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Home My WebLink AboutZ-17039 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /~ Land /--7 Building(s) /-7 Use(s) located at 3825 South Harbor Road Street Southold Pre C.O. #- z17039 Date- June 28, 1988 Hamlet shown on County tax map as District 1000, Section 078 , Block 03 , Lot 10 , does(not) conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming ~7 Land /-7 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 applicable 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 Certificate is issued is as follows: Property contains a I story, one family~ wood framed dwelling with attached screen porch; attached single car garage; & situated in the A-Residential Agricultural zone with access to South Harbor Road; a town maintained road. The Certificate is issued to HANNAH M. HANSEN (owner, X~X~X~&~ of the aforesaid building. Suffolk County Department of Health 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 ordinances, 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 regulations. Building Inspector BLDG. DEPT. TOWN OF SOUTHOLD 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 m ~ 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 pz'operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling. $25.00, ' Accessory ,$10.O0 Business $50.00 ........ ~ccu apc on re-ex' ' avellin~i $ 50,00 ~:00, over · C.O. $ 20 00 ' 5 years $10.00 5.Updated C.O. $ 50.00 Date ....... ~-~--~8 '~.'7--~-:-..~'''~'~ Location of Property South //arb'or Road Southo£d House No. Street Owner or Owners of Property //annah ~. //azz~zz Hamlet County Tax Map No. 1000 Section ,. ,~,~ ..... Block ~'~,,0 G Lot O [cO 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 $,, ,,~ 0/0'~ ....................... Construction on above described building and permit meets all applicable codes and regulations, Rev. 10-10.78 40* ~". 339. $, 88° ~-DOD~'Z L //¢ A. /~A T~'U TA T /--I/ZL