HomeMy WebLinkAboutZ-16699 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/x~ Land
/--V Building(s)
'/-77 lJsefs~
located at 11155 Main Road/50 Legion Ave.
Street
Pre C.0. #- z16699
Date- March 10, 1988
Mattituck
Hamlet
shown on County tax map as District 1000, Section 142 , Block
02 , Lot 022, does(not) conform to the present Building Zone
Code of the Town of Southold for the following reasons:
Insufficient total area; front yard set-back.
On the basis of information presented to the Building Inspector's
Office, it has been determined that the above nonconforming ~7 Land
/-~ Building(s) ../--7 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 I story, wood
framed structure; sign; burner; bin; blacktop parking; all situated
in the B-light business zone with access to Main Rd. a state maintain-
ed highway_.
Addition permits #5105Z c/o #Z4174 add; #11241Z c/o Z16698 accy.
The Certificate is issued to RAYMOND & JOAN PLUSCHAU
(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.
Building Inspector
STATE OF NE~ YORK
COUNTY OF SUFFOLK
Raymond Pluschau and Joan Pluschau, individually and
jointly sworn, depose and say:
That they are the owners of premmises located at 111 55 Main
Road, Mattituck, Town of Southold, County of Suffolk and State of New York,
SCTM 1000/142/2/22, c~',~only known a~ North Fork Market, since 1974.
That said pre,raises has been in constant use as a deli/grocery
store since before 1957.
Sworn to before me
this 1st day of February, 1988.
Raym~d Pluschau .....
oan Pluschau
FORM NO. 6
TOWN OF SOUTHOLO
Building Deparb.ent
Town Hall
Southold, N.Y. 11971
765- 1802
~OWN OF '~O~'I~IOLD J
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted m ~mm~a 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.
B. 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 prope~W 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.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occ-pancy New Dwelling $25.00, Accessory $I0.00 Business $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 Date-~-...-~'.. ·
5.Updated C.O. $ 50.00 .......................
NewC°nstruction ...... Old or Pre-existing Building ...~..'. ...... Vacant Land .............
Location of Property ././../.~.~..~...~.¢./.~...~. ~)., ........................... .~. ~.../~./.
House No. Street Hamlet
Owner or Owners of Property j~l~. ~ 3;~
County Tax Map No. 1000 Section .../..~..2- ....... Block ..... .~..2.. ...... Lot .... .~...2_-: ~ ....
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 .......................
Fee Submitted $ .............................
Construction on above described building a/~ _ mit meets all applicable codes and regulations.
Applicant .~~~.-~...~ ................