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Home My WebLink AboutZ-13858TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN PLtLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORR%ING PREMISES THIS IS TO CERTIFY that the ~_--/ Land ~( / Building(s) /-/ Use(s) Pre C.O. #- Z13858 Date- September 16, 1985 located at 1175 First St. New Suffolk Street Hamlet shown on County tax map as District 1000, Section 117 , Block Lot 27 , does.~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Lot is insuff, in area. Two-story framed dwelling has insuff, front yard set back. Accv. structire is insufficiently set back from rear property line. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming ~_/Land /-~/ Building(s) /Z/Use(s) existed on the effective date the present Building Zone Code of the Tovrn 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: One-family dwellin~ wi~h ~ne ~a~..4~n~y structure. The Certificate is issued to of the aforesaid building. ANNA LORIA (owner, Suffolk County Department of Health Approval N/R UNDERWRITERS CERTIFICATE NO. N/R NOTICE IS HEREBY GIVEN that the owner of the above premises PLtS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with al~ 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. ~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ ~ 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 featu res. 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: l~Accurat~su.-;ey-ef-~rt~Lsho~g al[J~roperty lines, streets, buildings and unusual natural or otototototototototg~ograp_h ic featu res~ 2. S~orn statement of owner or previous owner cv anted ~ondition of~buildinas 3. D~te ~ ~u~hg ~n~l, or safety .i~_.o~f_ _b~di_ngs_'or ~mises, or other pertinent informa- tion required to prepare a certificate. C. Fees: · 1. Certificate of occupancy $5.00 .~Ce_~ifica_t~e of occupancy on pre-existi.n~q dwellinq $:15.00 3.~C~py of cert-T~te o~ccupancy -- $1.00 4.Vacant Land C.O. $5.00 Date .... ~.//.~/'). / ~J. ........... ew /" / N Building ......... '.... Old or Pre-existing Building .... /~. ...... Vacant Land ............. Location of Pro ~r /r'~.. ~. ......................... .... ............ House No. ~ Street ~) ~'~ '/' ' Ham/et Owner or Owners of Property . .~..~..~,~. ..... .~...~..~./..~ .................................. County Tax Map No. 1000Section ...... /../..D... Block ...... ~ ....... Lot..' .... (~./~... ..... 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. '" ...... ........................... Rev. 10-10-78