HomeMy WebLinkAboutZ-9979FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
· Southold, N.Y.
Certificate Of Occupancy
Date ,Tune 17 19 80
THIS CERTIFIES that the buildin~ ................................................
Location of Property .. ?1.0.9...5..M.a.i.n...R.o.a.d.: ........................ .C.u.~.c..b.c..gtl..e. .......
House No. Street Hamlet
County Tax Map No. 1000 Section .. ~..0.2 ....... Block ....2. .......... Lot .... .2../4 ...........
Subdivision ............................... Filed Map No ......... Lot No ..............
requirements for Dwellings & Buildings built prior to
conforms substantially to
April 23, ,19.5..7pursuant Certificate of 0cc.u~..a~..c.y.Z' .............
..................... t o .~.]~ ~r~-c~.~ 9979
dated ...J't,~B.e.. ! 7, ................ 19.8.0., was issued, and conforms to all of the requirements
.o~f t_he applica_b, le- prgv.~si_ons of_th_e_law. The occupancy for which this certificate is issued is .........
TWO (2) Pre-Existing Non Habitable Dwellings and Miscelianous Pre-
Existing Agricultural-Nursery Business Buildings. Since April 23, 1957,
a Certificate of Occupancy Z2377 was issued for an addition to the
Nursery Retail Store, Certificate of Occupancy Z7310 for a 10' X 8'
Greenhouse, Certificate of Occupancy Z9978 for a Shade Structure
Addition and Certificate of Compliance for a Building Permit 97~5Z
for a fence. The Part of this Premises South West of Sterling Lane
(Approximate 132 X 1320 feet) is in the B-1 Zoned District. The
rest is in the A Residential and Agricultural Zoned District.
The certificate is issued to Willi-m B. Sterling
(owner, I~oe.er.,tem,~.,,) ...................
of the aforesaid building.
Suffolk County Department of Health Approval .... .N/.~. ..................................
UNDERWRITERS CERTIFICATE NO. N/A
Building Inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Clerks Office
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
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of oil 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
installations, 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.
B. For existing buildings (prior to April 1957), Nonconforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property 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 in-
formation required to prepare a certificate.
C. Fees: 1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
New Building ................ Addition ................ Old or Pre-existing Building ..x..x...x. ........ Vacant Land ..............
Location Of Property ..... .n.../..w.../..s.~.~.~..f.~.M.~a..i..n..~.R.~.~..a...d.~.~.~.u..t..c...h..~.~..u.~~ .................................
Owner Or Owners Of Property ..... ..W..i...1..1...i..a..m.....B.........S..t...e..r...1..i..n..g. ...................................................................
Subdivision ................................. ~./..a.. ....................... Lot No ............. Block No ............. House No .............
Permit No ..................... Date Of Permit .................... Applicant ..................................................................
Health Dept. Approval ........................................... Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Pre-Existing Use
Request For Temporary Certificate ........................................ Final Certificate ................... .'..x..X..x. ..............
Fee Submitted $ ..5..:..0..0.. .........................
Construction on above described building and permit meets all applicable codes and regulations.
App,,ca.t ........ w.
' ~ a~to_rney zor wi,-i~ o.
Sworn to before me this ., Sterling
....1..6...t..h..... day June (stamp or seal)