HomeMy WebLinkAboutZ-16458TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/7 Land
/--7 Building(s)
located at 645 Cross Road South
Pre C.O. #- z-16458
, Date-
Cutchogue, New York
Street Hamlet
shown on County tax map as District 1000, Section 110 , Block
05 , Lot 27 , does(not) conform to the present Building Zone
Code of the Town of Southold for the following reasons:
Insufficient total area;
On the basis of information presented to the Building Inspector's
Office, it has been determined that the above nonconforming /R-7 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 1 story, one family
wood framed dwelling, with attached porch; a R.O.W. and all situated in the 'A'
Residential Agricultural zone with access to South Cross Rd. Permits issued for
property 14144Z-CO 14836 for Gable Roof; 15190Z-CO 14823 Deck Addition
The Certificate is issued to INEZ E. MORRISON
(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.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANC~
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 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.
Bo
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 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 $25.00 -- BUSINF. SS $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.'00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..........................
NewC°nstructi°n ...... OId or Pre-existing Building .× .......... Vacant Land .............
Location of Property . .6.~5..C.r.q%s..l~qa,~ .S~qq~tl, .qqt, qhqg~e, .NY. ..............................
House No. Street Hamlet
Owner or Owners of Property ...I. rleZ .E., .J~QCCi~Q~. (,fQ~.lgeF. [~ .krlQ~rl .aS. .].r~ez .E~ ~ .[}urJQ~ ........
County Tax Map No. 1000 Section . .].].0 .......... Block . .5 ............ Lot..27.. ............
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning .~proval ......................
Request for Temporary Certificate ................... ./~i.nal Certificate .......................
Fee Submitted $ · .50,QQ ...................... ///~
C°nstructi°n °n ab°ve described building and P~ ~~ulati°ns'~
........ ....... .....
Rev. 10-10-78 P. 0. BOX 706
~).l~.~r~ Cutchogue, NY 11935
AFFIDAVIT
Re:
Morrison to DiNozzi
File #4384
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Inez E. Morrison, being duly sworn, deposes and states as follows:
That I am the owner of certain premises known as 7 Cross Road South,
Cutchogue, New York, 11935, and being designated on the Suffolk County
Tax Map as District lO00, Section l~O, Block 5, and Lot 27.
That the house located on said premises was constructed prior to April, 1957,
and I submit the affidavit in support of my application ~or a Pre-Existing
Certificate of Occupancy on same.
Morrison
Sworn to/befo[e me this 5th
Notary ~c ~
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