HomeMy WebLinkAboutZ-14849TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
I- 1 ,and
/ / Building(s)
/--I Use(s)
Pre CO Z14849
Dated Sept. 4,
1986
located at 1130 Wickham Avenue Mattituck~ N.Y.
Street Hamlet
shown on County tax map as District 1000, Section 140 , Block
O2
Lot 06 , does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
insufficient total area. Insufficient front yard set-back.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /-~/Land /[/Building(s)
/--/Use(s) existed on the effective date the present Building Zone Code of the
To%~n 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: Property contains a two story wood framed,
one family dwelling; wooden garage; he~g~ on rear property lin~,
ail situated in the A-Residential Agricultural zone with access
to Wickham Avenue
The Certificate is issued to
of the aforesaid building.
Suffolk County Department of Health Approvsl
UNDER%VRITERS CERTIFICATE NO.
John and Carol Harker
(owner,
N/A
N/A
Building Inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall '~
Southold, N.Y. 11971
76.5- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted I ~ 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.
(~) 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:
.. Certificate of occupancy $5.00
Certificate of occupancy on pre-existing dwelling
Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
5. Updated C.O. $15.00
$15.00
Date ~A
New C on s t r'u c t i o n ...... Old or Pre-ex isting Building .... . .~..... Vacant Land .............
Location of Property ........ !! .~.0 ...... '.. ~ .~ g?...L~/~"~-.... ~.~?~. .......... .~. ~ u ~.L.<
Hou~ No. Street Hamlet
¢
County Tax Map No. 1000 Section ~ Block ............... Lot ..... ,~ ...........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant .... J.~.. (.~..., .[.~..~...l~.J~. ~.. ~...
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $...~./.
Applicant ,.~...~'j-~...~ .... ~ .....
Rev.
lO.lO.7a
30177