HomeMy WebLinkAboutZ-16310TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/-~7 Land
/-~ Building(s)
Z27 Use (s)
Pre C.O. #- z-16310
Date- October 20, 1987
located at 38865 Main Road
Orient, New York
Street Hamlet
shown on County tax map as District 1000, Section 015 , Block
03, Lot O1 , does(not) conform to the present Building Zone
Code of the Town of Southold for the following reasons:
Insufficient rear yard set back; No 280 A, approved access. Accessory
garage in front yard.
On the basis of information presented to the Building Inspector's
Office, it has been determined that the above nonconforming /-7 Land
/-~ Building(s) /--7 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 applicable 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
Certificate is issued is as follows: Property contains 1~ story, one family,
wood framed dwelling with attached porch; deck; accessory garage all situated in
'A' Residential Agricultural zone with R.O.W. to Main Road. Permit #4152Z &
C.O. Z3555 for addition in 1968.
The Certificate is issued to
242 ASSOCIATES
(owne r,
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
ordinances, 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 regulations.
Building Inspector
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO.
N/A
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
BLDG, DEPT.
TOWN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted ~ "-------- 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 p~operty 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 New Dwelling $25.00, Accessory ,$10o00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land C.O. $ 20.00
5. Updated C. O. $ 5 0.0 0 Date ...S.e.p.~.ef~er..25.,. ~L9t{7 ......
NewCons truction ...... Old or Pre-existing Building . .X~C~ ....... Vacant Land .............
Location of Property ............. R.y.d.e.r..F.'a..r~...I~.n.e. ........................ O. rJ.e~ ........
House No. Street Ham/et
Owner or Owners of Property 242 Associates (formerly owned .b~ Euqenia Sheopard
County Tax Map No, 1000 Section . .q~.5...qq ....... Block . .0.3...0.0 ......... Lot... OOl. O00 ......
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 $... PP.-PP .....................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant Michael J. Hall
Rev. 10-10-78
AFFIDAVIT
Re: 242 Associates
Premises: (no #) Ryder Farm Lane, Orient, New York
STATE OF NEW YORK)
COUNTY OF SUFFOLK)ss.:
PAUL FOSTER, being duly sworn deposes and says:
That I am one of the owners of the house described on Suffolk
County Tax Map as 1000-015.00-03.00-001.000. That I believe tha
said house was constructed prior to April 23, 1957 and has been
used continuously since that time as a one family residence.
STER ~'
Sworn to before me this
~day of O~r, 1987.
notary public
BAR~3ARA CHUPA
Notaly Public, State of New York
No. 41'4621032
Qualified in Queens County
Cornmissiorl Expires Aug. 31, 19.,~.~
OFFSETS FROM STRUCTURES
~'O RELATIVE BOUNDRY LINES,
ON SURVEY, AI~E FOR A
SPECIFIC LISE ONLY, AND
,SHOULD NOT BE USED FOR
· CONSTRUCTION OF FENCES
gR OTHER STRUCTURES,
/ oo
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