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Home My WebLink AboutZ-12471 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES No. Z12471 May 17, 1984 THIS IS TO CERTIFY that the /~/ Land /~/ Building(s) /-/ Use(s) located at 585 Dogwood Lane Southold Street Hamlet shown on County tax map as District 1000, Section 054 , Block 05 , Lot 056 , does.~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: the property has insufficient area; the dwelling has insufficient setbacks on the front and rear sides of the property. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /--X/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: a private one-family dwellin9 in the 'A' Residential-Agricultural Zone. The Certificate is issued to of the aforesaid building. JOHN NORRIS & HIS WIFE LYDIA also (owner, ' known as LYDIA NORRIS PELL Suffolk County Department of Health Approval Do record UNDER~rRITEl%S CERTIFICAT~E NO. no record 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 if the premises comply with al! 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- Buiid~ ~spector 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 featu res. 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" ~.l.nd uses: Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or vz2 topographic features. · 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. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use --Pre-Existing C.O,~ Vacant land C.O. (~p~-existing New Building ............. Old or Pre-ex_,isting Building . .~5.u,J,],cl~.r~g~ Vacant Land . . N.W. side of oo~wood Lane - sq. 67 ft. S.W. of ih't'e~c~i6~' of Location of Properw .4~.N.-.W.:. p.i.d.e..qr...Dgg~, p. qd' .L.a..n.c..~.i.t.h...t.h. ?..N...E....s.i.d.e., p.E..Dp.~.qo..d..L.a.ne. House No. Street Ham/et Owner or Owners of Property . {~...L~.d.i.a...N.o.~.~.i.s.. P.e. .1 .]_..(.s..ur.v.i.v..i .rig..~.i.d. qw.. o..f..0.o..h~n..N.o.~.~..i.s). .................... · ,,. "/ C),.~ ~ County Tax Map N o, 1000 Section ~ , .~.~-,~4.... Block ~" C~),,~-- . .......... ~,,-.. i .... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ,, .L.y,G,~,a,, ,N,o,~?,~,s, ,P, e.,[.~ ............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . P~.~=e~i~¢i~. (C.. of. O) FeeSubmtted$ 15.00 P/k~j~ ~=~[--~ tm ............................. 4%~ 9tt~[~ ~ { ) /// Construction on above de~ribed building a~~ap;~~and regulations. Applicant ~ .................................. [Lydia ~o~ris PeEl ~ ~ ~ ' '~' ..... R~. 10-1o-7a ' ROBERT I. SC01T. JR. '0TAEY PU~UC, State 0f N.7 ~0. 4725089, Suff01k C0untx erin Expires March 30. STATE OF NEW YORK) COUNTY OF SUFFOLK) SS.: LYDIA NORRIS PELL, being duly swo~'n, deposes and says: That she is the owner of dwelling located in the Town of Southold, on the N.W. side of Dogwood Lane - 5~.67 ft. S.W. of intersection of N.W. side of Dogwood Lane with the N.E. side of Dogwood Lane, which is designated and shown on the Suffolk County Tax Map as District 1000, Section 05~, Block 05 and Lot 056. Deponent has caused to be filed an application to the Southold Town Building Inspector's Office fop a Pre-Existing Certificate of Occupancy of said dwelling. This Affidavit is made to certify that deponent personally knows of her own knowledge that the dwelling was e~eeted in 195 2 and that deponent togethem with her husband, John Norris, resided in said dwelling until the death of John Norris on November 9, 1959. There- after deponent continued to reside in said dwelling until 1976 when she married Mr. Pell and resided with him in G~eenport, Long Island. The dwelling has thereafter continuously been used a a private ~esidenee by rentees to date. Said dwelling has continuously been used as a private home and that to deponent~s knowledge, there has been no changes made in the building of any kind, either prior to or subsequent to the date of the zoning ordinance in 1957. I make this Affidavit knowing that the Building Inspector's Office at the Town of Southold relies upon the truth of the statements herein contained. Lydia Norris Pell Sworn to before me this ~Jay of April, 198q. I~IARy PU~3LIC, State of No. 4725089, Suffolk Cou~. Term Expires March 30, 19~