HomeMy WebLinkAboutZ-14702TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN ILiLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
$~J~WxCONF OR R~ING PREMISES
THIS IS TO CERTIFY that the
Building(s)
Use(s)
located at 9395 Main Road,
Z14702
Pre C.O. #-
Date- July 24, 1986
East Marion, New York
Street Hamlet
shown on County tax map as District 1000, Section 031 , Block 03
Lot 11.25 , does(not,conform to the present Building Zone Code of the
Town of Southold for the following reasons:
meets requirements of todays zoninq
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above xl~mconforming /~_/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 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; two accessory barns and a garage and all situated in the
A-Residential Agricultural zone with access to the Main Road; a state
maintained highway.
The Certificate is issued to
of the aforesaid building.
Suffolk County Department of Health Approval
UNDER~ZRITERS CERTIFICATE NO.
Herbert Mandel
(owner, ~ x~x~u~k
N/A
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with al! applicable codes and ordLn-
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-
_,uLd~ne -inspector
FORM NO. e
TOWN OF SOUTHOLD
Building Depar b,-~ent
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Inrd'uction~
A. This application must be filled in typewriter OR ink, and submitted i~ I 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 feature~
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), Nonconforming 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 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.
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
Oate.~/~ ................
·.. Old or Pre-existing Building ...~ ........ Vacant Land .............
New Building . .. ~q~.~. Side of Main ~{oad
Location of ......East Marion NY
.... Hamlet
House No. ~'tree~
Owner or Owners of Property ...H.E.K.B.F~ .R.T..%....M~D.~I~ ......................................
County Tax Map No. 1000 Section . .0.~1. .......... Block ... ~],3. ......... Lot..],~,.2.5. ........
Subdivision ................................. Filed Map' No ........... Lot No ..............
Permit No ........... Da~e of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Depf, Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .... .X. .................
Fee Submitted $..1.5...0.0. ......................
PLEASE SEE ATTACHED LETTER & AFFIDAVIT.
Construction on above described building and permit meets all applicable codes and regulations.
W%C~/~4~_, ~3C~. ~.~_RESSLER, P.C.
Applicant...~,f.¢,~,e,w~..~.,~z,-'~-,~-~. .....................
By Ab~ail A. Wickham
Re~.~o-~o-7~ Attorneys for applicant/owner
STATE OF NEW YORK)
: SS.:
COUNTY OF SUFFOLK)
HERBERT R. MANDEL, residing at (no #) Inlet Lane, Green-
port, New York, being duly sworn, deposes and says:
1. That he is the owner of the premises on the North
side of Main Road, at East Marion, New York (Suffolk County Tax
Map No. 1000-031-03-11.25).
2. That on said premises are a two-story house, two
barns, and a garage.
3. That said buildings were erected on said premises
prior to 1957, and since 1957 there have been no changes/in the
structures which would require a Certifica.~te of Occupant.
J/ ~
Sworn to before me this2~/~
d~ay~ o~ ~j~ruary, 1986.
lqotm~y [~ub:ic, S~a~e cf New York
i~o. d~324987
Or,~l;fi.~d i ~ Suffolk ~ty ~ /