Loading...
HomeMy WebLinkAboutZ-11628TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY THIS IS TO CERTIFY that the Land Building(s) Use(s) located at 5q5 Youn_~s Road (Ave.) Street shown on County tax map as District 1000, Section 0r~ ent Hamlet , Block Lot ~ , doesinot!conform to the present ]Building Zone Code of the Town of Southold for the following reasons: A one family dwelling and its accessary buildin~ is a permitted use on a lot in this A zone district On the basis of information presented to the Building Inspector's Office, it has been determined that the above ~'~conforming /Z/Land /Z! Building(s) /~/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 follo~vs: One family dwelling & an accessary building The C~rtificate is issued to Robert Q, ~ Gertrud~ If. Ra~.v~ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERT'IFICATE ~O'. .... 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 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. FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11371 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. App¢oval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar building~ 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 ahd "pre-existing" .D ~o~U ses: ccurate .survey of peoperty showing all property lines, streets, buildings and unusual natural or pographic features. . · · yom statement of owner or previous owner as to use, occupancy and condition of buildings. ate of any housing code or safety inspection of buildings or premisesr or other pertinent informa- tion required to prepare a certificate. / C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ............. Old or Pre-existing Building(z) .... ~ =/Vacant Land - County Tax Map No 1000Section ....C).~.~ B!ock ...... O.t ...... Lot .... Permit No. Date of Permit ^- ' ~-- Health Dept. Approval .Labor Dept. Approval ...................... ,,. Underviriters Approval ........................ Planning Board Approval .................. Request for Temporacy Certificate. .Final Certificate' .... ~...- ......... Fee Submitted S. /~ .... Construction on above described building and~oerr~'i[meets all app~i,cable_..codes and regulations. ~ ~ ~j~ :-~-:f ..... ~~ ............................ SWorn to before me this Notary/ Public, Suf~l~ -Coun~ty ELIZABETH ANN NEVILLE NOTRRY PUBLIC, State o! New YoFI~ Ne, 5'~.8125850, Suffolk lJn~ Exl)ires M~h 30,