HomeMy WebLinkAboutZ-14054TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TO~;N ILiLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORA~ING PREMISES
THIS IS TO CERTIFY that the
/i/ Land Pre C.O. #-Z14054
/ / Building(s) Date- Dec. 5 1985
/-/ Use(s) '
located at 11250 Main Rd. East Marion
Street Hamlet
shown on County tax map as District 1000, Section 031 , Block I 3 ,
Lot 008 , does.~not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
**CONFORMS
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /l/Land /l/Building(s)
/l/Use(s)-~xisted on the effective date the present Building Zone Code of the
Town of Southold, and may be continued pursuant to and subject to lhe 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:Property contains a two story one family,
wood framed dwelling with two attached porches & shed. Property
also contains two accessory garages & fencing down both side lines.
.Property situated in the A-Residential-Agricultural Zone with access
to Main Rd.; a state maintained highway.
The Certificate is issued to
of the aforesaid building.
MAC ARTHUR~ CHESTER
( o%vner, XI~B~ XO~X ~g~%
Suffolk County Department of Health Approval
N/A
UNDER\~rRITERS CERTIFICATE NO.
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises H_iS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with al! 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.
~uiiding ,~ns pe ctor
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
BLDG. DEPT.
TOWN OF $OUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted ~m m 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 featu res.
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 featu res.
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:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
$15.00
Date ~, .~. ~.qC,~...-.
New Budding ..... : ....... Old or Pre-existing Building . ~ ...... Vacant Land .. ~ .........
11~30
Location of Property ....... ~Z~.,~Z4/~..../~P.~./~ -- ~:~]-~T.. ////~/~/~/,/
House No. .... - Street Hamlet
Owner or Owners of Property /~//~ .~./~i..~.~..(~./~ E~'.. ~,~/1~..,~-.~=~'r. ,/~ .~. ~ .................
County Tax Map No. 1000 Section ........ ,~./.... Block .... /. -~ ........ 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 permit meets all applicable codes and regulations.
Lo Applicant .
~¢_.4~ :~qclO I .......................
Rev. 10-10-78
STATE OF NEW YORK )
)
COUNTY OF SUFFOLK )
SS:
ARLINE S. MAC ARTHUR and CHESTER W. MAC ARTHUR, her
husband, being duly sworn, depose and say that they are the
applicants for a pre-existing Certificate of Occupancy; that
deponents know of their own knowledge that the dwelling house on
said premises was constructed and occupied long prior to 1957;
and that no changes have been made subsequent to the enactment of
that premises are occupied as a one family
the zoning ordinance;
res id ence.
(Arline S. Mac Arthur)
(Chester W. Mac Arthur)
Subscribed and swor~ to
before me this~/~day
of October, 1985.
ALICE J. KRAMER
NOTARY PUILIC, State of New York
Residinl in Suffolk County
No. 52-*.822133
My Commission Expires M~rch 30,