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Home My WebLink AboutZ-14123 TOWN OF SOUTHOLD 0t;' ~ , FICE OF BUILDING INSPECTOR TOWN ILALL SOUTIIOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFOI%MING PREMISES THIS IS TO CERTIFY that the /X_--X/ Land /Building(s) _ Use(s) Pre C.O. #- Date- 12/27/85 located at 670 South Harbor Road Street Southold Hamlet Z14123 shown on County tax map as District I000, Section 075 , Block 03 Lot 010 , does[not)conform to the present Building Zone Code of the Town of Southo]d for the following reasons: insufficient total area and insufficient side-yard set back. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /_~/Land /3! Building(s) /_/Usc(s) ekistcd on the effective date the present Building Zone Code of the Town of Sou/held, and may be continued pursuant to and subject to the appli~ cable proviz;ions of said Code.' IT tS FURTttE}% CERTIFIED that, based upon information presented to the Building Inspector's'()f£ice, the occupancy and use for which this Certifi- cate is issued is as follows: Propert~/ contains a one and one half story wood framed~ one-family dwelling with attached 9arage. Property situated in the "A" Residential-~gricultural Zone with access to South Harbor Road, a Town maintained highway. The Certificate is issued to of the aforesaid building. JOHN MARTIN LEHR (owner, 4e~e~ ~r-~me) Suffolk County Department of Health Approval UNDERWRITE£~S CEiXTIFICAT'E NO. no record no record NOTICE IS HEREBY GIVEN that the owner of the above premises tLiS 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. Building inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions ['IEC I 2 i985 BLDG. DEPT. TOWN OF SOUTHOLD 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. 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 topograph ic 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. Co Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 New Building ........ L'~' Old or Pre-existing Building · Z Vacant Location of Property .~.f) ~ ' ~ ~--_~4_Jd'~q '~' ~-'~';~'.~) ....... ,;o'u;; ;v;. ...... ............ : ............. [~ . ~' A'treet _ I ............... " Ham/et Owner or Owners of Property .... ~. ~ )/~w..~. ~...~ ............ County Tax Map No. 1000 Section ,~/.... ~.~ ~, . .2~ ;~.~ ..... ........... ~ OCK ....... ~ ....... Lot ....... /. (~'. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant.. 2~7 .~..I. pL, .~7~;. ~,~. k)?.~ ..... Health Dept. Approval ........................ Labor Dept. Approval ........................ U nderwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ~.. ..................... Final Certificate .................... Fee Submitted $.. /.~. :..~. .................. Construction on above described building and [~r'mit meets all ~-~: ....... op.,,~.u,e coaes and regulations. Z