HomeMy WebLinkAboutZ-14350TOWN OF SOUTHOLD
OFFICE OF BUILDING INSP:CTOR
TOWN HALL
SOUTHOLD, NEW YORri
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the C. O.# Z 14 3 5 0
AX/ Land
FX/ Building(s)
/_/ Use(s)
Date 4/21/86
located at 1650 Fleetwood Road Cutcho ue
treet 14amlet
shown on County tax map as District 1000, Section 137 Block 05
Lot 13 , does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
_Insufficient total area Insufficient front & sid yard set backs.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming / YALand /XiBuflding(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-
Property contains a one story, one family,
tate is issued is as follows: wood framed dwelling with fence down one
side line. Property situated in the A Residential Agricultural
zone with access to Fleetwood Road; a town maintained road
The Certificate is issued to NICHOLAS & DIANNE SAMIOS
(owner, ,p!XgRXt&RR>AVX
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
Building Inspector
APR
9-17-41
FORM NO. 6
TOWN OF SOUTHOLD
- Building Department
�oLb Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted n v� 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 property 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 $15.00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O.
$5.00
5.Updated C.O.
$15.00
Date .
.. l�/..U.. ......
New Building .............
Old or Pre-existing Building
Vacant Land .............
(1�Povu a
rc
'�}
Location of Property..
f�u
(..j rJ
House No.
��
/I /;
j�Street
�fZ?`1...........
( J Ham/et
Owner or Owners of Property
a C; ... ..,t!
1..
1�� !. U % .....
3....
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 ........ I ...............
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 tl-� Ci
4
{3Ss)
7Z.
Term Exo'h?eWs'jr3o, 7
Jo -1c: - 1,-�7-5-
OWNER
FORMER OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET VILLAGE DIST. SUB. LOT
xe�I`� oaar Cv ✓e
N J- , E ACR. /
e7ivaaa/Aad
SW TYPE OF BUILDING
,Cie eAl, r //. , i 1.2-� .D.. J '
ki—J
RES. .2 6 C
EAS.
VL.
o
,. W n J"'j... _
FARM
COMM. CB. MISC. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS A/ � ��
�Y � �
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W
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OD
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rw
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GG, Vol
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
FRONTAGE ON WATER
Brushlond
i
FRONTAGE ON ROAD
House Plot
DEPTH
BULKHEAD
Total
DOCK
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fly
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FINN ER
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AURA G.
BEE BE -s
o .
NI Ol F'
p y�V LANps
�a► N A. G
QPrepared in accordance with the minimum
M N.Y.S. LIC. NO. 49668
standards for title surveys as established by
the L. I. A. L. S. and approved and adopter
�`CO NI R E Y 0 a ENGINEERS , P. C. for such use by The New York State Land
( 51 6) -4 Q Title Association.
P. 0. 80 JEW
MAIN ROAD
SOUTHOLD, N.Y. 11971
ST RO AD
EA
SURVEY FOR
DIANE SAMIOS
AT 'FLEETS NECK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000 - 137 - 05 - 13
SCALE 1 = 30
MAR. 25, 1986
CERTIFIED T0.
SOUTHOLD SAVINGS BANK
DIANE SAMIOS
86 -181