HomeMy WebLinkAboutZ-14054 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.O. #-Z14054
Building(s) Date- Dec . 5 , 1985
Use(s)
located at 11230 Main Rd . East Marion
Street Hamlet -
shown on County tax map as District 1000, Section 031 Block 13 ,
Lot 008 does®not conform to the present Building Zone Code of the
Tour of Southold for the following reasons:
**CONFORMS
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming / / Land /_/ Building(s)
/Use(s�xisted 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:Prop.erty contains a two story one family ,
wood framed d.wellin.g with two attached porches & shed . Property
also contains .two accessory garages & fencing down both side lines .
.Property situated in the A-Residential-Agricultural Zone with access
to Main Rd . ; a state maintained highway .
The Certificate is issued to MAC ARTHUR , CHESTER
(owner, X11e1)Gm)=XXtM=X
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERINTRITERS 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 ___
_ D
FORM NO.6
TOWN OF SOUTHOLD NX 1 9 W
Building Department
Town Hall BLDG.-DEPT.
Southold, N.Y. 11971 TOWN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY ' �3q�
Instructions
A. This application must be filled in typewriter OR ink, and submitted inviiiiiiiiiiiiiiiiiii=i 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 ,
2. Certificate of occupancy on pre-existing dwelling $15-00
3. Copy of certificate of occupancy $1.00
4 .Vacant Land C.O. $5. 00 -
Date . . . . . .i. ./. 9�, '.
New Building . . .:':,�. . . . . . Old or Pre-existing Building . 1��.5. . . . . . Vacant Land . . . . . . . . . . . . .
lia3D /
Location of Property . . .. . . . . . /.4/. . . ./F A.-.i>. . . . . . . . .
House No. -- Street Ham/et
Owner or Owners of Property /1.1/?A/I!IRS. .Cge 57 R,. . Ac-. .f# ff'41, , . , , , • . , , , • , , . ,
County Tax Map No. 1600 Section . . . . . . ,3. Block . . . .4.3 . . . . . . . . Lot .if�. . . . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . .
Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Pept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . ..... . .
Underwriters Approval . . . . . . . . . . . . . . . . . . . ... . . .Planning Board Approval ... . . . . . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate ... . . . . . . . . . . . . . . . . . . . . .
Fee Submitted$ . . /. DO . . . . . . . . . . .
Construction-Qn above described building and permit meets all applicable codes and regulations.
13R Lo Applicant r
Rev.10-10-78
i
STATE OF NEW YORK )
SS :
COUNTY .OF SUFFOLK )
ARLINE S . MAC ARTHUR and CHESTER W. MAC ARTHUR, her
husband , being duly sworn, depose and say that they are the
applicants for a pre-existing Certificate of Occupancy; that
deponents know of their own knowledge that the dwelling house on
said premises was constructed and occupied long : prior to 1957;
and that no changes have been made subsequent to the enactment of
the zoning ordinance; that premises are occupied as a one family
residence.
(Arline S . Mac Arthur)
W,h"ar��
(Chester W. Mac Arthur)
Subscribed and sword to
before me this e/ day
of October, 1985 .
a
Notary c.
ALICE J. KRAMER
NOTARY PUBLIC, State of New York
Residing in Suffolk County
No. 52-4822133
My Commission Expires March 30, 19
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