HomeMy WebLinkAboutZ-12788TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN IIALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
I5[ Land
[~/ Building(s)
/-/ Use(s)
Pre-
C.O.# Z12788
Date Sept. 19,1984
located ~ 10625 Oregon Rd. Cutchogue
Street Hamlet
shown on County tax map as District 1000, Section 083 , Block 02
Lot 015 , does.~not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Irisufficient Total Area,Insufficient Rear Yard set-back for pump-
house.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /iX/Land /i/Building(s)
/i/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: This property has a 2 story wood framed
one family dwelling with two accessory garages and a wood framed
pumphouse. This land is situated in an A-Residential-Agricultural
Zone with access to Ore~on Rd. a Town Maintained Rd.
The Certificate is issued to
of the aforesaid building.
MARGARET PATRICIA Mc CABE
(owner, lessee or tenant)
Suffolk County Department of Health Approval N/A
UNDER%~q~ITERS 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 ff the premises comply with all 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.
Building ~!nspe ctor
FOILM NO. 6
TOWN OF SOUTHOLD
, Building Department
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in D(JPLICATE to the Building
Inspector 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 disposa!. (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
installations, 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 1057), 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 in-
formation required to prepare a certificate.
C. Fees: 1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land usex~t~;:g~ $15.00
3. Copy of certificate of occupancy $1.00
New Building ................ Additio~n ................ Old or Pre-existing Building ...x. ............ Vacant Land ..............
Location Of rroperty ...~...O.~..e.g..o.~.....R..o...a..~...- ............ :~,.~..~.~....~..q ..... ].;.,q..: ..... .~.,.,~...g.:;:fi:.~.;,....C.p..t;.~.b. ogue
Owner Or Owners Of Property .... ..~.p..~g.~T;.~..~....P..e3~.~,~.~.,i,.~%..~G.~.P,~?.~. ........................................................
~ .......... ~.~,,%~3;*.Lf;.~,...O.f~3.,.Q.O .................. Lot No.~QPBIock N~.. ~ .............
.................... N/A N/A
Permit No. N/A Date Of Permit .................... Applicant ..................................................................
Health Dept. Approval .......... .N./..A. ............................ Labor Dept. Approval ......... ..N.~..A. ............................. i..
Underwriters Approval ........... ~]/.~ ............................ Planning Board Approval .~/~ ................................
Request For Temporary Certificate ........................................ FinaJ Certificate .................. ~ .....................
Fee Submitted $ ..,LS...OD ......................
Construction on above described building an_&Lpermit meets all gliglicable codes and regulations.
App,icant .... ...................................................
(Robert L. Tooker) - attorney for owner
Sworn to before me this
Notary Public ..... Suffolk .............. County
(stamp or seal)
AFFIDAVIT
STATE OF NEW YORK)
) ss.:
COUNTY OF SUFFOLK)
MARGARET PATRICIA MCCABE, being duly sworn, deposes and says:
That she resides at (no number) Main Road, Mattituck, New York
11952.
That she is the owner of premises situated at Oregon Road,
Cutchogue, New York 11935.
That said premises have been owned by your deponent since
October 29, 1970, and prior to that by deponent's family since the
early 1920s.
That since April 23, 1957 there have been no structural
alterations to the dwelling.
That no changes to the premises or their use have been made
since April 23, 1957, the date of the adoption of the Southold Town
Zoning Ordinance.
That annexed hereto and made a part hereof is a survey of the
premises prepared by Donack Associates, dated the 5th day of
September, 1984.
This Affidavit is made to induce the Town of Southold, through
its appropriate officials, boards or employees, to issue a certifi-
cate of occupancy, knowing and intending that the said Town, its
officials, boards or employees will rely upon and be induced to act
by reason of the representations made herein.
(Margaret Patricia McCabe)
Sworn to before me this 19th
day of September, 1984.
Public
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