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Home My WebLink AboutZ-12754TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the C.O.# Z12754 /X)/ Land / Building(s) Use(s) Date: Sept. 5, 1984 located at 2845 Youngs Avenue Southold Street Hamlet shown on County tax map as District 1000, Section 63 , Block 1 , Lot 27 , doesinot)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Insufficient sideyard on accessory garage. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /XJ Land / X/XBuilding(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: 2 story wood framed, one family structure with deck on the front and a three car accessory garage in the back yard. This property is situated in the A Residential Agricultural zone with acces to Railroad (Youngs ) Ave. a town maintained highway. The Certificate is issued to Monica G. Gallagher (owner, X1V)gV1? XJ@ppAtJXX of the aforesaid building. Suffolk County Department of Health Approval N/A UN7DERWR.ITERS 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 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. Buiiding inspector 0 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- 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 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. $15.00 3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00 Date.......................... New Building ............. Old or Pre-existing Building ... X ....... Vacant Land ............. Location of Property 2845 Youngs Avenue,, Southold,. N.Y.... • , , • • , , • • • , , , • , • , • , • , , , . .... . House No. Street Hamlet Owner or Owners of Property .. Monica G... Gallagher , , , _ , , , County Tax Map No. 1000 Section .. 6.3........... Block ..... ......... Lot .. 27........... . Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant . Rudolph H.• Bruer • • • , • • • • , , • , , .. . Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate ...... R ............... Fee Submitted $. 15.00,,,,,••• ............... Affidavit of Charles Grattan submitted and attached hereto Construction on above described building and pe . meets all app ica le codes ^^and ,�reggulations. Applicant . ... ..�`•b�•I•Pg. Rud H. Bruer Attorney for Monica Rev. 10.10.78 y/r�sY 117 70 *k zia-715Y LITH01; . �:�$s,,p c� ��iAO'�,� G�'•�'ic �t�r' L�sr�r,/yp►.+� r �,�,�9�°�'%f �+er••/'=,�' _ State of New York Licensed Land Surveyors WILLIAM R. SIMMONS, 3rd No. 49237 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTtOIN 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EM905SED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATEO HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES Of THE LENDING INSTI- TUTION. GUARANTEESARENOTTRANSFERASU TO ADDITIONAL INSTITUIIUNS OR SUBSEQUENT OWNERS. G Zo' ^ter f i STATE OF NEW YORK ) ) SS.: COUNTY OF SUFFOLK ) CHARLES GRATTAN, being duly sworn, deposes and says: That he resides at (No#) Young's Avenue, Southold, New York, and is over the age of eighteen years; That he is the nephew of Monica G. Gallagher, the owner of certain premises shown on the attached survey dated B-20-84 made by William R. Simmons, III, Land Surveyor. That your deponent can state, of his own knowledge, that the structures shown on said survey were in existence prior to April, 1957, and that there have been no changes made to said structures since April, 1957, other than normal maintenance. Dated: S prn to bef a me this i day of .(cL� 1984. ary Public MARY DIANA FOSTER NOTARY PUBLIC, State of New York No. 52.4655242, Suffolk County Commission Expires March 30, 19 rs Charles Grattan