HomeMy WebLinkAboutZ-16355TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/X7 Land
./--7 Building(s)
~ / [Isef~
located at 17425 County Road #48,
Pre C.O. #- z-]6355
Date-October 30, 1987
Cutchogue, New York
Street Hamlet
shown on County tax map as District 1000, Section 101 , Block
01, Lot 21 , does(not) conform ~o the present Building Zone
Code of the Town of Southold for the following reasons:
Insufficient total area; front yard set-back.
On the basis of information presented to the Building Inspector's
Office, it has been determined that the above nonconforming f~c7 Land
/-7/ 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 applicable 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
Certificate is issued is as follows: Property contains 2 story one family
wood framed dwelling, with attached porch; accessory two car garage; all situated
in 'A' Residential Agricultural zone with access to County Road #48, a county
maintained highway.
The Certificate is issued to
KATHLEEN A. MICHELSON
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS
NOT CONSENTED TO AN INSPECTION of the premises by the.Building Inspec-
tor to determine if the premises comply with all applicable codes and
ordinances, 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'regulations.
Building Inspector
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FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
i l/i ' OCT 2 3 1981' qil i
BLDG. DEPT.
TOWN OF SOUTHOLD
76.5- [802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted 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 buildin, gs, property lines, streets, and unusual
natural or topographic features. /
2. Final approval of Health Dept. of water supply and sewerage'disposel-(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 property 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 $25.00 -- BUSINESS $50.00
:2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.'00, over 5 years $I0.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ...0.c.t.o.b.e.~..2.2.~.].9.8.7. .......
NewConstruction ...... Old or Pre-existing Building . .X. ......... Vacant Land .............
Location of Property ...... [qq .~.)..N.q~.t;t~ .Rq~4..qqtqrmgue..NY...~5 ......................
Hou.ce No. Street Ham/et
Owner or Owners of Property Kathleen A. Michelson
County Tax Map No. 1000 Section ...l.0.1 .......... Block . .l. ............ Lot..2]. ............
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 $ ..... 5D...0J3. ..................
Construction on above described buildin~ and pe~r~//~eets aJ~plicable~o~l~s and regulations.
A ppl ica n~~o L'C'~ N/ ~,,.,.~ o~ .......................
Rev. 10-10-78 ' P./0. BOX 706 '
[gyR,¢,,~;~$o~ J Cutchogue, NY 11935
Co
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
AFFIDAVIT
Re:
Michelson to Fortugno
(no #) North Road
Cutchogue, New York 11935
SCTM
Kathleen Michelson, being duly sworn, deposes and states as follows:
That I am the owner of property known as (no #) North Road, Cutchogue,
New York, designated on the Suffolk County Tax Map as District 1000,
Section ~0~, Block l, Lot
That al! structures that are present on said property were constructed
before April, 1957, therefore predating zoning, and, accordingly, this
affidavit is submitting in support of my application for pre~existing
certificate of occupancy, for the house and detached two car garage.
Sworn to bef 23rd
day of Septe~r, 19~87~
~otafy Public///y ,' ~