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Home My WebLink AboutZ-12377TOWN OF SOUTHOI,D OI?FICE OF BUILDING INSi'IdCTOR TOWN HALL SOUTttOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES TttlS IS TO CERTIFY that the DATE: March 20, Z12377 I / Building(s) /-/ Use(s) located at 615 Hummel Avenue Southold 1984 Street Hamlet shown on County tax map as District 1000, Section 063.00, Block 02.00 Lot 019.00,0does~not!conform to the present Building Zone Code of the Town of Southotd for the following reasons: Insufficient total area. On the basis of Lnformation presented to the Building Inspector'.-J Office, it has been determined tg~at the above nonconfomning /X_/Land /-_/Buildinc(s) /~/Use(s) existed on the effective date the present Buildin~ Zone Code of the Tovrn 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:grResidential_Agricultural Znnad __2 family dwelling with frame ~ara~e and access to Hummel Ave; a town maintained Rd. Rest conforms for that size lot. The Certificate is issued to Albert W. Albertson & Donald B. (owner, lessee or tenant) of the aforesaid building. Kat, z Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises I-LbS 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 intend~:..d to certify that the premises comply with all other applicable codes and re~uia- tions. Buitdin~ inspector 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 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 electrica', installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and instafla- lions, 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 !957), 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 buiIdings or premises, or other pertinent informa- lion required to prepare a certificate. Fees: !. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date.~rqb..~3,.!98~ ........ New Building ............. Old or Pre-existing Building ~. (G~r.~g~) Vacant Land ............. Location of Property . .~,~-~,v. ~,r~¢'~, .Ave~u,e ............................................ House No. Street Hamlet Owner or Owners of Property . .A. ~.e.~-. ~.....A.l.~.e,~. ~.s.o.q..a.~.~..D..opA~.~..~....~.~.~.z. ............ County Tax Map No. 1000 Section . . .0.6..3...qO. ..... Block ... ,0.2.: .0.0 ...... Lot...0.~..9:,0.0,0. ..... Subdivision ..................... Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ...~,~ .o.l~.h., .~....~. ~.e.~.. ~...~.s~; ..... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... F[nal Certificate ..... .X. ................ Fee Submitted $ '/5.00 .................. Construction on above described building and pe,~~a~' ,~f/~,ceg~lations..~ 0 G~qA1'1'AN SI'Y CERTIFIED TO; SOUTHOLD SAVINGS BANK FIRST AM£RICAN 17T££ IN,~. TITLZ' N~ 605'S-00~B OF P~ON~G ABSTN~ lNG. MAP OF DONA£D B. KATZ DESCRIBED Pt?CPERTY TOWN OF SOUTH~O [~(~' ~:: :". ?~ II~J~ west main street SUFF~K CO,NY. ~"~~:) Ilriverhead ,new york 11901 ' O~ °remission Exni.°~f[o~k COunty