HomeMy WebLinkAboutZ-13776 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEVV YOP~K
CERTIFICATE OF OCCUPANCY
NONCONFORMING PP~EA~lISES
THIS IS TO CERTIFY that the
~CX/ Land Pre C.O. 213776
/X x/ Building(s) Date- Aug. 16, 1985
/ / Use(s)
located at 1015 FACTORY AVE. MATTITUCK
Street Hamlet
shown on County tax map as District 1000, Section 1 22 Block 2 ,
Lot 21 does~not~conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient sideyard setback on accessory building insufficient
total area.
s
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
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-
Property contains 1z story, one family, wood
sate is issued is as follows: framed dwelling; an accessory garage, shop,
and sheds and fence down two sides & across rear. House has addition
B.P (k7945Z with C.0. (kZ12237. Also an accessory building permit ~k1108~9Z
and C.0. 212238. Property situated in A-Residential Agricultural zone
with access to Factory Ave.; a town maintained road.
The Certificate is issued to Loretta & Robert H. Jones
.(owner, ~e>~X~1~~?~dX
of the aforesaid building.
Suffolk County Department of Health Approval N/A
L'A'DER~'VRITEi~,S CER'T'IFICATE NO. N/A
1\TOTICE IS HEREBY GIVEN that the owner of the above premises H_AS
NOT CONSENTED TO AN II~TSPECTION of the premises by the Building Inspec-
for 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.
Building inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted to the Building Inspec-
torwith 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, acertificate 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 p~perty 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 occupancy on pre-existing dwelling $15 .00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
/ Date . ~~~~~d.~.-......
New Building .............Old or Pre-existing Buildings..V......... Vacant Land .
9
Location of Property . J!:~ 1.J....... /~.~.To. F~ . ~ l/.2.% f~.~/. ~~•~.4=~. .
House No. ~ Stree-tr- Ham/et
Owner or Owners of Property . ~ p~':'P (J t U,t1l~.~f.
County Tax Map No. 1000 Section ~ .r~'..~ Block a Lot .
Subdivision ..........i~ .....................Filed Map No. \ ....Lot No. x....... .
Permit No. Date of Permit ..........Applicant ~~~%~-r~: k~^!~ ~!Y.:
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 per~mi~~t
meets all a~p/plicabl odes and regulations.
Applicant ~.~~4'~.C~':~!~".':. r~Y.'.. .
Rev. 10-10.76
~~7r~1 #z,377,~
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