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HomeMy WebLinkAboutZ-11559 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YOP~K March 23, CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES No. Zl1559 THIS IS TO CERTIFY thai the 1983 /--/ Land /--/ Building(s) I _1 Use( located at 1715 Sunset Lane Street shown on County tax map as District 1000, Section Southold Hamlet 088 , Block O6 Lot 006 , does(~l~conform to the present Building Zone Code of the Town of Southold for the following reasons: The use as a one-family dwelling is permitted in this A Residential-Agricultural Zoned District. On the basis of information presented to the Building Inspector's Office, it has been determined that the above mm~conforming /~/Land /l/Building(s) /i/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: a private one-family dwelling. The Certificate is issued to of the aforesaid building. JAMES E. & EVE C. MULLINS (owner, ~s~e- ~r-t~) Suffolk County Department of Health Approval n/a UNDt~RWRITERS CtERTIi~ICA~I~E NO. ' .... n/a NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with ~11 a. pplicable codes and ordin- ances, other than the BuildihgZone 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 T-4511 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 subr~itted 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 o~ 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 peoperty showing all prolberty 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 occupancy on pre-existing dwelling or land use 3. Cop,/of certificate of occupancy S1.00 $5.00 Date .March._ , 1983., New Building ............. Old or Pre-existing Building(X) .._. ,X_ ..... =/Vacant Land i ............ Location of Property . .E/.s~.~g.rl.s.e..t:...L~..ne. .................. ; ................ ,S.O~t..h.o.l%d. , .. Hou~ No. Street Ham/et Owner or Owners of Property ..... ~..A~.s Et..&..~.._'~._, .C....~..~.Z..?I'S. .......................... County Tax Map No. 1000 Section .... 8.8. ........ Block .... 6. .......... Lot ..... 6. .......... 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 permlt'meets all app~cable_..co.des and regulations. _ / ! · TIE LIt, I.E. , .......L N.G~'$G,',50"\V. - 109~?T , _ _._. \V~¥