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- TOt'~ ~ ~F SOUTIIOLD
OFFICI3 OF BUILDING INS1'LC'fOR
TOtVN II_~LL
SOUTIIOLD, IQEtt' YOLK
CERTIFIC[1TE OF OCCUY[1NCY
NONCON1,ORl~IING PP~I;AIiSES
TIIIS IS 'f0 CERTIFY that the
/ X/ Land Pre C.O. Z- 16 196
Building(s) Date- ~'ept. 22, 1987
/ / Use(s)
located at 1310 Smith Road Peconic, New York
Street Ilamiet
shown on County tax map as District 1000, Section 098 Bloclc 03 ,
Lot 25 doesynot~conform to the present Euilding 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 / x/Land Building(s)
/`/Use(s) existed on the effective date the present Building Zone Code of the
Town of Southold, and ma,y he continued pursuant to and subject to the appli-
cable provisions of said Code.
IT IS FURTHER CERTIFIZJD that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this Certifi-
cate i~ issued is as follows: Property contains I story, 1 family, dwelling with
wood framed accessory garage; Bluestone driveway and all situated in 'A' Residential
Agricultural zone with access to Smith Road; a Private highway.
The Certificate is issued to MARJORIE KAPPES
(owner X~~~~)E~f~X
of the aforesaid building.
Suffolk County Department of I}ealth 1lpproval N/A
UNDIsRtt~ItITIs'RS CEIt'i'IFIC:n'I L NO. N/A
NOTICI: IS 1llsli,I.BY GIt'I:N that the owner of the above premises IL~1S
NO"I' CONSINTID '1'O 11N INSI']sCTION 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 "Lone Code, and therefore, no such inspection
has been conducted. This Certificate, therefore, does not, and is not uitended
to certify that the premises comply tv}th all other applicable codes and refiula-
tions.
~tui:di^~ ~n~.,>ector -
7 3Y- 6 8
~~~~~,C_ ~ ~ ~ ~ y
+ ~ FORM NO. 6
~ i ~ 2 $1,987 ~ ` ` TOWN OF SOUTHOLD ' ~l ys^~
1~ l; Building Department
'l~, !t\~\ = 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 ~ to the Building Inspec-
torwith 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, acertificate 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 pxUperty 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 . 0 0 , over 5 years $ I 0 . 0 0
4.Vacant Land C.O. $ 20.00 ~
5 . Updated C . O . $ 5 0.00 /Date
New ......Old or Pre-existing Building ....V. Vacant Land .
Location of Property , , ,131J ;with P.~.: ~econic II. 11958
House No. Street Ham/et
"irs. ~sc:~r ':appes
Owner or Owners of Property .
County Tax Map No. 1000 Section ...9 P Block . 3..... Lot . 2 5.. .
'~fap of Indian "?eck mark 00955 27
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 $ .~.4.. ~a~`f0
Construction on above described building and~ermit meets all~pplicable codes and regulations.
Applicant .,~~1~~1C's'F~. ~~,~1tcz~~, Gam, <<'
_ f~ /q, l
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