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Home My WebLink AboutZ-22671FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF occUPANCY No Z-22671 Date OCTOBER 21~ 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 660 OLD HARBOR ROAD House No. Street County Tax Map No. 1000 Section 117 Block 5 Subdivision Filed Map No. NEW SUFFOLKt N.Y. Hamlet Lot 7 Lot No. conforms substantially to the Requirements for an accessory structure built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22671 dated OCTOBER 21~ 1993 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is SMALL BARN WITH ATTACHED SHED. The certificate is issued to of the aforesaid building. JOHN & JOAN BLEWETT (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 ~uilding Inspector FORM NO, 6 TOWN OF SOUTHOLD · Building Department Town Hall Southold, N.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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-(So9 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 property 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 $25;00 -- ]~USZNESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5/00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5. Updated C.O. $" 5 0.0 0 Date ...0.c.%qb.~..~,..1.9.9.3. ........ NewConstruction Old or Pre-existinfl Building X Vacant Land Barn and Shed Location of ProperS/ 650 Old Harbor Road,. New Suffolk NY . House No. Street Hamler Owner or Owners of Property John B]ewett a.n.d..J.o.a? .... ................ .B.l.e wet.t ............... .'~'. ........... Count,/Tax Map No. 1000 Section . .1.1.7 ........... Block .. ,5 ............ Lot. ,7 .............. 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 $ ! 00.00 Construction on above described building and permit meets all applicable codes and regulations. Rev. 10.10-78 Applicant ~'~'b~6~'~i ............................ P. 0. Box 706 Cutchogue, NY 11935 .~'ONN P. E~LC'WETT NE:w CONSENT TO INSPECTION Gary FIanner Olsen as attorney for J9hn Blewett and Joan Blewe.~;t Owner(s) Name(s) , me undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) cf the premises in tiae Town of Southold located at 650 01d Harbor Road, New Suffolk, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 117 Block 5 Lot 7 That the undersigned (has) (have) filed· 'or caused to be filed, an applica- tion in"t~ Southold Town 14ulicling lnsp~u~,~ .o office fo.. +1,, fnllowinE: pre-existing Barn and Shed ~-- That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the shove described property· including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, includh:g inspections to determine that said premises comply with all o£ the laws. ordinances, rules and regulations of the Town.of Southold. The undersigned, in consenting to such inspections, do(eh) so with the knowledge and understanding that any information obtained tn the conduct of such inspections may be used as evidence in subsequent prosecutloas fc:- vle- lations of the laws· ordinances, rules or regulations of the Town o~ Southold. Dated: October 8, 1993 (signature) .,.Gar,}, Flanner Olsen (print name)' "~'~t~nature~ (print' name)