HomeMy WebLinkAboutZ-11688TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN tLiLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
No. Z11688 5/24/83
THIS IS TO CERTIFY that the
/'~! Land
/ X/ Building(s)
/-/ Use(s)
located at 540 Mill Creek Drive
Southold
Street Hamlet
shown on County tax map as District 1000, Section 135 , Block 03
Lot 043 , does[not)conform to the present Building Zone Code of the
the above premises is located
Town of Southold for the f~low~g reasons:
in the 'A' Residential Zone. The lot area & lot width does not
comply with present zoning. The front yard setback', of dwelling
does not comply with present requirements--Art. III, Sec. 100-31
Bulk Schedule~ as amended May 16, 1983 & Sec. 100-34 as amended
2/1/83, and renumbered from Sec. 100-36.
On the basis of information presented io 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
Toxvn 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 folloxvs:
one-family dwelling.
The Certificate is issued to
of the aforesaid building.
MARY ELIZABETH TAGGART
(owner,
Suffolk County Department of Health Approval no record
UNDER\%rRITERS CERTIFICATE NO.
no record
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 co~es and regula-
~uiidt~ 'inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hell
Southold, N,Y, 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and subr~itted in duplicate to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final sur,/ey 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 Undenc/riters.
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"
td?uvuses:
ccurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
pographi~c features.
orn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. D~te 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 ...~0 --.. ~
2. Certificate of occupancy o~.pre-existin~g2Jwelling pi' land us~'¢l$ "J,~5,00
3. Copy of certificate of occup"cTcT'----~ $1.00 ! ~ !
Bu' d' g ............. P e-existing B ' d' g( ) ......... = Vacant Land '~ .~' .........
New n O d or r u n
Location of Property ..~.. ,~-,,..~//,~.~...~.....~..~.~...l~../.~~.. ....
......
Owner or Owners of Property .I ..............
County Tax Map No. 1000 Section .............. Block ./~..Z'-- ~ 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 C_erti~cate ..................... Final Certificate .................
Fee Submitted S../..~-~..-.~.~ ..................
Premises at:
STATE OF NEW YORK)
COUNTY OF SUFFOLK) ss.:
I, Mary Elizabeth Ta§§mrt v residing at 10 Carren Circle,
Huntin§ton, N.Y. , being duly sworn, depose and say:
That I am the present owner of the premises located at
540 Mill Creek Drive , and designated on the Suffolk County Tax
Map as District 1000, Section 135.00, Block 03.00 , Lot 043.00~ and am
familiar with the condition of same;
That the structure situated thereon has been designed,
arranged and physically occupied as a single family dwelling;
That this time the premises is/is not occupied;
That the condition of the existing structure on the premises
is good;
That I make this affidavit in the knowledge that the Building!
Department of the Town of Southold will rely on the accuracy thereof
in issuing a certificate of occupancy for pre-existing use.
Sworn to before me this
/~_~_i day of
, 1983.
Notary Public '
~o. 52-040d2~3, Suffolk County