HomeMy WebLinkAboutZ-14725 TOWN OF SOUTHOLD
OFFICE OF BUILDIl~'G INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORii
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the Pre C.O. # 14725
Land ~ - Date July 30, 1986
/x~ Building(s)
/ / Use(s)
located at 3825 Wickham Avenue, Mattituck, New York
treet am et
shown on County tax map as District 1000, Section 1 07 Block 09 ,
Lot 05 does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area and side yard set-back on dwelling.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /x/Land /x /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 CEP~TIFIED 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 one story, one family,
wood dwelling with accessory shed and dock all situated in the
A-Residential Agricultural zone with access to Wickham Avenue.
The Certificate is issued to Alice J. Kassel
(owner, 3:e;scs~ec~g~xi~.xii~x
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
Building Inspector
~?a-~
38ZS
FORM NO. 6
TOWN OF SOUTHOLD P a. 8~ / ~ 5'~
Building Department ~~~~L yS'2
Town Hall
Southold, N.Y. 11971
765 - 1802
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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of pYbperty 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 /
S.Updated C.O. $15.00 Date .v.4~
/ 1..
NewC ons truc tion _ , , , , ,Old or Pre-existing Building . K."........ Vacant Land .
Location of Property ~a.'s......1. ~:'r~ l'"?~ . ~dE.: ~fj'! Cf~;~_ L.l.
House No. Street J Ham/et '
.
Owner or Owners of Property ~.....~:...~p.¢ S'SC',L_--- . . . .
~l
County Tax Map No. 1000 Section . ~D.~........ Block Lot .
Subdivision .................................Filed Map No. ..........Lot No. .
Permit No. Date of Permit ..........Applicant .
Health Dept. Approval ........................Labor Dept. Approval .
Underwriters Approval ........................Plannin Board A .
g pproval
Request for Temporary Certificate .....................Final Certificate .
FeeSubmitted$..,~~...~~
Construction on above described building and permit meets all applicable codes and regulations.
Q~~ ~ a
Applicant...
Rev. 10-10-78
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