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HomeMy WebLinkAboutZ-14512TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN IL~k LL SOUTttOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORAflNG PREMISES THIS IS TO CERTIFY that the ~_~/ Land / / Building(s) /-/ Use(s) Pre C.O. #- Z14512 Date- June 16, 1986 located at 2345 Minnehaha Blvd. Southold Street Hamlet shown on County tax map as District 1000, Section 087 , Block 03 Lot 047 , does,~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Lot is insufficient in width and area. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X_--X Land /Z/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 follows: One family dwelling. The Certificate is issued to of the aforesaid building. GRACE B. BITZ (owner, Suffolk County Department of Health Approval N/R UNDER~VRITERS CERTIFICATE NO. N/R NOTICE IS HEREBY GIVEN that the owner of the above premises H_iS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with al! 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 ~~a- tions. ~ ~ding inspector - Edward Hindermann FORM NO. 6 TOWN OF SOUTHOLD Building Depar[,.ent 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 aa ~ 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 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 occupancy 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 Location of Property .H~u~...No~/..-,-%~....,,'~/..~../~/...~...~.~../..~.S.tre~/.~.~..U'.. Owner or Owners of Property ~-~.~ ~ ~ . .~.. f.?.~ County Tax Map No. 1000 Section ..... .~'. ~. ...... Block ...... ~ ....... Lot .... ~,. ,~, ....... 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 and permit meets all applicable codes and regulations. ....... Rev. 10-10-78 ¢- STATE OF NEW YORK COUNTY OF SUFFOLK SS: AFFIDAVIT FOR PRE-EXISTING CERTIFICATE OF OCCUPANCY GRACE B. BITZ GRACE/BITZ, being duly swarn, deposes and states as follows: THAT I am the owner of premises designated on the Suffolk County Tax Map as 1000-87-3-47; THAT the original house and southerly shed were constructed prior to April, 1957 and in my opinion, is suitable for single family residential purposes. A Certificate of Occupancy #Z1224 was issued on January 23, 1962 pursuant to Building Permit #Z1386; THAT I submit this affidavit in support of my application for a preexisting Certificate of Occupancy for the original house and southerly shed. /gRACE B. BITZ ~/ Sworn to before me this day of June, 198~6. ~,DELYN M. BA!~R JNOT^Ry PU~,LIC, S~te o~ New Y~ / t~Lc /VU. 85 - 1164 wOOD ~A~$~IANO S 87 o 26'00"W PI~RG£L I $~. FO ,e£1. I$ 104. ?0 W A B U N S TNEE T ( 20' ~.o.w.) Guaranteed to: Long Island Mtge. Corp. Security Title 8 Guaranty Co. dohn 8 Kafhleen Spicer PA T T. SECCAF/CO i (516] 56 PROFE, SSIOAIAL L. AND SOHV£ YCR 109 LOOP DHIVF SAYVILIE, N.Y. ,'l'ZqZ /~) 5. ,'.1'~. Mt' MAP OF: DESCRIBED PROPERTY S.C. rM. I000- BY- 3-.4Y $1ruArEO A7 t~UGHING W~TER, T/O SOUTHOLD ~,5~~ ,",: ,' ,~ ~ MONU~CNT ~ P:"~ ,,~ ~.'~'~ //h~,', ',,: J ~ ;,",,' ~ STAKE ~ t~ rtl 17 ~ t-'Ci.E