HomeMy WebLinkAboutZ-12332TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERT~ICATE OF OCCUPANCY
NONCONFORMING PREM~ES
THIS IS TO CERTIFY that the
/--X/ Land
/-X/ Building(s)
/-/ Use(s)
3/12/84
Z12332
located at 53475 Main Road, Southold
Street Hamlet
shown on County tax map as District 1000, Section 061 , Block
Lot 15
· does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
insufficient total area; Front Yard; Both side yardsides
and insufficient Darkin9.
On the basis of information pr esented to the Building Ins pector' s Officeo
it has been determined that the above nonconforming /_~/Land /5/Building(s)-
/Z/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: Located in B-1 zone
The Certificate is issued to
of the aforesaid building.
Southold Equities Inc.
(owner, lessee or tenant)
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO.
Building Inspector
FORM NO. 6
TOWN OF 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.
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 unusual 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.
C. Fees:
1. Certificate of occupancy $5.00 /
2. Certificate of occupancy on pre-existing dwelling/ land use --Pre-E×±st,±ng C.O. $15 · O0
3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00
Date .~..- ~...--.~.~..~. ..........
New Building ............. Old or Pre-existing Building-~ .... ~. Vacant Land .............
Location of Property ........... ~.~...~.....~...~..~..'~....~..~ ?.~....~...~. ~...~...r-~..~.. ? L~.... ~t
House No. Street ~ ~ Ham/et
Owner or Owners of Property . .~.~.~..F_~...~...0..(.~......~..~..~. ! . .~.~..~'..~. ~.~..C..~. .......
County Tax Map No. 1000 Section ....... .~. ~.f.. Block ...... I ......... 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/~rrfli~ mee,ts all applicable codes and regulations.
Applicant/~-.~r. ~. ~..~.: ~:~.-e~f,~..~-~. { ..~-..~..-.~:..-~.-...- ............
Rev. 10-10-78