HomeMy WebLinkAboutZ-11802TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN ITtLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
No. Zl1802
July 22, 1983
/~/ Land
/~/ Building(s)
Use(s)
located at 2925 Sissbee Road Laurel
Street Hamlet
shown on County tax map as District 1000, Section 126 , Block
O6
Lot 004 , doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
l~t with insufficient area, width, and depth. Insufficient
front yard and one side yard. Accessory building is less than
three (3) feet to the property line.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /X_--/Land /'~/Building(s)
E/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 one-family dwelling.
The Certificate is issued to
of the aforesaid building.
LILLIAN F. ARCHER
(owner, 4~ ~ee- ~-t-erra~)-
Suffolk County Department of Health Approval N/A
UNDERI~q%ITERS CERTIFICATE NO.
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises FLtS
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.
~.~ Buiiding Lhspector
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:
I. 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 cji pre-e~xisting dwelling ~r land us $~7/~$5.00
3. Copy of certificate of occu~g:)ep~ $1.00 / ~
Date ..
New Building ............. Old or Pre-existin, g Building(Z)./~_. -2/Vacant Land i ..........
Locat on of Pro er ~'~.~ c~ ~' ~.~--/---,~_~/~,~<3L/ ~ ~ G ~
Hou~ No. Street ~mlet
Owner or Owners of ProperW .... ~ {../~ ~. ~-~.{ .~ ~.~.. ~. ~; ~ ..........
CountyTax Map No 1000Secton / ~ ~ Block ~ ~ .~.
· ..,-~ ......................... Lot ......
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval .........................
Underwriters Approval ........................ Planning Board Approval .................. ~ ,.,
Request for Temporary Certificate .............. ~al Certificate ................. -
Fee~ubmitted$ ....................... /_,~ ~
Construction on above described building and/permit~/ne~'l~ ~~,regulations.
Applicant .... ~..~--~.~?.~ ~.~~ ..... . .....
o.4
SURVEY FOR~ ROBERT E. NORELL
#~MENDED MAp OF ~TTITUCK ~RK PR~ERTIE;~ t~.*
AT ~TTITUCK
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
JOHN R. McNULTY, being duly sworn, deposes and
says:
I am an attorney at law and maintain my practice in
Riverhead, New York. I make this affidavit in support of the
application for a Pre-Existing Certificate of Occupancy for
the premises on the easterly side of Sigsbee Road, formerly
owned by Lillian F. Archer, and designated on the Suffolk
County Tax Map as District 1000, Section 126, Block 06, Lot
004.
I knew Lillian F. Archer all of my life.
Lillian F. Archer acquired title to Lot No. 117 in
1924 and Lot No. 116 in 1927. Mrs.
1982.
She lived in the dwelling
months of her life
Hospital and later
Her son,
of California and
Archer died in November,
house on the
subject
last few
premises and occupied same as her home until the
when she was in Eastern Long Island
a nursing home.
the Executor of her estate, is a resident
is unable to supply the requisite
affidavit. I visited the house on numerous occasions as she
was a close family friend. The premises and the buildings
thereon were erected prior to the enactment of the zoning
ordinance of the Town of Southold and have remained in their
present state and condition since prior to the enactment of
the zoning ordinance. There have been no changes since 1957
to either structure except what zoning has permitted.
WHEREFORE, it is respectfully
Pre-Existing Certificate of Occupancy
story frame house and frame garag,
requested that a
for the one-
;the annexed
survey.
Sworn to before me this
20th day of June, 1983.
ary Pu lc'
Lu~iLLE DEAUGUSTINO
NOTARY PUBLIG, State oi New
No. 4765706, Sut~oik Co~m~
Oomm~ion f. xpi~,, March 30, 1'~-~