HomeMy WebLinkAboutZ-12183 '1'U~VN Uh SC)U TIIULU
OFFICE:. OF PUILDING I>\SYI'CT~-)R
TO~,'N FIALL
SCUTIIOLD, NE~V YOP.Ii
CERTIFICATE OF OCCUPANCY
NONCONFORI'[ING PI;I:RIISES No. 212183
January 5, 1984
THIS IS TO CERTIFY that the
/ X/ Land
/ 7C/ Building(s)
/ /Use(s)
located at 490 Islandview Lane Greenport
Street Hamlet
shown on County tax map as llistrict 1000, Section 053 Block 06 ,
Lot 031 doesanot~conform to the present Building Zone Code of the
Town of Southold far the following reasons:
the property has insufficient area, and the dwelling has
insufficient 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 ! X/ Building(s)
/_/Use(s) existed on the effective date the present Building Zone Code of the
Town of Southold, and may be continued pur. suant to and subject to the appli-
cable provisions of said Code.
IT IS FURTHER CERTIFIEI3 that, based upon information presented to
the Building Inspector's Ufico, the occupancy and use for which this Certifi-
cate is issued is as follows: a private one-family dwelling, a detached
garage, a cyclone .fence along the rear property line, a hedETe on
one side line, •~ind a falling fence on the other side line, all
located in the °A' Residential-Agrir_ult,ural 'Lone District.
The Certificate is issued to A_ RNOLD FELDMAN (EtiTATE )
(owner, ~ess~e~~or-tEnant)
of the aforesaid building.
Suffolk County Department of Health Approval no record
UI~'DER~~rRITERS CER'T'IFICATE NO. no record
NOTICE IS ITER.EBY GIVEN that the owner of the above premises HAS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
for to determine if the premises comply with all applicable codes and ordin-
ances, other than the Building 'Lone 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.
~ A,l,
~uiidin~ 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-
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. $1 5.00
3. Copy of c~yertificatel of occupancy $1.0/0 Vacant land C . 0. $ 5.00
l ~ ~J AJZGi~cJ i C'~) CS~.v.~, .
Date .
New Building .......~.1..~... Old~orPre-existing Building Vacant Land .
Location of Property ~(~£E~~s6\.~ . ~ I.~ ,l..l.
House No. Street Hamlet
Owner or Owners of Property .~5. ~A~ G~ ..~~al ! ~ . f ~ M~
County Tax Map No. 1000 Section S. ~ Block ....~r......... Lot l......... .
Subdivision ( ~ Q~~ ~t~ .Filed Map No. ~ . 6 . ...1~~
...Lot No. . .
Permit No. Date of Permit ..........Applicant .
Health Dept. Approval ........................Labor Dept. Approval
Underwriters Approval ........................Planning Board Approval .
~ 3 01983
Request for Temporary Certificate .....................Final Certificate ' ' ' ' ' ' ' 1
.DEPT.
Fee Submitted $ gOUTHOLD
Construction on above described building an ,A~rmit eets all ap icable codes and regulations.
Applicant. .QC'~
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