HomeMy WebLinkAboutZ-14378TOWN 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. # z14378
Land
Building(s)
Use(s)
Date May 2, 1986
located at 3245 Wells Avenue Southold
Street Hamlet
shown on County tax map as District 1000, Section 70 , Block 04 ,
Lot 005 , does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area. Insufficient side yard on accessory
building.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming VT / Land M 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-
Property contains a one & one half story,
cate is issued is as follows: one family, wood framed .dwelling; a black
top drive; a fence on one side line; a bulkhead and steps on water
_side. Property is situated in the A Residential -Agricultural zone
�eti+h arrPcc to winllQ Z1vc. a i-r)..,n maintained road.
The Certificate is issued to ESTATE OF HAROLD E. GOLDSMITH, DEC'D.
(owner,��
of the aforesaid building.
Suffolk County Department of Health Approval _ N/A
UNDERWRITERS CERTIFICATE NO. N/A
Building Inspector
FORM NO. 6
TOWN OF SOUTHOLD
M-3571 Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPAI
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 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:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15.00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
Date ... ARTU .49,. AM. , , , ,
New Building . • • • • .3245. • Old or Pre-existing Building ........ Vacant Land .............
Location of Property .Well$• Agenue•,, , , . , , • , . , • , , • • , . ........Southold
House No. Street Hamlet
Owner or Owners of Property.. Es tpteof HAROLD E. GOLDSMITH, dec' d.
County Tax Mpq.a• bg00Lc�rN*orbwnieg7.gy....... Block ....04......... Lot ... 005........ .
H.
Subdivision ..Geor....ge. ............ Wells , ............Filed Map No. ,8,59 ...... 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 $ ..... 1.5..00 ..................
Construction on above described building and permit meets
�all
`applicable codes and regulations.
Applicant ...
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M-3571
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STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
RENSSELAER G. TERRY, JR., being duly sworj, deposes and
R!
says that he is the attorney for Harrison Eugene Goldsmith, the
Executor for the Estate of HAROLD E. GOLDSMITH, deceased, 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 prior to 1957; that
Ri
I
kno changes have been made subsequent to the enactment of the
!zoning ordinance; that attached hereto is a survey of said
,1premises. Premises are occupied as a one family residence.
s'
tel.
2y� 0, -
( ensselaer G. Te y r.)
!Subscribed and swo w to
before me this o2 9 — day
of April, 1986.
:I
1
i Notary Pub ALICE J. KRAMER
NOTARY PUBLIC, State of New York
Residing in Suffolk County
No. 52.4822133
My Commission Expires A4 1(6=
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