HomeMy WebLinkAboutZ-12359TOWN OF SOUTI{OLD
OFFICE OF BUILDING INSPECTOR
TOWN HAI,I ~
SOUTHOLD, NEW YORK
CERTIEICATE OF OCCUPANCY
NONCONFORMING PE EMISES
THIS IS TO CERTIFY that the
~--/ Land
/ / Building(s)
/-I Use(s)
located at 50605 Main Road
Southold
Date: March 14, 1984
#Z12359
Street Hamlet
shown on County tax map as District 1000, Section. 070 , Block 1
Lot 8 0 does(not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient front and sideyard setbacks
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /~/Land /5/Building(s)
/5/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 inforrnation presented to
the Building Inspector's Office, the occupancy and use for which this Certifi-
cate is issued is as follows: ~½ story one family dwellinc~ ii1 ghe
A-Residential-Agricultural zone with access to the Main State
Road ..~25
The Certificate is issued to
of the aforesaid building.
...... Stephen J. Perric0De
(owner, lessee or tenant)
Suffolk County Department of Health Approval
N/A
UNDERVirRITERS CER'FIFICATE NO.
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises
NOT CONSENTED TO AN INSPECTION of the premlses by the Building Inspec-
tor to determine ff the premises comply with ali 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.
Buildin~ inspector
Town of Southold
Building Department
Main Road
Southold, New York,
11971
February 17, 1984
Gentlemen:
According to my knowledge on purchase of p~mises
located at 50605 Main Road, Southold, New York, the
one and a half story framed house is the same as it
was when I purchased it, dating back to the years
1940.
STATE OF NEW YO[~K
COUNTY OF SUFFOLK
Sworn to this /~
~ep~en J~r i ~o-~-~e
day of ~FL~'
1984
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 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 peoperty 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.
C. Fees:
1. Certificate of occupancy $5.00 /
2. Certificate of occupancy on pre-existing dwelling land use --P~'e-E×±st,±ng C. 0. $15 · 00
3. Copy of certificate of occupancy $1.00 Vacanf, land C.0. $ 5.00
Date ....~..~..~'...o~/.../.~..~..~. .....
New Building ............. Old or Pre-existing Building ... ~ .... Vacant Land .............
Location of Property .~..,~.~./f. SD../~.'O~ . .~..,~. ~;~z/..~..¢5:~../...~..~/~. ~'~f'..~..
~IO'u~'N'o: ..................... Street
Owner or Owners of Property ....~....~...-~'4~ .~...~.'~-....'J~'.. q~..~.'.'~.~.~..~.. ~...~.?~ .~..f?..~. ........
County Tax Map No. 1000 Section .... 7~ ........ Block ....... /(. ...... Lot .... ~.. .........
Subdivision...~.0 M~. ~ .c-! .~. ................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant..~. '..7~..~'...~...c~f..~.~., .~../-..~?,?.~..e.,. ,
Health Dept. Approval ........................ Labor Dept. Approval -
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ ..... /'.D.? ~ ..................
Construction on above described building and perrr~eet~fal/appli~l/c~es ar~ regulations.
App'lican/t~....,~',L~.~/~-.-."r..'I"~.. y~."~ ~--~'~"~P'"- ~" '/ f'~' .~.... ...... ..:.
Rev. 10-10-78 ~/~