HomeMy WebLinkAboutZ-12109TOWN OF SOUTIIOLD
OFFICIZ OF BUILDING INSPtZCT(;,~
TOWN IIALL
SOUTItOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
l~l Land
[ X/ Building(s)
I-I Use(s)
located at 3_65 Lan0on Road & 1025 Founders Path
No. Z12109
December 2,
Southold
Street Hamlet
shown on County tax map as District 1000, Section 064 , Block 02
Lot 042 & 043,doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
the property has insufficient area, there is insufficient
1983
front yard setback on Founders Path & Landon Lane, the
accessory garage is in the side yard, facing Landon Lane.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /B/Land /~_/]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 Cert~i-
cate is issued is as follows: a private one-family dwelling with
accessory garage.
The Certificate is issued to
of the aforesaid building.
JOSEPH W. GUIDO
( owner, l%-s~ or ~nant9
Suffolk County Department of Health Approval no record
UNDER\VRITERS CERTIFICATE NO.
no record
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 ff the premises comply with ail 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 smd regula-
tions.
Buiidin~ Lnspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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.
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 featu res.
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.
Fees:
1. Certificate of occupancy $5.00 ~ 5'/
2. Certificate of occupancy on pre-existing dwelling land use .~/ $5.00
3. Copy of certificate of occupancy $1.00
Date November 23, 1983
New Building ............. Old or Pre-existing Building ...~?. ....... Vacant Land .............
~ o?-5 .. 3 GS' L~ ~-~,
Location of Property . ~., .'"~..., .~. ............... ~.o.u.~.~?.r.s..~..a.t.b .......... .S.o.~.~.~..o.Z.~....
House No. Street Ham/et
Owner or Owners of Property ..... ~.o.s.? ,~.h. ?.7 ....C-.~.~.~ .o .....................................
County Tax Map No. 1000 Section ...0.6~4. ......... Block ..... .0.2. ....... Lot.. 9.4.2; .a..~.~..q4. ~.
Subdivision..~.a~...o.~. ?.o.~...n.d.e.~..s..~.s.~.9~.e.s' .... Filed Map No. 834 .Lot No. 69 and 70
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ..... .~.~. ...............
· 15 00
Fee Submitted $ .... ' .........................
Constrr,,uction on above described building and permit meets all
Applicant
~LDG. DEPT.
] O~ '~F $OUTHOLD
/
~'Q )'HIS SUi~iY IS A VIOLATION OF
/
Premises at: 1165 Founders Path
Southold, New York
STATE OF NEW YORK)
COUNTY OF NASSAU )
SS.:
I, JOSEPH W. GUIDO, residing at 535 Plandome Road, Manhasset,
New York 11030, being duly sworn, deposes and says:
That I am the present owner of the premises located at 1165
Founders Path, Southold, New York, and designated on the Suffolk County
Tax Map as District 1000, Section 064, Block 02, Lots 042 and 043, and
am familiar with the condition of same;
That the structure situated thereon has been designed,
arranged and physically occupied as a single family dwelling;
That at this time the premises is occupied;
That the condition of the existing structure on the premises
is good;
That I make this affidavit in the knowledge that the Building
Department of the Town of Southold will rely on the accuracy thereof
in issuing a certificate of
occupancy for pre-existing use.
~ep~. Guido
Sworn to before me this
~ day of October, 1983.
Notary Public
MARION R.
NOTARY PUBLIC, State of New Yod¢
No. 30-3738067
QuaJified in Nassau County
Term Expires March 30, 1985