HomeMy WebLinkAboutZ-13336TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
Land
Building(s)
Use(s)
located at 55 Summit Rd.
Pre C.O. #- Z13336
Date- Aril 8,1985
Southold
Street Hainlet
shown on County tax map as District 1000, Section 079 , Block 06
Lot 015 doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area. Insufficient front yard set -back.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /X/ 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 information presented to
the Building Inspector's Office, the occupancy and use for which this Certifi-
cate is issued is as follows: Property contains a one story, one fam-
ily, wood framed dwelling with an accessory shed. Property lo-
cated in the A -Residential -Agricultural Zone, with access to Ed,s
Road & Summit Rd., both Town Maintained Roads.
The Certificate is issued to EST. OF SOPHIE M. SMITH
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. 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 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.
CL__
Building inspector
STATE OF NEW YORK )
) SS..
COUNTY OF SUFFOLK )
BESSIE L. AUSTIN , being duly sworn, deposes and says:
THAT he/she resides at (No#) Terry Place, Southold , New York;
and that -he/she has been a resident of Southold Town for the past 3.0 years;
THAT 4e/she is familiar with the property known as (No#) Summit Road, Southold
New York; designated on the Suffolk County Tax Map as: Dist. 1000, Sec. 79,
Block 6, Lot 15. A copy of a survey of these premises, dated April 1, 1985,
prepared by Roderick Van Tuyl, 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;
and that there have been no changes to said structures, other than normal
maintenance, since prior to April 23, 1957.
Dated: April 5, 1985
Sworn to before me this
5th day, ' f-)lpril, 1985.
Notary Pu lic
i�
7
FORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
77
APR - 5 S;>
��wak c4i5b
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 / land use --Pre-Existing C.O. $15.00
3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00
Date , ,April 51 1985
New Building ............. Old or Pre-existing Building ..... X...... Vacant Land .............
Summt
Location of Property .......,xoad,.SPµthv7d..NX.........................................
House No. Street Hamlet
Owner or Owners of Property .... q f , $9phie. U.. Smith ...............................
County Tax Map No. 1000 Section . 79............ Block ... , . 6......... Lot .. 1S ............
Subdivision .................................Filed Map No. ..........Lot No. ...... I ......
Permit No. .......... Date of Permit ..........Applicant , , , , , , , , , , , , , , , ,
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate ...... X................
Fee Submitted $... 15;00 .....................
Construction on above described buildinqoj
a ica codes and regulations.
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APPlicanL�...................
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UnauthorinA aftwation or addition
a violation of
Section 7209olthe Naw YOfkSVft
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Eduwtlon Law.
Cmlea of this survey map not bearing
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the larw su�eyor*s Inked seal m
emboss�d �l shall not be considered
to be a valid true ropy.
Guarantees IndirAted hereon Shan run
r'.y to am p—or, to, whom the surveyis
prepared• and on his behalf to tho
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