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Home My WebLink AboutZ-16786TOWN OF SOUTHO~D OFFICE OF BUILDING INSPECTOR TOWN ILiLL SOUTttOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORR~ING PREMISES TItIS IS TO CERTIFY that the /'~/ Land Pre C.O. #- Z-16786 /'~/ Building(s) Date- April ~2, ~988 /-/ Use(s) located at 560 Clark Road Southold, New York Street Hamlet shown on County tax map as District 1000, Section 135 , Block 02 Lot 03 , does.~not)conform to the present Building Zone Code of the Town of Southotd for the following reasons: Insufficient total area; lot width On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /_~/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 follows: Property contains 1 story, one family wood framed dwelling with attached porch; concrete drive, hedges; wooded area; water ditch all situated in the 'A' Residential Agricultural zone with access to Clark Road. Buziazng Fermlt ~flIbUZ-CO Z805 for accessory. The Certificate is issued to VIRGINIA D. CHAMBERS (owner, M~ ~ ~x ~r~ of the aforesaid building. Suffolk County Department of Itealth Approval UNDER%%~ITEfiS CERTIFICATE NO. N/A 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 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 other applicable codes and regula- tions. ~C~ ~'~-' ~~t~ iluiiding inspector FORM NO. 6 TOWN OF SOUTHOLD Building Depa* b~ent Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANC~ TOWN OF SOUTHOLD ~ Instructions --------- A. This application must be filled in typewriter OP~ink, and submitted m ~ 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 disposel-(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 "pm-existing" land uses: 1. Accurate survey of pZ"operty 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 building[ 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling~ $25.(10, Accessory i$10-00 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../~.;/...~./ff.~. ......... NewC°nstPucti°n ...... Old or Pre-existing Building , ...w~. ....... Vacant Land ............. Location of Property . 5~;(2...C'~:M', k. ~. ............................................... House No. Street Ham/et Owner or Owners of Property ...~q~/l~..~):..~.~. .......... .,~..~.~..?.H.o~.~. County Tax Map No. 1000 Section .../afl. ....... Block ...~2~ ......... 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 me~icab_.Je-codes and regulations. Applican Rev. 10-10-78 SURVEYED FOR:- LOCATED AT ,~~~ LOT MAP O~ ~A~ 1" =~ TOWN OF '.~0~/7'~/(~-~ SUFFOLK CO. TAX MAP DATA:- DIST. /~(:~ . SEC. aLE. (~.~ LOT · CO. CLK.'NO. · SUFFOLK COUNTY N.Y. FILED DRAWN FILE NO. //~ ~'/~ SURVEYED /~'. 1~ WILLIAM R. SIMMONS JR. P/O BOX 377 JAMESPORT, L.l., N.Y. 11947 PAGE ~ GR,D ~'"fZ ON SURVEY, ARE FOR A SPECIRC USE ONLY, AND SHOULD NOT BE USED FOI~ CONSTRUCTION OF FENC~ OR OTHER STRUCTURF~ State of New York ) County of Nassau ) VIRGINIA D. CHAMBERS, bein~ says: Road, duly sworn deposes and purchased the property in 1947 and built her house prior to 1957, the date after which a Certificate of Occupancy would be required. Sworn to before me this 6th day of April, 1988. VIRGINIA D. CHAMBERS beneficiary of the Estate of my mother, Ruth E. Doane. My mother I am the current owner of the residence at 560 Clark Southold, New York, which I received as the sole