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Home My WebLink AboutZ-11769TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PRER-IISES THIS IS TO CERTIFY that the Land / X/ Building(s) /_x/ Use(s) located at 68555 North Road (County Road 48) No. Z11769 July 8, 1983 Greenport Street Hamlet shown on County tax map as District 1000, Section 033 , Block 05 , Lot 013.1 does!no0conform to the present Building Zone Code of the Town of Southold for the following reasons: premises is located in an 'A' Residential Zone,contains three (3) dwellings, one of which permitted as additional, B/A Action 42098, on 2/5/76. Zoning allows one dwelling on a single lot (Art. III, Sec. 100-30 A (1)). One- story frame building is insufficiently set back from McCann Lane (Art. III, Sec. 100-31 Bulk Schedule). On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /_/ Land /X/ Building(s) /X /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: two separate single family dwelling units - (see B.P. #12410Z for third dwelling unit.) The Certificate is issued to William A. Jacobs of the aforesaid building. 3 (owner, -le ssee- -or-be:ran-0 Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. no record 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 coded and regula- tions. e---) n J -nspe 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 $5.00 2. Certificate of occupancy on pre-existing dwelling �r land use -$ 1 $5.00 3. Copy of certificate of occupancy $1.00 0� Date New Building ............. Old o Pr exjsti g ildi ) . __ z 'Vacant Land /.].� ...... Location of Property` .`✓(L?' " �%% .l..... House No. Street Ha�filet Owner or Owners of Property .. ... ��` �. �� ,A . , ............ County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision .................................Filed Map No. ......Lo No. .... ....... Permit No. .......... Date of Permit .......... Applicant �� . ............. Health Dept. Approval ........................ L bor Dep . Appr val ......................,. . BR a2o R Underwriters Approval ........................Planning Board Approval .................., • . Request for Temporary Certificate .....................Final Certificate .................. - Fee Submitted $ ............................. Construction on above described building and Rev. 10-10.78 L�1 Applicant . , ... P,�; -C tions. ` I AT 7OWN OF SGUI HO It D. WY - SCIAL E; 60' • 1 " r.R MCNur'TENT u - i i r,'N APSS1/+F'^E ONAUTHORILED ALTERAnON OR ADDITYOH TO THIS SURVEY IS A VIOLATION OF SECTION 7209 Of THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR LMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED K -MON SHALL RUN ONLY TO THE P6?SC!I FOR WHOM THE StMVI IS PREPARED, AND O:d HIS BEHALF TO THE JITLE COMPANY, GCVERNMENTAL AGENCY FENDING INSTITUTION LSTED HEREON, AN" TO THE ASSIGNELS OF THE LENDING IN51' TUTIUN. GUARANTEES ARE NOT TRANI," [O ADDITIONAL INSNNPONS O9 SUBSF' O W NER5. SUF'F: CQ.TAY MP%P DATA; [CX)C1-C� : �; 9 i i i2 i 66 i N.76p 37 _1 fil 1 1 1 1 I �; c• 4 y ` V 1 ` yl � 1 1 � 50 1 1 i x'04 10 i 1 ' tit ➢`. U�Q� Y� 1 t r. _ d 1 i 1 1 1 1 I �; c• yl � 1 i i 1 r. STATE OF NEW YORK) . SS: - COUNTY OF SUFFOLK) WILLIAM A. JACOBS being duly sworn, deposes and says: That he resides at 236 North Road, Greenport, Town of Southold, County of Suffolk and State of New York. That he is the owner of certain premises known as and by the street address of 236 North Road, Greenport, New York and has resided in the area for years. That he knows of his own knowledge that the main dwelling and part of an additional building were occupied as dwelling units prior to 1957. That in 1976 your deponent's agent,Craig Richter, applied for and receivedfrom the Town of Southold Board of Zoning Appeals a variance for the construction of an additional living unit in the aforesaid additional building,said variance proceed- ing being referred to as Appeal No. 2098,and for which an appli- cation for a Certificate Occupancy from the Town of Southold Building Department is being made simultaneously herewith. That your deponent makes this affidavit in the knowledge that the Building Department of the Town of Southold will rely on the truthfulness of the statements made herein. Subscribed and sworn to before Sf � me this day of \11,e4y 11983. � LL (Notary Public)-�� ILOTARY PUBLIC, State of New Y01% No. 524524771 Qualified in Suffolk County Commission Expires March 30, 198+.7'% MAP OF EASTERN swop -Es' - ( BUFFCO. K10-4021) 50, 4o) 39 U hL76E7'40E. 254.49 - 100.10 .274V,v. aW^LL ML -00. F.LA"Tt4. 7 rn A Z Z oZZ 1p Sli CTr 50.0 1 �1�1410 D_> Z: Z: Ln JE 6 Ty. t .74 Ln > Z m 0 En b l) -ARC, 97.87 -2AD.*3852.72 S.-77 57'30"W. 162.5 MIDDLE c - 2.48 ROAD MIDDLE7)N ROAD MAP OF Pr,-,CP'E Fr<--rY SUrZVEYED PQfZ [f2\V,,/IN VTAMA2A D E- f2 - G EENPGIkj TOWN OF SCU i HC VD, N.Y, "a SCALE -:60'-i* Z-1, MONUMENT Q. 112ON PIPE 4SUFF.,Z0.TAW MAP LATA; 1000-0323- 5 -9,+-1,12113. TITLE NO. 71 283-2599_— 66' a-JA2ANrEED TO THE rlrLE--GQAeANTFE CC ASSUIEVEYED SEPT. 7 2QE-ZCV- VAN 7UYL,PC.Oa A� IO MIS st4tm is A VIOLATION OF - 25 SIC10ON 750E OF THE WIN YOU PATI -Tm-sutm Aw NOT KAEwc C 1 IN &^M 9URVE1'OR'S WOM HAL Oft ! L I C C SU P -V EYC Q S _T LOWSSID SW SMALL MT 19CONSMW rQ K A VALID RM CO,11. =WAMM WmcATFD WzoN so1Au u- ,.L, TO THE MESON FOE WHOM CD n'o f1m cowAta, GovffW A, LIMIDING. 941liTUTION UST® moolow, A� " THE ASSIGNM OF THE tl.aoTT: — MAP OF EASTERN swop -Es' - ( BUFFCO. K10-4021) 50, 4o) 39 U hL76E7'40E. 254.49 - 100.10 .274V,v. aW^LL ML -00. F.LA"Tt4. 7 rn A Z Z oZZ 1p Sli CTr 50.0 1 �1�1410 D_> Z: Z: Ln JE 6 Ty. t .74 Ln > Z m 0 En b l) -ARC, 97.87 -2AD.*3852.72 S.-77 57'30"W. 162.5 MIDDLE c - 2.48 ROAD MIDDLE7)N ROAD MAP OF Pr,-,CP'E Fr<--rY SUrZVEYED PQfZ [f2\V,,/IN VTAMA2A D E- f2 - G EENPGIkj TOWN OF SCU i HC VD, N.Y, "a SCALE -:60'-i* Z-1, MONUMENT Q. 112ON PIPE 4SUFF.,Z0.TAW MAP LATA; 1000-0323- 5 -9,+-1,12113. TITLE NO. 71 283-2599_— 66' a-JA2ANrEED TO THE rlrLE--GQAeANTFE CC ASSUIEVEYED SEPT. 7 2QE-ZCV- VAN 7UYL,PC.Oa A� IO MIS st4tm is A VIOLATION OF - SIC10ON 750E OF THE WIN YOU PATI -Tm-sutm Aw NOT KAEwc IN &^M 9URVE1'OR'S WOM HAL Oft ! L I C C SU P -V EYC Q S _T LOWSSID SW SMALL MT 19CONSMW rQ K A VALID RM CO,11. =WAMM WmcATFD WzoN so1Au ,.L, TO THE MESON FOE WHOM 5 me. AM 0. .6 To f1m cowAta, GovffW A, LIMIDING. 941liTUTION UST® moolow, A� " THE ASSIGNM OF THE tl.aoTT: — MION, GUARANTM An Nor VAFOiH - ASOTION I