HomeMy WebLinkAboutZ-15970 TO\\ .... ~F SOUTIIOLD
OFFICE OF BUILDING INSPECT(gR
TOWN tL~LL
SOUTItOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFOF~MING PREMISES
TIIIS IS TO CERTIFY that the
/-~/ Land
/'~/ Building(s)
/-/ Use(s)
located at 510 Clark Road
Pre C.O. #- Z-15970
Date- July 21~ 1987
Southold, New York
Street Hamlet
shown on County tax map as District 1000, Section 135 , Block 02 ·
Lot 04 , does.~not}conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area; side yard & side yard on accessory garage
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /~/Land /--X/Building(s)
/--/Use(s) existed on the effective date the present Building Zone Code of the
Tov. m 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 ia issued is as follows: Property contains I story, onefamily wood
framed dwelling with screened porch; accessory garage; and all situated in the
'A' Residential Agricultural zone with access to Clark Road.
The Certificate is issued to
of the aforesaid building.
MADELINE BAS SAREAR (owner,
Suffolk County Department of IIealth Approval
UNDERVTI%ITEfiS CEP, EIFI,,AI E NO.
N/A
N/A
NOTICE IS ItEREBY 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 ordha-
ances, other than the Building Zone Code, and therefore, no such inspection
has been conducted. Tills Certificate, therefore, does not, and is not kttended
to certify that the premises comply with all other applicable codes and regula-
tions.
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 ~ ~ 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 p~operty 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: Additions $25.00
1. Certificate of occupancy New Dwelling $:Z$.00, Accessory ,$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ _5.00, ove~: 5 :y~ars $]0.00
4.Vacan~c T.az~c~ C.O. S 20.00
5.g~d~ed C.O. ~ 50.00 Date ~[7 8, [987
NewC°~c~°~ ...... OId or Pre-existing Building ...~ ....... Vacant Land .............
Location of ProDer~ 5[0 E[~ '
- ........................ ...............................
Ham/et
Owner or Owners of Prope~y ~a~ha~ K Bassa~ea~ a~d Ha~e[~e ~. Bassa~ea~, h~s ~e
CounW Tax Map No. 1000 Section [35.00 Block 02.00 004.000
Subdivision
................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Unde~riters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
50 00
Fee Submitted $...' ......
.................
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