HomeMy WebLinkAboutZ-16155TON' ..)F SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN ILALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PRE1tIISES
THIS IS TO CERTIFY that the
Land
Building(s)
Use(s)
Pre C.O. #- Z-16155
Date- Sept. 10, 1987
located at 4000 Main Road Laurel, New York 11948
Street Hamlet
shown on County tax map as District 1000, Section 125 , Block 03
Lot 1 1 , does�not�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 nonconforming / /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: Property contains 1 story (one family) wood framed dwelling
2 accessory barns; 4 accessory sheds; fencing; sign; all situated in 'A' Agricultural
Residential zone, with access to Main Road #25; a State highway.
The Certificate is issued to DAVID & JEANETTE HOMMEL
(owner, TeV9X&X%91IX1W
of the aforesaid building.
Suffolk County Department of Health Approval
U N'DERIVRITEItS CERTIFICATE NO.
N/A
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises ILLS
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.
tui:di :^ inspector
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 n a� 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: Additions $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory $10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $ 10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ......
NewConstruction ...... Old or Pre-existing Building /,.,......(...... VacantLand./............
Location of Property . `?� P.V..11 .,�...... f "�` c 4K ..../�'.'.�r1 1. J C L!. � .........
House No. \ ` Scree Ham/ef
Owner or Owners of Property . lv ! ci . r..:��.. n�e,�, m1 �.
County Tax Map No. 1000 Section ........... Block .... 3......... Lot ....)A ........ .
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 $ .............................
Construction on above described building and permit meets all applicable codes and regul ions.
Applicant ... .............
Rev. 10-10.78 /
ReL. 33 isir
ale cv2.iGISS
TOV;-, .)F SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
CONFORMING PREIIIISES
THIS IS TO CERTIFY that the
Land
Building(s)
/-/ Use(s)
Pre C.O. #-
Date- _i\_10 $
located at 4000 lrr,aa•.:. eA cw� 11 ?q V
Street Ilainlet
shown on County tax map as District 1000, Section / Q:r , Block O 3 ,
Lot 11 , doe<�conform to the present Building Zone Code of the
Town of Sou for the following reasons:
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /_/ 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:
eW
The Certificate is issued to .=-
(ow er, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval IJ1�
UNDERWRITERS CERTIFICATE NO. ►J�`�
NOTICE IS HEREBY GIVEN that the owner of the above premises I -LAS
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.
��ui:di :- inspector --
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