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Home My WebLink AboutZ-14294TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN ILiLL SOUTHOLD, NEW YOP~K CERTIFICATE OF OCCUPANCY NONCONFORI%~ING PRE]¥~ISES THIS IS TO CERTIFY that the La d / / Building(s) /-/ Use(s) Pre C.O. #- Z14294 Date- March 21.1986 located at 870 School House Road Cutchogue Street Hamlet shown on County tax map as District 1000, Section 102 , Block 05 Lot 014 , does.~not~conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X/Land /_/Building(s) /Z/Use(s)-~xisted 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 one story, one family, wood framed dwelling, with an active building permit #12441Z for an addition. Property situated in the A-Residential-Agricultural Zone with access to School House Road; a Town maintained road. The Certificate is issued to of the aforesaid building. STEWART, BRUCE & PATRICIA (owner, Suffolk County Department of Health Approval N/R UNDER\~q:tITERS CEI%TIFICA~/'E NO. N/R 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 al! 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. ~ui-: din~ ~nspe cror AY' ~f4AL/TIfOItIZED AtTEStAtION OR ADDITI(~ ZO T'4,$ SURV[V 'S ^ V:Ot~T[O~ O~ S~a'lO~d 7~e~ Ot ~i4~ ~W ~ STAR FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m~ 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 property 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 $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 Date .... ~.7./..~-~ .~.C4 ......... New Building ............. Old or Pre"existing Building ....~. ....... Vacant Land ............. Location of Property.. ~ .~. P. ................ . .~...c~..L . ~.O.~..~.~....~.,.: ...... .~..~.C.6~,r~ .~.£ House No. Street Ham/et Owner or Owners of Property .~...(ZL~...~....~ .... .~..~../~./.'.~./i0 ..... ~..~.~..t~.../~.~.! ............. County Tax Map No. 1000 Section ....~.O. ~ ...... Block ~ 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 Tempora~ Certificate ..................... Final Certificate ....................... Fee Submitted $ !~ ~ Construction on above described building and perm,[~ meets all applicable codes and regulations. ~.~ ~.o%[% Applicant ..... Rev. 10-10-78 ._~. CONSENT TO INSPECTION ~(~ti(~ ~ ('~'~-~;f-;t~ ~T~>Ct_)~/~.,'-~- . the undersigned, O~er(s) Name(s) do(es) hereby state: That the unders~ned (is) (are) the owner(s) of the premises ~ the . which is shox~ and designated on the Suffo~ Co~ty tax map as District 1000, Section 10~. Block ~ . Lot That the unders~ned (has) (have) filed, or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow.g: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. ~signa~ur et (print name) (signature) (print name)