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Home My WebLink AboutZ-16004TO\x~ .,P SOUTIIOLD OFFICE OF BUILDING INSI'ECTOII TOWN ItALL SOUTIIOLD, NEW YORK CEI{TIFICATE OF OCCUPANCY NONCONFOFiMING PREMISES TIIIS IS TO CERTIFY that tile /-~/ Land Pre C.O. #- Z-16004 /'X/ Building(s) Date- July 30~ 1987 /-/ Use(s) located at 5655 Nassau Point Road Cutchogue, New York Street Ilamlet shown on County tax map as District 1000, Section I I 1 , 13lock 13 Lot 02 , does.~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; rear set-back of Beach Buildin~ On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /'-~ Land /'~/Building(s) /--/Use(s) existed on the effective date the present Building Zone Code of the Tovm 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 [md use for which this Certifi- cate is issued is as follows: Property contains two separate lots; a two story one family dwelling with attached porch; Steps~'~each house; rockwall; all situated,~'A' Residential Agricultural zone with access to Nassau Point Road The Certificate is issued to of the aforesaid building. ALDONA NORKUS Suffolk County Department of Ilealth Approval N/A UNDEI-~WI~ITEfiS CEI~ flPI_.Aq ]:, NO. N/A NOTICE IS IIEREBY GIVEN -that the owner of the above premises Ib'~S NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if'the premises comply with all applicable codes and ordh~- antes, other than the Building Zone Code, and therefore, no .~mch in.~pection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and rc?ula- tions. :;;aiidi:u !n~'i)c c~or FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 ......... 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 new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unu~al 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 p~operty 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: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50. O0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 ~k 5.Updated C.O. $ 50.00 Date .. .}.(A, i.~..~. ....... NewCon~t,~'uction ...... Old or Pre-existing Building ~ ~ii~t Land Location of Property ,..~ .~'.~'.~ ......... .~.rfi! }~,zj~,j. . . !.>.,[~ . .~.~.. ............ ~ c.~. ~. ~'(-~.,:~. ?~. .... House No. Street Ham/et Owner or Owners of Property .... k.O.({.7~,, .~. ,j (~-.P. OAJ.~.. ~.~.(-,~. ~U/'? ........................ County Tax Map No. 1000 Section .... /.l! ......... Block J~ Lot .,?~.. ~. Subdivision .... .~J./J,~.~..~¢... l~.0.. ( .,~/~ ........... Filed Map No....7..~; f;..Lot No... ~.,'-./ ........ Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... ~equest for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. d0..~°.~ ~ ..................... Construction on above described building and p~t meets all-el~b~/des and regulations' Rev. 10-10-78 Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION , the undersigne , of Southold located at County tax map as District 1000, Section That the undersigned (is) (are) the owner(s) of the premises in the Town /~// , which is shown and designated on the Suffolk That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and ail buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with ail of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ~//~ /~7 ~4 ~)~-~,~ (signature) (si nature) (print name) ,,,KV~ DIP',~ODZ--Jd ~"!.L]L;"i L~ ~,,.~) 0.9. 0