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Home My WebLink AboutZ-11766 % TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HiLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORI%fING PREMISES THIS IS TO CERTIFY that the No. Zl1766 July 8, 1983 /Z! Land /X / Building(s) t _1 Use(s) located at 950 Little Peconic Bay Road, Cutchogue Street Hamlet shown on County tax map as District 1000, Section 111 , Block 14 Lot 015 , does(not)conform to the present Building Zone Code of the Town of Southold for the following reasons: no' proof of minimum requirement for livable floor area per dwelling unit, the rest does comply to the building zone code. 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 To%vn 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 ~vhich this Certifi- cate is issued is as follows: one-family dwelling. The Certificate is issued to of the aforesaid building. LUCILE E. BANTA (owner, -te ~ s e e -o~- t~rrt ) Suffolk County Department of Health Approval N/^ UNDER%%rftlTERS CERTIFICATE NO. NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS 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. ~ Buiidin~ inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, 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 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 / ~3. Copy___of certificate of occupancy____~!.n-rj. land use --Pre-Existing C.O. $15.00 Vacant. land ~.0. $ 5.00 Date.. ~ .~..~.~ .~ ............... New Building. ............. Old or Pre-existing~,\ B~ding~_,~\c, ............Vacant Land_~3 ~v~..~ ~ ~ ~ .... ' .... Location of Property .................. ~ .......... ~~ ~... ~ ...... Owner or Owners of ~r~°' ~ ~ ~~~ ~ ~~~ ~ County Tax Map No. 1000S;~i~ .~.~..~.~. Bl~;k'.~:..~. Lo;~ ..... ~.~. ~ Subdivision... ~.~P. ~ ........ 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. Rev. 10-10-78 Applicant .................................................... GARY PLANNER 0LSEN, ESQ. P.O. BOX 706 CUTCHOGUE, LI., N.Y. 11935 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: I. 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 instatla- 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. ~' Co Fees: 1. Certificate of occupancy $5.00 f 2. Certificate of occupancy on pre-existing dwelling c~r land 3. Copy of certificate of occupancy $1.00 ~ use APRIL ~, 1985 Date ..... New Building ......... ~.. O[dorPre-existingBuilding(Z)._.~ __= /Vacant Land i ........... House No. Street Hamlet Owner or Owners of Property LUCILE~E. EL~,NT~ County Tax Map No. 1000 Section 111 Block 14 Lot.. 16 S ..... ~, Nassau Point . .Filed Map No ........... No... '.. 'bf'~41 ' ' uuolws ......... 156 Lot 259'240&E36~ Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ,5/2/83 . .Planning Board Approval .................. , ,., Request for Temporary Certificate .Final Certificate X Fee Submitted $. $15o Construction on above described building and permit~meets all apP~cable~codes and regulations. Applicant ..... ..~ .~. ...~f-:-~q....,~..~,~. ...................... was examined on and found to be in compliance with the requirements of this Board. RXTURE FIXTURES RANGES OVENS DISH WASHERS OUTLETS SWITCHES FLUORESCENT DRYERS SYSTEMS NO. OF FEET Ralph W. Lswrence 1,56 Dover Road ' lla~t, N.Y. 11030 NA~R This certifkate must not be altered in any manner; return to the office of the Board if inc0rrect. Inspectors may be COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED N ANY MANNER