HomeMy WebLinkAboutZ-11499 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
T O~,~N tL~LL
SOUTHOLD, NEW YORK
February 24,
CERTIFICATE OF OCCUPANCY
~CONFORR'IING PREMISES
No. Zl1499
THIS IS TO CERTIFY that the
Iil Land
/ / Building(s)
til Use( )
located at 45125 Main Road
?econic
1983
Street Hamlet
shown on County tax map as District 1000, Section 075 , Block 02
Lot 003. 001 , does.~i)conform to the present ]Building Zone Code of the
Town of Southold for the following reasons:
Th'is use, one-family dwelling, is a permitted use in this 'A'
Zoned District. This lot was approved by ZBA-#2277, and the
Planning Board-A 106-23.
On the basis of information presented to the ]Building Inspector's Office,
it has been determined that the above x~conforming /~/Land /--/Building(s)
/X/Use(z) existed on the effective date the present Building Zone Code of the
To~n 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: one-family dwelling.
The Certificate is issued to
of the aforesaid building.
HENRY & MARY STELZER
(owner,
Suffolk County Department of Health Approval n/a
UNDERWRI'rERS CERTIFICATE NO.
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 re,~ula-
tions.
~ :~'ai!~ing k~$pec~or
FORM NO. 6
TOWN OF SOUTHOLD
Buiiding Department
Town Hall
SouthoJd, N.'f. 11@71
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with [he 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 toDogra~hic features.
2. Final approvat 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 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.
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
Date ..
New Building ............. Old or Pre-existing Building(,~) . _.'~-_ '_-= ZVacant Land
CountYsuboivisionTaX Man ~o~.~.~.1000 Section ; ~ . Block ~ Lot ~
Permit NO ........... Date of O- --;* ^~ ' --'
Health Dept. Approval ........................ Labor Dept. Approval .........................
Underwriters Approval ........................ Planning Board Approval .................. ~ ..,
Request for Temporary Certificate ..................... Final Certificate ........ - ......... -
Fee Submitted S .............................
Construction on above described, building an~l~rm'i{m_ee.t~ all appt/,/c~ble_.codes and r~gulat[ons.
Applicant [.
._,..:..::.. ,... . '; ..
COUNTY OF SUFFOLK:
STATE OF NEW YORK:
ss.:
Sworn to before me this 24th day
of February, 1983.
LINDA F.
NOTARY PUt!C, tt
No.
Qu~lified h~ Sr f;:?
Commission Expires
~N~tary Pub~l ic
.1