HomeMy WebLinkAboutZ-15034 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/x / Land Pre C.O. #- Z15034
/ / Building(s) Date- October 24 . 1986
/ / Use(s)
located at 39695 Main Road Orient , New York
Street Hainlet
shown on County tax map as District 1000, Section 01 5 Block 08
Lot 15 doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area
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 one story , one family wood
framed dwelling , replaced by fire 1973 ; Permit 6952Z C . O. Z5875 ; with
attached deck ; barn ; shed ; accessory apartment and situated in the ' A '
.Residential Agricultural zone with access to Main Road ; a State maintained
highway.
The Certificate is issued to Thomas & Lorine Young
(owner, xbersieiRx=±annTAixx
of the aforesaid building.
Suffolk County Department of Health Approval N150489
U1\TDERWRITERS 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 1986
it G L ` �4
TOWN OF SOUTHOLD
Building Department
Town Hall �, F<
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in -typewriter OR ink, and submitted mmonsam 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
Certificate of occupancy on pre-existing dwelling $15 . 00
3. Copy of certificate of occupancy $1.00
4 .Vacant Land C.O. $5. 00
5 .Updated C.O. $15 .0 0 Date . . . . . . . . . . . . . . . . . . . . . . . . . .
NewConstruction . . . . . . Old or Pre-existing Building �. . 1'. . . . . . . . . Vacant Land
Location of Property ... . . . . . . . . . . . . . . . .. �/.f. /�!
House No. Street Hamlet
Owner or Owners of Pro P ert Y
. . . . . . . . . . . . .
County Tax Map No. 1000 Section 16 . . . . , . . . , , . Block . . 47 . . . . . . . . . . Lot .1..16 . . . . . . . . . . .
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 $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
J
Construction on above described building and per "t meets all applicable codes and regulations.
/G/'
Applicant . ���a./. . �^ c�FGn_.�j'. . . . . . . . . . . . . . . . . . . . . . . .
Rev.10-10.78
o s -. �-
e,u- co-* 15 0 qhr
Oct. 17, 1986
To' whom it may concern---
We. the undersigned, do say and declare that
the existing out--buildings, namely garage and shop,& apartment
on the property owned by Thomas W.and Lorine M. Young -�
District 1000; Section 15; Block 8; Lot 15 on the main
Road, Orient Point, N.Y. 11957, were existing on said
property brior to April, 1957.
Signed,a
Sworn before re this
2113U day of October 1986.
—No ry Pub
FLOYD F. KING, JP,
Notary Public State of New York
No. 52-7267800 Suffolk County
Term Expires March 30, 19jV�"r�
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T THIS SURVEY IS A VIOLATION
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