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Home My WebLink AboutZ-15783TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN tLa. LL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the [ZX/ Land / X/ Building(s) /-/ Use(s) Pre C.O. #- Z15783 Date- May 28, 1987 located at 225 East Side Avenue Mattituck Street Hamlet shown on County tax map as District 1000, Section 99 , Block Lot 20 · does.~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Insufficient side yard set-back. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X_--/Land /ZX/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: Property contains a two-story, one-family wood-framed dwelling with attached porch and 9arage. Property is situated in "A"Residential-Agricultural Zone with'access to East Side Ave. The Certificate is issued to of the aforesaid building. ROBERT D. & JOAN E. STEARNS (owner, Suffolk County Department of Health Approval DER\%rRITERS CERTIFICAqT'E NO. N/A N/A NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS 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. L~ui?din~ '~nspec~or FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions .,~-o~ ~/~,,o~/.~ This application must be filled in typewriter OR ink, and submitted I~ to the Buildin~lnspec- torwith 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 p~operty 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 $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date.../r~.~.../f/,./.f~'~.... NewConstruction Old or Pre-existing Building .... )~ ...... Vacant Land ............. Location of Property . ~.~.. ,~:4~ ~.. ¢~r./f2~-.. ~..0..~-..././~.~ ~..~./../~./-~. ~--..~.3 ............ House No. Street Hamlet Owner or Owners of Property ~.~./~..~-....~... ?...~.~.~..4~/...~.~....?.~"4~.'.~..~. ~/~-~ ....... County Tax Map No. 1000 Section .... ~..?.f; .0..0.. Block ....0.~;.O..~. .... Lot.. ~. ~0z..O~..~.... Subdivision .~./~..'<.~.~..z'./.~.3..¢.~..~./-4?~./~./.~(/.~.~.~¢Filed Map No.. '.~. f..¢ .... 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 v'/ Fee Submitted S..~..d~.....~.....¢/.-~..L{~. 9.~ ...... Construction above described bu iJding an~),mit meets ~D~..~ on able codes and regulations. ~ % ,~)~/.0o~~ Applicant ....................... Rev. 10-10-78 17