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HomeMy WebLinkAboutZ-11733 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YO~K CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /--/ Land /--/ Building(s) /~'/ Use(s) located at 51400 Main Road No. Zl1733 June 16, 1983 Southold Street Hamlet shown on County tax map as District 1000, Section 070 , Block 02 Lot 003 , does.~not~conform to the present Building Zone Code of the Town of Southold for the following reasons: It is a continued pre- e[isting use that has no special exception or site plan approval in accordance to Chapter 100, Art. III, 100-30 B (13).* On the basis of information presented to the Building Inspector's Office, it has been determined thai the above nonconforming /Z/ Land /Z/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 follo%vs: a funeral home with a one-family dwelling. The Certificate is issued to of the aforesaid building. DAVID I. & MARGUERITE A. DeFRIEST (owner, Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises H-iS 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. Two (2) permits for additions granted, B.F. 8649Z--C.0. Z7342 & B.P. 12140Z--active ~, ~~ _~--u Buiidin~ inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department 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 unusua~ 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 safeW 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 or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ... ?.8..3 ...... New Building ............. Old or Pre-existing Building ×× Vacant Land Location of Property 'J)~( ~ 5 0 Main Road Southold House No. Street Hamlet Owner or Owners of Property David I, DeFriest and Marguerite A, DeFriest County Tax Map No. 1000 Section 07 0 Block 02 Lot 003 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 $...1.5 :.0.0. ..................... Construction on above described building and permit meets all .[~ckolicabl, eicodes and regulations. Rev. 10-10-78 /i//. A. /WA Premises at Main Road, Southold, NY SCTM 91000-070-02-003 STATE OF NEW YORK) COUNTY OF SUFFOLK) ss.: I, DAVID I. DeFRIEST, residing at Southold, New York, being duly sworn, deposes and says: That I am one of the present owners of the premises located at Main Road, Southold, New York, and designated on the Suffolk County Tax Map as District 1000, Section 070, Block 02, Lot 003, and am familiar with the condition of same; That the structures situated thereon have been designed, arranged and used as a funeral home with detached garage and shed; That at this time the subject premises is being used as a funeral home; That the condition of the existing structures on the premise~ is good; That I make this deposition in the knowledge that the Build- ing Department of the Town of Southold will rely on the accuracy thereof in issuing a certificate of occupancy. David I. De~fi~s~t Sworn to before me this o~mdday of April, 1983. ~ ° Notary Public