HomeMy WebLinkAboutZ-17371 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/x--7 Land
--7 Building(s)
Use(s)
Pre C.O. #- z-1737!
Date- September 29, 1988
located at WHISTLER AVENUE
FISHERS ISLAND, NEW YORK
Street Hamlet
shown on County tax map as District 1000, Section 09 , Block
10 , Lot 15 , does(not) conform to the present Building Zone
Code of the Town of Southold for the following reasons:
Insufficient total area; front yard 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) /-7 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 applicable 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
Certificate is issued is as follows: Property contains 2 story, one family
wood framed dwelling, with attached porch; an accessory garage, all situated in 'A'
Residential Agricultural zone with access to Whistler Avenue; a Town maintained
Road.
The Certificate is issued to MUSSER J. BOHN
(owner, t~x~x~)
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
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
ordinances, 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 regulations.
~~'~i ing~Ins~r
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
t f uwN OF SO-OT~oLo ~
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 featu res.
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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property 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 -- BUSINESS $50.00
2. Certificate of occupancy on pre-existing dwelling $~O0.00
3. Copy of certificate of occupancy $ 5.'00, over 5 years $]0.00
4.Vacant Land C.O. $ 20.00
5 .Updated C.O. $ 50.00 Date .... S.e.~.t.e.m.b.~r.,.2.0. :..1.9.8.8..
NewC°ns.truction ...... Old or Pre-existing Building .... X. ....... Vacant Land .............
Location of Property ...... .n.o.r.t.h.. ,s.i.d.e., .W.h.i.s..t.l.e.r...Ay.e..a..n.d..e.a..s.t..o.f.. ,F.e.r.r..y..R.d. %..F.i.s.h. ,er s Islanc
House No. Street Ham/et
Owner or Owners of Property Musser J. Bohn
County Tax Map No. 1000 Section ..... 0.9. ........ Block ..... .¥). ....... Lot ..... .Z.5. ........
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 $. 50.00 V/~[~)5
b' fj'q ........
Construction on above described building and p;r~ts ~~ co~:nd regulations.
Applicant ..... ~'~ ~, ~:~ .......................
Rev, 10-10-78
STATE OF PENNSYLVANIA)
COUNTY OF ~'~/~ )
ss:
MUSSER J. BOHN, being duly sworn, deposes and says:
I reside at 353 Swedesford Road, Frazer, Pennsylvania;
I own premises located on the north side of Whistler
Avenue and the east side of Ferry Road, Fishers Island, New York;
Your deponent knows that housing was built by the United
States Army prior to zoning being part of the officers quarters
section of Fort Wright and purchased by your deponent in 1967;
I make this affidavit knowing that the Southold Town
Building Department will rely upon the statements contained herein
in issuance of a pre-existing certificate of occupancy covering all
structures on the premises.
Sworn to before me this
/'~_ day of September, 1988.
Wotary Public
County of: ~._.
My commission expires:
WINIFR£D F. McLEAN, Notary Public
Frazer, Chester County, Pa.
~X C, omrnis~io9 Expire~ July 23, 1990
MUSSER J. BOHN
DKI
37704