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Home My WebLink AboutZ-11669TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN ITALL SOUTHOLD, NEI'' YORK CERTIFICATE OF OCCUPANCY NONCONFORAlING PRENIISES No. Z11669 5/16/83 THIS IS TO CERTIFY that the /X/ Land /X/ Building(s) /_/ Use(s) located at 25500 Main Road Orient, N.Y. Street Hamlet shown on County tax map as District 1000, Section 018 , Block 06 , Lot 010 does �not)conform to the present Building Zone Code of the Town of Southold for the following reasons: use as an adult rest home was permitted under Board of Appeals, #990, 11/3/66. It is permitted under present zoning, Chapter 100, Art. III, Sec. 100-30 B (4) however, sub -section (a) of this section requires that building setback be 100' from street line & 50' from any line. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /T/ 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: an adult rest home. The Certificate is issued to GLADYS ZIMMERMANN ( surviving tenant by (owner, lessee or tenant) the entirety) 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 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. 3uildin ; inspector STATE OF NEW YORK) COUNTY OF SUFFOLK sffi. Gladys Zimmerman being duly sworn deposes and says: That she resides at 30, 300 Main Road, Orient, N. Y. and is the surviving tenant by the entirety of said premises. That deponent has been co-owner of the subject premises since November 19, 1966. Said premises have been operated as an Action of the zoning board of appeals dated November 17, 1966 granting permission to change classification of a non -conforming multiple residence, as premises had been operated since 1949 as an adult residence, is attached hereto and made a part hereof. Also attached is a copy of the December 2 1966 survey; there have been no changes. The porch on the West side of the house is enclosed. The New York State Department of Health periodically inspects the premises as required of adult residences. The last inspection was made in April, 1983, at which time no violations were found. WHEREFORE deponent requests a certificate of occupancy for an existing building and pre-existing land use be issued for the premises, Oysterponds Home for Adults, on the basis of this affidavit and attach- ments. tadys Z merman Swor to before me this 12 of May, 22 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- 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 o' a4existing dwellin cF land use $5.00 3. Copy of certificate of occupancy $1.00 Date , 5 / 12 /_83 New Building ............. Old or Pre-existing Building(X) . a 'Vacant Land ............. dsSad Main Road Orient Location of Property ...._.._........................................_........... House No. Street Hamlet Owner or Owners of Property Gladys, Zimmerman -{surviving tenant by the entirety) County Tax Map No. 1000 Section .. . U. .... Block .. . ............ Lot .. . ...qld 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 $.1`1100 ....................... Construction on above described building and permit -meets all appl{cabltcodes and regulations. Applicant r .. y.. - .......� s t ......... . ladys Zimmerman [� Rev. 10 -1c -7e --I-( ( G (0 l _. .4`'".• 1;�`:-fin '-- � x.d • `7 Z. ....<+saw'�V►M•.�'.1}�•((r�I.•¢R1.�Y�9.r.�+�Wy_t�' -- . , � eR,'� I . •� ' ., qr s � S 14"1 ON E MEN Wall i'kf AND 1.4 d L�'�"'�4"�. $S$ (( -.. -. ,. -•.., ._ ,.-... _ J +�4.�i u��`Y �J� 61• -et 4�1"YI.l Y4 A � . - _ - � � T � i }� r �4(' y � fes•- - Y u