HomeMy WebLinkAboutZ-14957 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
Land ~ Pre CO - 214957
/ X/ Building(s) Dated: ,October 6, 1986-
( /Use(s)
located at 20 Sound Road Greenport, New York
reet am et
shown on County tax map as District 1000, Section 35 Block 1 ,
Lot 16 does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Because of front yard set back; insufficient side yard setback
for garage.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming / /Land /x/ Buildings}-
/_/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: Property contains one story one family wood
dwelling, one car garage with access to Sound Road, a Town Maintained
road.
The Certificate is issued to DANIEL L. FISCHER
(owner, ~S7~7~Xdf~3C3f~~i~CtXt~
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
uilding Inspector
I
FORM NO. 6 ~ A `~U
TOWN OF SOUTHOLD L 4 , j_~ ;i -
Building Department s
Town Hall t-~~~ C
Southold, N.Y. 11971 ~-F 4~
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ 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 p~perty showing a{I 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 $15.00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00 p~~~ /D~
5.Updated C.O. $15.00 /Date / O
NewConstruction , , , , , , O('ld or Pre-exist~iing Building K......~p. Vacant Land
Location of Property . ~D....l.d u/Y',1?.. !l .U~:.~ ~'1 ~~~~~lt .
House No. Street ~Ham/et
Owner or Owners of Property . ; l,J~IfL. ,Ir. ~fS~~~/j .
County Tax Map No. 1000 Section ..~J Block Lot .
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 C~~e--rtificate .....................Final Certificate .
Fee Submitted $ .~~.,/.a UU
Construction on above described building and p it meets a a licable codes and regulations.
Applicant..
Rev. 10-10J8
R.u. 3oy ys
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CONSENT
TO
INSPECTION
~~/1/l~L ~ , ~ISG~~~~ ,the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at u~~ ~oAo
fabj{~ which is shorwn and designated on the/Suffolk
County tax map as District 1000, Section ~3,7 Block ~ Lot ~,a
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:
~s~PS~~'iC~~ 0~
a~cuo~ ~1rCY ,L~
,Rk ,c ~-~y~ d~d«
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 of 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 vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
3 ~
Dated:
(sig ature)
~~~'/EL L• -~IC//~~
(print'ffame )
(signature)
(print name)
0