HomeMy WebLinkAboutZ-12269 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
12269
NONCONFORMING PREMISES No. Zary
February 16 , 1984
THIS IS TO CERTIFY that the
/X / Land
/X / Building(s)
/ / Use(s)
located at 5350 County Road 48 Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 140 , Block 02
Lot 015 , doesbnot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
the property has insufficient area. The dwelling has an
insufficient front yard setback.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /X / Land /Xj 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: a private one-family. dwelling with
accessory garage in the rear yard. This property is located
in the 'A' Residential-Agricultural Zone.
The Certificate is issued to ROY L. WINES, JR. & VIOLET A. WINES
..(owner, lelssee=temjnt�
of the aforesaid building.
Suffolk County Department of Health Approval no record
UNDERWRITERS CERTIFICA'T`E NO. no record
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.
C;L K-9 4-4�
Building e ctor ��
Sw or VL �v e 1 o re- N1 r
f h is 1 LIA do-y of f=e /W
ELIZABETH ANN NEVILLE
NOTARY PUBLIC,Sate of New York
No.52-8125850,Suffolk Coup
Term Expires March 3Q 1 ,
r
FORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
4'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 responsi
licle ableorthe building.
5. Submit Planning Board approval of completed site Ian requirements where app •
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 unusua� 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 --Pre-Existing C . 0 . $1 5 • 00
3. Copy of certificate of occupancy $1.00 Vacant ' land C . O . $ 5 . 00
atepqjo . . . . . . .
New Building . . . . . . . . . . . . . Old or Pre-existing Building Vacant Land . . . . . . . . . . . . .
. . .5.35� . . . . . . . . .(20U � :. . . . .. . . .
. . . a: ;
Location of Property Street Hamlet
House No. . •� _,.{ " � ,,
Owner or Owners of Property . . .
. . : . . �. s.,. :
County Tax Map No. 1000 Section . . .
0 Block . . . . . . : Lot . . . �. . . . . . .
K .Filed Map No. . . . . . . . .Lot No. . . . ... . .. . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Permit No. Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . • • • • • • • • • • • • • ••
�.Ce� . .Labor Dept. Approval . . . . .iL44�• • •�� �'�'•
Health Dept. Approval . . . . • . •�• • • • •
Underwriters Approval . . . . . • • • •r • • •Planning Board Approval . . .w .
Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . :Final Certificate .
.l4-�
Fee Submitted $ . . . . . . . . . . . . . . . . . . . • •
Construction on above described building and permit meets all applicable codes and regulations.
Applicant . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Rev.10-10-78 Cc)
I
off/ l4'(D
N
{>� #
.,��.•. .- '6....- i ate•.. Er...,o��r._ .5b0 .. �f S I.m...a-S...s^�
f A
{`trw✓ .F T� � l
;OF e4C
Gij�.I dl
� �� I N Ili �l�:Q��.�F�#-SAG i-�€��.. •
O ' /
ti N
w L .
LEI
67
LA 4
Va!'r_. a.J,�T"t�Y N'#AE��".i.�C�.-K.,iU o :I` 0.—.15% - 1
o>`ti�=� -
MAWHORIZED,ALTERATION ua kuvmo,
THIS SURVEY.IS A VIOLATION OF
$SZTION 7209 OF THE NEW YORK STwTE '
1G3KATLON LAW.
K OPIES OF THIS SURVEY MAPANCIT CFRRi
r
HE LAND SURVEYOR`S S
61!\L,SNALL NOT C.
li,x A.w.61D:TRU©.
0::ARAN7E:5 INpIC:;TEJ HEff;;?J SI:ALL RbYtl
Y. -1 •. PNLY TO THE PCRS.0N;OR'V!HCjM TE!i.SURYE!
13 PREPAD.ED, AtiLI'ON"IS-bEHALF TO THE
MILE COMPANY, GOV2:24ENTAL AGENCY Rom+
LENDING INSTITUTION LISTED HEP.EOO, RNP I
THE ASSIGNEES OF THE_ENDRAG INSTI
T<,j1.'T.ICS�C,CUARAI+eTEES ARE N:iT TRANS'rEkM• +i{�
4 s
GU&QANTEED:_T0 THE. Tl-rLE GUAR&N-IFEt�.� c��F'f���i�� AN .i." EC ('
" 'L;C..L.A.#`-4V .: u f2—yE o.p4
i155t - 2