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Home My WebLink AboutZ-12041TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTttOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /~-/ Land /X / Building(s) /-/ Use(s) located at 1275 Bayview Road No. Z12041 November Greenport 1983 Street Hamlet shown on County tax map as District 1000, Section 052 , Block 05 Lot 014 , doeslnot)conform to the present Building Zone Code of the Town of Southold for the following reasons: Th~ property has insufficient area; the accessory building is located in the front yard. On the basis of information presented to the Building Inspector's Office, it has been determined thai the above nonconforming /7/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 follo~vs: the private one-family dwelling with accessory ~arage. The property is located in the 'g' Residential- Agricultural Zone. The Certificate is issued to of the aforesaid building. ETHEL J. SUYDAM (owner, Suffolk County Department of Health Approval no record UNDER~VRITEI~S CERTIFICATE NO. no record NOTICE IS HEREBY GIVEN that the owner of the above premises tLtS 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 inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall 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 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 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 $5.00 ~ 2. Certificate of occupancy on pre-existing dwelling land use 5/ $5.00 3. Copy of certificate of occupancy $1.00 Date .... ~./.(.?./.?.~... ...... New Building ............. Old or Pre-existing Building ..~. ......... Vacant Land ............. Location of Property It/..~.:...~..~.~(~.~/.~.¥.. ~ .~. ...... ~ .................. :? :. .... House No. ~ Street . Owner or Owners of Property .......................................................... County Tax Map No. 1000 Section ....~'-....~.. ..... Block ~ Lot '~ .~. Subdivision .~..~..~.../~..~...~.Z~-..~..~..~. .......... Filed Map No. /L.~...~....LotNo..~.'.~..~/~..~~' 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 $..~..~. ........................ Construction on above described building and permit meets alI. j~pplica~e codes and regulations. App cant t · · "::': · ............................. Ret District 1000, Section 52, Block 5~ Lot 14. STATE OF NE~YORK COUNTY OF SUFFOLit SS.~ TRUDE GOLUliBINE, being duly s~orn deposes and says~ 1. I am the niece and agent of Ethel J. Suyd~m, the o~ner of the above=captioned property. 2. I hereby request the issuance of a, pre-existing Certificate o£ Occupancy for said premises and I state that the dwelling and garage on said premises were erected prior to zoning and has been o~ned by my aunt since 1957. 3. No consent or approval for the inspector to enter the premises is given. Trud~ Columbine S~orn to~2ore me // thi~7 day of/'$~ptei~..ber, ,~ 31A Y, ~f l~ o