HomeMy WebLinkAboutZ-14928TOWN OF SOUTIi~' D
OFFICE OF BUILDING INSPECTOR
TOWN IiALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/~/ Land Pre C.O. ~- Z14928
/~/ Building(s) Date- September 30, 1986
/-/ Use(s)
located at
170 Oak Street
Greenport
Street Hamlet
shown on County tax map as District 1000, Section 042 , Block 01
Lot 22 , does~not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area front and side yard set-backs.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /Z/Land /ZX/Building(s)
/Z/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: Froperty contains two story, one family, wood
framed dwelling; attached porch; an accessory garage; a Swimming Fool
Fermit {/~Q$9~ C.0. #Z7301. all ~ituated in A-Residential A~ricultural
zone with access to Oak Street, a town maintained road.
The Certificate is issued to
of the aforesaid building.
Elizabeth Davis
(owner, lessee or tenant)
Suffolk County Department of Health Approval N/^
UNDER~q~ITERS 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 al! 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.
Bui~din~ inspector
FORM NO. 6
TOWN OF -~OUTHOLD
Building Department
Town Hall
gouthold. N.Y. 11B71
APPLICATI~3N FOP, CERTIFICAYE OF OCCUPANCY
Imwucfion;
A. This epplication mu~t I~ filled in typewriter Of{ ink, and ~ubmittad~=~te the Building In~
tot with the following: fo~ n~ buildings o~ now u~:
1.Final ~ey of pro~ny wi~ ~ra~ I~ation of all buildino~, propo~ lino~,
neural or topographic fea~te~
2.Final ~proval of Health Dept. of wa~r ~pply a~ ~erage dive. I-{S-9 form or equal}.
3.Approval el alec~ical installation from Boa~d of Fire Undo~ri~r& ·
4. Celestial ~ildings, Industrial buildings, Multiple Rosido~es ~ i~ilar ~ildlngs a~ Install~
finns, a certificate of Code compliance from ~a Archit~t or Engineer ro~onsibla for ~o ~ilding.
5.Submit Planning Board approval el completed site plan raqukoman~ whore applic~le.
~9~.,, Non-conforming u~s, ~r ~ildings and "pro-~istlng"
B. For existing buildings (prier to April
land u~:
1. Accurate ~ey of peope~y ~owing all property lines, ~ree~, buildings and anusol natural er
to.graphic leamres. . -
2. Sworn s~[aman[ of owner er previouJ, owner as m u~. o~upaney and ce~ition of ~ilding~
3. Date of any h~sing cede er ~fetv inaction of ~ildings or premiss, or o~er pe~inen[ inferm~
sion requir~ m prep~e a ce~ifioam, ".-
C. Fees:'
1. Certificate of occupancy . $5.00 /
2. Certificate o! occupancy on pre-existing dwelling/ land use
.. 3. Copy of cemficate of occupancy . $1.00 .
--PPo-ExLsting C.0. $15.00
Vacant land C.0. $ 5.00
New Building Old or Pre-existing Building × Vacant Land
of P~;opet~/ 170 'Oak Street Greenport
Location ............ ~ .......................................................
.. ,..~ Hou~ N~ Sr:ser Hamlet
Elizabeth Davis
Owner or Owners of Property ............................................................
tyT 1000S z~2, [. L 22
Coun ax Map No. action ............ , Block ...... ~ ....... ct ................
, T
Subdivision i ................................ Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept, Approval ........................ Labor Dept. Approval ........................
Unde~vriters Approval .' .... Planning Board Approval '
Request for Tempora~ Certificate ' Final Certificate
Fee Submitted $,..L~.;qq .....................
Construction on above described building apdrp~rlf]~h meets ~11 applicable codes and regulations.
Applicant..~:, ~<~ ... ~:?, ;~.c.q .~. ~. ..............
~ TR.£I-- T
STATE OF NEW YORK)
ss:
COUNTY OF SUFFOLK)
I, Elizabeth Davis, residing at 170 Oak Street, Greenport, New York,
being duly sworn, deposes and says:
That I am the present owner of the premises located at 170 Oak
Street, Greenport, New York and designated on the Suffolk County Tax Map as
District 1000, Section 42, Block 1, Lot 22 and am familiar with the condition
of same;
That the structures thereon have been designated, arranged and
physically occupied as a one-family dwelling;
That the condition of the existing structures on the premises are
good;
That the structures are pre-existing prior to April 23, 1957 and they
are in habitable condition;
That I make this affidavit in the knowledge that the Building
Department of the Town of Southold will rely on the accuracy thereon in issuing
a certificate of occupancy.
Sworn to before me this
8th day of September, 1986.
/ (/
/ /
',':/ /
~otarg ~blie
(L.S.)
I~. 4821818:~-,2. ~ourtW