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HomeMy WebLinkAboutZ-15391TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORI< CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the Pre C.O.9 Z1539~ /Z~ Land / / Building(s) /--/ Use(s) Date March 20, ~987 located at 440 New Suffolk Road New Suffolk Street Hamlet shoxvn on County tax map as District 1000, Section 110 , Block 08 Lot 25 , does not conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; side yard set-back. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /!~{ Land /l/Building(s) /l/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 a one story, one family, wood framed dwelling with attached porch; hedges; fencing and all situated Road a town road. The Certificate is issued to of the aforesaid building. Suffolk County Department of Health Approval UNDER\VRITERS CERTIFICATE NO. in A Residential Agricultural zone with access to MARY B. CHAPEL, Deceased New Suffolk (owner, x~e~z~xie~) Janet Houle, Executrix) N/A N/A Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Bu ilding Depa, tment Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 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 buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date . .February.2?, .1987 ....... New Building ............. Old or Pre-existing Building .... .x ....... Vacant Land ............. Location of Property .~.4Q..N.e.w. ~pffp.~. ~p~.d:. ~qp~. ~pffp~[~. .................................. House No. Street Hamlet Owner or Owners of Property . Mory..~.-. gb~pf~,t~, pg~:go~g~. J~J'~o¢~.l~gul?,. ~;~equt;r~) .......... County Tax Map No. 1000 Section ...[.[9...0.0 ....... Block .0.8iQ.0 .......... Lot .Q.2.5=QQQ ....... 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 $15.00 Construction on above described building andDermit meets all applicable codes and regulations. Applicant,_Jf~neM_ Houle, as Executrix c. '¸1 STATE OF NEW YORK) SS.: COUNTY OF SUFFOLK) JANET HOULE, residing at RR 91, North Windham, Connecticut 06256, being duly sworn, deposes and says: I am the owner of premises, as Executrix under the Last Will and Testament of my mother, MARY B. CHAPEL, located on the w/s of New Suffolk Road, New Suffolk, New York, Suffolk County Tax Map #1000-110.00-08.00-025.000, as shown on the enclosed survey. My parents purchased this property from the Grathwohls and built the residence on the premises in 1948. To my knowledge, there have been no changes or alterations made to the buildings that would require a Building Permit or Certificate of Occupancy, since 1957. I make this application to the Town of Southold for a Certificate of Pre-Existing Use for the residence. J ULE Sworn to before me this day of February, 1987. Notary Public