Loading...
HomeMy WebLinkAboutZ-12543TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN BALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the Land Building(s) Use(s) No. Z12543 June 11, 1984 located at Avenue B Fishers Island Street Hamlet shown on County tax map as District 1000, Section 006 , Block 02 , Lot 022.2 doesinot)conform to the present Building Zone Code of the Town of Southold for the following reasons: the property has insufficient 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 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 private one -family dwelling. The Certificate is issued to ROSALIE B. HOSKINS (owner,-ieesec-or-terrm-0 of the aforesaid building. Suffolk County Department of Health Approval no record UNDERWRITERS CER'T'IFICATE NO. no record 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 that the premises comply with all other applicable codes and regula- tions. B dinig Inspector FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall outhold, 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-existing dwelling / land use --Pre-Ex is ting C . 0. $ 15 . 00 3. Copy of certificate of occupancy $1.00 ! Vacant land C.O. $ 5.00 Date ... JA44;!. 11 R .19.$4 ....... New Building ............. Old or Pre-existing Building .... X)�...... Vacant Land ............. Location of PropertyAvenue B Fishers Island Nouse No. Street Hamlet Owner or Owners of Property ............... . . . ROSALIE B. HOSKINS County Tax Map No. 1000 Section . , 006 , , , , , . Block ...02.......... Lot ...022.'.? ....... Subdivision ......X ..........................Filed Map No. ..X .......Lot No. ........ Permit No. Date of Permit ..........Applicant ............ Health Dept. Approval ..... N�R...............Labor Dept. Approval ........................ Underwriters Approval ..... NR...............Planning Board Approval ................. .. . Request for Temporary Certificate .....................Final Certificate XX ,/ Fee Submitted $ ... 15..QP.................... PAI - C0 � 1,25-`+-3 P,e C. 0-40l q-, / / W Construction on above described building and permit meets all applicable codes and regulations. &/u /ry Applican�.... ............................... Rev. 10.10-78 A IA al a 1�1 to 1J OTE: GooRD�ugT� O�STAUCEr� AQF MEASUVEp F eo" U. S. CoA5r AMD GFbDET�C SV�V� �! r 1Z1- ANGU1. ATloi.1 STATlou SS(►b. G5 �� r74r- IC�cf1r sc WAY I p E 1• 1`1 1 II � 1 1 i1 s. 86 as' � �11 1'� 1 S FW"J-s caubr,44T-EED To : 4hY1U W WD &I.•IClkr-. AL &V=— C,©I.DN IAL VADK CAGL. cbMJ'AMY FP, NICASO TTTLIE CO► MQN( t%1 k4C0ljA CE WM4 THE MIIaIMuM 5MVIDkQ5 IFDe T1I-IE 5Ur v>` 5 DF 714E AEW YoM 5TbTE LAND TITLE 4SSOCIATi Otil , TITLE No, 840 80z-'7 (Z Z i i '0 P,\V, OF NEIV H. 8T'� Z Q c� 0� kAND le k. -I �-- PLAN OF PKOrEICTY TO &E 09P%M`lED TO DAVID W. AND ALICIA. V'-• A,►-V+�.�EZ AV EAl1J is S F15KE.KS ISL&MU, %J EW YDIZK SCALE: l" =40 FT. CHA.I.i©�-r_1�.Ya.Ltvl�cl� �c X11-���s. NO�W1Cl-ICQ1�11�1E�T ICUTQ1.11�1E�T ICUT JUNE (,=1, 19(54-