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Home My WebLink AboutZ-14670 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY CONFORMING PREMISES THIS IS TO CERTIFY that the / X/ Land Pre C.O. #- Z14670 / X/ Building(s) Date- July 18 , 1986 /_/ Use(s) located at 895 North Bavview Road Southold Street Hamlet shown on County tax map as District 1000, Section .70 , Block 13 Lot 20 does conform to the present Building Zone Code of the Town of Southold for the following reasons: On the basis of information presented to the Building Inspector's Office, it has been determined that the above :conforming /X /Land /_X/ 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. 4 IT IS FURTHER CERTIFIED that, based upon information presented to .. en I the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: Property contains a two story, one family , wood-framed dwelling ; a one-story dwelling ; an inground swimming pool ; I an undeveloped , approved sub-division ; and a recreation area . All . this situated in the "A"Residential-Agricultural Zone with access to North Bavview Road . i i The Certificate is issued to WILLIAM F . LA MORTE of the aforesaid building. (owner, Suffolk County Department of Health Approval N/A UNDERIVRITERS 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. j �_ Building inspector I 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. B. 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 --Pre-Existing C . 0. $1 5 . 00 3. Copy of certificate of occupancy $1.00 Vacant land C . O . $ 5 . 00 Date . . . . .. .:1. . . .�. . . . . . . . . . . New Building . . . . . . . . . Old or Pre-existing Building .. . . . Vacant Land . . . . . . . . . . . . . Location of Property .[.lY�. /"D'e • /�''-/�� • • • • • • • • • • •�"•� ' ' ' House No. • �� Street Hamlet Owner or Owners of Property . . . . . . . . . . . . ./: IRZY). . �'• 49-/LAX,72E. . . . . . . . . . . . . . . . . . ' • " • • " ' County Tax Map No. 10 0 Section . . . . ..�P. . . . . . . Block . . . . . .15. . . . . . Lot . . .11? . . . . . . . . . . /� f�tz . . . .Filed MapNo. 6 . . .Lot No. . . . . .. . . . . . . . . Subdivision ' . . . . . . f, Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicantt ��ep. • . • • . . • • • Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificat . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . . . . . . . Construction on above described building rmit meets all applicable codes and regulations. �� ___W . . . . . . . . . . . . . . Rev.10-10.78 STATE OF NEW YORK ) SS. : COUNTY OF SUFFOLK ) JOHN J. NICKLES, being duly sworn, deposes and says: THAT he resides at (No#) Main Road, Southold, New York, and that he has been a resident of Southold Town for the past 48 years; THAT he is familiar with the property known as (No#) North Bayview Road, Southold, New York , designated on the Suffolk County Tax Map as District 1000, Section 70, Block 13 , Lot 20 . A copy of a survey of- these premises, dated June 21 , 1977 , prepared by Young & Young, Land Surveyors 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 ; that there have been no changes to said structures, other than normal maintenance, since prior to April 23, 1957 . THAT on personal knowledge, information and belief, your deponent can state that the subdivision improvements shown on said survey have not been made; that, except for normal maintenance, the roadways and paths within the property remain as they existed prior to April 23, 1957 . Dated: John Nickles Sworn to before me this /&a day of July, 1986 . N ary Public NARY DIANA FOSTER NOTARY PUBLIC, State of New York No. 52.4655242, Suffolk County Commission-Expires March 30, 1% �� TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR, TOWN HALL SOUTHOLD, NEW YORK 'CERTIFICATE OF OCCUPANCY -CONFORMING PREMISES THIS IS TO CERTIFY that the _ Land Pre C.O. #- _ Building(s) Date- Use(s) located at g°� 5� D' � �j QA_jVAQ,-J c� Street Hamlet shown on County tax map as District 1000, Section d'7 ) , Block Lot doesknot)conform to the present Building Zone Code of the Town of Southold for the following reasons: On the basis of information presented to the Building Inspector's Office, it has been determined that the above rmaconforming / 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: Q„ � � &*u_a1 i �,�a,,,�,�� 1 p.A9� ems, -+.,v_N., i .� � 0.Q .,. b-Q N � ' vThe Certificate ised to (owner, lessee or tenant) Of the aforesaid building. Suffolk County Department of Health Approval /A UNDERWRITERS CERTIFICATE NO. A Iq 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. :wilding inspector _.