HomeMy WebLinkAboutZ-13278TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN tLALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
I _1 La d
/ / Building(s)
/--/ Use(s)
Pre C.O. #- Z13278
Date-March 22~1985
located at 290 Central Dr. Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 106 ., Block 03
Lot 015 , 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 /ZX/Land /5/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 one story, one
family; wood framed dwelling situated in the A-Residential-
Agricultural Zone with access to Central Dr., a Town Maintained Rd.
The Certificate is issued to
of the aforesaid building.
MOSHOURIS, MICHAEL ~ CARQL
(owner, ~J~cc~ e~e~t~
Suffolk County Department of Health Approval N/A
UNDER%VRITERS CERTIFICAT~E NO. N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises I-LAS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with al! applicable codes and ordin-
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-
tions.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
BLDG. DEPT,
TOWN OF SOUTHOLD
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.
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 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
$15.00
Date..M~rc~.i5,.l$.85 .......
New Building ............. Old or Pre-existing Building . .X.X.X.X..X.X .... Vacant Land .............
Location of Property . .2 .9.0..C; .eD.t,r.~,-L. ~.z;~ .~¢ .... M..a.t.t.i, ~.ug.k. ~..N,e.w...Y.o.r.k. ....................
House No. Street Ham/et
Owner or Owners of Property ...M.J,c;b~,e.]., Crkc~ ,C¢-,r. ql. ~lp.s.b,c.)p,r.~,~ .........................
County Tax Map No. 1000 Section ... ,l.0.(~ ........ Block .... ~ .......... Lot .... ,l.5 ..........
Subdivision .C.a.p.t.a.~.D..~.&.4¢..~.s.~..a¢.e.s. ........ Filed Map No..1.6.7.2. ..... Lot No. ;]_.~.6. .........
/1977
Permit No.9.350. Z.... Date of Permit J. Qly. 5...~pplicant .D.r.:..L.u.b..o.s..T..r.i, .n.e.r...a.n.d..h..i.s. ,w.i, .fe stani
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ...:~:~,~Z:~ ............
Fee Submitted $. ~5,00 ......................
Construction on above described building and permit meets all applicable codes and regulations.
~-r'- 'g"~' ~:) ~ ri Applicant ./~..~ ~E~O ~I~
................
qo t.
STATE OF NEW YORK)
COUNTY OF QUEENS )
SS.:
MICHAEL MOSHOURIS, being duly sworn, deposes and says:
I am the present owner of the premises known as 290 Central
Drive, Mattituck, New York, Suffolk County, Town of Southold,
Dist. 1000, Section 106, Block 3, Lot 15. The building was
constructed prior to April 1957 and therefore there is no
certificate of occupancy of record except a temporary certificate
of occupancy for an addition which is dated October 20, 1983.
This affidavit is submitted in order to obtain a certificate of
occupancy for an existing building (prior to April 1957). The
premises is a one family dwelling and is habitable.
MICHAEL MOSHOURIS
Sworn to before me this
].~q~ day of March, 1985
Notary Public