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Home My WebLink AboutZ-11572TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY ~®%~~ ~G( ~E ~f~ No. Z11572 THIS IS TO CERTIFY thai the /--! Land /--/ Building(s) I' 1 Use( ) located at 875 Oaklawn Avenue March 29, 1983 Southold Street Hamlet shown on County tax map as District 1000, Section 063 , Block 07 Lot 001 , does~conform to the present Building Zone Code of the Town of Southold for the following reasons: This use as a one-family dwelling is a permitted use in this 'A' Zoned District. On the basis of information presented lo the Building Inspector's Office, it has been determined thai the above ~omconforming /--/Land /--/Building(s) /x_/Use~) existed on the effective date the present Building Zone Code of the Tow-n of Southold, and may be continued pursuant to and subject to lhe 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 one-family dwelling. The Certificate is issued to of the aforesaid building. JOHN & DOROTHY REHEISER (owner, Suffolk County Department of Health Approval N/A UNDi~RWRITEliS CERTIFICATE 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 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 SOUTHOLD 13uiiding Department Town Hall Southold, N.Y. 11371 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 ,,rich the foliowinc~; for new buildings or new use: 1. Final su,~,,ey of property with accurate location of ail buildings, property lines, streets, and unusual natural or toooc~raohic 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 buiidings, 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 buiidin~as and "pre-existing" land uses: 1. Accurate sur~/ey of peoperty showing all property lines, streets, buildings and unusual natural or topograph ic 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 $5.00 c~ 2, Certificate of occuoancy on pre-ex st ng dwell ng land use ~/ 5,00 3. Copy of certificate' of occupancy $1,00 Date.. New Building ............. Old or Pre-existing Building{X)._.~._,..-=/Vacant Land -: ........ · .... ........... ..... .... Hous~ No. Stree[ Ham/et Owner or Owners of Property ......... ~ ~¢ County Tax Map No..1000 Section .... 0..(~,, .~, , , . , Block ....... ~2,~, .... Lot. Cd subo,v,s,o. X .Lot, o. No. D'ate ..... ~* ' Dept. Approval ...... ~,/~ , · ~ ....... .,,,Labor Dept.' Approval , Bequest for Tem~oraW Certificate .................. Final Certificate Construction on above described building and perm'ir meets all ap0L~cable~codL~and regu ations. BROKER MARGERY DICKINSON BURNS Dickinson Real Estate Agency MAIN STREET, SOUTHOLD, L. I., N. Y. ! 1971 516 SOuthold 5-1640 March 24, 1983 State of New York) County of Suffolk) SS: 9OUTHOLD'S OLDEST AGENCY Est. 1921 Mr. George Fisher, Building Inspector Town of Southold Southold, N.Y, 11971 Dear Mr. Fisher: The residence known as 875 Oaklawn Avenue, Southold, to the best of my personal knowledge, has been used as a one family dwelling since 1925. At that time the house was occupied by Mr. & Mrs. Thihault. After their demise, the house was occupied by Mrs. Harvey, then sold to Loretta DiMaggio who sold to Dorothy and John Reheiser and Dickinson Real Estate Agency was the broker who sold the house to Mr. David Jackson in 1974. It is in good condition and well maintained by Mr. Jackson. Sincerely yours, Margery Dickinson Burns Subscribed and Sworn to before me this 24th day of Marc~ 1983. RENSSELAER G. TERRY, JR. NOTARY PUBLIC, SDte of New York No. 52-3954850 Qualified in Suffolk Coun~ ~ ~pims March 30~