SOUTHOLD
Building Deparm~nt
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 I ~ 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 feetu res.
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, Industria[ 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 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-
tibn required to prepare a certificate.
C. Fees:
1, Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existinl~ dwellina $15.00_
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
5.Updated C.O. $15.00 Date 6/~/~986
New Building ............. Old or Pre-existing Building . .~ ......... Vacant Land .............
72!5 Pine Tree Road, Cutchouc;e
[ocation of Property .................................... ~ .............................
House No. ,~t~r Ham/et
Owner or Owners of Property .. J.o. ho. J.... ~ ~) [.~:o.~. ~).~ C ~ ~...~..1.0.~. 2;/. ~. ~.8.~.
County Tax Map No. 1000 Section . .OgiB .......... Block . ,0.; ............ Lot...0,[~ ..........
Subdivision.. Nassau Farr3s . . .Filed Map No. I!79 ...LotNo. 17 & !8
Permit No unkno~,m Date of Permit ??, ¥? ,o ?,n, Applicant 'ankn°~a~'
Health Dept, Approval ............ Labor Dept Approval .........
Underwriters Approval Planning Board Approval '
Request for Tempora~ Certificate Final certificate '
Fee Submitted $ 15
Construction on above described building and p~r~it~eets 111 applicable codes and rewlations.
STATE OF NEW YORK )
:SS.:
COUNTY OF NEW YORK )
THOMAS LEVINESS, residing at Pine Tree Road, Cutchouge,
New York, being duly sworn, deposes and says:
1. The house located at 2215 Pine Tree Road, Cutchouge,
New York was built prior to April 23rd, 1957.
2. The condition of the house is excellent.
3. This is a one family dwelling.
I am making this affidavit to induce the Town of Southold,
Building Department, to issue a pre-existing Certificate of
Occupancy and to the best of my knowledge and belief this
information is true and correct.
Sworn to before me this
~ day of June, 1986.
,,, FENCE' ALONG LINE 'J
~AP' uF HlewPEf,~Tb'
gUA~N I'EED Tr..) Fl..Al'BUSH FEDEf~A,L ~AVII~.IGS AND)
LAN,,CYEE5 TFFLE/NSUt~AIJCIZ
~....,~,t:...t~Ct~_ gAN '-" "'"' '"'"'
,,~'. v~_