HomeMy WebLinkAboutZ-11740 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NE~V YORK
CERTIFICATE OF OCCUPANCY
NONCONFORiVIING PF~EIVIISES No. 211740
June 24, 1983
THIS IS TO CERTIFY that the
Land
Building(s)
/X / Use(s)
located at 2590 Bay Avenue & 55 Bartley Road Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 144 Block 03 ,
Lot 023 doesixi»ic~conform to the present Fuilding Zone Code of the
Town of Southold for the following reasons:
In this Zone, 'A', a one-family dwelling is a permitted use.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /_/Land Building(s)
/X/Use(d) 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: a one-family dwelling.
The Certificate is issued to DOROTHY KATHRYN FIGURNIAK
(o~,vner, }~~s~er tenant)
of the aforesaid building.
Suffolk County Department of Health Approval n/a
U1~'DER~VR.ITEI=CS CERTIFICATE NO. n/a
1VOTICE IS HEREBY GI~TEN that the, owner of the above premises H_AS
NOT CONSENTED TO AN Il~'SPECTION of the premises by the Building Inspec-
tor to determine if 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.
_
~-Buiidirg inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
torwith 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 equall.
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate 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~r land use ~ !sl$5.00
3. Copy of certificate of occupancy $1.00
~Date~(~~-~ a3; ~ 9 g~
New Building .......ry!....~~.gg. Old or Pre-existing Building(X) . _ sVacant Land .
Location of Property v~~7-1~...._-., - . ~ 1~()~n,~{,E-?, , , , , , , , ,
House No. e 5 Pv"r ~k'D 1~/~ Hamlet
Owner or Owners of Property ~~.7l.~yn...~+ .
County Tax Map No. 1000 Section .,l'j~~....... Block Lot . vv~ ~ .
Subdivision/~ .~JC~LC.. ~-'~I~J, , , ...Filed Map No. . 1.:LV...Lot No. .I..~.
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 permitmeets all applicable des and regulations.
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