HomeMy WebLinkAboutZ-12572TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORI{
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/'~/ Land
/x/ Building(s)
/--/ Use(s)
located at 265 Sebastians Cove Road
Street
shown on County tax map as District 1000, Section
Lot
C.O.$ Z12572
Date: June 25, 1984
11.2
Mattituck
Hamlet
100, Block 3
· does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
The property has insufficient area.
Two accessory buildings are in the frontyard area.
On the basis of information presented to the Building Inspector's Office,
it has been determined thai the above nonconforming /--x/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: A private one family dwelling with two
accessory buildings; in an approved minor sub-division. Property
zoned A with access to Sebastians Cove Road.
The Certificate is issued to David G. Helder
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO.
(owner,
N/A
N/A
Budding Inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
$outhold, 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-
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 peoperty showing all property lines, streets, buildings and unusual natural or
topograph ic featu res.
2. Sworn statement of owner or previous owner as to use, occupancy and condition cf 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 __?z~e_E×±st±ng C.0. $15.00
3. Copy of certificate of occupancy $1.00 Vacant. land C.O. $ 5.00
Date..~_...t~..l?..~ .~...[ .~. ~L(. .....
New Building ............. Old or Pre-existing Building .¥/! ......... Vacant Land .............
,_ocat,on of Property . . . ........ ! .....
House No. Street Hamlet
Owner or Owners of Property ~ '/~ lb ~ ~ .~-..]'7...~ .~'~../~..~
County Tax Map No. lO00Section ...!.~...~. ...... Block Z ..'~. 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,e~ermit meets all,applicable co~les a~d regulations.
Applicant .. ~,. ............ .
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