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Home My WebLink AboutZ-12619 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YOP~K CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES 212619 THIS IS TO CERTIFY that the July 19, 1984 /x / Land Building(s) - / /Use(s) located at 1165 Hummel Ave. & 985 Boisseau Ave. Southold Street Hamlet shown on County tax map as District 1000, Section 063 Block 02 , Lot 027 does(not~conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient rear & sideyard setbacks, and insi~Ffi~iPnt. total area. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /x /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 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: Ane story frame dwelling with attached garage. One family dwelling situated in the A-Residential- Agricultural Zone with access to Boisseau Ave. a town maintained road. The Certificate is issued to SALLY FLEMING ESTATE ..(owner, 3~-e~~r +.°^ant) of the aforesaid building. Suffolk County Department of Health Approval N/R L'1VDERWRITEt~,S CERTIFICATE NO. N/R 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 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. Buildinc Spector M-3476 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- torwith 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, acertificate 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 peoperty 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling ~ land use --Pre-Existing C . 0. $ 1 5.00 3. Copy of certificate of occupancy $1.00 Vacant land C . 0. $ 5.00 Date ...June? . . X984 . New Building .............Old orPre-existing Building X Vacant Land . ~~,5 Location of Property .NWC .H~mmel Avenue and Boisseau Avenue Southold . . . . . . . . House No. Street Hamlet Owner or Owners of Property SALLY PEENING ESTATE County Tax Map No. 1000 Section , 063 , , , , , , Block 02....... 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 $..15,00,,,,,,,,,,,,,,,,,,,,, Construction on above described building and permit me"'~~all applicable codes and re I -ons. Applicant ,~~~s• . Rev. 10-10-78 ~ Z L~ ~ ` C~" i1 VI I ° ( ~'f eJ ~ n,i I v'3 { J~ ( 3 I tt ~ ` ii min ~Y ~ ~ y a _ - ~ ~ (f ~ ` 'Y ~ 1. I ~ ~~r ~ 4 { ~ !Qr/~ ~ yt _ i'' ' .,R' 4 tk n, r ~ r ' y~ ~ _ ~ ~,y ~ tiY ° P yam. 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' ~.:'I ita N Vin- t U., e. i ~ y rx .L: iii ~•3,»' r ~Y A~. ;t4~, W ~nA P'1~~{a` ~ ~ t}boy I ~ 1 ' %4 r "",r sr'i'~'~r,a y~+~!,tt~"^a"rr+.,f 7y~,~.+ fin: h - I ° _ j 1 [ i at, yt W 5,(i ' ry t~~ cay~.q F'~ ` 3T s ~ 4f t B i ~ `~'.tsL~` Y 4: F v Y~ ~ ~f f•.. y a a 'F ~ _ l v c sne a~ a+4'jF; f.i SfF~' ~ "'t." .t ~ r'1S 4 ~ f ,y TN ?;:y~ ~ i~¢ f ~ y P I >Ip, rJP, ~ 4 { „r~¢ t ~'~.^"i;'~j'~ar.. ~ i. d f tt". ~.y ~ } t• rr Z t t d i ~Y- ~3f t= ...Wx ~ .~i:..~''~i..a.r..•.LS,•_: a,r..,. _.+.vW.. •.:e'.s~..~ t... t• Ate, .r. .:.1 .-F a.a. .:eiiA.. .a' - ,...91,r2ae...Qb.~ M-3476 STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) RENSSELAER G. TERRY, JR., being duly sworn, deposes and says that he is the attorney for the Sally Fleming Estate, the applicant for a pre-existing Certificate of Occupancy; that deponent knows of his own knowledge that the dwelling house on said premises was constructed and occupied long prior to 1957; and that ~ changes have been made subsequent to the enactment of the zoning ordiance; that attached hereto is a copy of a survey of said premises. Premises were occupied as a one family residence. ~l, :(Rensselaer G. Terry Jr. Subscribed and sworn to before me this ~7~ day of June, 1984. Not Public.