HomeMy WebLinkAboutZ-13962TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/X/ Land
Building(s)
I /
Use(s)
Pre C.O. #- Z13962
Date- Oct. 25,1985
located at 55415 Main Rd. Southold
Street Hamlet
shown on County tax map as District 1000, Section 062 , Block 01 ,
Lot 012 , does(not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area. Insufficient side & rear yard
set -backs on accessory garage.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /_X/ 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: Property contains a two story, one
family, wood framed dwelling situated in the B-1 Zone with two car
garage with -
access to Main Rd. (Rt 25) a state maintained road.
The Certificate is issued to THOMPSON, ELIZABETH
(owner, lessees���a�t�
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO.
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS
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.
:wilding inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
OCT 2 51985
TOWN OF
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted wv� 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 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. $5.00 000,
Date ...��� S.... .
New Building .......... Old
doorr Pre-` isting Buil 'ng .>n........ nt Land .............
Location of Property !! f !(.`�. /..... �? ............ � ....... .
House No. Street
,/ �A Ham/et
Owner or Owners of Property L.../Z ....! ... , .../.. �!'`!.Se
County Tax Map No. 1000 Section &.P! ! 0..... 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 $.1.57
Construction on above described building and permit meets all applicable codes and regulations.
`l01..,�,-�. 4
QlkCO a � 3�t+c2. Applicant .. ............. .. ....... .
Rev. 10-10-780-78
//�"00�
L
ie
-A OFE'v'
CSM. E3g-=DN105'4 1)
014 LINE
75 0 39 9 1ME .
E. - 75.0
40--
FS145. I' S.
9
:W,
W
7- - STY,
SE
FCAME
AM 7C--
t4O�Uj
lu
(Y)
ILL
E3Ajz C-
F�,-EAU AVE.
M A �J
m
'-
, e -CIAL)
T"� NIA P PAT*A: 1000 - 062 - I - 42.
L
Al -
.)U
I .it L/
A LE 4C z I
[A;
-r-
Unauthorized alteration or addition CAN'r,-EEL', X) 'C'JA5E MANHXT-TAN
-ion of N.A.9 !'HE U.5.
,r, this survey is a violation
Section 7209 of the New York SIM" CO,,S SLJQVEYOCT. 2E3 1
985
Education Law.
Corias of this SUN" mOP nOt bellor4
TU\y`j,
the land survVYWO k*ed 900 Of
embossed seal Shall rM be WnWered
to be a valid true Copy
Guarantees 1"W*d t""'80" " Mn
only to the POM)p for V*WM " *Ur"Y
is preWed, grid an Me bdM to the
title Compowgwwmnwdm . eaum and
landing instituti011 B11111811 tWOW and
to the eaWgnaes d the lmft kleg-
tution. Guarantees WO not 1r8ns1&rab1*
to additional institutions or subsequent LIC. LAN40 5UQVEYOL25 0-1ZE L-- A11-4 T- N4 -Y,
owners.