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Home My WebLink AboutZ-17396 r TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORIviING PREMISES THIS IS TO CERTIFY that the ~ Land Pre C.O. z-17396 ,Q Building(s) October 7, 1988 Q Use(s) Date- located at 4015 Main Bayview Rd. Southold, New York Street Hamlet shown on County tax map as District 1000, Section 78 Block 2 Lot 16 does (not) conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; front yard set-back; fencing on town property. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming Land 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 applicable 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 Certificate is issued is as follows: Property contains 12 story, one family wood framed dwelling; accessory garage; fencing all situated in 'A' Residential Agricultural zone, with access to Main Bayview Road; a Town maintained road. The Certificate is issued to B• OWEN EDWARDS (owner , x~~ x~,K x~t~~) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE N0. N/A 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 ordinances, 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 regulations. Building Inspector FORM NO. 6 n TOWN OF SOUTHOLD U Building Department - Town Hall ~ 2 9 Southold, N.Y. 11971 765 - 1802 BLCG.DE^T. APPLICATION FOR CERTIFICATE OF OCC t1<Qp+dN Ur sot;r~~or_D Instructions A. This application must be filled in typewriter~R ink, and submitted ~ arm to the Building Inspec- torwith 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, 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pivperty 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 S 2 5.00 BUSINESS $ 5 0.00 ACCESSORY $10.00 2. Certificate ofoccupancy on preexisting dwelling S 50.00 3. Copy of certificate of occupancy S S . 00 , over 5 years $ 10.00 4.Vacant Land C.O. S 20.00 Q 9 S.Uodated C.O. $ 50.00 Date ......(./~C NewConstruction,,,,,,OldorPre-existing Building Vacant Land Location of Property P .'.lJd:~'~:.....~~~.. j . House No. ~ ~ I I n /S~treEt .Hamlet Owner or Owners of Property ...~..-C~Xi'."~P:'~-~?`~` 4! ,~Ci(~-~--~-,~.~+ . County Tax Map No. 1000 Section ...~.t?.. Block Lot Subdivision .................................Filed Map No~.,J~.......L~o't .N o,. . Permit No. Date of Permit ..........Applicant V4=. r: ~~,L'(~!~-~! . Health Dept. Approval ........................Labor Dept. Approval . Underwriters Approval ................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate / / Fee Submitted S . ~~.~:7.-~~.... . J ~ Construction on above described building an ermit meets all applicable codes and regulations. Applicant .........ar.~. GL.... . l' R.v. 10.10.79 ~ c~ ~.1 ~3~1 ~a STATE OF CALIFORNIA: SS COUNTY OF ~AtiI FpA~iciSro BRUCE 0. EDWARDS being duly sworn, deposes and says: THAT he is familiar with the property known as (NO#) Main Bayview Road, Southold, New York, designated on the Suffolk County Tax Map as: District 1000, Section 075.00, Block 02.00, Lots 016.000. A copy of a survey of these premises dated October 28, 1978 prepared by Anthony W. Lewandowski, 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, 19 5 7 . C~ Dated: September 1988 ,~i,'~n`. ®f.~ uce 0. 'wards - Sworn to before me this a y day of September, 1988 OFFICIAL SEAL LEVON FILIAN NOTARY PUBLIC • CALIFORNIA CITY ANO COUNtt OF SAN FRANCISCO a My Comm Expires Aug 26.1991 Notary Public ~ G ~v"r ~l~ ~ ~9~ (Genera]) STATE OF CALIF/ORNIA ~jr COUNTY OF n/f~/~Gfl/r ~.'lS~-jam`-' } SS. pn 7r ~ lS`" % ~y i before me, the undersigned, a Notary Public in and for said State, personally appeared ~/A £ ~'i~~' ®L? /c,~~ W W = personally known to me (or proved to me on the basis of satisfactory evidence) W ~ robe the person whose name subscribed a S ~ to the within instrument and acknowledged that OFFICIAL SEAL " LEVON FILIAN executed the same. NOTARY PUBLIC - CAUFOR[Yrt. WITNESS my hand and official seal. CITYAND COUNtt OF SAN FRANtl$EQ 1 My Comm Exp~ros Aug 26 194t Signature ll~z ~ ^ L? ~ Name (Typed or Printed) OFC-2056 ams.a. ro.arr~„i ~.i u.o /Q2 (o~ ~o~ ~ ~R~~~ _ _ - - ~~1vE,PAGe Li'~~ of ~f/aRE• ~O Sr O ~I N h i~ O O` 1 ~ i~ n I ~ 1. "CC ~ o ~ ~o y N ~ 7~ ?bo •if/ ~ ~ Q W ~ Q c o ~ ~ ~ a ~ ~ ~ O Q V ~ o ~,1 ~ F.QDN •Q t~ 4~P~t! C~ ~ /.?ON P/PES ~ ~ ~ ~ ~'NOH%t/ r!/Uf o ~ fTy - i ~ ~'t~ .Seq,NE- C~ Q .vad E- J ~ lJ FE.VCE- ~L1,4/it/ ,6,t1 /!~/E-~l/ X04 0 JJiJQ~ OF .~ROPFRTY S/TU.d TE A T ~'OUT~10L0 •~f'UFFOL~ CDU~VTy N• ~fYaL~ - 1 J.V- = 50 FT- ~'v.PVFyFO FOR • ~~4UCE O`YE~V fOl?/G,?Df ae~seD ~N~eo • yew 9 tiO~~ q~O~~ ~p * Q r I ~ r._ ; "///(G60 TITLE /tiUU~PD,(i~•E CO, dv0 33 6 9 g QNTyON% /~1! L EGf~oN001-Y~J'K/ Tl/F C//Eti //C,4L 3D.d~ ~ o„ Pw .BOK/ .POIJO • ~ fOUTNOLO • N .G,f D~ OCTOBF~i ~Bi /~78 NEW Y O ~ f, uc..vo. 33~9~ s