HomeMy WebLinkAboutZ-11717TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
N ~D~N4C~3 N~F-(RR B~r ~ E ~PI~-~
No. Zl1717 6/8/8B
THIS IS TO CERTIFY that the
/--/ Land
/--/ Building(s)
/[/ Use( )
located at 66225 COunty Road 48
Greenport
Street Hamlet
shown on County tax map as District 1000, Section 040 , Block 02
Lot 009 , does[~)conforrn to the present Building Zone Code of the
Town of Southold for the following reasons:
a 'one-family dwelling use is a permitted use in this 'A' Zoned
District with an accessory building (detached garage*).
On the basis of information presented to the Building Inspector's Office,
it has been determined lhat the above mmmconforming C/Land /Z/Building(s)
/Z/Use(m) 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:
one-family dwelling.
The Certificate is issued to
of the aforesaid building.
MAGGIE G. THYGESEN
(owner,
Suffolk County Department of Health Approval not applicable
UNDERWRITEI~S CERTIFICATE NO.
not aPplicable
NOTICE IS HEREBY GIVEN that th~ 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 codes and regula-
tions.
*Detached garage, building permit
4049Z, with Certificate of Occupancy
Z3314.
;-~%l h G 1~ Lnspe ctor
Bo
M-3406
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 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 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.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancv on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date .......
New Bui ding ............. Old_or Pre-e_xi~ti0_q J~uilding(X), _..X_.. _ = ZVacant Land .
...........
Locat on of Property ................ '.'. 7-. j~.. ~.. 7 ...... Green. pp.=.t; .......
House No, ~__ Street Ham/et
Owner or Owners of Property . , .M.agg .ie ~..~!a~...Tt~.¥g_ese. o ................................
County Tax Map No. 1000 Section ...0.6r0~.0.Q ..... Block ....0~...(}0 ...... Lot.. 00,q...00 .......
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 $, . .1.5.-.0. 0 .....................
Construction on above described building and per~cil¢meets all app,~cable~;odes and regulations.
Applicant :.
(-Re~ss~laer G. 'Terry, ~r,))' f .....
- CO 'g- 117(7
M-3406
STATE OF NEW YORK )
)
COUNTY OF SUFFOLK )
SS:
RENSSELAER G. TERRY, JR., being duly sworn, deposes add
says that he is the attorney for Maggie Gerda Th~gesen~ the
applicant for a pre-existing Certificate of Occupancy; that
deponent knows of his own knowledge that the dwelling house on
said premises was constructed and occupied ~ prior to 1957;
and that no changes have been made subsequent to the enactment
of the zoning ordinance~ that attached hereto is a survey of
said premises; premises occupied as a 1 family residence.
(I~ensselaer G. Terry, Jr.,~
Subscribed and sworR to
before me this ~day
of June, 1983.
ZN~ary Public.