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HomeMy WebLinkAboutZ-11787TOWN OF SOUTHOLD OFFICE OF BUILDING INSFECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREtVlISES THIS IS TO CERTIFY that the /-J~ Land /~ Building(s) /-/ Use(s) located at 5080 Oak Drive Street No. ZI1787 July 18, 1983 Southold Hamlet 080 , Block 02 shown on County tax map as District 1000, Section Lot 006 , does.~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: D~llin~ has less than the minimum livable area~ land has insufficient area~ width and depth. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /Z]f/Land /~_/Building(s) /_/Use(s) existed on the effective date t'he 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 follows: one-famili dwellin~ with accessory detached garage. The Certificate is issued to of the aforesaid building. BERT LORET AGENCY~ INC. (owner, Suffolk County Department of Health Approval UNDER%~rRITERS CERTIFICATE NO. N/A 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. ,~ ~uiiding Lnspector 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 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. 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 $5.00 / 321 ~prt;fioC~tceer~fiOcCaCt~PoSn~Ycc~aPnrcevexistin¥~.v~ling lr land use ,¢'/$/$5.0~ , ~'"" /! Location of Property ~ou~.~?..? ............... Owner or Owners of Property' ~.~. .-.~/'). .~.~BO .................. ('-~ i ...... County Tax Map 1000 Section Block Lot 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/fi;nd pe~_ it meet. s all applicable, codes i~eegulatiq~s. / .:z ~ Of T~E ~ vo~ STA~, ~5S~ SEAL SHA~ ~T VALID T~UE COPY.