HomeMy WebLinkAboutZ-13858 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. #- Z13858
Building(s) Date- September 16 , 1985
Use(s)
located at 1175 First .St . New Suffolk
Street Hamlet
shown on County tax map .as District 1000, Section: 1 17 , Block 7 ,
Lot 27 does
inot)conform to the present Building Zone Code of the
Town of Southold for the following reasons.-
Lot is insuff . in. area . Two-story framed dwelling has insuff . front
yard set back. Accy . structire is insufficiently set back from
rear .property line .
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /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'6ontinued 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: On6-family dwelling with one accessnry
structure .•
.The Certificate is issued to ANNA LORIA
(owner, kqpg x42iRhtR.Rnq
of the aforesaid building.
Suffolk County Department of Health Approval N/R
UNDERWRITERS CERTIFICATE NO. N/R
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.
Buii ing 'inspector __.
` FORM NO.6
TOWN OF SOUTHOLD SP 16
Building Department
Town Hall DE��Southold, N.Y. 11971 T0�OF SOUTH
OLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in 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 lrvey-a p bper I ropers lines, streets, buildings and u_nusual natural or
topographic features _ --
2. Sworn statement of owner or previous-Gvun�r-asto use, occu anc�and condition o uildings.
--- ----
3. Date of any ho minn chJe_z etf '-inspEctioii 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. opy of cert_ icate of occupancy $1.00
4.Vacant Land C.O. $5. 00 / .
Date . . . .�. . .') . . . . . . . . . . .
New Building . . . . . . .1 . Old or Pre-existing Building . . . . Vacant Land . . . . . . . . . . . . . _
Location of Property . 1 r.S� . . . , . . . . . l. . . . . . . . . . .
House No. Street Hamlet
Owner or Owners of Property . kay,6. . . . ... . . . . . .`. . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No. 1000 Section . . . . . . �. �. .� . . Block . . . . . . ./ . . . . . . . Lot . . . . . .P. . . . . .
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 ." !`. . -71. . . . . . . . . .
Construction on above described building and permi eels all applicable codes and regulations.
Applicant . . . . . . . . . . . . . . . . . . . . . . . .
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