HomeMy WebLinkAboutZ-14655TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN tLiLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORA~ING PREMISES
THIS IS TO CERTIFY that the
~/ Land
/ / Building(s)
/-/ Use(s)
Pre C.O. #- Z14655
Date- July 16, 1986
located at 2875 Bav Ave.
Street
shown on County tax map as District 1000, Section
Mattituck
Hamlet
144 , Block 5
Lot 8 , does{not~conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area. Insufficient setbacks on house and
accessory garage.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /Z/ Land /Z/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: Froperty contains a one-story, one-family,
wood-framed dwelling with accessory garage, a concrete slab and
part of a concrete curb. All situated in the "A"Residential-
Aqricultural Zone with access to Bay Ave,; a town maintained road.
The Certificate is issued to HOWARD & MARAGRET BRODIS
of the aforesaid building.
Suffolk County Department of Health Approval
N/A
UNDER\~rRITERS 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 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.
Buiidin~ Lnspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
BLDG.
TOWN OF SOUTHOLD
This application must be filled in typewriter OR ink, and submitted 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 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 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:
1. Certificate of occupancy $5.00
2. Certificate of Occupancy on pre-existing dwelling $15.00
3. Copy of certificate of occupancy $1.00 7/~ /z~/
4.Vacant Land C.O. $5.00 -
5'.Updated C.O. $15.00 ~//~ate "~/~i~ ..............
New Building ............. Old or Pre-existing Building .........................
LocationofProperty ,:x :! , ~_):~!,/. '/-/~',~'4'~'... .... .... ...., .?..,........;,..,./i'lL" '~ ~,~',,~ [ ./.~.'~/ ?'
House No, ' ' S~'eet ' ...........
Ham/et
Owner or Owners of Property ............................................................
County Tax Map No. ,OOO Section ..A~..~. ...... Block ...~..~..~ ...... Lot....~,~..~. ........
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 $.../. ,~:. ~?.., ,~, .~. ~,.
Construction on above described building and per[~l~ pa'eets all applicable.c,~es an,~ regu ations
AFFIDAVIT
STATE OF NEW YORK )
) SS.:
COUNTY OF SUFFOLK )
HOWARD BRODIS and MARGARET BRODIS, being duly sworn,
depose and say:
That we are the owners of property situate at 2875 Bay
Avenue, Mattituck, New York.
That the two car garage situate on the northeast
corner of the subject property predates the building ordinace
date of April 23, 1957. The aforementioned garage is in
excellent condition and has always been used as a garage
for the keeping of automobiles.
Sworn to before me this
8th day of July, 1986
No. 30-5140115
OW~RD BRODIS
MARG~ET BRODI S