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Home My WebLink AboutZ-14030 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK 'CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the Land Pre C.O. #- Z14030 Building(s) Date-Nov. 25 ,1985 Use(s) located at 48875 Rt 25 .. (Main Rd. )', Southold _ Street Hamlet shown on County tax map as District 1000, Section 070 Block 01 , .Lot 007 doesinot)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient .total area. Insufficient front &: side yard set- back. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X/ 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: Property contains a one & one half story, one family, 'wood framed dwelling with attached garage. . Property also contains a rail fence accross the rear. Property situated in the X- Residential-Agricultural Zone with access to Rt.25.; a State:..maintained road. The Certificate is issued to YOUNG, MARGUERITE H. (owner, of the aforesaid building. - Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HAS 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 =sm��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. B. 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 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 $15.00 3. Copy of certificate of occupancy $1.00 4 .Vacant Land C.O. $5. 00 / p Date . . . . 1 Z .O.`�. . . . . . . . . . New Building . . . . . . . . . . . . . Old or Pre-existing Buildin . . !`. . . . . . . . Vacant Land . . . . .. . . . . . . . . Location of Propertyg.?� .� :�?�"""' .F- . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . Street Hamlet House No. ,- M Owner or Owners of Property . . . . . . . . . . . . . . . . . . . . . . . . .ACounty Tax Map No. 1000 Section . . . . . 7 L2 . . . . . . Block . . . . .r17 . Lot . . . . 1. . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . .�. ..t A,. .L No. . . . . . .Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . .A `..Q�p! 4.!tv�. . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . .Final Certificate . ... . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . '. . . . . . . . . . . . . . . . . . Construction on above described building anO.Qermit meets all applicable codes and regulations. CAzl`-�o� . . 0_�44= 's-ag Applicant . . . . . . . . . . . . . ... . . . . Rev.10-10-78 STATE OF NEW YORK: . SS. . COUNTY OF SUFFOLK: MARGUERITE H. YOUNG being duly sworn, deposes and says: THAT she resides at 48875 Main Road, Southold, New York 11971 and that she has been a resident of Southold Town for the past$(, years; THAT she is familiar with the property known as 48875 Main Road, Southold, New York; designated on the Suffolk County Tax Map as: District 1000, Section 070.00, Block 01.M Lot 007.000. copy of a survey of theses re/�mises, dated Novi-wlbev, 11,19$5 prepared by KD&eCicL ViLA 1Vy1) Y C. , is attached hereto. THAT on personal knowledge, information and belief, your deponent can state that the structures shown on said survey were built prior to April 23, 1957; and that there ,have been no changes to said structures, other than normal maintenance, since prior to April 23, 1957. Dated: October .29, 1985 Margu ite H. Young Sworn to before me this a9Ztday of October, 1985. 1PIARY DIAW FOSTER NOTARY PUBLIC; State of New Yotk No. 52.4655242, Suffolk County_ Commission Expires March 30, 19 9*7 % . ........ .. ............ .......... Elms. amn W < .�Z 41 N owl x WA 7�M -00 YAP; gis NO Mow kti on,Mr, "�-�,%N H&S 8 A— Elm ,wgg N 'A W05 T, ONSI MOD 7,111. mk U ER '6ft p oa _"rA gjC -,�4 w-p %�I-V OP% IL Ir 62 14 q.T 4P 7,)7-met W 10 milli 0,o" -;4 kM t g 'I�j�4 -W-0 OMI'v isf% ,v tf R MA;� .01 1 vg, pu_ ,;"ter s g§ls M M . �w "G" Np"! "K A , att N '406 NOV 'O "RM W 00 IM, ggy'--N-effi e.,-WON ...........A.% - Q AM N