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Home My WebLink AboutZ-16720 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY XX~ONFORMING PREMISES THIS IS TO CERTIFY that the Land Building(s) lJ~e(s] located at 12455 MAIN BAYVIEW ROAD Pre C.O. ~-z16720 Date- MARCH 18, 1988 SOUTHOLD Street Hamlet shown on County tax map as District 1000, Section 088 , Block 01 , Lot 12 , does(not) conform to the present Building Zone Code of the Town of Southold for the following reasons: On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /-7 Land ~ 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 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 enclosed porches; accessory garage and accessory shed; fencing and all situated in A-Residential Agric- ultural zone with access to Bayview Road, a town maintained road. The Certificate is issued to ANN E. DAVIS (Estate Of) (owner, 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. Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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 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. C. Fees: Additions $25.00 POOLS $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory '$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. CopY of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date March 3, 1988 NewCons truction ...... Old or Pre-existing Building X Vacant Land Location of Property Bayview Road, Southold, N.Y House No. Street ......................... Ham/et Owner or Owners of Property ANN ~.. DAVTS · County Tax Map No. 1000 Section 88 i 12 ............... Block ............... Lot ................ 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 Construction on above described building and permit meets all applicable codes and regulations. - .... ........... STATE OF FLORIDA ) COUNTY OF PALM BEACH ) Davis. JANE GUNTHER, being duly sworn, deposes and says: That I am a Co-Executrix of the Estate of Ann E. That the house on Bayview Road, Southold, New York, described on Suffolk County tax map as 1000-088.00-01.00- 012.000 was constructed prior to April 23rd, 1957 and has been used continuously since that time as a one-family residence, having been the residence death of my mother, Ann E. Swo~r~to before me this ~f day of ~~/~ , ~o3~a ry Public aOTARy PUBLIC. STATE OF FLORIDA of my parents from 1953 until the Davis, in June 1987. 1988. STATE OF FLORIDA ) ) SS.: COUNTY OF MARTIN ) HELEN GUILE, being duly sworn, deposes and says: That I am a Co-Executrix of the Estate of Ann E. Davis. That the house on Bayview Road, Southold, New York, described on Suffolk County tax map as 1000-088.00-01.00- 012.000 was constructed prior to April 23rd, 1957 and has been used continuously since that time as a one-family residence, having been the residence of my parents from 1953 until the death of my mother, Ann E. Davis, in June 1987. HELEN GUILE Sworn to before me this /~ day of~/~'~z-z~/~ , 1988. Not a ry ~1~ l.~c~,~ ~