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Home My WebLink AboutZ-16197 TO\~ .... ~P SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN IL. iLL SOUTIIOLD, NEW YOP, K CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES TillS IS TO CERTIFY that the /-X/ Land /-~ Buildina(s) /-/ Use(s) Pre C.O. ~- Z-16197 Date- September 22, 1987 located at 3075 Lighthouse Road Southold, New York Street Hamlet shown on County tax map as District 1000, Section 050 , Block 03 Lot 02 , 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; side yard set-back on Accessory garage On the basis of information presented to the t~uilding 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 appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon i~formation presented to the Building Inspector's'Office, the occupancy and use for which this Certifi- cate is issued is as follows: Property contains 2 story, one family, stone & wood framed dwelling; accessory garage; concrete drive; hedges completely around property 'A' lines; wood gate; all situated zn Residential Agricultural zone with access to Lighthouse Road; a Town maintained Road The Certificate is issued to of the aforesaid building. ROBERT R. REILLY (owner, Suffolk County Department of Itealth Approval N/A UNDERWRITE£tS CERTIFICA~i"E NO. N/A NOTICE IS IiEH. EBY GIVEN that the owner of the above premises I-LiS 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 ]3uildin~ 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. l~uiiding inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m~ 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 p~operty 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 $2.5.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Cer~ifica~,e of-occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $ 10.00 o.oo _ 5.Updated C.O. $ 50.00 Date .... /. .......... NewCons t. ruction ...... O/~ or Pre-existing Building . .~ ..... Vacant Land ............. LOCation of Property ....... :.. ¥.-~ ~.v...-,..,~..: !.-...,~.,j~... ....................................... Owner or Owners of Property .....w~...--.~..-.(~. ~....~,-~....~. ~ ................................. CountyTax Map No. 1000Section .... ',,.,,~. ~... ;... Block ..... :.~. ....... Lot ..... ~ ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant....~.c. ~., .~ ............ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....~ .................. Fee Submitted S ...... ~'. ..................... Construction on above described building and permit meets &Il apDlicable codes and regulations. Re~. 10-10-78 33a, R.5 , STATE OF NEW YORK: : SS COUNTY OF SUFFOLK: John Nickles being duly sworn, deposes and says: THAT he is familiar with the property known as (No#) Lighthouse Road, Southold, New York, designated on the Suffolk County Tax Map as: District 1000, Section 050.00, Block 03.00, Lots 002.000. A copy of a survey of these premises dated September 15, 1987 prepared by Peconic Surveyors and Engineers, P.C., 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. Dated: September 21, 1987 Nick.s / Sworn to before me this 21st day of September, 1987. blic Z N IO/F LAND OF HERING .N. 55' 4.8' ::)2' E. $. 55' O2' 20' W 25' WIDE IR. 202.15 HEFtiNG CERTIFIED TO; TICOR TITLE GUARANTEE CO. SOUTHOLD SAVINGS BANK JAMES D. GREENFIELD CLAIRE L. GREENFIELD sOUND ViEW AVENUE ( sOUNDVIEW AVE.) 0 0 Crepared in aeee~la~ce wi~ the mimmu~,, the L.I..~. L. S. ~ ~lppr~ and adoptec~ Title A~a~iatJm~. 909 .......... j ,NOAD ~ ............................... ...SOUT~Z-. 9, ~. 7!97{.... -, .W~,.~.T.,_, .... SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY N.Y. I'000 -- 0.50 - 03 02 . SCALE I" = 30'- S,EPT' 1'5, 1,987