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HomeMy WebLinkAboutZ-11889TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOt~ TOWN HALL SOUTttOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the / Land /X / Building(s) /--/ Use(s) 340 located at 565 Locust Lane Korn Road No. Zl1889 August 31, Southold 1983 Street Hamlet shown on County tax map as District 1000, Section 062 , Block 03 Lot 026 , does.~not~conform to the present Building Zone Code of the Town of Southold for the following reasons: th~ lot has insufficient area and width; the dwelling has insufficient setback area. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X_--/Land /~/Building(s) /_/Use(s) existed on the effective date the present Building Zone Code of the Toxvn of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, base.d upon information presented to the Building Inspector's' Office, the occupancy and use for which this Certifi- cate is issued is as follo~vs: a private one-family dwelling. The Certificate is issued to of the aforesaid building. MICHAEL J. & ANNE HALL ( owner, -1.e-s~,ee ~ terrax~) Suffolk County Department of Health Approval UNDER~VRITEi~S CERTIFICATE NO. no record no record - NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine ff 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. t9 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- 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 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-exist ng dwelling dr lark;J use ~;/b-~$5 O0 3. Copy of certificate of occupancy $1 00 / ~ ' / - New Building Old or Pre ex stllg Building ~'~ate ' ' ~'~'--~' '~'(~'~ .............. ' ' ' ' .~..~.; .... Vacant Land ............. Location of Properw .~.~~.~~~ ~~ ~~~ . ~o~ No. ~ ~' ~ ~' ~;i~;; .................. =" '"~ ..... ' ~ Ham/et Owner or Owners of Proper~ ..~C~..~,..~...~.~..~..~~X,  o. 1000Sect/on ..~.~...~ Block ...D~ ....... Lot...~. ........ Permit No... ~ ....... Date of Permit .Applicant Health Dept. Approval ........................ Labor Dept. Approval ........................ U nde~riters Approval ........................ Planning Board Approval ...................... Request for Tempora~ Certificate ..................... Final Certificate Fee Submitted $..l~ ~ ...... ~ .~ ~ ~.~ .. Construction on above described building and permit mee~a~ agDlicab~ codes and regulations. ~ -~ ~ H~ ......... ~ ..... ~x...:.; ............. ~ ........