HomeMy WebLinkAboutZ-14651TOWN OF SOUTHOLD
OFEICE OF BUILDING INSPECTOR
TOWN t~RLL
SOUTttOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORB~ING PREMISES
THIS IS TO CERTIFY that the
/X_--i[ Land
/ / Building(s)
/-/ Use(s)
Pre C.O. #- Z14651
Date- July 16, 1986
located at 1885
Sigsbee Road
Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 144 , Block 2
Lot 16 , does.[not)conform to the present Building Zone Code of the
Tov~n of Southold for the following reasons:
Insufficient total ares.
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 one-story, one-family,
wood-framed dwelling with attached porch and accessory garage. Ail
this situated in the "A"Residential-Agricultural Zone with access
to Sigsbee Road; a town maintained road.
The Certificate is issued to
of the aforesaid building.
FLORENCE E. CORNELL
(owner, ~ ~ ~)
Suffolk County Department of Health Approval
UNDER\~rRITERS CERTIFICATE NO.
N/A
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises I4_tS
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.
~uiiding inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted aa ~ 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, sti'eets, and unusual
natural or topographic featu res.
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 Enginee[, 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 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.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
5. Updated C.O. $15.00
$15. O0
Date 23 June 198&.
XX Vacant Land
New Building ............. Old or Pre-existing Building
Location of Property 1885 Sigsbee Road H~ttituck
House No. Street Hamlet
Owner or Owners of Property . .F.10TC.nCC. ~,. ~070~,[~ ...............................
County Tax Map No. 1000 Section . .1.4.4 ........... Block .. ~ ............ Lot.. 15 ............
Subdivision..HB~¢U¢~..PaTIs..PTOPeT¢;~,. ~[DC, .Filed Map No.. {3[3.1 ...... Lot No. 6~. ~. ½..of. 56..
Permit No ........... Date of Permit .......... Applicant
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .. ~ ...............
i~St,~iii~ ~vi~e ] !i~!!~g a ~ ~' ~ ~/n~ i~ ~P I i c a ~ regulations.
............................
CUTCHOGUE; NEW YORK 11935
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AFFIDAVIT
Re: Cornell to Stearns
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Florence E. Cornel! be!ng duly sworn, deposes and states as
That I am the sister and surv!v!ng benef!ciary of Dorothy J. D!ckson,
deceased and subm!t this affidavit in support of my app!icat!on for a
Pre-existing Cert!f!cate of Occupancy for premises located on Sigsbee Road,
Mattituck, New York, Suffolk County Tax Map No. !000-144-2-16.
That I know of my own persona! know!edge that said house and separate
garage was built in 195! and is suitable for a s!ng!e family residence.
F!orence E. Cornel1
Sworn to be~ore m~ this 23rd
day of J%~/1986:.
Nota~ry-Po~ -
GARY FLANNER oLSEN., .
N~ Pu~i~ S~ate o~ N~ ~
~ No. 52-295~6~