HomeMy WebLinkAboutZ-12778TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN ILiLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
Pre- C.O.9 Z12778
Date Sept.14,1984
/ X/ Land
! X/ Building(s)
/--/ Use(s)
located at 56850 Main Rd. & 45 Town Harbor Lane Southold
Street Hamlet
shown on County tax map as District 1000, Section 063 ., Block 04
Lot 001 , does.~not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Iflsuffi¢ient Total Area,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 ~/Building(s)
/i/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-Residential/Aqricultural)
2 Story Wood Frame house with 3 attached porches and an accessory
garage situated in the A-Residential/Agricultural Zone with access
to State Maintained Road and Town Harbor Ln. ;a Town Maintained Rd.
The Certificate is issued to HALL,DR. RICHARD
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERIArI{ITERS 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 thai the premises comply with all other applicable codes and regula-
tions.
Building inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
,~;outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructiens
This application must be filled in typewriter OR ink, and submittecNia=~eto 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 feature[
2. Final approval of Health Dept. of water supply and sewerage disposal-(So9 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.
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.
Fees:
1. Certificate of occupancy $5.00 /
2. Certificate of occupancy on pre-existing dwelling/ land use -- ~'~, e-1'; x L s t, L [~!; C. 0. $15.0 0
3. Copy of certificate of occupancy $1.00 Vacar~t laity] C.0. $ 5.00
New Building ............. Old or Pre-existing Building .... .X ....... Vacant Land .............
location of Property .~ .~.~. ~. P. .~.o. .~.d. .~gf . ~.qflg. ~.~?~g~. .~gp.,. . . ~P~bg~.~ .....
Hou~ No. St~t Hamlet
Owner or Owners of Property . . .D.]:...~. ~..c.h.~.~,d...A....~..~.1_. ....................................
Countv Tax Map No. 1000 Section .0.6..3: .0.0. ....... Block ...0.~...0, .0 ....... Lot .... 0.0. ~.: p.O. .....
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant .... ~ ~. c..h.~.e.];.. ~....~. ~..~.1_.,..~..s.q.. ......
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ....X. ..................
Fee Submitted $...1.5.: 9.0 .....................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant ........ .~.~,c. biz.e.], .~T,..H.a,],).~..g~q .....................
Rev. 10-10-78