HomeMy WebLinkAboutZ-11738TO\VN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN tLiLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NGNC-ON~<~I% ~%INCr-l=l%EiYrIS~9-
THIS IS TO CERTIFY that the
/ / Land
[ / Building(s)
Use(z)
No. Zl1738
June 23, 1983
located at 8125 Main Road
East Marion
Street Hamlet
shown on County tax map as District 1000, Section 031 , Block 02
Lot 030 , does~i~)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
'a one-family dwelling is a permitted use in this A Zoned
District.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming C/Land /i/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 which this Certifi-
cate is issued is as follo%vs: a one-family dwelling.
The Certificate is issued to
of the aforesaid building.
WILBUR L. & MARIAN A. COOK
(owner, ~t~s~:m- e~ -teR a~D
Suffolk County Department of Health Approval n/a
UNDER%~q%ITERS 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 ff 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.
B.P. 4004Z for addition
and C.0. Z3276.
~ Psuiidin~ respecter
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, ~nd 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.
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.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.OO
June 21, 1983
Date ..........................
New Building ....... ..._, .... QId or Pre-existing Building
~ Io~ ............ Vacant Land .............
Location of Property . . .~..F[.a.~o..R.o.a.~ ............................ .~.a.s.t~. ~.a~.J, QO .....
House No. Street Ham/et
Owner or Owners of Property MARIAN A. AND WILBUR L. COOK
County Tax Map No. 1000 Section 031 Block 02 Lot 030
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant Marian A. Cook
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate
Fee Submitted $ 15 o 00
Construction on above de scribed bu ilding and p e~,~/,,~,t~ m e ets all ap P~?~ regu .at ions.
App cant . ./:/~"~..~,~z..g~ .2.L .' .... 2... ............. ~ ............ ,--
R~. 10-10-78 ~ ~ Marian A. Cook . ? % 2.
STATE OF NEW YORK
COUNTY OF SUFFOLK
SS.:
at (no #)
MARIAN A. COOK, being duly sworn, deposes and says:
1. That I am one of the owners of the p~operty located
Main Road, East Marion, New York (copy of survey annex-
ed), and that I make this affidavit in an effort to secure a
Certificate of Occupancy on our pre-existing dwelling.
2. That the aforesaid property has erected on it
buildings which pre-dated the zoning ordinances, and were con-
structed on or about the year 1840.
3. That on or about September 13, 1968, a Certificate
of Occupancy (#Z 3276) was issued for a private one family dwell-
ing, pursuant to Building Permit No. 4004 Z, permitting an
addition and alterations on the pre-existing dwelling.
4. That upon information and belief, the premises have
been used without change and for no other purpose than a private
one family dwelling, since our ownership began on June 5, 1967.
5. That upon information and belief, the premises have
not been used for any other purpose than permitted by the zoning
ordinances.
Sworn to before me this
21stt~ay of JuDe, 1983.
JANE I:LATLEY
No. 52-46654~8, 5uHoik Count~ ~/
f..~mr~,issi~o .~p;re$ March 30,
Marian A. Cook