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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 Z 0 0 0 d 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 ,' ~