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Home My WebLink AboutZ-12219 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTI C) , TOWN HALL SOUTHOLD, NEW YOPK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES No. ,,Z12219 January 25 , 1984 THIS IS TO CERTIFY that the /X/ Land / / Building(s) / / Use(s) located at 610 Richmond Road Southold Street Hamlet shown on County tax map as District 1000, Section 051 , Block 06 , Lot oil doe<not)conform to the present Building Zone Code of the Town of Southold for the following reasons: the property has insufficient area . 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: a private one-family dwelling, with accessory burner and accessory shed located in the rearyard . The Certificate is issued to MARION D . RICHARDS ( ESTATE ) (owner, less-s-6—_ -or-t-emant) of the aforesaid building. Suffolk County Department of Health Approval no record UNDERWRITERS CERTIFICATE NO. no record NOTICE IS HEREBY GIVEN that the owner of the above premises I-LAS 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. Buiidin�- 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 duplicate to the Building Inspec- torwith 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. 1 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 . 0.. $ 5 . 00 Date . . .1/10184 . . . . . . . . . . . . . ... New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property . , 6,1Q , , , , , , , , , , ,R}.c1ATQnd„RQ4d . . . . . . . . . . Sou -1%qW. , , , , , , . House No. Street Hamlet Owner or Owners of Property , , , ,Marion D. Richards , Dec'd . , . . , . . . . , , , , , County Tax Map No. 1000 Section . . . 51 . . . . . . . Block . . . . . . . . . . . . . . . Lot . . . 11 . , , . . . 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 $ , ,15.00. . . . Construction on above described building and permit meets all applicable codes and regulations. Applicant , , Rudolph H. Br.uerf, Esq, , , , , , , , , , , , , , , , , , , , , , , , Rev.10-10.78 O STATE OF NEW JERSEY ss COUNTY OF UNION ALVIN WEBB RICHARDS, being duly sworn, deposes and says: THAT he resides at 529 Westfield Avenue, Elizabeth, New Jersey; THAT he is over the age of 18 years; THAT he is the Executor under the Last Will and Testament of Marion D. Richards, Deceased, former owner of the premises at 610 Richmond Road, Southold, New York, as shown on survey dated December 22, 1983, made by Roderick Van Tuyl, P.C. ; THAT your deponent, of his own knowledge, can state that the structures shown on said survey were built prior to the year 1957 and that no changes to said structures other than normal maintenance have been made since prior to 1957. Al in Webb Richards Sworn= to before me this _day of January, 1984. It. 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