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Z-16584
TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR . TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the Land Pre C.O. #- Z16584 Building(s) Use (s) Date- Jan . 15 , 1988 located at 665 Bayshore Road Greenport Street Hamlet . shown on County tax map as District 1000 , Section 053 , Block 04 Lot 20 does (not) conform to the present Building Zone Code of the Town of Southold for the following reasons : Insufficient total area; sideyard setback . On the basis of information presented to. the Building Inspector' s Office , it has been determined that the above nonconforming Z27 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 one story, one family, wood framed dwelling , with enclosed porch , 2 stoops and a ramp ; a seawall ; hedge ; fencing and all situated in A Residential Agricultural zone with access to Bayshore Rd . ; a town maintained road . Since Zoning property obtained permit # 1624Z. with C . O . Z1344 for an addition . The Certificate is issued to PAUL F . WOOD JR . (owner, 1)M)§ ht A1't�g 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 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 . U Building Inspector D � FORM NO.6 r TOWN OF SOUTHOLD ' Building Department TOWN OF SOUIN�OIA Town Hall Southold, N.Y. 11971d 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANC� ;�A,J 1134 3 Instructions �/ 2U r A. This application must be filled in typewriter OR ink, and submitted n M to the Building Inspec- $<e,:r_ 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. c B. For existing buildings (prior to April 1957) Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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: Additions $25 . 00 1. Certificate of occupancy New Dwelling ,$25.00, Accessory ,$ 10.00 Business $50.00 2. Certificate of-occupancy on re-existin dwelling $ 50-- 00 3. Copy of certificate of occupancy 5 . 0 0 , over 5 years $ 10 . 0 0 4 .Vacant Land C.O. $ 20 . 00 5.Undated C.O. $ 50 . 00 Date NewConstruction. , , , , , Old or Pre-existing Building . . . . . . . . . . Vacant Land . . . . . . . . . . . Location of Property . .6 6 S � 3/�� , , C/e. �� a Al. House No. Street . ' �V ' ' ' .J. Hamlet Owner or Owners of Property . . . : ._P�1v !-: . . . �©O�. Jf'� . . . . . . . . . . . . . . ... . . . . . . . . . . . . County Tax Map No.r1000 Section . . . . 5 3. . . . . . Block . . . . . . . . . . . . . Lot . . . Q. . . . . . . Subdivision ./7 r•N�( !`� , . . . . . .Filed 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 . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and pgimts all app ' ble esnd regu atio s. Applicant . . . . . �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rev.io•ioas /�, 33 �a o, s W �� � o, z V/s'�� TOWN OF SOUTHOLD DATE Building Department Town Hall Southold , New York 11071 \~,� To Whom It May Concern: I , Paul F Wood , the owner of the property and building (house) located -at 665 Bayshore Road , Greenport , New York ( 11944) as entered in the Suffolk County Tax Map No. : 1000-053-4-20 as Lot 44 on the "Amended Map A of Peconic Bay Estates" , filed in the Suffolk County Clerk 's office as Map No. 1124 , solemnly swear that it is a primary residence occupied by myself, and my mother , Dorothy F. Wood. It is used as a permanent all-year-round residence and the building is in excellent condition. The purpose of this statement is to obtain a Certificate of Occupancy on a pre-existing dwelling that was constructed in the Spring of 1949. HELEN K DE WE ___________�______________ ___ ' m�����34�_�/ No.4707878,Suffolk Countyf Paul F Wood Attachment: Survey of January 4, 1988. 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