HomeMy WebLinkAboutZ-13026TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORA%ING PREI¥IISES
THIS IS TO CERTIFY that the
,~/ Land
/ / Building(s)
/--/ Use(s)
C.O.#Z13026
Date November 30,
located at 35050 Grand Avenue
Mattituck
~98.
Street Hamlet
shown on County tax map as District 1000, Section 107 , Block 01
Lot 08. 100 , 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 ~_~ Land /_/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-
One family, one & ½ story wood framed dwelling
cate is issued is as follows: with wood deck, brick & concrete patio and
.~~ accessory ~h~d;sit~]~t~d in f.h~ ~-Residentiml-Agrimnltural
zone with access to Grand Avenue~ a town maintained road.
The Certificate is issued to
of the aforesaid building.
SMITH G. FEARSALL AND BETTY T.
(owner, ~X ~ ktEB~t)
PEARSALL
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO.
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if 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.
Buiidin~ Lnspe ctor
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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 line% ~treel~, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposai-(S-9 form or
3. Approval of electrical installation from Board of Fire Underwriter~
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 requirement~ where applicable.
For existing buildings (prior to April 1957), Nonconforming urns0 or buildings and "pm-existing"_
land uses:
1. Accurate survey of peoperty showing all property lines, ~treet% '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.
C. ' Fees:
1. Certificate of occupancy $5.00 /
2. Certificateofoccupancyonpre-existingdwelling/landuse--~'t-e-E:xi-,,ting C.0. $15.00
3. Copy of certificate of occupancy $1.00 Vacant, land C.O. $ 5.00
,1961-62 . ,buil~ prior to 1957
New Building .Hous,e, .bui.l.t~ld or Pre-existing Building . .x.. ( shed ) / V,,.mn) Lan4 ....
Mattituck
Location of Property ~ .(~r~D.d,. 6y.e.n.~.e ............................................
House No. Stl~t Hamlet
Smith G. Pearsall and Betty T. Pearsall
Owner or Owners of Property ............................................................
County Tax Map No. 1000 Section .... 3, Q.7...QQ .... Block . .0,1...0.0. ........ Lot.. ,0.8....1.0.0 .......
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 ., of..O¢cg~n-a~c~'. · .Z. · ·
Fee Submitted $....L5,, 00 ....................
Construction on above described building and permit meets all appli~,a~codes and regulations.
Applicant ,..~~-~ ...............
Smith G. Pearsall
I
S. 41°3Z'10#~. 171.92'
AREA:
BI, 754 ~ ~
L 8764 ACRES
GRA ND
2~9.00'
AVENUE
9.$0
MA P OF
DESCRIBED PROPERTY
A T MA TTITUCK
TOWN OF SOUTHOID
SUFFOLK CO.,W. K
CERTIFIED TO:
L A ~V YERS TITLE INS CORP.
~'BL? ,~66011
WILL IA M LEWENDOSKI
BERTHA P. LEWENDOSKI
sealand
surveying ~
L_ engineering p.c.
!0 west main st.
riverhead, new york
(516) ~)69-1717
Nov. 17, 1984 Job Ns 84-676
1000"107-OI- 8.1Scole, 1"=40'