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Home My WebLink AboutZ-16938 r TM\ -)F SOUTHOLD OFFICE OF BUILDING INSPECT(�It TOWN IIALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFOR.IIING PR.E1\1ISES TIIIS IS TO CERTIFY that the Land Pre C.O. #- Z- 16938 /X/ Building(s) Date- May 3 1 , 1988 / / Use(s) located at 190 Richmond Road E. Pvt ROW off Cty Rd. #48Southold, N.Y. Street Hamlet shown on County tax map as District 1000, Section 135 Block 03 , Lot 13 - 1 doesnot)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area ; front yard setback ; rear yard setback 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 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 one story, one family, wood framed dwelling with accessory 'shed and addition (Permit #6839Z-C/0 Z6541), fencing, and all situated in 'A' Residential Agricultural zone with access from a R.O.W. The Certificate is issued to EMIL W. & VIRGINIA M. MAHN (owner, XY,1Wx9NX9XXM=NJdk of the aforesaid building. Suffolk County Department of Health Approval N/A N/A UNDE11WRITERS CL'RTIFICATE NO. NOTICI. IS IfEllEBY GIVEN that the owner of the above premises IUL S 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. Y/,, - ;uiici: Incpc ctor AFTIDIVIT I, 9fILLIAHHAZEAT, certifies that the Pre existing build,'ing, owned and resided by L'11iIL W. & VIRGIIVIA" H. MAH1l T located on Private Road, Southold,.W.Y., 119,71', County Tax Map 1'000 .Sect i on 13_, Bl oek 3, Lot 93. 1. To the best of my knowledge this building has been &.-,-exi:,6 tence since 9952. WILLIAH MZEN 11TORTH RD. S OUTHOLD, 1f77�1 YORK, 1'19;71' zJ kMEM We-B0ERGESSON NOTARY PUBLIC, State of Now York No. 4842180 Qualified in Su folk County Ccmmission Expires 0 ,o SUR VEY OF `cj . PROPERTY t s 0.3• A T SOUTHOLD p �� ' 1° , '�o� �A TOWN OF SOUTHOLD � �� o �� 100fl ;\ ' SFFOLK COUNTY, N. Y. �,�9 �o, �.� 20�;� o� ?�- - 135 - �03 -13. 312.2 A. Scale 1 _ 30 May 25, 1988 \ p / STORY •O�, Off` FRAME HOUSE $\FE f c i 00 yes` .� ,per 4 Bo 5 '� �p rL ��a 1 mot- 50 LAND SO 0 5 Z. MET R` l• � Prepared in accordance with Me minimum standards for /Me surveys as established o Q i b the L.I.A.L.S. and appproved and adopted N.Y.S. LIC. NO. 496/8 Tor such use by The Nelv..Ycrk Stale Land N� S YOBS, P.C. Tile Association. 920 C 14 We,ti( SO D, N.Y. 11971 . 8B-. 368 FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m® 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 pivperty 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 $25 . 00 -- BUSINESS $50 . 00 ACCESSORY $ 10.00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5 A0 , over 5 years $ 10 . 00 4.Vacant Land C.O. $ 20 . 00 5 .Updated C.O. $ 50 . 00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . NewConstruction. , , , , , Old or Pre-existing Building . . . -X . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property . .8. ,BjA"a. Private..Rd, House No. Street . . Hamlet Owner or Owners of Property . . .E;m 11. 77. &, Vi is M.. Mahn . . . . . . . . . . . . . . . .rgin. . . . . . . . . . . County Tax Map No. 1000 Section . .t.35. . . . . . . . . . Block . . ,.3 . . . . . . . . . . . Lot . 13-t . . . . . . . . . . Subdivision . . . . . . . . .N�A. . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . .Lot No. . . . NIA . . . . . . Permit No. . N�A. . . . . Date of Permit . V:4. . . . .Applicant . . . . . . . .VI . . . . . . . . . Health Dept. Approval . . . . . . .N1A. . . . . . . . . . . . . .Labor Dept. Approval . .MA , , , , , , , , , , , , , , , . . . Underwriters Approval . . N,A . . . . . ._. . . . . .Planning Board Approval . . . . .IYlA. . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. ( . ar'. �-� �.t C S. I� O , � Applicant . �. :-+.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rev.10-10-78f7%s, f%71�fN TOE' ,r' SOUTHOLD OFFICE OF BZJILDING INSPECTOII. TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORIMING PRE1\IISES TIIIS IS TO CERTIFY that the / Land Pre C.O. Building(s) Date- 2 Use(s) located at e.o.uj Street Hamlet shown on County tax map as District 1000, Section ,/�S� , Block c3 _, Lot !$,( ,., doesinoticonform 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 nonconforming 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. 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%" c.hr�rrQ The Certificate is issued to (owner, liessee or enant) of the aforesaid building. Suffolk County Department of health Approval 144 UNDERWRITERS CEIITIFICATE NO. A)/A NOTICE IS IiI I3,EBY GIVEN that the owner of the above premises IU�S 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. �;uildi:,; Lnspector --