HomeMy WebLinkAboutZ-12894TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
C.0.#Z12894
~--X/ Land
! / Building(s)
/--/ Use(s)
Date October 17, 1984
located at 16645 Main Road
Street
shown on County tax map as District 1000, Section 115
Mattituck
Hamlet
· Block 2
Lot
· does not conform to the present Building Zone Code of the
Town of Southold for the follo~ving reasons:
Insufficient Total area. Insufficient front yard setback.
On the basis of information presented to the Building Inspector's Office,
it has been determined thai the above nonconforming X~i/Land /l/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 follows: One family one and one half story wood
framed house with attached garage and porch. Property situated
in A-Residential -Agri a~l t.rm 1
State maintained highwa, y,.
The Certificate is issuea To
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO.
znn~ with aggess to Main Road; a
Olive E. Graeb
(owner·
N/A
N/A
Building Inspector
BUILDING DEP.~RTi'LENT
TOWN'OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 16645 Main Road
(num0er & street)
Subdivision
Map No.
Name of Owner(s)
Olive E. Graeb
Matt±tuck
(Municipality)
Lot(s)
Occupancy Single Family
(type)
A~mitted by: Owner
Key available
Source of request
( own er-
Accompanied by: owner
Suffolk Co. Tax No. 115-2-4
Date 9/17/84
D¥~LLIMG:
Type of construction
Foundation Block
Total rooms, 1st. Fi
Bathroom(s) 1~
Porch, type ....
Breezeway ......
Type Heat gas
Garage 1 car
Warm Air .....
Fireplace(s)3-none workNo. Exits 3
Domestic hotwater Gas Type heater
Other
Wood frame
Cellar ~
2nd. Fi 3
Toilet room(s)
Deck, type ...... Patio, type Brick
Utility room ....
Hotwater Baseboard
Aircondition~ng ....
#stories...2
Crawl space½
3rd. FI
ACCESSORY STRUCTURES:
Garage, type const, wood frame
Swimming pool .....
Other
Storage, type const. - ....
Guest, type const. ----
VIOLATIONS: Housing Code, Chapter 45 N.Y. State. Uniform Fire Prevention
~uz±min
_Location Description I Art. I Sec.
Remarks:
Inspected by: //~ ~
Walt Corwin
Date of Insp.
-Time start9:0o
9/17/84
end 10:00 a.m.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
,~Jouthold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted--i~c~;l[c;t; 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 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 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 featu res.
2. Sworn statement of owner or previous owne~ 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 / land use --?re-Exis ting C.O. $15.00
3. Copy of certificate of occupancy $1.00 Vacant. :Land C.0. $ 5.00
New Building ............. Old or Pre-existing Building ~'/ Vacant Land ..
Location of Property . ,/'~.~, .~,~-~ ....... ,/2~J.P, ,/,'%J,...,~;,~.; ........ .-'~T/¢*~- 'r-? ~c~' ~/~-~ ,
House No. Street Ham/et
Owner or Owners of Property ~c / ~/~- ~--~ ~f'~. ~ ~ ~
County Tax Map No. 1000 Section .... ~', ~'v~, ..... Block ,. ~- Lot ~
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 applica
Applicant ......... ~..~.. ......... ....
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