HomeMy WebLinkAboutZ-12311TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPI::CTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the 3/6/84
/X/ Land 212311
Building(s)
/ Use(s)
located at 1005 Miil Lane Cutchogue
Street hamlet
shown on County tax map as District 1000, Section 74 Block 2 ,
Lot 11 does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
insufficient total lot area
On the basis of information presented to the Building Inspectors 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-
cate is issued is as follows: A RESIDENTIAL AGRICULTURAL ZONE
WITH ACCESS TO MILL LANE
The Certificate is issued to EMILY V. RADZIEWICZ
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
V"a-, &."L
Building Inspector
Location
BUILDING DEPARTHENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
number & street
Subdivision clap No.
Name of 0
Occupancy
klun 1 c i
Lots)
Admitted by: Accompanied by:
Key available ' Suffolk Co. Tax No. _
Ie . /I t_9 c
Source of request
DWELLING:
Type of construction #stories_
FoundationellarG��rawl space
Total rooms, lst. Fl 2nd. F1 3rd. F1
Bathroom(s) Toilet room(s)
Porch, type Deck, type Patio, type,/.���
Breezeway Garage � Utility room
Type Heat'&_2/ Warm Air Hotwater �
Fireplace(s) No. Exits Airconditioning
Domestic hotwater Type heate/� (i
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Guest, type const.
Other
Date
Swimming pool
VIOLATIONS:
Housing Code, Chapter 52
Location
Description
Art.1
Sec.
Remarks:
Inspected by: Date of Insp.
^� Time start �G.�end o��`G
_Ie
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
"outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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.
B. 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 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. Certificate of occupancy on pre-existing dwelling land use --Fre-Existing C . 0 $15 0Oj
3. Copy of certificate of occupancy $1.00 Vacant land C-0. $ 5 .00
Date.w. •./..�...
New Building ............. Old or Pre-existing Building...... Vacant Land ...............
c
Location of Property/ .. � .. �?,�......q.�'vYJ!.0 .,.. � ��-� �w.
House No. SS (( Sheet ^ (/ Hamlet
Owner or Owners of Property ........ .. • .. `" ` � . ..... � ........................ •
County Tax Map No. 1000 Section .... 7 ...... Block ...°2........... Lot ....J ..........
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 ...G.1 .................
Fee Submitted $.... !!.......•..........•••••
Construction on above described building an permit meets all applic le codes and regulations.
Applicant A�!.:.. :��:�> ............
Rev. 10-10-78
CONSENT
TO
INSPECTION
Owners) Name(V)
do(es) hereby state:
, the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at / V U S6— CJar1/-en
111d which is shown and designated on the Suffolk
County tax map as District 1000, Section, Block Lot l%
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
£ F K 16- -n
� �,, -F, CA
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: ` /a 3/F�c
(signature)
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(print name)
(signature
(print name)
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M.9P OF PROPERTY
of
M. SALMON EST.
SITUATE AT
P E C ON / G
SUFFOLICGO., N.Y
,$"ca/e /In = /00//
Surveyed Aug. /6p,, /939
Licensed S rveyor0
Un1,11THOgrE, VALTERATLON On ADDITION
ll, ;NVEIE VN OE
SEmHO nDJ OF mIE nEWYORK Green IOorl( ,/V
.Y
EDUCATION LAW.
COPIED OEH'D `WVF% rAtr MT oGpING
THE LAND EUP"EUI'.,...... On
EMHOS@ EVE LI,nJ I'_t LE CONEIDEEED
TO IE A V:.LID i,,I' r
G1APAWE1K IPIDIGiM IEIREON SNALI PILL
ONLY TO till PEIISOW EOU V/HOM HIi' SURVEY
6 PREPARED, AND ON DIS 1411AIF TO THE
tITLL Co',RAIJ'., GOVLlRh,H ItAL .AGENCY AND
LENDING ESTIiDTION USED IILRLON, AND
TO THE f3AGNLES OF TAE!MDING Ill
TLItIOIJ. GU'RAKLT E: PIIL NOT TRAI6PERAiIt
TO AWII ZONAL IN91iuOON1 OR 1U6512DEM