HomeMy WebLinkAboutZ-12907TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
~X/ Land
/ / Building(s)
/--/ Use(s) _
50 Hortons Lane
located at 84o P~ n~ Tr~ Rnad
Street
shown on County tax map as District 1000, Section
C.O.#z12907
Date October 19,
Cutchosue
Hamlet
104 , Block I
Lot 11
· does.~not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
I~sufficient Total Area.
1984
On the basis of information presented to the Building Inspector's Office·
it has been determined that the above nonconforming ~_--X/Land Il/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 CERTIFIE. D 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: This is a one and one/half story wood framed
seasonal one family dwelling with two approved additions #871 and
#2569. Property is situated in A-Residential-Agricultural zone with
access to Fine Tree Rd. & Horton Rd; two Town maintained roads.
The Certificate is issued to John P. Grimes and Joan M. Qri~es
(owner, ~g~eX~X ~ X X X
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDER~rRITERS CERTIFICATE NO.
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine ff 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.
Building Lnspe ctor
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
$.~outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BLDG. DEPT.
TOWN OF SOUTHOLD
Instructions
This-application must be filled in typewriter OR ink, and submitted in duplicate 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-
tion~, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Sub,nit Planning Board approval of completed site plan requirements where applicable.
For exisl;ing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land us~s!
1. AccUrate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topd~lraphic featu res.
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/ land use --P~'e-Ex±st,±n~; C.O. $15 · 00
3. Cop¥ of certificate of occupancy $1.00 Vacant, ~,and C.O. $ 5.00
Date~ October 16:, 1984
New Building ............. Old_or Pre-ex.i,~ting Building . .X. ......... Vacant Land .............
Location of Property ~O ~i~e Tree ~oad -~c, NY . .
Hou~ No. Street Ham/et
Owner or Owners of Proper~ . . . ~P.~ ,~-..~.~ .~q~ .~q~q .~-..~.~ff[ .......................
County Tax Map No. 1000 Section ...1.0.~. .... ". .... Block ...... 1 ......... Lot...1.1. ...........
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 ................... ../~1 Certificate ............. ' ..........
Fee Submitted $ .[~,Q(~ ......................./.O--~ ~/'
Construction on above described building and permit m~.all app~,~~regulations.
Applicant ...,~.~.,.:¥~'~":'A..~.~.'. ~ ........... ~ . .~. ............
,-. Ta GARY FLANNER 0LSEN, ESQ.
5-d P.O. BOX 706
CUTCHOGUE LI., N.Y. 11935
GARY FLANNER OLSEN
COUNSELLOR AT LAW
AFFIDAVIT
Re: Grimes to Stoutenburgh
File 3934
Premises: Pine Tree Road
1000- 104 - 1 - 11
STATE OF NEW YORK )
COUNTY OF
JOHN P. GRIFES, being duly sworn, depcses and states as
foIlows:
That I am the owner of the house described on Suffolk County Tax
Map as 1000 - 104- i -11; That I believe 'that said house was
constructed prior to the issuance of a Certificate of Occupancy
and has been used for many years as a residence and is, in my
opinion, suitable fcr single residential purposes.
Sworn to before me this/2~
day cf October, 1983
Cemmisslon J~II-~l /t&~r¢~ &Otb !~ ~