HomeMy WebLinkAboutZ-11752 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPc:CTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY '
1`~~CONFORMING PREMLSES
THIS IS TO CERTIFY that the ~kZ1 1752
June 29, 1983
/x / Land
/x / Building(s)
/X / Use(~1
located at 25220 Main Road Orient
treet am et
shown on County tax map as District 1000, Section 18 Block 6 ,
Lot 7 does ~~iz conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Use-2 family dwelling granted by the Board of Appeals d~701 and
Certificate of Occupancy#23966 September 22,1970. Additions with
Certificate of Occupancy"Z3444 April 14, 1969. Pre-Accessory
garage, yard and lot area comply to zoning to-day.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /~/Land /x / Building(s1
/x/Use(Ahj 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-family dwelling
The Certificate is issued to CONSTANCE MARY FREEMAN
(owner, )
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
.Gbh ~I/
Sr. Building Inspector
Iri-3407
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±opographic 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 o~ 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 wrvey 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-
lion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date . _ . . .
New Building .............Old or Pre-existing Building{X) . X_- . _ ='Vacant Land .
Location of Pro ~ 3~/S. MAIN, ROAD ~ ORIENT .
House No. Street Hamlet
Owner or Owners of Property .........CONSTAN(iE,_MARY FREEMAN,,,,,,,,,,,,,,,,,,,,,,,,,
County Tax Map No. 1000 Section ;018,00. , . Block 06.00 Lot 007.000
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 S .15...00 .
Construction on above described building and per 'rmee~t~s~all appl{cable~odes and regulations.
Applicant . - . - -av+,;~!P . .
( e sseiaer G. .Terry J`.-._ I ~
Rev. 10-1078 rp(.
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M-3407
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
RENSSEIAER G. TERRY, JR., being duly sworn, deposes
and says that deponent is the Attorney for John Kemble and Charles
Webb, Co-Executors of the Will of Constance Mary Freeman, deed.,
the applicants for a pre-existing Certificate of Occupancy; that
deponent knows of his own knowledge that the dwelling house on
said premises was constructed and occupied long prior to 1957; an
that no changes(~h(a~ve bee~made,t_subs~equent to the enactment of the
zoning ordinanc~, that attached hereto is a survey of said
premises.
(Rensselaer G. T , Jr.)
Sworn to before me A
this ~ r' day of ~i ,y~--•e~
198 3. r/
n
SYLVIA K. ROUSt
o ary Public . IIOTARY nJYIC, Am .1 M.w Yort
n.. wuw ~ smlmt c...l.
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