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Home My WebLink AboutZ-16656TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the pre C.O.# Z16656 / Yd Land / x/ Building(s) ! ! Use(s) Date 2/18/88 located at 9785 Main Bayview Rd, & 175 Jacobs Lane Southold Street Hamlet shown on County tax map as District 1000, Section 88 , Block 0 I Lot 04 , does not conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total lot area. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming ~/Land /-~/Building(s) /i/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: For a 2 story wood frame .single family dwell- ing with detached l~ story wood frame garage located in the "A" Residential Agricultural zone, with access to Main Bayview Road and Jacobs Lane both maintained by Town of Southold. The Certificate is issued to Estate of Mahlon Dickerson (owner, lYovsl~t~ X~K ~g~ of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A SEE ATTACHED INSPECTION REPORT '" j~uil~g ~specto~' Location BUILDI~[G DEP~T[,~HT -. TOV~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 9785 Main Bayview Rd. & ]75 Jacobs Lane Southold (numser & szreev) Subdivision Map No. (Municipaiizy) ,ot(s) Name of Owner(s) Estate of Mahlon Dickerson Occupancy Single family dwelling owner ~ type ) ( own er- ~ enan~ A~mitted by:Chester Dickerson Accompanied by: Same Key available xx Suffolk Co. Tax No. 88-]-4 Source of request owners Date 1]/2/87 DI'~LLING: Type. of construction Wood frame #stories 2 Foundation Cinder block Cellar Partialcrawl space Partial Total rooms, 1st. F1 4 2nd. F1 4 5rd. F1 Bathroom(s) 2 Toilet room(s) Porch, typeMasonry(stoop)Deck' type xx Breezewa~ xx Garag~ xx Type Heat Steam (oil)~Warm Air xx Fireplace(s) ! No. ~its 3 Domestic hotwater xx Other ~ype heater Patio, type_.XX Utility room ] Hotwater xx Airconditioning Electric ACCESSORY STRUCTURES: Garage, type const. ~ story wood Storage, type const. Swim, ming pool frame Guest, type const. Other ViOLAT!OMS: Location To attic Housing Code, Chapter 45N.Y. State Uniform Fire Prevention & Building Code Descriotion Art. I Sec. Stairway needs railing Cellar Need relief valve estension furnace & water heater Cellar Seal around chimney connector from furnace Need smoke detector 2nd floor 1'3 1713. lfl 8 f850. 1 I0 1005 I0' 1005 i 3 717.5 Remarks: HOMAS ~. FISHER~ Date of Insp. ]]/3/87 · Time start]I:00 end ;;:50 M-3645 FORM NO. 6 ¥OWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Ao 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 natural or topographic features. 2, Final approval of Health Dept. of water supplv 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, Bo 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 '3atural or topog: 0hic features. 2. Sworn tatement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date cf any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C° Fees: 1. Certificate of occupancy $§.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $ k~xXX $50.00 Date ... O.c.~ob~r.. 31.,..198.7.... New Building ............. Old or Pre-existing Building .... .X. ...... Vacant Land ............. Location of Propertyq'7~5- ?Ia..i.n, ]~ayy,%,ew '~o8, d .a.n.d.. ~T~.c. qp,s. ~a..n.e.,. ~outhold House No. Street Ham/et Owner or Owners of Property PARKER, E. DZCKERSON~ CHESTER M. DICKERSON & JANI E KRISE County Tax Map No. 1000 Section . . ~.8 .......... Block ....]- ........... I'ot .... ~ .......... 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 $...5.0.; .Op. .................... Construction on above described building a~./~ll a~3~blfodes and regulations. Applicant. ~....,~" .4d./(,~.~e~. ~~. M. Dickers o~ ...... ~ .......... CONSENT TO INSPECTION _ ._ oWner--(s) Name(s)/ ' - do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town ~ the Su~ff o~~~ · ~hich i~nown and designated on · of Southold located at County tax map as District 1000, Section ~, Block ,,~f~/, Lot That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon· to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws· ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so ~vith the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws· ordinances, rules or regulations of the Town of Southold. Dated: (sign~tui'e) -" (print name) (signature) (print name) ~%'C~/¢: /00'= [" - ). · STATE OF NEW YORK ) ) COUNTY OF SUFFOLK ) SS: CHESTER M. DICKERSON, being duly sworn, deposes and says that he is the applicant for a pre-existing Certificate of Occupancy; that deponent knows of his own knowledge, that the and garage dwelling house/on said premises was constructed and occupied long prior to 1957; and that no changes have been made pursuant to the enactment of the zoning ordinance; that the premises are occupied as a one family residence. (Chester M. Dickerson) ~' Subscribed and sworn to before me this 3D~day of October, 1987. ~hry Public.