HomeMy WebLinkAboutZ-11711TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORAIIING PREMISES
No. Z11711 6/3/83
THIS IS TO CERTIFY that the
Land
Building(:e)
Use(s)
located at 58775 Main Road Southold
Street Hamlet
shown on County tax map as District 1000, Section 056 , Block 02 ,
Lot 003 doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons: Premises is zoned 'A'
Residential. The Bulk Schedule requirement for this zone is 200'-0"
for lot width & setback for principal building is 50'-0" for front
yard --Art. III, Sec. 100-31 as amended May 20, 1983.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /X/ Land /X/ Building(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: one -family dwellin
The Certificate is issued to ROSEMARY 0. H. MUFF
(owner, lessee �o-r-tori)
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
tions.
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 or land use $5.00
3. Copy of certificate of occupancy $1.00
Date 6/1/83 ...................
New Building ............. Old or Pre-existing Building .. x ........ Vacant Land .............
Location of Property 5.8775......................Main Road,. Southal.d,. N..Y ............
House No. Street Hamlet
Owner or Owners of Property Rosemary 0. H. Muff.
County Tax Map No. 1000 Section .. 0.5.6...QQ ...... Block ..02.•.QQ........ Lot ..RQ3.000...... .
Subdivision .................................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 Pxe-existing.dwelling.
Fee Submitted $ .15..00 ......................
Construction on above described building and p rmit meets all applicable codes and regulations.
Applicant .. >.A!??�A7z .. ..Q.'/a?/
/a/.•..L...
.. ..................
Rev. 10-10.78
Rosemary O. H. Muff c O —&, ( I -� I 1
1
, a 1'19 q
,� a(3'1 (9(3(�3
STATE OF NEW YORK)
COUNTY OF SUFFOLK) ss. :
says:
ROSEMARY O. H. MUFF, being duly sworn deposes and
That she resides at 58775 Main Road, Southold, N. Y.
and is the owner of said premises on which is being made an
application for Certificate of Occupancy.on the pre-existing dwelling.
Deponent is co -grantee in deed made by Leland P. Booth
recorded 12/12/67 Liber 6272 pg 06 in the Suffolk County Clerk's
Office.
Deponent knows of her own knowledge that the "new"
section of the dwelling was added on about 1904, and to the best of her
knowledge the dwelling has never been occupied for other then a
private dwelling. The dwelling was so occupied when she came into
title, and upon conversations had with Mr. Booth she knows of no
other use of the premises.
Wherefore, deponent makes application for a certificate
of occupancy on the pre-existing dwelling at 58775 Main Road, Southold,
New York.
Rosemary O. H. Muff
Sworn to fore me this
,,dV da f June, 1983
19LIC, State of New Yo*
422, Quart. M WffWkp�
born Awrttf 30. 1!.(1W
10 /
lit
^ fi Ff
_t
u
+ N/r
aI � N O
R W / N �. ig5.10(AOT�)
N /F 4-90-196'(4CZE 195 09(_
49063�(DEED) rc ` to
s o' • r"° ro" ° b
"IGF/r.l�e
' S 1!"� • Tec
t.
FA NS£. t�rcrtor
Ku. srers
rnr
AREA -//6,73961
Z.6800 ACRES
N/F
�_"r"•I"s ". OLP
,arra"
N" 1 JWE
ZITEK
MA P OF
DESCRIBED PROPERTY
AT SOUTHOLD
TOWN OF SOU'THOL D
SUFFOLK CO., N Y.
3
Z
•
V
3% b
z N
`
U
685.20iA T WL)
6�5.24'lDEEDi t:
CERTIFIED r0-
OOMMONWEAL7H LAND T/rL£
MW -;8C
* 949-246
JEFFREY S WILLAAMS B MARY WILLIAMS
donack associates
land surveyors and
consulting er, .
313 west main street
riverhead,new york 119Cl
(516) 369-1717 (212) 746-3
Apr$ 26, 1983 Job Ns 83-'5
1000-056-02-03 Scale I"- 3'1
x. k
Ot" NL':W YORK.} .
('C)L:NTY OF SC FFOLI00�'
Chi NARY ,A. MUFF, bang duly sworn deposes and
Nays:
That she resided`at 58775 Main Road, Southold, N. Y.
�Xiid is the owner of said Preibises on which is being made, an
application for Certificate of Occupaney•on the pre-existing der elling.
Deponent is do -grantee in deed made by Leland P. Booth
recorded 12/12/67 Liber'6272 pg 06 in the Suffolk County Clerk's
Office.
Deponent knows of her own knowledge that the "new"
section of the dwelling was added on about 1904, and,to the best of her
knowledge the dwelling has never been occupied for other then a
private dwelling. The d*elling was so. occupied when she came into °
title, and upon conversatims had with :Mr. Booth she knows of no
other use of the premises.
Wherefore, deponept makes application for a certificate
of occupancy on the pre+exiettng dwelling at 58775 Main Road, Southold,
New York.
Rosemary O. H. Muff
Sworn to efore me this
of June, 1983
SAM1,111t J. C•.LICKMALN
NOTARY PUBLIC, Stcte of tJew York
Na 52-4671422, Quota m $ iffolk
�tiJlriflti F.xpin, p iMQr�h 30;, :I��