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Home My WebLink AboutZ-12491TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the PRE C.O. #212491 Dated May 29, 1984 /X / Land /X / Building(s) /_/ Use(s) located at 2860 Skunk Lane (Bay) Cutchogue Street Hamlet shown on County tax map as District 1000, Section 097 , Block 8 , Lot 10 , does�'not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; Insufficient sideyard setback on dwelling and insufficient side and rear setbacks on accessory one car garage. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming F1 Land /x / 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 follows: All uses in A -Residential -Agricultural Zone. This property contains a 1 story; 1 family dwelling with an accessory 1 car garage accessable to Bay Ave. Cutchogue. The Certificate is issued to George W. & Gwynn D. Schroeder (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERT'IFICATE 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. Building inspector i I FORM NO. 6 TdWN1OF SOUTHOLD Building Department Town Hall $outhold, 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. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate surrey of peoperty 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. $5.00 2. Certificate of occupancy on pre-existing dwelling land use '--Pre-Existing C . 0. $1 5 . 00 3. Copy of certificate of occupancy $1.00 11 Vacant -'land C.O. $ 5.00 Date ... "1-;?�� 7�......... . New Building ............. Old or Pre-existing Building .... .... Vacant Land ............. Location of Property �U Uy/ ,� a i� ........ •C! �! G /! C4� 9 C1 • .... • • .......: House No. Street Y Hamlet Owner or Owners of Property .... (rE� ..C::��h�• �•� rr • County Tax Map No. 1000 Section .......... 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 $ ............................. Construction on above described building and permit meets al pplicable codes and regulations. Applicant.. ...................... Rev. 10-10-7E -#� r,23 8 7� . I MA N 1 f " :.�, . g7(OTT t i..;� .. - �.' - �HOti#sED ALFUAi iOM j SgEx IS •A VIOLA OF . $9Cjiom 7209 OF THE. NEW YORK STAT! ffr T I ✓� t;� c v;o W�TDON LAW: - l" p • n F�. HIQ t31 EPEES aF THIs susii ie PIOT 0wN�. T �— �3i¢ BLIRVFY04 S ISM SEAL OR �. R1 ['AC.O?SED SEAL SHALL tdOT. EL COTT39C�ED tn LOJIE A VALID TRUE COPY. e I� ?,At FES 1pDICATED SON SHALL WN -'• 1ppA n P.ti4"iY TO THE PERSON FOR WHODA THE 133a t --- PTtEPARED; AND ON HIS BEHALE.TO —. (n 11$LE COMPANY, GOVERH.AENTAL AGE�jKac 7 WG INSTITUTION MFE Nf° e ? _tel [.O iflE f�SBIGNEES OF. THE LEI SIM 0,1 N ' L 1 %1 E - £ 'A?.£ plOT TRA : dAB�.. 1y 10W GJARAPIT c:,+-»L�131C3pr:},s ie�G'fri:riTi�rzS n! S� 135EOi. e Pr }� 1AP. f E1.2- ellVij 1`:'.,.a�ii(' 167 1,4 fit./ � _ _ r��c _�--- .y��%��—- — ---- Gp•� �'/`�'n � �- -- Sworn to before me this 25th day o-f—May-1-84--- ---- - -- LINDA K. DAWSON....._,.....�, ` — --- - Notary Public, State of -Now York —_ IKo._4694688 — -- - Qualified in Suffolk County— Term FXoires March 30, 19