HomeMy WebLinkAboutZ-14985TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN It, LL
SOUTttOLD, NEW YOP~K
CERTIFICATE OF OCCUPANCY
NONCONFOtXI%~ING PREMISES
THIS IS TO CERTIFY that the
/X~ Land Pre C.O.
~ Building(s) Date-
Use(s)
located at 2385 Pine Tkee Road
Cutchogue
#- Z14985
Oct. 14~ 1986
Street Ha~nlet
shown on County tax map as District 1000o Sectionl04 , Block 03
Lot 02 , does.[not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area; side yard set-back.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming ~__! Land ~_Y/Building(s)
/Z/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; Property contains a one & one half, wood
framed, one family, dwelling, with fencing and concrete patio. Ail
this in the A-Residential-Aqricultural zone with access to Pine Tree
Roa~ a~to,w.~, rqacl,
~ne uert~nca~e ~s issued to
of the aforesaid building.
HAROLD W. SCUDDER
(owner, ~~q~X~)
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO.
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises ~L~kS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with al! 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.
Buiidin~
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
5,'?3
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 disposel--(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 respohsible 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 features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Da{e of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate, ;
Fees: .,
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date .. Sepy~ber 30, 1986
New Building ............. Old or Pre-existing Building(Z). _.X. .... ~/Vacant Land '
Location of Property ~e, Tree Road Cutchogue
House No. Street Ham/et
Harold W. Scudder
Owner or Owners of Property ............. ~..- ......................................
104 03 .02
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 ........ - .........
,: '",' 15.00
Fee Submitted $ .:~ ...........................
Construction on above described building and permit~meets all appti,cable_~o.das and regulations.
Michael J. Hall
Applicant ...... d ....... . .... · ........ .d ...............................
AFFIDAVIT
Re: Harold W. Scudder
Premises: Pine Tree Road, Cutchogue, New York
STATE OF MICHIGAN)
COUNTY OF )ss.:
HAROLD W. SCUDDER, being duly sworn deposes and says:
That I am the owner of the house described on Suffolk County Tax
Map as 1000-104-3-2. That I believe that said house was
constructed prior to April 23, 1957 and has been used
continuously since that time as a one family residence.
HAROLD W.SC~dDDER -
Sworn to before me this
day of
BRENDA ~'O BOHMAN
Notary, P~b~.ic, Shiaw~sz¢~ Co., MI
M~,' Comm~.ssion Expires Feb. Z6,
LITTLE CREEK
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