HomeMy WebLinkAboutZ-14539TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOLCON I-Li L L
SOUTHOLD, NE\V YORK
CERTIFICATE OF OCCUPANCY
NONCONFORA%ING PREI4ISES
THIS IS TO CERTIFY that the
/~/ Land Pre C.O. ~- Z14539
/~/ Building(s) Date- June 19, ~ 986
/-1 Use(s)
located ~ 2460 Mill Road Feconic
Street Hamlet
shown on County tax map as District 1000, Section 67 , Block
Lot 4 , does.~not3conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area. Accessory garage in sideyard.
Insufficient frontyard set-back.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /~/Land ~__/Building(s)
/i/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 a one story, one-family,
wood-framed dwelling with an accessory wood-framed garage and an
above ground swimming pool with deck. Property situated in "A"
Residential-Agricultural Zone with access to Mill Road; a town main-
tainsd road.
The Certificate is issued to
of the aforesaid building.
ESTATE OF ANN M. WOESSNER
(owner,
Suffolk County Department of Health Approval
UNDER%VI~ITERS CEIITIFICATE NO.
N/A
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with al~ 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.
~u~dln~ hnspe ctor
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
~outhold, 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 In~ec-
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 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.
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 $5.00 /
2. Certificate of occupancy on pre-existing dwelling/ land use --Fre-Ex±s t±ng C.O. $15 · 00
~3. Copy of certificate of occupancy $1.00 Vacant ].and C.O. $ 5.00
New Building ............. Old or Pre-existing Building .){ .......... Vacant Land .............
JY o
Location of Property (.no #). Mill Road, Peconic New York
House No. Street Hamlet
Owner or Owners of ProperW . .Esta. te oqf../~or] .B, .~JQ~5~r~r. .................................
County Tax Map No. 1000 Section . .~7. ........... Block .~ ............. Lot .4. ..............
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 $. [.~ ..QQ..~/.~..\..~.]..-'] .........
~?nstruction~=:_~/~ ~(~°n above described building and' ~ _~ ~,~/~, ' ~.~ ./2~-perm~'~et~e~l~pplicable codes and regulations.
....
P. O. Box 706
Cutchogue, New York 11935
AFFIDAVIT
Re:
Estate of Woessner to
Corcoran
File # 4334
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Joan Ann Polywoda being duly sworn deposes and states as follows:
That I am the Executrix of the estate of my mother, Ann M.
Woessner, deceased.
That I am fully familiar with her house at (no #) Mill Road,
Peconic, New York, tax map # 1000-67-5-4.
That I am aware that all structures on said premises were built
(except for the.above qround ppo~)
prior to April of 1957 1.e., and suomit t~ls a~Tiqavit in
connection with my application for a pre-existing Cert!ficate
of Occupancy. In my opinion the house is suitable for
residentia! purposes.
J~N ANN POLYWODA - (~
Sworn to before me this c~f
day of ~f~_ !986. '
Notary Pub i i c }f ~¥,~.~,~a,-~,,~