HomeMy WebLinkAboutZ-13978TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORI%~ING PREA~ISES
THIS IS TO CERTIFY that the
/~! Land
[X / Building(s)
/-/ Use(s)
Pre C.O. #- Z13978
Date-November I ? ~985
located at 51295 Main Road
Street
shown on County tax map as District 1000, Section
Southold
Hamlet
70 , Block
Lot fl , does.~not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area. Insufficient front yard setback.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /_~/Land ~/Building(s)
/Z/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: Property contains a two-story, one-.
family~ wood-framed dwelling with an acoessory shed. Prooerty situated
in the"A"Residential-Agricultural Zone w/access to Main Rd., a state
maintained highway.
The Certificate is issued to
of the aforesaid building.
MARY H. CONtCLIN
(owner,
Suffolk County Department of Health Approval
N/A
UNDERWRITERS 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.
Buiidin~ inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
. EPT I
TOWN OF SOUT~fOLD____J
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
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 or land use $5.00
3. Copy of certificate of occupancy ' $1.00
Date .. September 17, 1985
New Building ............. Old or Pre-existing Building(X). _.x. .... = 'Vacant Land '
.
Location of Properwd! .~.?. ~, ~ .~.a.z. ~...~.o.~. d ............... $ o u_t h o 1 d
House No. Street Ham/et
Owner or Owners of Pr°'Perty ...... .~.a?_¥ H. Conklin
County Tax Map No. 1000 Section . 70 Block ' O1 001
.......................... 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 $ !5, O0
Construction on above described building and permit'mee~s all appl~cable_.codes and regulations.
tk_w~% Applieant .. .vi~ichael ~. ~.~.1
Rev. 10-10-78