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HomeMy WebLinkAboutZ-15310 TOW1V OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NE`'~' YOP~K CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the Land Pre C.O. 215310 /X/ Building(s) Date- 2/27/87 / /Use(s) located at 580 Wit 1 ow Point Sot~thol rl Street Hamlet shown on County tax map as District 1000, Section 056 Block 05 , Lot 2~ doesinot~conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient Total Area On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming / ~ Land /g/ 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 ~vhieh this Certifi- cate is issued is as follows: _p~Y].~rty Cnnta i ns a on F m~ ly wood Framed Dwelling; with accessory shed by Buildin Permit 77762 & C.O.Z15191 and Z.B.A. Approval. All situated in A-Residentdial-Agricultural Zone With Access to Williow Point Road. The Certificate is issued to Virginia G. Jones {owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N/A Uh'DERV~~R,ITERS CERTIFICATE NO. N/A 1VOTICE IS HEREBY GI~TEN that the owner of the above premises H_AS 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. 3ui:din~ .n pector FORM NO. 6 TOWN OF SOUTHOLD Building Department - Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspec- torwith the fo{lowing; 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, acertificate 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 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 $25.00 BUSINESS $50.00 ?~Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $ 10.00 4.Vacant Land C.O. $ 20.00 '~~~/~'7 5.Updated C.O. $ 50.00 Date / NewConstruction, , , ,Q', Old((or~~re-,,ex__i11sti~n Buildin~.. , x....... Vacant LanLd Location of Property . ~ IVI.~'~{/ .tF~l/1~..l\.Qa~ ~f~rL/~!'l.O.'.~... • , . . House No. ~ ~ ~ Street Ham/e Owner or Owners of Property ...1/~c'e INt>i4.. ~7.~ . ~one~, , , IC~~ ..~I~:td/1} ~cA~~ County Tax Map No. 1000 Section Block Lot ....~!`..1....... . Subdivision . .......Filed Map No. ..........Lot No. - .7.~7. l a V 1~CCr~U~N- .il ? k .a ~coat~ Permit No. Date of Permit .......Applicant ~.r 1. . . Health Dept. Approval ........................Labor Dept. Approval . Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate . Fee Submitted $ . Construction on above described build-ing and permit~neets all/applic~abl codes and jeg lations. Applicant Rev. 10-10J8 C%( CONSENT TO INSPECTION VIRGINIA G. JONES the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 580 Willow Point Road, Southold, New York which is shown and designated on the Suffolk County tax map as District 1000, Section 56 Block 5 Lot 29 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: RTTFT ATF OF O~ CY ON per-EXISTING DWELLING That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ,7an„a,-z '30, 1987 ~~~gn~ VI IN'iAaG rJ S ~f Ytl ~n1~ ~01-~25 (print name) (signature) (print name) 4 m N ,Z Z a u as W . W to Z as a ~,~,,,.r~""". ~ o 4 ~ W NZ a W O W ~ ja + 6 I Q IJ1 y a zo~r. c,~ ~j [r ~ Q Q z c9 cU 4p 4 c!1 f5~ i ~ ~0 Q- .lJnj ~ ~ N ~ ~ a d ~ 66. tsvo ~ ~ 8~2 ~ ,aye . w ~ o = z c.i aa~'~._ , 7 ~ ~ ~ ~ 3 v W b' OC V OGO~ ~ Q ~ 'Tt,a ~ ~ ~ 3 a. ~ ~ O~ ~~a~, N D J Zoo ~o Q ~°s ry ~ _.l ci tL ,~.d .~ti~ ~ o c~ p~' W N S~ 6+ P~ G`1Q,, ~ p r' ~ 2 f ~ -w ~ a' r. Q ,~,r' s o 1'\ ~ s~ j Wis. z r Z a z W_7 r. ~ u < u. Y ` a Qo ,1 ~ r ~ u. cv ~ ~ON~ Z ~ W ~ ' p O 7 o p~z "s p ~ m W 4 © ~ V ~ Z W Y d t~' t'. d .J O ~~~'ss o oti 0~' o~so ~d Q` NMf ~ G 2 ~V ~O AFFIDAVIT STATE OP NEW YORK ) ss.: COUNTY OF NASSAU ) ~~G~-5 • f~lni7~ /tea • y77G PREMISES: 580 Willow Point Road Southold, New York Section 56, Block 5, Lot 29 VIRGINIA G. JONES, n/k/a VIRGINIA G. COOK, being duly sworn, deposes and says: 1) The the premises located at 580 Willow Point Road, Southold, New York was built previously to April 1957; and 2) Said premises was and is strictly used as a residential home. U . o X-Z.N VIRGI IA G. JONE n k a VIRGINIA G. COOK Sworn ,to before me this day of FEBRUARY, 1987. NOTA PUBLIC, STATE OF~ MARY ELLERI H?,ptRY lVofery Public ' t: aw Vork No 3~ Oualitiac m u ~y Commis,, a~ ~ idl to