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HomeMy WebLinkAboutZ-11822TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /X/ Land / X/ Building(s) /-/ Use(s) located at 9875 Main Bayview Road No. Zl1822 August 1, 1983 Southold Street Hamlet shown on County tax map as District 1000, Section 088 , Block 01 , Lot 002 , doeslnotlconforrn to the present Building Zone Code of the Town of SoUthold for the following reasons: l~nd has insufficient area, width, and depth. The building has sufficient front yard setback. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X_--/Land /_~/Building(s) /Z/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: one-family dwellin$ and an accessory building. The Certificate is issued to of the aforesaid building. Suffolk County Department of Health Approval UNDER%%rRITERS CERTIFICATE NO. CHESTER M. & MARGARET B. DICKERSON (owner, N/A N/A NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS 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. FORM NO. 6 TOWN OF $OUTHOLD Building Department 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 peoperty 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 buildipgs or premises, or other pertinent informa- tion required to prepare a certificate. Co Fees: 1. Certificate of occupancy S5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date . ¢.u.]:~. . .2.7. ,. . ].. .9 .8.3. ......... New Building ............. Old or Poe-existing J34dJding .... ~-~"7~~'' ~')~,44~ //~ ......... Vacant Land ............. Location of Property . .'[~u.~.htz. ~.J,d~ · u£..B~.y v.JL.e-wv. Road,. SQut. bolc[, . 15Te~ .¥or~ .......... House No. Street Ham/et Owner or Owners of Property C~STER M. and HARGARET B. DICKERSON County Tax Map No. 1000 Section .088 ........... Block .0.[ ............ Lot..002 ........... 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 $ . .]-._5.....0.0 ...................... Construction on above described building end permit meets all applicable eode, s and regulations. *SEE AFFIDAVIT & SURVEY ATTACHED HERETO. { q 5% · ./ C~RTIFI£D TO ,' MA P OF THE BANK OF NEW YOBK US1 IF~ TIT£ E IIVSU~ANC~ DESCRIBED P~OP~T Y SUZANN~ ~. MINTZ A T BAYVEIW SV~PHEN ~. ~AHKK TOWN OF SOUTHO~ STATE OF NEW YORK) : SS.: CO3bPCY OF SUFFOLK) MARGARET B. DICKERSON, residing at Bayview Road, Southold, New York, being duly sworn, deposes and says: 1. That she is one of the owners of the premises on the north side of Bayview Road, Southold, New York, which is being conveyed to SUZANNE L. MINTZ and b'l'~iFH~N I. CLARKE (Suffolk County Tax Map No. 1000/088/01/002. 2. Deponent further says that her husband, CHES. i.~2~ DICKERSCN and she bought the property about the year 1949; that the residence &'~shed were of scum age at that time,and were probably built long before 1900. 3. No exterior changes have been made on the pr~mises since the date of purchase. 4. Attached hereto is a survey showing the pro2erty. ~'l' B. DI(/{ERSCN Sworn to'fore/me J~his~__ ~/