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Home My WebLink AboutZ-14901TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORI( CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the I' 1 Land /X / Building(s) /--/ Use(s) Fre CO #Z14901 Date: Sept. 19, located at 220 01d Harbor Road New Suffolk, N.Y. Street Hamlet sho~vn on County tax map as District 1000, Section 117 , Block 05 Lot 02 , does not conform to the present Building Zone Code of the 1986 To~vn of Southold for the follo%ving reasons: Insufficient total; fronti side yard accessory building; non-conforming accessory building side yard. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming ~_/Land /i! Building(s) /i/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 1½ story, one family, wood framed dwelling; two accessory buildings; an observatory. Ail s, ituated in the ~-~-~id~nf.~l ~g~,lf,,~] 7~ ,,,~'~, arres~ to Old Harbor Road, a Town Road The Certificate is issued to of the aforesaid building. Robert & Laurie White (owner, Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 SEP I ? 986 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pZ"operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 NewCons truc tion ...... Old or Pre-existing Building .. ~ ....... Vacant Land ............. ........... ::. t k Location of Property ~0 ..~..I.d..'.~:]~.~..C ~> ...... Hou~ No. $t~et ~ ' Hamlet Owner or Owners of Prope~y ~.~[ ~'~;:~t:.Q..~.. ~. ~.[,. (.I.'~' .... ~ ~J [ .~.~. .................. CounW Tax Map No. 1000 Section Block . ,~.-'. Lot... '~ 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 $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant . . .~.~./~/~ ~ ....... /,., ...... ~ ~ ~.~c.. 3 o 302. .i.t Ir, I . Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION · the undersigned, That the undersigned (is) (a~e!'~ the owner(s) of the premises in the Towel of Southold located at , ~vhich is shox~ and designated on the Suffo~ 000, That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southotd Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon· to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ' ' (signature) (print · (s£~natbre)" co (print name)