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Home My WebLink AboutZ-11928TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN FL~LL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the / X/ Land / X/ Building(s) /--/ Use(s) located at 595 Tucker's Lane Southold No. Zl1928 September 19, 1983 Street Hamlet shown on County tax map as District 1000, Section 059 , Block 11 Lot 004 , does.~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: t~e~ property has insufficient area, the dwelling has insufficient sideyard setback. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /-~/Land /~'/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: a private one-family dwelling and accessory garage. The Certificate is issued to of the aforesaid building. RICHARD T. STAUFFER ( owner, -1%=-s~e~- ~- ~ e~mT~ Suffolk County Department of Health Approval no record UNDER\VRITERS CERTIFICATE NO. no record NOTICE IS HEREBY GIVEN that the owner of the above premises tLiS 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. ~uiiding Lnspe ctor FORM NO. 6 TOWN OF SOUTHOLD 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 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 topograph ic 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 ~r land use $ /.~/ $5.00 3. Copy of certificate of occupancy $1.00 Date ..July .1.5_, 1983 .. COPY New Building ............. Old or Pre-existing Building(Z) ........ = fVacant Land Location of Property . 595 Tucker's Lane Southold NY 11971 House No. Street Hamlet Owner or Owners of Property ..... .R.i.c.h.ard a.rl.d..D??_?.?, .St.a.u???? ............................. County Tax Map No. 1000 Section .... 5.9 ......... Block ......... 1.1 ..... Lot ..... '.4 .......... 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 $ .... [.QQ ..................... Construction on above described building and permit'meets all app~cable~_.odeS and regulations. Rev. 10-10-78 GARY FLANNER OLSEN ESQ. Applicant.......,. ........... ,: ..... ~:~1: B'~ 38 ....................... %3¢% / Main Road / Mattituck, L. !., N.Y. 11952 OLS£N AFFIDAVIT Re: Stauffer to Schloth File #3516 Premises: Tuckers Lane, Southold, NY STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) Richard T. Stauffer, being duly sworn, deposes and states as fol lows: That I am the owner of the house described on Suffolk County Tax Map as 1000 - 59 - 11 - 4; That I believe that said house was constructed prior to the issuance of a Certificate of Occupancy and has been used for many years as a residence and is, in my opinion, suitable for single residential purposes. The garage is as old or older than the house. Richard T. Stauffer Sworn t s/~ day of ~~'4'''~ i 7'7' ro alteration or addit~n to New Yah Stale Education Law. map not bearing the land surveyor'* inked ~eal sN~lJ no~ be considered to be a valid copy. er cer~,ticatiane ir~dtcaled hereon *hall mn only to the survey is prepared, and on his behalf to the ond Je,-,,~ing In~tit~,'tion Ii,led insflt~iofl, O~a~nle~ are ~ ~ / 20. O' 6 SURVEY FOR !'RICHARD. T. STAUFFER AT SOUTHOLD TOWN OF $OUTHOLD ~JFFOLK COUNTY, N. Y ~:SCALE ~ I"' 30' JUNE 14, 1977 REFERENCE · UARAN?LrED TO, us,.,FE ~,'r-,.,,sf~,c~b~m. .,,,,.,,. ~.,,. __