HomeMy WebLinkAboutZ-16150TOV _. ._jF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN' MNLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
TIIIS IS TO CERTIFY that the
/X X/ Land
/ Building(s)
Use(s)
Pre C.O. #- Z16150
Date- Sept. 16, 1987
located at 680 OLD ORCHARD LANE EAST MARION
Street Hamlet
shown on County tax map as District 1000, Section 31 , Block 6 ,
Lot 21 , doesinot�conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Setbacks sufficient in all requirements.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming fix/ Land /xJ 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: Property contains 1 story (one family)
dwelling with one addition B.P. #927Z C.O. #Z1342 also two small
accessory buildings located in A zone with access to Old Orchard
Lane.
The Certificate is issued to
of the aforesaid building.
JAMES P. GETCHES & MARJORIE ANN KIRCHNER
(owner, )cxx%Txxx4 1 k
Suffolk County Department of Ilealth Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with all 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.
A
-iui-4 Lns� eCto
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted a 2� 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 property 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
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
5.Undated C.O. $15.00
New C ons truc t ion . , , , .. Old or Pre-existing Building
$15.00
�( Date.�C?U$"C.,2�i.1.�Q.6.t..
.,! � ....... Vacant Land .............
Location of Property .laFyi- ........ C? ............. W C. cfM
House No. Street Hamlet.
�IA r1ES P� GE c 7 /�1425vrr� E� aNN Kl �? c t r4 Gy(._
Owner or Owners of Property .......... .T. t...9N. .. .................
County Tax Map No. 1000 Section ......31....... Block ....6.......... 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 Certificate .....................Final Certificate X...................
Fee Submitted $ .................SQ: 00. 4. -?p
Construction on above described building and permitmeetsall applicable codes and regulations.
Applicant J �.(.................................
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TOV. -iF SOUTHOLD
OFFICE OF BUILDING INSPECTOR,
TOWN I-IALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
XiLand
Building(s )
Use(s)
located at
Pre C.O. #-
Date -
M
Street �iamlet—
shown on County tax map as District 1000, Section I—, Block_,
Lot , does,4ml)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforminW/ 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:
i 1 i _ ®a
� if4Cai issuucd to 0"46";41 917
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval 0
U NDERWRITEPtS CERTIFICATE I\'O. 12. 4
NOTICE IS IIEREBY GI�TEN that the owner of the above premises 11AS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with all 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.
�,uiici:.� � s� ect • -----
STATE OF 4vj )
,P iti #V(P44VI s s .
COUNTY OF )
JAMES P. GETCHES, being duly sworn deposes and says:
1. I am the owner of property improved by a single family
dwelling together with a lean-to, shed, and bin located at No#,
Old Orchard Lane, East Marion, New York with Suffolk County Tax
Map No. 1000-31-6-21.
2. This affidavit is made in support of my application for a pre-
existing certificate of occupancy and use as a single family
dwelling.
3. The existing structures were erected in 1956 .
4. To the best of my knowledge and belief this dwelling has been
used as a single family residence continuously since before the
enactment of the Southold Town Zoning Board.
WHEREFORE, it is respectfully requested that the Southold Town
Building Department issue a pre-existing certificate of occupancy
for this single family dwelling and accessory structures.
Sworn before me the
31-1d day of 5yI. ,1987
Notary Public
DocId 082587.1
4rjy Cmmission Expires June 23, 1991
James P. Getches