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Home My WebLink AboutZ-17369TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /X--/ Land f~ Building(s) ~ Use(s) located at 700 CLARK ROAD Pre C.O. #- z-17369 Date- September 29, 1988 SOUTHOLD, NEW YORK Street Hamlet shown on County tax map as District 1000, Section 135 , Block 02, Lot 02 , does(not) conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; front yard set back; habitable space 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 applicable 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 Certificate is issued is as follows: Property contains 1 story, 1 family, wood framed dwelling; accessory garage and acc'~ssory shed, all situated in 'A' Residential Agricultural zone with access to Clark Road; a Town maintained Road. The Certificate is issued to DOROTHY CRAWFORD & WALTER SCHUMACHER (owner, of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordinances, 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 regulations. '~'~%u~%e c~t o r FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- ].802 APPLICATION FOR CERTIFICATE OF OCCUPAN Instructions BLDG. DEPT. ;Y TOWN OF SOUTHOLD 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 featu res. 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. 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 ...S.e.p .t.e.m.b.e..r..2.1. ,...1.9.8.8... NewConstruction ...... Old or Pre-existing Building ..... .X ...... Vacant Land ............. Location of Property ... (N..o. ?.)....C.l.a.~..~..~.o.a. ~ ........... , ............ .S.o.~.~ .~.o.[.~. ......... House No. Street Ham/et Owner or Owners of Property ...D..o.r.o.~h.¥..C.~.a.¥?.o.~.~..a.~.~ .~.a.~.t;.e..r. ?.....S.c.h.~m..a.c.h.e.~. ........ County Tax Map No. 1000 Section .... ~.3..5 ........ Block ..... .07. ....... Lot .... .0.2. ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ...... . ..... Date of Permit .......... Applicant .................................. Healtl~ Dept. APproval .... ..................... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate/..~_ ..................... Final Certificate ......M-~... .............. Fee Submitted $..l. 0..0...0.0...~..-~...[.~. ~ .... Construction on above ~lescribed building and permit meets all applicable cod_es and reQulations. Applicant .... ~/~..~,.~ .~.....~ ..... W±[[±am H. ?r±ce, Jr., At~o~e~/~t Rev, 10-10-78 SURVEY OF PR OPER T Y AT SOUTHOLD TOWN OF SOUTHOLD AREA . 14.908 eq. ft. SUFFOLK COUNTY, N. Y. I000- 135- 02- 02 woR Scale I" = 30' Sept. 12, 1988 ~ pHILIP t. IIOIF .o% ~0F° ' NORTH CERTIFIED TO' FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK TITLE NO. I$I ~$ 2505 DIMITRO$ TRAFALI$ MAIN' RO~/ $OUTHOLD~ NY. 119~1 496/8 88-578 AFFIDAVIT STATE OF FLORIDA ) ) s.s. COUNTY OF BROWARD ) I, Walter K. Schumacher, residing at 2725 N. E. llth Street, Pompano Beach, Florida 33062, being duly sworn depose and say: That I am the present owner of the premises located at (No #) Clark Road, Southold, New York, and designated on the Suffolk County tax map as District 1000, Section 131, Block 02, Lot 02, and am familiar with the condition of same; That the structures thereon have been designated, arranged, and physically occupied as a one-family residence with a detached garage and shed; That the structures were built prior to April 1957 and the condition of same is good; and That I make this Affidavit in the knowledge that the building department of the town of Southold will rely on the accuracy thereon in issuing a pre-existing certificate of occupancy. Walter K. Schumacher Date Sworn to before me this ~ ~ ~ day of September , 1988.