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Home My WebLink AboutZ-11515TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PRE~R'IISES No. Zl1515 THIS IS TO CERTIFY that the /--/ Land /--/ Building(s) Ix_-/ Use(u) located at 295 Village Lane Street shown on County tax map as District 1000, Section Orient Hamlet 025 , Block March 8, 1983 O2 · % Lot 004. 010 , doeskin, S}conform to the present Building Zone Code of the To%vn of Southold for the following reasons: The user a one-family dwelling on a lot, is permitted in this 'A' Residential-Agricultural Zone District. On the basis of information presented to the Building Inspector's Office, it has been determined that the above ae~conforming /Z/Land /Z/Building(s) /X/Use(z) 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 one-family dwelling. The Certificate is issued to JOSEPH SOIT0 (owner, of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRl~£ERS CI~RTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS NOT CONSENTED TO AN INSPECTION of the pre_raises 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. ~ Buiifiin~ inspector FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, 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 ~pplicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: ,* 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusua~ natural or topographic featu res. 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. Copy of certificate of occupancy $1.00 $5.00 February 15, 1983 Date .......................... New Building ............. Old or Pre-existing Building .... .X.X. ..... Vacant Land ............. Location of Property .............. .V.i.l.l.a..g.e..L.a.n..e ...................... O..r.i.e.n.t. .......... Hou~eNo. Joseph Soito as Devi~etunder the Last Will a~nlet Owner or Owners of Property Testament of Estacio M. Soito, deceased County Tax Map No. 1000 Section 025 Block 02 Lot. 004,0[0 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 $ 5.00 Construction on above described building and permit meets all a Rev, 10-10-78 Applicant Joseph Soito lations. 'Wl±/±am H. t~rice, Jr. Attorney~'~'~'o'~''' Premises at Village Lane Orient, New York STATE OF NEW YORK) COUNTY OF SUFFOLK) I, JOSEPH SOITO, residing at Youngs Road, Orient, New York, being duly sworn, depose and say: That I am the present owner of the premises located at the easterly side of Village Lane, Orient, New York, and designated on the Suffolk County Tax Map as District 1000, Section 025, Block 02, Lot 004.010, and am familiar with the condition of same; That the structure situated thereon has been designed, arranged and physically occupied as a single family dwelling; That at this time the premises are not occupied; and That the condition of the existing structures on the premise is good. I make this deposition in the knowledge that the Building Department of the Town of Southold will rely on the accuracy thereof in issuing a pre-existing certificate of occupancy. Sworn to before me this ~/day of March, 1983. OI 'IZ ~NV? ,9191 'DNO0 ,o'~z 3~V 771H