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Home My WebLink AboutZ-14347 TOWN OF SOUTttOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 CERTIFICATE OF OCCUPANCY Z14347 Date April 18 19~ This CERTIFIES that the Lot ~/.~..~A%~$. Rq~. ~A~ .P~$ Main Bayview Southold Location of Property ...)A!PP ................................................ House # Street Hamlet 001 County Tax Map #, Section .... 088.......... Block .... ............06 Lot. P~: ....... Subdivision ........... [ ................ Filed Map # .......... Lot # ........... conforms substantially to the applicable provisions of the Zoning Code of the Town of Southold. The premises are located in the A-Residential- A~ricultural Zoned 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. DICKERSON, CHESTER M. & DICKERSON The certificate is issued to ............ · PARKER E. (owlter, ~x~g~___~__ of the aforesaid lot. Building Inspector * Pre Existing--Prior to April 23,1957. Rev 1/85 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR 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 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 p~operty 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. 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 5.Updated C.O. $15.00 Date ...................... ..~ .~..~..~. New Building ............. Old or Pre-existing Building .. ~' ....... Vacant Land ........ ., .... Location of Property ~... N~.,~. f..~. .~. ...... OU~ O. / __ , __ ~ ~et~ ~ ~ /, Hamlet r n ~ Owne orOw ers of Prope~y ~ ....... .... ..... ......... ........ Subdivision ................................. Filed Map ~o ........... kot ~o .............. ~ermit ~o. ~ate of ~ermit .~oolicant ~~.~.~..~~.. ................... Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... ~ ................. Fee Submitted $ .I..~.. ....................... Construction on above described building and permit meets all applicable codes and regulatio~s. ~l..~. ~'~ ~.~C~ Applicant .......... Rev. 10-10-78 CONSENT TO INSPECTION Owner(~) Name(s) do(es) hereby state: undersigned, That the undersigned (is) (are) the owner(s) of th~remises in the Town of Southold located at ~,~,/ //! ~'c~.~ , ~/~ '11~// //,~7/, w hi/is sho~ an ddes~gnafed on the Suffo~ Co~t~a~Ja' '~O 'istrict~O00, Section~, Block ~ , Lot ~/ . That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: __ That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations o£ the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for rio- lations of the laws, ordinances, rules or regulations of the Town of Southold. ' - (signature) ~ J ~ / (~nat~e)' (print name) BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. Locatio~ (number & street) Subdivision ~- Map No. -"' Name of Owner(s) ('~/~r--ST~/f /~ ~? /~,~_~ HOUSING CODE INSPECTION REPORT (Municipality) r,ot(s) Occupancy Admitte~ by: Key available Source of request (owner-tenant ~/c~m~ Accompanied by: Suffolk Co. Tax No. OF-°, DWELLING: Type of construction Foundation /~[~c'~/"-'~'0,,C~"~¥_ Cellar~// Total rooms, 1st. F1 ~ 2nd. F1 Bathroom(s) ~ ~ Toilet room(s) Porch, t~e~Deck, t~e. Patio, Breezeway Garage~Utility room ~pe Heat~Wa~ Air~z~ ~ Hotwater ~~_ Fireplace(s) ~ No. ~its ~ Airconditioning Domestic hotwater ~,~'~ · Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other #stories ~ 3'Y%'- Crawl space?z~g~~ 3rd. F1 Type heater Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Ar~... Sec. Remarks: ./~/~ ~-~'~/~ ~,O~/~d~-,3 Inspected by;/~ Date of Insp. Time start ~:~