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Home My WebLink AboutZ-12696TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the PRE C.O. #Z12696 DATE: AUGUST 10, I _1 T,and / / Building(s) /-/ Use(s) located at 21550 Main Road Cutchogue, N.Y. 1984 Street Hamlet shown on County tax map as District 1000, Section 109 , Block 01 Lot 001 , does.~not)conforrn to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. 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 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: Two story wood frame one family dwelling with an old foundation in the rear yard and fence along the eastern side property line. This property situated in A Residential-Agricul- tural zone with access to the Main Rd. maintained by the state. The Certificate is issued to ,~. Lloyd & Marie Tr~.n~ Di~k-~r'~c~n (owner, ~sksxe~ X ~l,X ~ ~ ~ ~-~t~ of the aforesaid building. ~ Suffolk County Department of Health Approval No record UNDERWRITERS CERTIFICATE NO. No record 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 al! 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. Building inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,(~outhold, 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 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/landuse--?re-E×±st±ng C.O. $15.00 3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00 New Building ............. Old or Pre-existing Building . ~. ......... Vacant Land ............. Location of Property . .z~.~,~.q~). ~[v]p~_D. ~::)~.~.,..C~t.c.hp~Ipf%,. ~. :~Pr]q ............................ House No. Street Hamlet Owner or Owners of Property . ~;... ~l_Qy.d..&. ~. ~p_f~. ~D~..c~c~;~ .......................... County Tax Map No. 1000 Section .... .1.0~) ........ Block .... .0~_ ......... Lot.. DDt. .......... 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 per~mit~neets~ll apDlicalple~oc~s and regulations. Abigail ~. Wickham, as Attorney Rev. 10-10-78 STATE OF NEW YO~ :SS.: OOUNTY OF S. LLOYD DICKERSCN, residing at (No #) Main Road, Mattituck, New York, being duly sworn, deposes and says that: Deponent is one of the owners of a certain premises on M~in Road, Cutchogue, New YoIk, which was purchased from fharles S. Hawkins and Richard Bassford on July 17, 1960, which deed was recorded cn 8/17/60 in Liber 4859, Page 567. Deponent further says that the resideD~e on said property was built in 1914 and that no improvements that would r~quire a certificate of occupancy have been made to the premises. Deponent makes this application to the Building Department of the Town of Southold for a O~rtificate of Pre-Existing Use. $. ~D DICKERSON Sworn to before me this /~F~day of August, 1984.