HomeMy WebLinkAboutZ-14419TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN IIALL
SOUTttOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/--/ Land
Building(s)
_ Use(s)
Pre C.O. #- Z14419
Date- ~
located at 4425 Nassau Point Road
Cutchogue
Street Hamlet
shown on County tax map as District 1000, Section 111 , Block 9
Lot 7 , does[not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient side yard setback.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /Z/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: One family dwelling, facing Little Peconic
Bay. access to Nassau Point Rd.
The Certificate is issued to
of the aforesaid building.
PAULINE STARK & NICOLE D'EMO
(owner,
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO.
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises H_AS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine ff 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.
L~,raiioin~ m~pect6r - - - r/
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCU~
Instructions
BLDG. DEFT.
~3WN 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 usc:
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 uscs:
1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or
topographic featu res.
2. Sworn statement of owner or previous owner as to usc, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premiscs, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
+. cCertificate of occupancy $5.00
ertificate of occupancy on pre-existing dwelling
opy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
$15.00
New Building ............. Old or Pre-existing Building ............ Vacant Land .
__ ............
LocationofProperty ~ ~'c~$~L) ~T ~0~(~, ) CL) I~--~'~'-~J~---~ ~
~'o: ......................... .........................
Owner or Owners of Property . .?./~..0 ~/../~..(..-'....~..T.(~...~,~...~.....~. !~.~.¥.~.'~...~.~.~..K~.. ~ ........
...... B,oc ......... .... ..... .........
County Tax Map No.
1000 Section
Subdvson ,~r.~.~.~.0. ?,~.(,,~.J ........... FiledMapNo..!.?.~....LotNo...,~,./ .......
Permit No ........... Date of Permit .......... Applicant...~.O.b/,L. ././~,. ,~- .... ,~,-'~, ,~ ,'~,~ ........
.?.
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building ani~l~rmit meets all appliF.~le codes and regulations.
Applicant .... iV....~......~h~.. ..... ~ .......................
1'4, FT'
Z
-4
0
D
~erm Expires Ma~h ~0, l& -