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HomeMy WebLinkAboutZ-12124TOWN OF SOUTtlOLD OFFICE OF BUILDING INSPECT©R TOWN ItALL SOUTttOLD, NEW YOP, K CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /~/ Land /'X/ Building(s) /--/ Use(s) DECEMBER 5,1983 C,0, Z12124 located at 515 HORTON LANE; $QU~O~D Street Hamlet sho%vn on County tax map as District 1000, Section 063 , Block 5 Lot 2(l , does~not}conform to the present Building Zone Code of the Town of Southold for the following reasons: INSUFFICIENT TOTAL AREA,~ ~NS~J,F'F~C~ENT TOTA~ OF TWO S~D~YA~DS On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /ZX/Land /~_/Building(s) /--/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 follo~vs: ONE I~A}I~L¥ DWELLING & DETACHED GARAGE The Certificate is issued to of the aforesaid building. ~OHN & ~0SE BERRY~4AN (owner, lessee or tenant) Suffolk County Department of Health Approval N~A UNDERWHITEI~S CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises l-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. Building 'inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. Bo 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 an,/ housing code or safety inspection of buildings or premises, or other pertinent informa- tion requ ired to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .... ~..u.g.e..2..2.,..]: 9..8.3 ....... New Building ............. Old or Pre-existing Building .... ~ ....... Vacant Land ............. Location of Property .~.. ¢..~ .... .~.o.~. ~.o.~. 7..s..~.a:.qe. ................ S.o..u.'c.h.o.[. ¢ ........ House No. Street Hamlet Owner or Owners of Property ..... ?.O..~.~..~?..R.R~..Y~.~-...a.~?...~.O.S.~..C....B.~..~,~.¥..F~.~ .............. f-~County Tax Map No. 1000 Section ....... (~.'.?.... Block ..... ~' ....... Lot ..... . .~...C). ..... Subdivision ................................. Filed Map No ........... Lot No .............. Perm it No ........... Date of Permit .......... Applicant ....... .~.~.c. ha. T¢..~..;..C?.o.~. ,..]3.~.q ,.. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ......... .~ ............. Fee Submitted $...~.5...0.0. ....................... App,c o.d ....... ..... Rev. 10-10-78 JUN. 2'7 ~ STATE OF NEW YORK COUNTY OF SUFFOLK SS.: JOHN BERRYMAN, and says: 1. I am (one of) the owner(s) (no 9) Horton's Lane, Southold, N.Y. described in the annexed photocopy of June 7, 1983. being duly sworn, deposes of premises situate at , and as more particularly survey of premises dated 2. That I make this affidavit in an effort to secure a Certificate of Occupancy on a pre-existing dwelling, to wit: Premises at (no #) Horton's Lane, Southold, New York 11971. 3. The aforesaid premises and improvements thereon were purchased on the 17th day of December, 1965. 4. That upon information and belief, the premises have been used without change and for no other purpose than as a resi- dential dwelling since the date of.their purchase. That upon informatio~ and belief, the premises have for any other purpose than permitted by the Zoning o not been used Ordinances. Sworn to before me this 17th day of June, JANE FLATLEY NOTARY PUBLIC, State of New York No. 52-46654! 8, Suffolk County . Commission Expires March 30, 1983. . JUN. 2 7.1~-~ m./vo_/.