HomeMy WebLinkAboutZ-11628 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NGNGGNFGR-A;!-?4G PREMISE
Z11628 . 4/18/83
THIS IS TO CERTIFY that the
Land
Building(s)
/r/ Use(s)
located at 595_ Youngs Road (Ave. ) Orient
Street Hamlet
shown on County tax map as District 1000, Section 18 , Block 'I ,
Lot 6 does fnot)conform to the present Building Zone Code of the..
Town of Southold for the following reasons:
A one family dwelling and its accessary buildinw is a permitted
use on a lot in this A. zone district
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above no=onforming / /Land / / Building(s)
/X/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: One family dwelling & an accessary
building
The Certificate is issued to Robert Q. & Gertrude K. RePves
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE IN . :" 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 in dupliczte to.the Building Inspec
for 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,completedsite plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
tSnd uses:
ccurate survey of property showing all property lines, streets, buildings and unusual natural or
pographic features.
vorn statement of owner or previous owner as to use, occupancyand condition of buildings.
ate 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 or land use $5.00
3. Copy of certificate of occupancy .$1.00
Date
New Building , , , , , , , , , , , , , Old or Pre-existingBuilding(X)X -
9( ) • •��.. _-S "Vacant Land . . . . . -
Location of Property "/. _ A VC,
Hou No. Street y
Hamlet
Owner or Owners of Property 'q�\ . ;C�,�/��, ��.� ��•�r�(��� .'��.���s
County Tax Map No..1000 Section . . • Q.�.�. , , , . , . Block . . . . . .Q . . . . . . .Lot . . . .QO,�p,
Subdivision . . . . . .X • • • . • , • , , ; .Filed Map'No. . : . .'� . . ..Lot No. . . . . . . . . . .
Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . . . . . . . . . .�
.,Nplica,�t . . .
Health Dept. Approval . . . . . . . .. . . . . : . . . . . . . . . .Labor Dept. Approval . . . , . , , . ,
Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate • ,
Fee Submitted $ . . . /s . .�. . . . . . . . . . . . . . . . . . . . . . . .
Construction on above,described building and ermirmeets all a• pp!{cablq_codes and regulations.
Applicant
.o. -
Rev.10-10.78 O P, V. . . . .. . . . .�. .I._ . . . .
'.
CY
-
��� , Av .
�0
Dated: a
Sworn to before me this-zs2W)
day of 19 .
Notary Public, Su of County
ELIZABETH ANN NEVILLE
NOTARY PUBLIC, State of New YoPK
No. 62.8125850, Suffolk County
Term ExDIrEs Match 30, 1_ y
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TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
THIS IS TO CERTIFY that the
Land
Building(s)
Uses)
located at �7 �`��t,�l�/a— '""�l� r,�,�,`� '✓f' �''L�
Street Hamlet /
shown on County tax map as District 1000, Section , Block I ,
Lot d o e sk"c onform to the present Building Zone Code of the
Town of Southold for the following reasons:
Q 1alm� OcccVk
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above 094conforming /_/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: w✓u �� ��^�
Gt Oc C .�Jpit/
The Certificate is issued to
(owner.,
n
of the aforesaid building.
Suffolk County Department of Health Approval IV A
UNDERWRITERS CERTIFICATE NO'.' 1/4
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