HomeMy WebLinkAboutZ-14670 TOIVN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN tLtLL
SOUTItOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
CONFORMING PREMISES
THIS IS TO CERTIFY that the
/_X/ Land Pre C.O. #- Z 14670
/ X/ Building(s)
/--/ Use(s) Date- July 18, 1986
located at 895 North Bayview Road Southold
Street Hamlet
shown on County tax map as District 1000, Section 70 , Block 13
Lot 20 , does[ ;conform to the present Building Zone Code of the
Town of Southold for the following reasons:
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above conforming /_~/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 Certifi-
cate is issued is as follows: Froperty contains a two story, one,family,
wood-framed dwelling; a one-story dwelling; an inground swimming pool;
an undeveloped, approved sub-division; and a recreation area. Ali
this situated in the "A"Residential-Agricultural Zone with access
to North Bayview Road.
The Certificate is issued to
of the aforesaid building.
WILLIAM F. LA MORTE
(owner,
Suffolk County Department of Health Approval
N/A
UNDER\~qqlTEI~S CERTIFICATE NO.
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises H_iS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine ff 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.
Buiidin~ inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
$outhold, 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.
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/ landuse--1~re-Ex±st.±ng C.O. $1.5.00
3. Copy of certificate of occupancy $1.00 Vacant. .Land C.0. $ 5.00
Date ..... .'~.~../'.~, .~ ?.~. ....... '...
New Building .......... _~.OId or Pre-existing Building ............ Vacant Land .............
Location of Property H~.Z~ se~A~/,.o: ,~.o ,,//V/. ,~:::2.,.~. ,7, ,-~,.....~'..~.....//,/..~::..-~,., .$~r,~A~e~t;, .,~- ......... ~:..4'~...,~...H~/n;e.t
Owner or Owners of Property ...~../..~../..~. ·....~'. ·..~ .'~. · .~.~.~..~..~'. ...........................
County Tax Map No. 1~0~0 Section ..... ~ ....... Block ...... .~.~. ...... Lot.....~. ..........
Subdivision .~?~....~. i .~..~. ~)./~. · . .~..~..~..~ .... Filed Map~No...~..~....Lot No ..... ; ........
Permit No ........... Date of Permit .......... Applicant ./~'/-Z-~.~?~.. ;~.-. ~r~/~ .........
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificat~ ..................... Final Certificate .. ~.. ..................
.... ....
~C~nstructi°no,~~--I L~(~'(-~°n above described buildinq.~'rd3~ermitr ~,, ~] meets~,,~ / all~applicable/~,,~codes and regulations.
~1~-~' ~0[-'I0~-~ Ap p I ic a n tN._(~____../-~.~~. ~. ~ ~ ......................
Rev. 10-10-78
STATE OF NEW YORK )
) SS.:
COUNTY OF SUFFOLK )
JOHN J. NICKLES, being duly sworn, deposes and says:
THAT he resides at (No#) Main Road, Southold, New York, and that
he has been a resident of Southold Town for the past 48 years;
THAT he is familiar with the property known as (No#) North
Bayview Road, Southold, New York, designated on the Suffolk County Tax
Map as District 1000, Section 70, Block 13, Lot 20. A copy of a
survey of these premises, dated June 21, 1977, prepared by Young &
Young, Land Surveyors is attached hereto.
THAT on personal knowledge, information and belief, your deponent
can state that the structures shown on said survey were built prior to
April 23, 1957; that there have been no changes to said structures,
other than normal maintenance, since prior to April 23, 1957.
THAT on personal knowledge, information and belief, your deponent
can state that the subdivision improvements shown on said survey have
not been made; that, except for normal maintenance, the roadways and
paths within the property remain as they existed prior to April 23,
1957.
Dated:
Sworn to before me this
/~'day of July, 1986.
~ N~a r~~
MARY DIANA FOSTER
HOTARY PUBLIC, State of New Yo~
No, 52-4555242, Suffolk County
Commission Expires March 30,
John/~. Nickles