HomeMy WebLinkAboutZ-13197TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPc CTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the C.O. # Z 131 97
/XXI Land
Building(s)
Use(s)
Date Feb. 6, 1985
located at 2105 Camp Mineola Rd. Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 123 , Block 6 ,
Lot 5.2 , does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
sufficient total area.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /D 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: 2 story block one family dwelling situated
in an A -Residential -Agricultural zone with access to Camp
Mineola Rd- whish is a nriva+Arnarl
The Certificate is issued to Thomas & Barbara Mac Leod
of the aforesaid building. (owner, Xlj� RR)pRk#Wgk
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
C� 6vulril'
Building Inspector
BUILDING DEPARTT�IENT
TMN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 2105 Camp Mineola Rd. Mattituck
number & street Municipality
Subdivision Map No. Lot(s)
Name of Owner(s) Barbara and Thomas Mac Leod
Occupancy One family
type owner -tenant
Admitted by: owner Accompanied by: Owner
Key available ` Suffolk Co. Tax No.123-6-5.2
Source of request Owner Date
DWELLING:
Type of construction
BLOCK
#stories 2
Foundation
BLOCK
CellarFULL Crawl space ------
Total rooms, lst. Fl
6
2nd. F1
5 3rd. F1-------
Bathroom(s)
2
Toilet
room(s) ------
Porch, type 1
Deck,
type 1
Patio, type
Breezeway ------
Garage
2 CAR
Utility room -----
Type Heat OIL
'alarm Air
------
Hotwater Yes
Fireplace(s)-1
No. Exits
3
Airconditioning No
Domestic hotwater
Yes
Type heater .oil
Other
ACCESSORY STRUCTURES:
Garage, type const. 2garages Storage, type const. -----
Swimming pool ----- Guest, type const. ------
Other
VIOLATIONS: Housing Code, Chapter 52
Remarks:
Inspected by: &W-4 Date of Insp. 12/28/84
Time start 1 2.m.end
e,C, z /3ls7
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 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
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 land use --Fre-Existing C.O. $15.00
3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00
Date !j... 13y.
New Building ............. Old or Pre-existing Building ... X....... Vacant Land ........ ... .
Location of Property a I.o S ... C MP..��! f i eQ�a !� ... r- 4 {T r 7L�� K ... N.% .
House No. Street Ham/et
Owner or Owners of Property kf.. Y2?1.. t:. .....................
County Tax Map No. 1000 Section .......... Block .... V.V....... Lot .. 5 ! � ... .
Subdivision ....% ............................Filed Map No. .. X ....... Lot No. ...x.........
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
��p
Applicant . `?1 G ^ C cS �.......... ...... .
Rev. 10-10-78 � asp a z a�g - 5 �0?-g
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kIP - PI K DE YOE
NOTARY PUBLIC. sta:--' of Nlu" ycik
No. 4 !U S78,
Suffolk County
1, 7'�,
Term Expos March '30, 19
CONSENT
TO
INSPECTION
Owner(s) Name(s
do(es) hereby state:
PT'\
DEC a !
Z�--j
TOWN OF SOULb
the undersigned,
That the undersigned (is) are the owner(s) of the premises in the Town
of Southold located at o2/oS (rf�•�J,o M�nea� /ea( �/� [� .�rc�
which is shown and designated on the Suffolk
County tax map as District 1000, Section / Z3 , Block 6 , Lot S Z .
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated:
`� (signature)
( �70rtt
(print name)
(signature)
�" ate WA
(print name)
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 0 A14 M"U e Z. /
number & street Municipality
Subdivision Map No. --- Lot(s)
Name of Owner(s) _4W,,A.{- AACI ecl Q
Occupanc�4' 1 ,, Y
types— owner -ten -ft tt
Admitted by: OW10e / Accompanied by: OW&Cy-
Key available Suffolk Co. Tax No.
Source of request DUjlit r Date
DWELLING:
Type of construction 6LOC-AC #stories
Foundation 9LOCLC Cellariw))_Crawl space
Total rooms, 1st. F1 -2nd. F1 ,� 3rd. F1
Bathroom(s) Toilet room(s)
Porch, type Deck, type , Patio, type
Breezeway Garage )_ r -A r Utility room —
Type Heat O. l -da Hotwater t/
Fireplace(s) No. Exits 3 Airconditioning %Vd
Domestic hotwater Type heater o t 1
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool — - Guest, type const._
Other
VIOLATIONS: Housing Code, Chapter 52
Remarks: I
Inspected by: �(% �B "�° Date of Insp. ,LoZ{oj
Time start— end j 3d