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Home My WebLink AboutZ-15798TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN tLiLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFOR~HNG PREt¥IISES THIS IS TO CERTIFY that the /~/ Land Pre C.O. #- Z15798 /X/ Building(s) /--/ Use(s) Date- 6/2/87 located at 1750 Truman's Path East Marion Street Hamlet sho%vn on County tax map as District 1000, Section 31 , Block 13 Lot 4 , does.~not~conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Non-conforminq shed in frontyard. On the basis of information presented to the Building Inspector's Office, it has been determined thai the above nonconforming /_~/Land /X_/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: Property conatins one-story, one-family, wood- framed dwelling ; accessory shed; steps and dock. Ail situated in "A" Residential-Agricultural Zone with access to Truman's Path. The Certificate is issued to BRUCE W. BOLLMAN of the aforesaid building. (owner, Suffolk County Department of Health Approval UNDER\~q~ITERS CERTIFICA~f.'E NO. N/A N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HiS 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. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions BLDG. DEPT. A. This application must be filled in typewriter OR ink, and submitted I ~ 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 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 -- BUSINESS $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. $ 50.00 Date May 5, 1987 NewCons truction ...... Old or Pre-existing Building .... .X.X ...... Vacant Land ............. Location of Property ............... ' Truman' s Path East Marion House No. Street Hamlet Owner or Owners of Property Bruce W. Bollman County Tax Map No. 1000 Section .... 0..3.1 ........ Block 13 Lot 004 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 $.. ,5,0... 0.0.., ,V/'. ,=~,, t ,'~,~: ........ Construction on above described building and permij.t~l apj;Cicable codes and regulations. .n .... Applicant ..,~ .~. , .~.. ~...~-~..... Rev. 10-10-78 for Bruce W. Bollman STATE OF NEW YORK) COUNTY OF SUFFOLK) ss.: I, BRUCE W. BOLLMAN, residing at (No #) Grange Road, Southold, New York, being duly sworn, deposes and says: That I am the present owner of premises located at Truman's Path, East Marion, New York, and designated on the Suffolk County Tax Map as District 1000, Section 031, Block 13, Lot 004, and am familiar with the condition of same; That the structure situated thereon has been designated and physically occupied as a single family dwelling and detached shed; That the condition of the existing structure on the premises is good; That I make this affidavit in the knowledge that the Buildinc Department of the Town of Southold will rely on the accuracy thereof in issuing a certificate of occupancy for pre-existing use. Sworn to before me this /~ day of May, 1987. - / N~tary Public ~ O.__F S'O.O $0' .*' r ~0' ~ TiE. _'.BAy I lAP OF ~PP3DPEP~TY I 'IAEY BOLLMAN EA..ST' h'lA2~Ot'l TOV-7~ OF SOUTHOLD~hI.¥ wAY ~0,0 As suavzvEo ~ue.4, VAN TUYL~,SGH SCAL~- 30; t" LICEH~EI~) LARD~,~.~..v~iIzYO[~ ~- G~E~H PO~T,