HomeMy WebLinkAboutZ-11937TOWN OF SOUTHOLD
OFFIC7-- OF BU ILDI\G I1S1'! C''
TOWN H.'kLL
SOUTHOLD, NE��' Y OR K
CERTIFICATE OF OCCUPANCY
NONCONFORMINTG PREMISES
THIS IS TO CERTIFY that the
/X/ Land
/X/ Building(s)
/_/ Use(s)
located at 515 Private Road #12
No. Z11937
September 23, 1983
Southold
Street Hamlet
shown on County tax map as District 1000, Section 087 , Block 04
Lot 008 , doe<not�conform to the present Building Zone Code of the
Town of Southold for the following reasons:
the garage and pump house, both accessory structures, are located
in the front yard area; the dwelling has insufficient sideyard
set back to the westerly property line; the total area is
insufficient.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /_X/ Land /_X/ 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: a private one -family dwelling and
accessory pump house. (see below)
The Certificate is issued to ROBERT ISLES & WIFE
(owner, D3qs=er-tenantl
of the aforesaid building.
Suffolk County Department of Health Approval no record
UNDERWRITERS 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 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.
*Accessory garage constructed pursuant
to building permit #9600Z, 12/22/77,
C.O. Z8987 issued for same, 4/19/78.
Buiidin- inspector
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 �r land use $ /S $5.00
3. Copy of certificate of occupancy $1.00
Date ...7.�/�3.............
New Building .. � .... OIdgr 7e-existin wilding/ Vacant Land
Location of Property ../i�4.1!iy.....`Y! :.1.���!1.F!�..........
House No. / Street Hamlet
Owner or Owners of Property ... /,SL��.} ..Q •'` .`C��� L�'•' : ..............
County Tax Map No. 1000 Section ... .....�.... Block .....L ..S ..... 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 $ .....................
Construction on above described building and permit meets all applicable
codes and regulations.
Applicant .cf1X�! . �1• ... zo—�'........
i
Rev. 10.10-78 q�
�, ��5 Cj
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A44IN
�YUi �Sw I
LoGAT)oN MAP
;^ SCQJ4&i IV,.IV2 1 ,r
cJqO
_ _ _ IIUN UR ADOIDON
i jai; Tllta SURVEY IS A VIOLATION OF
j AEON 7409 OF THE NEW YORK STATE
�. @="TADDI LAW.
J VDPIE6 OF THIS SURVEY MAP NOT REARING
&W SAW SURVEYOR'S INKED SEAL OR
. 1 IMOSSED SEAL SHALL NOT EE CONSIMED
Al ,'[O pE A VALID TRUE COPY.
aE
"RA
NTEES INDICATED HEREON SHALL RUN
(� ptFLY TO THE PERSON FOR WHOM THE EMRVEI
I ES PREPARED, AND ON HIS BEHALF TO THE
{ ! =ITLE COMPANY, GOVERNMENTAL AGENCY AW
v tElg1ENG INSTITUTION LISTED HEREON, AMD
fO THE. ASUGNEES OF THE LtNDING IN61r1-
-� 1pt M. GUARANTEES ARE NOT TR lUI6Kk*6'
(O ADDITION" n mi�Iny n° CURSiQr.
7WtiR?
N4P OF= PQOpEr -n'
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AT
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_TOwN OF= 5z)u-rHOL_G, NY
`''c:cx l e : a -- 110+eC4
Area= 10, ro033 s7 j f-.
q - t*To"LotlerT-f-
folk. `_ aj&hj 7m Map t*sigrio+icm:
Dist. 10301 S f.G8'7, 81k. '4, Fr'!. S.
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F
j AFFIDAVIT FOR CERTIFICATE OF OCCUPANCY
i
ROBERT ISLES, being duly sworn, deposes and says:
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1. That I am the owner, with my wife, T�IIZIAN
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ISLES, of premises on Corey Road, Southold, New York, tax
!i map designation Section 87, Block 4, Lot 8.
j� 2. That on information and belief, the premises
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have always been used as a single family residential. nd dwelling.
i3OUS
3. That on information and belief, the hous^is
i'
approximately 30 years old.
4. That the building is in excellent condition.
5. That my wife and I have owned the premises
ii since 1963.
6. That I make this affidavit, knowing that the
Building Department of the Town of Southold will rely on the
ii truth of the statements herein. I do not consent to an
inspection.
�I
L.S.
i
Sworn to before me this
j
/Z#d-ay of Agust, 1983
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET
VILLAGE
j DIST. i SUB. LOT
A
FORMER OWNER
NE
.11 ?LC -1 j
ACR.
1021,61
S
4/
W
TYPE OF BUILDING
RES. SEAS. VL.
ARM
COMM. CB. MSC. Mkt. Value
LAND
IMP.
TOTAL DATE
REMARKS
2Z,
00011i�co,
0
AGE
BUILDING CONDITION
NV
NORMAL I
BELOW ABOVE
FA(M
Acre Value Per I Value
Acre
Tillable I
Tillable 2
Tillable 3
Woodland
'i Swampland
FRONTAGE ON WATER
1
700
Brushland
FRONTAGE ON ROAD
'�'.3s-
House Plot
DEPTH
00'
BULKHEAD
Total
DOCK