HomeMy WebLinkAboutZ-14385 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NE`'4' YORK
'CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/ XX Land Pre C.O. #- Z14385
/ Xk Building(s) Date- May 8 ,. 1986
Use(s)
located at 2725 Skunk Lane & 55 Leslie Rd. Cutchogue
Street Hamlet
shown on County tax map as District 1000, Section 97 Block 4 ,
Lot 14 doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area. Non-conforming garage and shed in front yard.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming �X/Land 9)q 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-
Property contains a two story, one family,
Cate is issued is as follows: wood framed dwelling with an accessory
garage and shed; and a rail fence across the rear. Property is
situated in the A-Residential Agricultural zone with access to
Leslie' s Rd. a town maintained road.
,The Certificate is.issued to JUDITH & WILLIAM WURTZ
(owner, � X )
of the aforesaid building.
Suffolk County Department of Health.Approval N/A
U I\TDERVirRITERS 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.
,
building inspector
FORM NO.6
FRrAP7R2 TOWN OF SOUTHOLD 21986
Building Department
Town Hall
Southold, N.Y. 11971 E)l-DG. DEPT.
765 — 1802 1 TOWN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted =v�in 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.
(Dand
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
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. 0 0
5.Updated C.O. .$15.00 Date . . . . .�!. . . . . . . .; .
New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . . . . . . . .
Location of Property . �`1 2 �� x`k � d:�J'J ���':Q Q •... . . . . . . . . . . . ': �t�Q�� �
House No. Street Hah'�let
Owner or Owners of Property : . . . . . . . .. .
County Tax Map No. 1000 Section . . . . 1 . . . . . . . Block . . . . . .1 . . . . . . . Lot . . . .1 . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot
,�No.i . . . . . . . . . . . . .
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 $ i D.. . . . . . . . . . . . . . . . . . . . . .
Construction on above described building and permit eets a ppli able c?drions.
. . . . . . . . . . . . . . . . . . .
a$y�� Applicant
9X
Rev.10-10-78
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MGfARY PUBUC,State of New York
4701878,Suffolk
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