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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