HomeMy WebLinkAboutZ-16197 f
TOV., iF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN I-h/kLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREXIISES
TIiIS IS TO CERTIFY that the
/ Xf Land Pre C.O. #- Z-16197
/ X_/ Building(s) Date- September 22, 1987
Use(s)
located at 3075 Lighthouse Road Southold, New York
Street Hamlet
shown on County tax map as District 1000, Section 050 Block 03
Lot 02 doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area; front yard set-back; side yard set-back on
Accessory garage
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming / X/ 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, one family, stone & wood
framed dwelling; accessory garage; concrete drive; hedges completely around property
lines; wood gate; all situated in 'A' Residential Agricultural zone with access to
Lighthouse Road; a Town maintained Road
The Certificate is issued to ROBERT R. REILLY
(owner, Xl1-Is- Y-4XWX9ff,-X
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 IiAS
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.
.64 ow-CL
L-uildir,r, ins-)ector
C+r+c.2Q C'�rti�Z--
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 ®® 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 pxuperty 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 . 0 0 -- BUSINESS $5 0 . 0 0 ACCESSORY $ 10.00
2. Cerdficaie of occupancy on pre-existing dwelling $ 50 . 00
3. Copy of certificate of occupancy $
5 . 00 , over 5 years $ 10 . 00
4 .Vacant _Land C.O. $ 20 . 00
5.Uodated C.O. $ 50 . 00 Date . . . . .[. /� �1 . ." �. , , , . . , , , ,
New Construction. , . , , , 0 , or Pre-existingBuildin . . . . . Vacant Land
9 .
�� fA . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Propert�. . . . . . . . . . . . . . . . . . . . .
House No. Street Hamlet
Owner or Owners of Property . . . . . . . . . . . �. .
County Tax Map No. 1000 Section . . . .Z , , . . . . Block . . . . . . . . , . . . . Lot . . . . .o21. . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . .Lot No. . . . . . . . . . . . . .
Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . .�.c. , , , , , , , , , , , , . , , .
Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .
Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . .
Request for Temporary
Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . .). . . . . . . . . . . . . . . . . .
Fee Submitted S .�-'. �! .`. , , , , , , , , ,
Construction on above described building and permit meets II ap licable codes and regulations.
Applicant i . . . . . . . . . . . . . . . . . . . . . . .
Rev. 10-10-78
Ric,, 13aaS
1& 00 ?- MIT
STATE OF NEW YORK:
: SS
COUNTY OF SUFFOLK:
John Nickles being duly sworn, deposes and says:
THAT he is familiar with the property known as
(No# ) Lighthouse Road, Southold, New York, designated on the
Suffolk County Tax Map as: District 1000, Section 050. 00,
Block 03. 00, Lots 002. 000. A copy of a survey of these
premises dated September 15, 1987 prepared by Peconic
Surveyors and Engineers, P.C. , is attached hereto.
THAT on personal knowledge, information and belief,
your deponent can state that the structures shown on said
survey were built prior to April 23, 1957 ;
THAT there have been no changes to said structures,
other than normal maintenance, since prior to April 23,
1957.
Dated: September 21, 1987 �— G
J n Nick s
Sworn to before me this
21st day of September, 1987.
NotarytPublic
MAGY DMNA F"
E OF NEW"M
li o �0�STAT FFOLK COUNTY
AUGUST 31,1989
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Title A,tociaticn. - SIF''F'OL,K COUNTY N.Y
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