HomeMy WebLinkAboutZ-15591 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL _
SOUTHOLD, NEW YORK
'CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
XT Land Pre C.O. #- Z 15591
/ Xk Building(s) Date- April 6, . 1987
Use(s)
located at R.O.W. off Indian Neck Lane, Peconic
Street Hamlet
shown on County tax map as District 10.00, Section .098 Block 04 ,
Lot 21 doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area; side yard set-back; non-conforming garage
in front yard.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /x,J Land /gX/ 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 2 story, one family, wooden
framed dwelling, with attached porch; accessory garage; all §rtuated in
A-Residential Agricultural zone with access on R.O.W. to Indian Neck Lane.
The Certificate is issued to WOODIS FINCH ROBERTS HUDSON
(owner, $kYc}
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.
Building inspector _
M-3615 = 11.
FORM NO.6 !,f MAR 51987 {I'
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971170WN OF
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 features.
t 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 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:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15 .00
3. Copy of certificate of occupancy $1.00
4 .Vacant Land C.O. $5. 00
Date . . .December ,W,.
New Building . . . . . . . . . . . . Old or Pre-existing Building . . . . . . . . . Vacant Land . . . . . . . . . . . . .
ROW off IIJDIAN NECK LANE
Location of Property PLAT ,C,. M/o', INDAN,I NECK PARK,. .�.551— , . . . . . . . . . . .Peconic
House No. . . . . Street Hamlet
Owner or Owners of Property WOODIS,FINCH, ROBERTS ,HUDSON
County Tax Map No. 1000 Section . 098;00 , , , , , , Block . . . 04 .00, ; , , , Lot.' . . .021..000, , ,
Subdivision .M/Q.IY.dtan. Neck .Sark . . . . . . .Filed Map No. .�51 . . . . .Lot No. PIW. C . . . . . .
PermitNo. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HealthDept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .
UnderwritersApproval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . .
Fee Submitted $ .15.•00. . . . . . . . . . . . . . . . . . . . . .
Construction on above described building and permit meets all applicable odes nd regulations.
A lica /� P ✓ , . . . . . . . . . . . . . . . .
oe,(,
WOODIS FINCH ROBEP.TS H DSON ��Rev.10-10-78 _ � /�S^
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STATE OF NEW YORK )
)ss . : AFFIDAVIT
COUNTY OF N-FrW---Yt1t"
scr.��ou�
I , Woodis Finch Roberts Hudson being duly sworn deposes and
says:
1 . I am the previous owner of the premises known as 1695
Smith Road, Southold, New York.
2. To my personal knowledge and belief the house at 1695
mith Road, Southold, New York was built prior to April 23, 1957,
and has been used as a personal, one family, dwelling.
3. The house is presently in good condition.
WOODIS FINCH ROBERTS HUDSON
.y
worn to before me this
` day of March, 1987.
Notary u lic
AWN D.YOUNGS. Notary Publlo
State of Niiv York,Qualiflad in
Cuffoik County,Ift 62.4366275
80rrlmlaakln SWIM Much 30,_J1