HomeMy WebLinkAboutZ-14236 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
Land Pre C.D. #- Z14236
Building(s) Date- Feb. 19. ,19 8 6
Use(s)
located at 10575 Main Rd. East Marion
Street Hamlet
shown on County tax map as District 1000, Section 0.31 Block 04
Lot ' p15 does(not)conform to the present Building Zone ,Code of the
.Town of Southold for the following reasons:
Insufficient front yard setback.
Insufficient property width.
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.
e
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 a one & one half story,
one family, wood framed dwelling with two accessory sheds & a barn.
Property situated in. the A-Residential-Agricultural Zone. Access
to Main Rd. , a .State maintained. road.
The Certificate is issued to LONG, ROBERT
(owner, )a2zxeaxxxtenwm0
of the aforesaid building.
Suffolk County Department of Health Approval N/R
UNDERWRITERS CERTIFICATE NO. N/R
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.
Baiidirg inspector
,J
AFFIDAVIT
STATE OF NEW YORK )
COUNTY OF SUFFOLK )
Robert J. Long being duly sworn deposes and says that he is the
owner:of the property located on the North Side of Main Road, East Marion,
New York, District 1000, Section 031, Block.4, Lot 15.
The property contains a 1 z,story fra m ed house, a barn, a shed and
a carriage house. Because the building existed prior to.April 23, 1957, a Certificate
of Occupancy was never issued. The house has been continuously occupied and is
in good condition and livable.
ROBERT LONG
Sworn to before me
this /drCda of 1989
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FORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted4adt►W4eet*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 peoperty 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 Land use --Pre—Existing C . 0. $ 15 . 00
3. Copy of certificate of occupancy $1.00 Vacant land C . O. $ 5 . 00
Date .� /aQ .cD. . . . . . . . . . . . . . .
New Building . . . . . . . . . . . . . Old or Pre-existing Building , XXXX. . . . . . Vacant Land
Loc,ation of Property . . . .Main, Road.,. .East Marion. New. York 11939
House No. Sneer . . . . . ... . . . . . . . . . . . . . . . . . .Hamlet
Owner or Owners of Property . . . . . . . . . . J. Long . . . , , . . . . . . . . . .
County Tax Map No. 1000 Section . . . .0 31, , , , , , , , Block . . .4. . . . . . . . . . . Lot . , , , 15
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . � .
Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant .]MbgZt. A .LpAg . . . . . . . . . . . . . . .
Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . .
Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . . . . . . . . .° . . . .Final Certificate . . :�. . . . . . . . , . . . , , , , ,
Fee Submitted $ . . . . . . 00, , , , , , . . . . . .
Construction on above described building and permit meets applicable codes and regulations.
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Copies of this survey map rrat bemh 11
the land surveyor's Inked east or tt
embossed seal shall not be canakknd l
to be a valid true copy.
�1 Guarantees indicated hereon dmff n n'
only to the person for whotti fhp survey
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0+ is prepared,and on his behalf fin the title company,govsmmentat egenwr and �.
7 r� lending institution listed hweott and
to the assignees of the lending Irtsti- i
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