HomeMy WebLinkAboutZ-15907 TOWN OF SOUTH(ji-_l-)
OFFICE OF BUILDING INSPECTOR,
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/ )V Land Pre C.O. #- Z-15907
Building(s) Date- July 2, 1987
Use(s)
located at 690 Albertson Lane Greenport, New York
Street Hainlet
shown on County tax map as District 1000, Section 052 , Block 04 ,
Lot 005 doesnot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area; accessory garage in front yard; front yard set-back
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 12 story, one family, wood framed
dwelling; accessory garage and all situated in the 'A' Residential Agricultural
zone with access to Albertson Lane, a Town maintained road
The Certificate is issued to ESTATE OF BEVERLY R. WHIPPLE
(owner, � �tx
of the aforesaid building.
Suffolk County Department of Health Approval N/A
U NDERVATRITERS CERTIFICATE NO. NIA
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.
�,uildi-l� Inspector _
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.
B. 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 p~operty 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.
Fees:
1. Certificate of occupancy $25.00 -- BLISTNE$$ $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ...J.u.n.e...2.9.,., .1.9.8.7. ........
NewConstruction ...... Old or Pre-existing Building ... ,X.X. ...... Vacant Land .............
Location of Property 6.9..0 Albe. rtson Lane Southold
House No. Street Ham/et
Owner or Owners of Property ....... .~.s.~...~.e..o..~. ?. e?. .e .~ .l?. . .R .. Wh±pple
County Tax Map No. 1000 Section 052 Block 04 Lot 005
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 ..... ,X.X. ..............
Fee Submitted $..5..0 :.0.0. .....................
Construction on above c~escribed building an~~a~d re§u lat,ons.
Aoolicant . ~..~....~....~..,~..~/...~. ~ ...................
' William H. rP ice, Jr. Att~'r'fi~TAgent
Rev. 10-10-78 Estate of Beverly R. Whipple
STATE OF NEW YORK)
COUNTY OF SUFFOLK) ss.:
WILLIAM H. PRICE, JR., being duly sworn, deposes and says:
That I am the attorney for the Estate of Beverly R.
Whipple, owner of premises located at 690 Albertson Lane, Southold, New
York, and designated on the Suffolk County Tax Map as District 1000,
Section 052, Block 04, Lot 005, and am familiar with the condition of
same;
That the structures situated thereon have been designed,
arranged and physically occupied as a single family dwelling with
detached garage;
That at this time the premises is not occupied;
That the condition of the existing structures on the
premises is good;
That I make this affidavit in the knowledge that the Build-
ing Department of the Town of Southold will rely on the accuracy
thereof in issuing a certificate of occupancy for pre-existing use.
Sworn to before me this
day of June, 1987.
Notary Public