HomeMy WebLinkAboutZ-12060TOWN OF SOUTIIOLD
OFFICE OF BUILDING INSt)ECTOR
TOWN HALL
SOUTttOLD, NEW ¥O~K
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
~/ Land
! ~7 Building(s)
/-/ Use(s)
N0. Z12060
11/Io/85
located at 11~zI-.5 i~Zi~I ROAD MATTITUCK
Street Hamlet
shown on County tax map as District 1000, Section "I~-I , Block z~
Lot z~1 , doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Th& property has insufficient area and lot widthi the accessory
garage has insufficient side and rear yard set-backs
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-
cate is issued is as follows: a one familv dwellin~ wi~h accessory gs~age
in rear yard area,located inthe A-residential-agricultural Zone
The Certificate is issued to
of the aforesaid building.
GENEVIEVE RUTHINOSKI
(owner, lessee or tenant)
Suffolk County Department of Health Approval N/A
UNDER~VRITERS CERTIFICATE NO.
NOTICE IS HEREBY GIVEN that the owner of the above premises H_iS
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.
Building inspector
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 unusua~ 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--?re-E×±st±ng C.0.
3. Copy of certificate of occupancy $1.00 Vacant :[and C.0.
$15.00
$ 5.00
Date ..........................
New Building ............. Old or Pre-existing Building .~. .......... Vacant Land .............
Location of Property /,/~ ~'~-~ /d~/~//~,/~.-~./~. ~/~/~77~/:7~c~C/~.~
House No. Street Ham/et
Owner or Owners of Property
County Tax Map No. 1000 Section ............... Block ............... Lot ................
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 and permit meets all applicable codes and regulations.
Applicant
Rev. 10-10-78
I1
STATE OF NEW YORK )
) SS.:
COUNTY OF SUFFOLK )
MARK RUTHINOSKI, being duly sworn, deposes and says:
I am the son of Genevieve Ruthinoski, owner of the premises
set forth on the annexed survey of Otto Van Tuyl dated February
18, 1966.
My mother is legally blind and, for that reason, I make
this affidavit to induce the Building Inspector, Town of Southold
to issue a Certificate of Pre-Existing Use for these premises,
knowing he relies on the truth hereof.
My mother is selling the premises to Stella Radford.
Since the date of the aforesaid survey when my parents bought
this property, there have been no alterations or additions to
the improvements thereon. I ask, therefore, that a Certificate
of Pre-Existing Use issue either to my mother or Stella Radford.
Swor~ to before me this
"~;~' day of November, 1983.
/ /~v- / N"ot~ry Public~
PIERRE G. LUNDBERG
!~O]'ARY PUBLIC, State of New York
(?:m: ~!. ! ;.re; t,,i,;~.k 30, 19
Mark Ruthinoski
Scale~ 30'= I"
,
VA~ TUYL $ SON ,~.,..,~.,,. .... ~ ,+
.,. .