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HomeMy WebLinkAboutZ-12018TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN tLiLL SOUTtIOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /X / Land /X / Building(s) /--/ Use(s) located at 62445 North Road No. Z12018 October 26, 1983 Greenport Street Hamlet shown on County tax map as District 1000, Section 040 , Block 01 , Lot 006 , does(not)conform to the present Building Zone Code of the Town of Southold for the following reasons: th~ property has insufficient area, the dwelling has insufficient setback from the bluff. 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. The Certificate is issued to of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. RONALD W. SUPRENANT (owner, no record no record 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. Building ins~Sector M-3431 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, 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. Co Fees: 1. Certificate of occupancy $5.00 ~ 5-/$ 2. Certificate of occupancy on pre-existing dwelling land use $/ 5.00 3. Copy of certificate of occupancy $1.00 Date .. $.e.p.t;:.e.m~..e.r...2.6.,..]..9.8.3... New Building ............. Old or Pre-existing Building ....X ........ Vacant Land .............. Location of Property ..... l~/.s..l~o..r.t.h..1~. {)~c[ .n..e~r..C~.z'.e.e.n.D.o.r.t. ~...T.o.w..m..o.f..S..o.u.t.h.o..l.d ..... House No. Street Ham/et Owner or Owners of Property ....... ]R~t~%.d..W,. ~.qX. p~:.e.n. ~19.t ............................. County Tax Map No. 1000 Section ..... 040 ....... Block .... ....1. ....... Lot ..... ,6. i ........ 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 $ ............................. Construction on above described building a~.~e.,_rmi_t meets all applicable codes and regulatio~ns._ R,~.~O-~0.Te (Ronald W, Surprer~mt) ~[-~x~_ ~CC ~ ~P._C~ M-3431 STATE OF NEW YORK ) ) COUNTY OF SUFFOLK ) SS: RONALD W. SURPRENANT, being duly sworn, deposes and says that he is the applicant for a pre-existing Certificate of Occupancy; that deponent knows of his own knowledge that the dwelling house on said premises was constructed and occupied long prior to 1957; and that no changes have been made subsequent to the enactment of the zoning ordinance; that attached hereto is a survey of said premises. Premises are occupied as a one family residence. (Ronald W. Surpr~nan~) Subscribed and sworn to before me this ~ day of September, 1983. No ~ary Public' r ./