HomeMy WebLinkAboutZ-15524TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN IL~LL
SOUTHOLD, NEW YOP~K
CERTIFICATE OF OCCUPANCY
NONCONFORA~ING PRER.IISES
THIS IS TO CERTIFY that the
/--/ Land Pre C.O. #- Z15524
/~'~ Building(s) Date- December 19 , 1986
/-/ Use(s)
2180 Depot Lane, Cutchogue, N.Y.
located at
Street Hamlet
shown on County tax map as District 1000, Section 102, Block 02
Lot 004 , does{not,conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient lot area. Because of 'A' Agricultural 'A' Residential
two acre zoning.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /l/Land ~/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: One family, one story wood frame home
of insufficient lot area on Depot Lane, a town maintained road;
The Certificate is issued to
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERX~q%ITERS CERTIFICA~E NO.
GEORGE & PEGGY DICKERSON
(owner,
N/A
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises tLhS
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.
iiding m~pector
Location 2180 Depot Lane
(numDer & street)
Subdivision
Nmme of Owner(s)
BUILDING DEPART[~NT
TO;'~[ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Cutchogue, New York
(Municipality)
Map No. Lot(s).
CEORCE ROBERT & PECCY ANN DICKERSON
Occupancy
(type)
A~mitted by: Mr. Dickerson
(owner-tenanz)
Accompanied by: Mr. Dickerson
Key available
Suffolk Co. Tax No.
102-02-004
Source of request OWNER
.Date
D¥~LLIMG:
Type of construction WOOD
Foundation Block Cellar ~
Total rooms, 1st. F1 6 2nd. F1 --
Bathroom(s) ] Bath
Toilet room(s)
Porch, type Wood-enclose~eok' type
Breezeway Garage None
Type Heat Base board 'Warm Air
Fireplace(s) No. Exits
Domestic hotwater
Other
#stories
Crawl space.
3rd. Fi
Patio, type
Utility room
Hotwater Oil
Airconditioning..
Gas Type heater
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool --
Other ....
Storage, type const. --
Guest, type const. -- .
Outside Bilco Door
VIOLATIONS:
Location ~
Housing Code, Chapter 45 N.Y. Stat¢.~oiform~Fire Prevention
'ld' od~ .......
Descrimtion I Art. I Sec.
Remarks:
Inspected by: ~ ~D~te of Insp.
-Time start ]0:30
12/5/1986
end ]0:45
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
IIEC -2 IP, R
Instructions
A. 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.
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
$15.00
Date .............. ~;.. ..........
New Building ............. Old or Pre-existing Building .....~..¢-~. ..... Vacant Land .............
Location of Property..House2No. ~' '~' '~)' .......... "' ~' ~'~¢~' ' '~' '¢~'¢? ~'~Street ................
Owner or Owners of Property .~'~.~..~.~.. ~.~...~..~.~..~.~.~...b/. ~',~.",-,~¢f~.. ......
County TaxMap Nrc. 1000Section . ./.~?.~,~. Block ...'.(~..~..~. ..... '. Lot'...(~P...~ .......
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 permit meets all/~/li_ca~_ co~s~.. ~s.
Rev. 10-10-78
CONSENT
TO
INSPECTION
~bwner (s > Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
County tax map as District 1000, Section
· which is shown and designated on the Suffolk
· Block , Lot
That the undersigned (has) (have) filed, or caused to be filed, au applica-
tion in the Southold Town Building Inspector's Office for the following:
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
auy and all buildings located thereon· to conduct such inspections as they may
deem necessary with respect to the aforesaid application· including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated:
c~ (s~gnature)
~lprint name)
(J O~print name)