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HomeMy WebLinkAboutZ-15753 TO~'VN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NE~'i' YORK CERTIFICATE OF OCCUPANCY NONCONFORI,'IING PF.ERIISES THIS IS TO CERTIFY that the /X/ Land Pre C.O. 215753 /g/ Building(s) Date- May 15, 1987 / /Use(s) located at 23645 & 23765 Main Road Orient Street Hamlet shown on County tax map as District 1000, Section 0 18 Block 02 , Lot 25 doesmot~conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; 2nd dwelling with insufficient side & front yard set-backs; accessory shack in front yard. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming / x/ Land /X/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, tha occupancy and use for which this Certifi- cate is issued is as follows: Property contains a 22 story, one family, wood framed house; ] story wood framed cottage; 2 sheds; shack; accessorv QaraQe foundation; pump; all in A Residential Agricultural zone with access to Main Road; a state road. The Certificate is issued to JUNE L . KING (owner, ~€~X~I~4~I~1$;~?<4~X of the aforesaid building. Suffolk County Department of Health Approval N/A U NDER~~'RITEFtS CERTIFICATE NO. N /A NOTICE IS HEREBY GIVEN that the owner of the above premises H_AS 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 urith all other applicable codes and regula- tions. J , r_.:A FORM NO. 6 ~ ~ ' TOWN OF SOUTHOLD NMY ~819H7 Building Department li Town Hall ~ ~ - Southold, N.Y. 11971 d T03F~~ ; r;` , 765 - 1802 ~ - APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspec- tor with the following; for nee^.~ 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. 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 ~Certificateofoccupancy New Dwelling $25.00, Accessory x$]0.00 Business $50.00 Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $ 10.0 0 4.Vacant Land C.O. $ 20.00 5.Undated C.O. $ 50.00 Date ..'~~~y//~'7 NewConstruction,.,,,,OldorPre-existing Building Vacant Land i Location of Property .'-~.~~J.~..i.~.:~ ~.~.~.....:.?y'~r.. F4 .....4'~':~~...... . House No. 1 _ .Street Ham/ei Owner or Owners of Property ....11 ..J.~.iI't~ . County Tax Map No. 1000 Section . U 1. U . Z= ~ . Block ~-~.4~. U, .U . , . Lot ~ ~ 5~ , ~ C-3 •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 regulations. 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