HomeMy WebLinkAboutZ-13378 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. #- Z13378
/_/ Building(s) Date- April 19 ,1985
/ / Use(s)
located at 51225 Main Rd. Southold
Street Hamlet
shown on County tax map as District 1000, Section 070 Block .01 ,
Lot 002 doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total. area.. insufficient front& back yard. set-
backs.
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 a two-story, one family
wood framed dwelling with .open porch on front & 2-car garage;•.:att-
ached to dwelling in the rear. Property. situated in the A-Residen- '
tal-Agricultural Zone with. access to Main Rd. a State maintained
road.
The Certificate is issued to LOUGHLIN, JAMES W. & MARY M.
..(owner, le :0r t-ez—
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS 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.
Q.A. /J
Building inspector -'
FORM NO.6 � ;'
TOWN OF SOUTHOLD `
Building Department
t
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY �'\ �pQQ' �$�
Instructions \v
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 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 . O. $1 5 . 00
3. Copy of certificate of occupancy $1.00 r Vacant land C . O . $ 5 . 00
Date ,April, . . . . . . • • . .
New Building . . . . . . . . . . . . . Old or Pre-existing Building . . XX . . . . . . . Vacant Land . . . . . . . . . . . . .
Location of Property . . . 5.1225• , , , , , , , Main—Road . .Southold. . . . . . . . . . . . . .
House No. Street •Hamlet
Owner or Owners of Property . . . . , James W & Mary M. Loughlin . • .
County Tax Map No. 1000 Section . . . 070 . 00 , Block . . . ,01. 00 • • , Lot . •002.000 . , . .
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 . Pre-existing. • • • • • .
Fee Submitted $ . 15,00. . . . . . . . . . . . . . . . . . . . . .
Construction on above described building and permit meets all applicable codes and regulations.
CO Applicant . �. - / ..
� ��2
�— Rudolph H. Bruer
Rev.10-10-78
4c" 2bo93
i'
STATE OF NEW YORK:
:ss
COUNTY OF SUFFOLK:
JAMES W. LOUGHLIN, being duly sworn, deposes and says :
THAT he resides at 51225 Main Road, Southold, New York; and that
he has been a resident of Southold Town for the past_��'�,rJ years;
THAT he is familiar with the property known as 51225 Main Road,
Southold, New York; designated on the Suffolk County Tax Map as :
Dist. 1000 , Sec. 070 . 00 , Block 01. 00 , Lot 002. 000 . A copy of a
survey of these premises , dated Sept. 14 , 1971, prepared by Roderick
Van Tuyl, P.S. , is attached hereto.
THAT on personal knowledge, information and belief, your deponent
can state that the structures shown on said survey were built prior
aanndaisnienfio cQnd}tion and presently being used continuously
to April 23, 1957; /and that the oriTy cnYigange to said structure was
the addition of a breezway with attached garage for which a Certi-
ficate of Occupancy #Z10025 was issued on July 11, 1980 .
Dated:
lk" G6 �.✓
James W. Loughlin
Svrorn to before me this
6� 4 day of G"c -�" 1985.
Notary Public
Notw PublEN S e of Nero ror9c
'No.4725686
Qualified In Suffolk Coun
Ct�w ir-sion.Expirds March 30,7
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