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HomeMy WebLinkAboutZ-11774FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of;Occupancy No. Zl1774 Date July 11 1983 THIS CERTIFIES that the,~.~.~..U.S..E OF BUILDING . . . Location of Property 28735 Main Road Cutchogue County Tax Map No. I000 Section ... ] .0.2 ...... Block . .0.5. ........... Lot ... 9.2.2 ........... Subdivision X . .Filed Map No. X .... Lot No. X confsrms substantially to the applicable provisions of the Zoning~... Code of the Town of Southold. The premises are located in the ....... B-1 District and may be used.. for such uses as are presently authorized by the Zoning Code in such. district subject to, however, all of the. requirements of the Zoning.. Code. Special Exception, Board of Appeals Action #3111, Dated July 8, 1983 for use as a public library. The certificate is issued to CUTCHOGUE FREE LIBRARY (owner. ,q~-~*r-ter~w~ ................. of the aforesaid ~ ~uilding. Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Depa,~.ent Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 New Building ............. Old or Pre-existing Building .... ~(~ ...... Vacant Land ............. f Location of Property..../.¥l/0~$ ~... ~.0~-¢1 .... 0.~..'~.0-./)SP. CiH,/~-.... ~.-. ,/~. ...................... House No. Street Ham/et Owner or Owners of Property .... C .~. rT..C: .~.O..~.~...~ .... .~.~.~.. ~....~:-. t. J~,,~..la7 .................. County Tax Map No. 1000 Section ... J.0..~. ...... Block ..... ~ ....... Lot....'~-...Z~. ........ 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 perrr~t meets all applicable codes and regulations. Applicant ....... .~...~...~,~ ............. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL · ~ ~.. ~.~.-. .................... PL~E NOTICE that your application dated· .<:~4/../ .... /. .......... 19 .~ for pe~it t~.sh'-' ~Q.O~ ~ ' ~.~ at ..... ~.. y~ ............ ........ ~ ............... . Location of Property ~2~.: ~.~..~ .... ~~~. ~ .ou~ No. St~t ~ ~-~ Hamer County Xax ~ap ~o. ~oo0 Section .... /~ ~ .... mock . ~.~ ....... ~t .~ ..... Subdivision ...... .~ ......... Filed Map No ................. Lot No .... 7.. ~. ......... ~e~.u/~;~erew~nd disap~:ved on t he~follo~,mg ground:~.~ --~..O..~.~7 . .~..k'~.. /~.~. ~. ..... ATi-z. ~,.,.---:.....~...,.*...~..:.?.o....E.m.~). :...: .......... .~