HomeMy WebLinkAboutZ-11605 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
April 1 1 ,
CERTIFICATE OF OCCUPANCY
No. Z11605
THIS IS TO CERTIFY that the
/--/ Land
/ / Building(s)
/_~/ Use(z)
1983
located at 1475
Street
Broadwaters Road
Hamlet
Cutchogue
shown on County tax map as District 1000, Section 104 , Block I 1
Lot _..005 · does~ot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
This use, one-family dwelling, is a permitted use in this 'A'
Zoned District, and the accessory garage built when no permits
were required for accessory structures.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above x~o~'D~hDcx~rg~ /Z/ Land /Z/Building(s)
/X_--/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 dwelling and accessory Karate.
The Certificate is issued to MARGARET N. HOLLINGWORTH
(o~vner, -l~ssee
of the aforesaid building.
Suffolk County Department of Health Approval n/a
UNDERWRITERS CEi~TIFICATE NO.
n/a
NOTICE IS HEREBY GIVEN that the owner or the above premises HAS
NOT CONSENTED TO AN INSPECTION 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.
c- B~i~dinc inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Depar~men~
Town Hall
Southold, N.Y. 11,971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and subr~itted 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 tooograohi~ features.
2. Final approval of Heaith 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, iVlultiple Residences and similar building~ and installa-
tions, a certificate of Code compliance from the Architect or Eneineer responsible for the building.
5. Submit Planning Board approval of completed site plan requiremer~ts where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildines and "pre-existing"
land uses:
1. Accurate surYey 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 occuoancy on pre-exis'dng dwelling land use ~/ 5.00
3. Copy of certificate' of occupancy $1.00
New Building ............. Old'or Pre-existing Building(X} .._. z/Vacant Land
Hous~ No. ' ............... - ·' ..........
Owner or Owners of Property ........ ,,.- .,~....
County Tax Map No 1000Reotion IO~',O~) ,,A,.b ~.~ '
............................... p'1'40. A.*¢ ....... Lot NO. . .' ....
Permit No ........... Da~e of Permit ^- '
........... '~pphoan~ .... ..............................
Health Dept. Approval .Labor Dept. Approval ...................... ,..
Undecwriters Approval .............. - .......... Planni&g Board Approval ' ' .
Request for Temporary Certificate ..................... Final Certificate
Fee Submitted S ....... ................. ~-