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HomeMy WebLinkAboutZ-14959TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERT~ICATE OF OCCUPANCY NONCONFORMING PREM~ES THIS IS TO CERTIFY that the / / Land /x/ Building(s) Pre C.O. Z14959 /--/ Use(s) Octobe~ 6, 1986 located at 10205 North Bayview Road Street shown on County tax map as District 1000, Section Southold, N.Y. Hamlet 79 , Block 5 , Lot 20.5 , does not conform to the present Building Zone Code of the Town of Southold for the following reasons: Because of Insufficient front yard setbac Private Road (Shellfisher Rd. fgr 0ne'famiiy home and 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 C/Land /-~/Building(s)- /Z/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 CERTIF][ED 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 one family home, one car ~ara~e and carport addition to ~ara~e. with access from Shetlfisher Rd and North Bayview Road, A toWn maintained road. The Certificate is issued to James & Patricia BoYle of the aforesaid building. Suffolk County Department of He alth A ppro val N / A UNDERWRITERS CERTIFICATE NO. N/A FORM NO. 6 TOWN OF SOUTHOLD Building Depa[[ment '- 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 property 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of o~cupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 ?..~. /.~. 5.Updated C.O. $15.00 Date. ~ ...~. ............... New Cons truc tion ...... Old or Pre-existing Building .. ~ ....... Vacant Land ............. Location of Property / O. ~P.~ . . .~. ; .~. ~ v. i. .e~. . . ,~. ; ....................... ~l)~ .(~. ./.~' ........ House No. Street Hamlet Owner or Owners of Property .~-'~.Y.~.~.~, .~..~...J~.,; ~..~ .~....~ .0.7. ! C .............................. - County Tax Map No. 1000 Section . .?. ~ .......... Block .... ~.~-. ........ Lot..~----~..~-..0.: .~.. 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 an~_rmit m~eets a~.~plicable codes and regulations. Applicant..~.....~(~ ............................... Rev. 10-10-78 7 CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) ~the owner(s) of the premises in the Town of SouthoId located at /~ ~ ~ h. ~ ~, ~ ~., y~ ~/~ , which is sho~ and designated on the Suffo~ County tax map as District 1000, Section ~ , Block 5~ , Lot ~O. ~. That the unders~ned (has) (have) filed, or caused to be filed· an applica- tion in the Southold To~ Building Inspector's Office for the follow,g: 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. tsigna~ure;~, (print (siffnature) (print name) '0 0 S. 6~13'00'' E. 60.00' s,- N.74°42 I~ W 15.53