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HomeMy WebLinkAboutZ-14551TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN ILiLL SOUTtIOLD, NEW YOF~K CERTIFICATE OF OCCUPANCY NO1NCONFORA~ING PREMISES THIS IS TO CERTIFY that the Land Pre C.O. #- Z1455] Building(s) Date~un~ 24 lqR~ Usc(s) ; located at 975 TOWN HARBOR LANE SOUTHOLD Street Hamlet shown on County tax map as District 1000, Section 063 , Block 04 Lot 012 , does.~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Insufficient side yard set-back. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /5 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 CERTIF]2ED 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 a two story, one family, wood framed dwelling with attached porch. Property has an accessory shed and all are situated in the"A" residential agricultural zone with access to Town Harbor Lane; a town maintained road. The Certificate is issued to of the aforesaid building. ESTATE OF JENNIE A. HAMMOND (owner, Suffolk County Department of Health Approval N/A UNDERXVRITERS 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 al! 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. 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 ~1~ 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p=operty 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 $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date ...J.Llr)(~. ! 9.,. 1. 9.8.6. .......... X New Building ...... ~.,~ ;;,.. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... T.o.w.n..H..a.r.b.o.r..L.a.n.e.,..S.o.u.t.h..o!d.:..N.e.w..Y.o..r.k ........................ House No. Street Ham/et Owner or Owners of Property Estate of Jennie A. Hammond , County Tax Map No. 1000 Section ...0.6.3. ......... Block . .0.~ ........... Lot ~..'..0.1.2 .......... 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 $... :15. ~0 ..................... Construction on above described buildin re lations. Applicant . ~.~4'..~, ;.:., .---;~, ................ -~~&~6~: '~f' 't~¥ Estate of Jennie A. 'l=l~mmond