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Home My WebLink AboutZ-14478 • TOWN OF SOUTHOLD OFFICE OF BUILDING INSPc:CTOR TOWN HALL SOUTHOLD, NEW YORii CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the C . O. # ~ `I ~ ~ Land - Date ~~sJ p~ / / Building(s) Use(s) located at ~2Sg ~.c~ p~(Yrec 11 ~vl9j 43x..~~aw. ~ • ~c~ . -street am et shown on County tax map as District 1000, Section / p? Block Q ~ , Lot O ~ does not conform to the present Building Zone Code of the Town of Southold for the following reasons: ~N Sv cif~^ i ettE~ ~ 4-a~J~ +a'~ 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: ~ a Q.a..S-~?,~ ~ ~4RA,. ~ 7tiVw w?e~[A., ~ c.c9.... ~1'e ~"V~ X113 ~.1~ ~ o~.`~ ~s Q.r~~ The Certificate is issued to (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. Building Inspector D FORM N0.6 ~ ~ ' e TOWN OF SOUTHOLD ( v Building Department Town Hall TQWR~! V g~0 HOL.D - a'~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY # ~ g3 Instructions A. This application must be filled in typewriter OR ink, and submitted~d~4ieateto the Building Inspec- torwith 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, acertificate 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 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 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 /land use --Pre-Existing C . 0. $15 .00 3. Copy of certificate of occupancy $1.00 Vacant land C . 0. $ 5.00 Date ...Apri.1,18,..1986 New Building .............Old or Pre-existing Building X Vacant Land . 385 ~ ~ ys'..1~c~eR.o.„~ Ctu[_ Location of Property ..................................................Matti~.uck, . House No.Carolyn Ann Senatore, as e~trix of the Last Will andHam/et Owner or Owners of PropertyT.estament of Arthur M., Fanning,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, County Tax Map No. 1000 Section . , ,107,.,00 , , , , , Block ..04,.,00, , , , , , , Lot 0,0~, OOQ , , , , , 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 X.............. . Fee Submitted $ .15...Q0..~~.~?`~~ . Construction on above described building and permit meets all applicable codes and regulations. ~ , Applicant . . • ~ p~~l~`P Carolyn nn Senatore, executrix Rev. 10-10.78 • , . w~ ~ tit CONSENT TO ~ • INSPECTION Carolyn Ann Senatore, as executrix of the Last Will and Testament of Arthur M. Fanning ,the undersigned. Owner • is) ' does : lureby atattt xu~tr~x ~~l egLast Will and Testament of That the undersignsd _ i s the/ the owner _ _ , of the premises is the Towtt of Southold located at Middle- Road, Mattituck, New York • which is shown snd designated on the Suffolk County tax map as District 1000, Section lw•, Block o 4 ,Lot o_. That We undersigned' has tiled, or caused to be filed, as applica- tion is the Southold Toara Building Inspector's Office for the following: Certificate of Pre-existing Use ~ ice. T That the undersigned does, hereby give consent to the Building Inspectors of the Town of Southold to eater upon the above described property, including any and all lwildiaga 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 of the Towa of Southold. The undersigneq, coaaeating to such inspections, does so with the knowledge and understanding that any information obtained it? the conduct of such inspections may be used as evWence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. ' DSted: April 18, X986 ~ QQ . ~ ignature) ~ - ~ ~ Carolyn Ann Senatore, executrix • _ print-,narr~) signature (print name) oR'~ * ao - ~ G' ~ ~~v~ ~`o ~ e chi u-~ • wZ a' ~ ~ ~ ° o i ~ d ~a ~ ~y'e a ~bds * 4~~~ mil ~i~~ 2 ~ ~ a ~.1~ ° ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ a Ly- ~ a ~ ~ g Q C~ ~ 7 0 ~ 3 ~ c~- h ~ w W > O ~ ~ r~ N ' c'~ 4- s r y4, ~ d ~ ~ i Q i p, ~ 1 t ,1 ~~.f 1 1 ~1~ ,f V ~ 1 ' ~ ' p+ , ~,b0 ~i07 ~ 11.1 4 r ~ ~ ~ j n~L3wp~ivr~ ~ :a ~ ` u o O. ~y 't'n ~ ~ J~ ~ LZ TlY d3ed~.. y~.. ~ ~}L (~j IS},IV~(~ ~ S r yQ ~i141 ~ .D i ~ ~ i ~ ~ ~ ,.ot (a~ry,vN: n~am ~ ~ g Nal. o z t _ _ .