HomeMy WebLinkAboutZ-11779TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN t-LiLL
SOUTtIOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORIMING PREMISES
THIS IS TO CERTIFY that the -
[ X! Land
/ X/ Building(s)
/-/ Use(s)
located at 795 Hobart Road
Southold
No. Zl1779
July 13, 1983
Street
shown on County tax map as District 1000, Section
Hamlet
064 , Block
O2
Lot 3 & 4 , does.~not)conform to the present Building Zone Code of the
Town of Southold for the following reasons: The land has insufficient area,
width and depth. The accessory garage has insufficient Set back.
The hedge on the line exceeds the height. The fence is not
continuous on one side of the line.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /X_--/Land /i/Building(s)
/_/Use(s) existed on the effective date the present Building Zone Code of the
Town of Sou/hold, 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 and accessory
detached garage.
The Certificate is issued to ELIZABETH H. BRAUTIGAM
of the aforesaid building.
(owner, 40 sse~ ~r-ten~m~)
Suffolk County Department of Health Approval N/A
UNDER~VRITE~S CERTIFICATE NO. N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises H_iS
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.
Building inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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
riatural 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.
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
topograph ic featu res.
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 $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date May 26, 1983
New Building ............. Old or Pre-existing Building .... ,X.X ...... Vacant Land .............
Location of Property 795 Hobart Road Southold
House No. Street Ham/et
Owner or Owners of Property ..... .~.[.~ .z.a~e.¥ .1~..~.....~.~.a;~. ~.g.a.~. ............................
County Tax Map No. 1000 Section 064 Block 02 Lot. 003 and 004
Subdivision...[~.?..°.~..~.°?.z~.?¥.s..~.s.t?~?.s ........ Filed Map No. 834 .LotNo. 1 and 2
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 $ 15. O0
William-- ' / /- '~H. Price, Jr.C~Q~tt~rmey/Agent for
Rev. 10-10-78 Elizabeth H. Brautigam
STATE OF NEW YORK)
COUNTY OF SUFFOLK) ss.:
ELIZABETH H. BRAUTIGAM, being duly sworn, deposes and says:
That I reside at 795 Hobart Road, Southold, New York;
That I am the present owner of the premises located at 795
Hobart Road, Southold, New York, and designated on the Suffolk County
Tax Map as District 1000, Section 064, Block 02, Lots 003 and 004, and
am familiar with the condition of same;
That the structure situated thereon has been designed,
arranged and physically occupied as a single family dwelling;
That this time the premises is occupied;
That the condition of the existing structure on the premises
is good;
That I make this affidavit in the knowledge that the Building
Department of the Town of Southold will rely on the accuracy thereof
in issuing a certificate of occupancy for the subject premises.
Sworn to before me this
7]~day of ~/~, 1983.
Notary ~ubl~'
WILLIAM. H. PRICE, JR.
NOTARY PUBLIC, State of New Yor~.
No. 4644944, Suffelk County
Term Expires March 30, 1985
Elizabeth H. Brautigam ~1