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Home My WebLink AboutZ-13362TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HiLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /_X/ Land ~_~/ Building(s) Use(s) Pre C.O. ~- Z13362 Date- April 16,1985 located at 375 Ackerly Pond Lane Southold Street Hamlet shown on County tax map as District 1000, Section 069 , Block 05 Lot 012.1 , does.~not~lconform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Insufficient front yard set-backs. Accessory barn in the front yard. 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 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: Property contains a one story~ one family wood framed dwelling with an accessory barn and two accessory sheds. Property situated in the A-Residential - Agricultural Zone with.access to Ackerly Pond Lane and Lower Rd., both Town Main- tained roads. The Certificate is issued to of the aforesaid building. MORAILLON, ANDRE & KEEGAN, DEBORAH (owner, Suffolk County Department of Health Approval N/A UNDER%%rRITEftS CERTIFICASrE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS 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. Bui~din~ inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pz~perty 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occuoancv on Dre-existine dwellinq 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date .... 4v3v85 ................ New Building ............. Old or Pre-existing Building . ..Y~. ........ Vacant Land ............. Location of Property .... 3.7.5. .A.k.e.~.];.y..Po. gd' .L.a. ge' ...... S. .o u. .t .h .o ~. cl. : .~.~., .Z.~.97..~ ................... House No. Street Hamlet Owner or Owners of Property .Az~d~e..Me~aillem. ama. 9el~erah. Keegam ........................ County Tax Map No. 1000 Section .. 69rS~L2,l .... 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 $ ..... 15.00 ................... Construction on above described building and per, git meets all appl~able codes and regulations. '_ ~ ~_~ ~ Applicant .... ~ (.~. r~ .... ~" ~ '~' t ....................... ATTESTATION I h~reby declare that the house located at 375 Akerly ~ond Lane, Southold, NY l1971,County Map No.lO00,Section 69-5-12.1 was built prior to April, 1957 and is in habitable condition and currently occupied. Also located on the property is a wood frame barn, in good condition, and attached sheds, also in good condition. Andre Moraillon Owner State of New York ) County of New York) s.s. Sworn to before me this 4th day of April, 1985. DAGOBERT M. SCHER Notaw Public, S~a~ of New York No. 608801930 Qualified in Westchester Count~0J _ Commission Expires March 30, I9 r~t~_~