HomeMy WebLinkAboutZ-12376TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the Date: March 19, 1984Z12376 212376
/x / Land
Building(s)
Use(s)
located at vanston Road Cutchogue
Street Hamlet
shown on County tax map as District 1000, Section 1 1 1 , Block 11 ,
Lot 1.7 , does(not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming F/ /_/ 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: 2 story frame one family dwelling with
accessory garage and access to vanston Rd. A -Residential -Agricultural
Zoned.
The Certificate is issued to Joan R Smith
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CER'T'IFICATE NO. N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises I -LAS
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.
Buil n Inspector
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.O. $ 15.00
3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00
//Date ...... L�.... .
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
u1 /�
Location of Property ....�!iUlal...... ......................4.
House No. Street
JHamlet
Owner or Owners of Property .... J. �!....'. l .... All I TN . . . . ............ . . . . . . . . .... .
County Tax Map No. 1000 Section ....... ..... Block ........ ..... 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 .......................
Fee Submitted $ ..............................
Construction on above described building andp g mit me I pplica le c des and regulations.
Applicant .. .. ...... ..........................
i
Rev. 10-10.78
STATE OF NEW YORK)
ss:
COUNTY OF SUFFOLK)
JOAN R. SMITH, being duly sworn, deposes'. -and
says:
That she is the owner, and occupant,'of the
one family.private dwelling situated on Vanston Road. Nassau
Point", Cutchogue', New York, and further designated as Map No.I
111-11-1 7
That she hereby 'states the following:
The house was constructed about 1860 and is
of frame, brick -filled construction. In 1974 extensive reno-
vation was,undertaken•and included the following:
1. New roof.
2. Entirely new, 47Zone hot-water
.,heating system installed.
3. Complete new kitchen.
4. Complete rewiring.
5. Complete new plumbing'.
In 1976 the house was insulated and in 1981 it was repainted.
The house is presently in''excellent.condition
and.needs no repairs whatsoever.
'JO R. SMIT
Sworn' to before ,me'this
day of March, 1984.
Notary ubli
MAR'.AV VNESK1
P<C'- .�. ( t? �:'• iC, SfoAe cr' i•?cw ic:l:
<ai!� Cc ^ y No. 52,979+1723
hic C:7 SC, 19
TOWN OF SOUTHOLD PROPERTY RECORD CARD J
OWNER
!STREET
VILLAGE
DIST. SUB. LOT
V
REMARKS
r
FORMER OWNER
N
E
ACR.
S
W
TYPE OF BUILDING
Vr/'
RES;0_0
LSEAS. VL. FARM
Comm CB. mics. Mkt. Value
LAND
IMP. TOTAL DATE
REMARKS
r
j2
FRONTAGE ON WATER
Tillable
Woodland
I I FRONTAGE ON ROAD
Meadowland
DEPTH
House Plot
BULKHEAD
Tctal
COLOR
TRIM
M. Bldg. a �� X u`; i r �y S < - I �_ ��
15
J I
Extension
L
3,- 7
s
)n Z.
PL i,
7-2 lFoundation
Both Dinette
Porch Basement Pira T Floorsr.�.K.
LR.
Porch ofyx 0 1 Ext. Walls Y E 1"
Interior Finish
Breezeway !Fire Place Heat DR.
Garage Type Roof Lr f, kr Rooms Is t FI0 0 ER.
Patio
Recreation Room Rooms 2nd Floc FIN
O. B. IDormer Driveway
Total A
II
1
-4
3,- 7
s
)n Z.
PL i,
7-2 lFoundation
Both Dinette
Porch Basement Pira T Floorsr.�.K.
LR.
Porch ofyx 0 1 Ext. Walls Y E 1"
Interior Finish
Breezeway !Fire Place Heat DR.
Garage Type Roof Lr f, kr Rooms Is t FI0 0 ER.
Patio
Recreation Room Rooms 2nd Floc FIN
O. B. IDormer Driveway
Total A
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UNAUTHORIZED ALTERATION OR ADD
TO THIS SUFVEY IS A VIOLATION OK
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