HomeMy WebLinkAboutZ-16151 Tod\= JF SOUTHOLD
i OFFICE OF BUILDING INSPECTOR
s' TOWN 11NLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NON CONFORA1 1\TG PREMISES
THIS IS TO CERTIFY that the
Land Pre C.O. #- Z- 1 6 1 5 1
/XT Building(s) Date- Sept : 9 , 1987
Use(s)
located at 11500 Main Road Mattituck , New York
Street Hamlet
shown on County tax map as District 1000, Section 122 Block 03 ,
Lot 06 doesino0conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient front yard set-back
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /_/ Land /x/ 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 2 story corrugated metal
building ; accessory storage building ; permit #Z4706/CO Z8043 ; metal
accessory building; situated in B- 1 General Business zone with Access
to Main Road ; a State maintained highway . :
The Certificate is issued to AGNES LINDSAY
(owner, Y� XtX
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
NOTICE IS HEREBY GI�TEN that the owner of the above premises I1 S
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':
�uild-i :nsi)cCtor
_'• FORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted u■�iiiii 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 $2 5 . 00 -- BU S I N,E S S $5 0 ..0 0 ACCESSORY $ 10.00
2. Certificate of occupancy on pre-existing dwelling $ 50 . 00
3. Copy of certificate of occupancy $ 5 . 0 0 over 5 years $ 10 . 0 0
4 .Vacant Land C.O. $ 20 . 00
5.Updated C.O. $ 50 . 00 Date . ,August . . . ., .1987. . . . . . .
NewConstruction . , , , , , Old orPre-existing Building . .X. . . . . . . . . Vacant Land . . . . . . . . . . . . .
Location of Property , �Nq.fl .Main_Road, .Mattituck. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
House No. Street 'Ham/et
Owner-or Owners of Property . . . nes Lindsay . . , , . .
County Tax Map No. 1000 Section . . . .122. . . . . . . . Block . . . . .03 . . . . . . . . Lot . . . . . . 06 . . .
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 $ . 50:00
Construction on above described building and permit meets all a plicable codes and regulations.
Applicant . . . .
AgnW Lindsay
Rev.10-10.78
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STATE OF NEW YORK)
SS. .
COUNTY OF SUFFOLK)
AGNES LINDSAY, residing at 830 Bayview Avenue, Mattituck, New York
11952, being duly sworn, deposes and says:
I was the owner of premises located on Main Road, Mattituck, New York,
Suffolk County Tax Map #1000-122.00-03.00-006.000, as shown on the enclosed
survey, until July 24, 1987 at which time it was sold to Harvey Bagshaw.
The main building on the premises was built prior to 1957 and was
originally used as a theater. The exterior has not been changed so as to
require a building permit. The other two buildings on the premises have
Certificates of Occupancy, specifically #Z4706 and Z8043.
To my knowledge and belief, no other alterations were made to the
premises that would require a Certificate of Occupancy.
I make this affidavit to the Town of Southold for a Certificate of Pre-
Existing Use for the main building.
Af t S LIN Y
Sworn o before me this
day of August, 1987..
N ary Public
�y . 0..
m w%a
oi►.8.19 z
TOE%,,. ,-)F SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTIiOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREAVIISES
TIiIS IS TO CERTIFY that the
Land Pre C.O. #-
Buildings) Date-
/ / 'Use(s)
located at // Sd c� -Y-n a....:. Q.d " '_n
Street Hamlet
shown on County tax map as District 1000, Section Block O 3 ,
Lot Off, _, doe<not)conform to the present.Building Zone Code of the
Town of Southold for the following reasons
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /_/ Land l 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: W-4� q eA" %6 & Waga&
U&5- 470 7
The Certificate is issued to
(owner, lessee ortenant)
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO.
NOTICE IS HEREBY GIVEN that the owner of the above premises I-UAS
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 rerula-
tions-.