HomeMy WebLinkAboutZ-15740 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YOP.K
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
Land Pre C.O. #- Z- 1 5740
Y/ Building(s) Date- May 8 , 1987
Use(s)
located at Fishers Island
Street Hamlet
shown on County tax map as District 1000, Section 009 , Block 01
Lot 16 doesinoOconform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area
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 2 story , one family ,
woodframed dwelling , with enclosed porch and situated in the
'A ' Residential Agricultural zone with access by Private Road .
The Certificate is issued to JEAN M. LEUCHTENBURG
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval N/A
L
UNDERWRITERS CERTIFICATE NO. N/A
NOTICE IS HEREBY GI�TEN 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.
::uiidin: - :nsaector - —
j FORM NO.6
w TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted 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.-195.7), 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
5.Updated C.O. $15.0 0 Date . . . . . . . . . . . . . . . . . . . . .
r!
Newt . . . . . Old or Pre-existing Building . . . . . . . . . . . Vacant Land . . . . . . . . . . . .
Location of Property .. . . Fishers .Island . . . . . . . .
,
House No. Street Hamlet
Owner ck2x�m of Property , Jean M. Leuchtenburg: . , . . , . . , ,
County Tax Map No. 1000 Section !. . . . . . . . . Block . .@ : . . . . . . . . . . Lot . A4"� . . . . . . . . . . .
Subdivision . . . . N/... . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . .
Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Health Dept. Approval . N/A. . . . . . . . . . . . . . . . . . .Labor Dept. Approval . , N/A .
Underwriters Approval . N%•. . . . . . . . . . . . . . . . . . .Planning Board Approval N/A. . . . . . . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . N./A. . . . . . . . . . . . . .Final Certificate . ,N/A , , , , , .
Fee Submitted $ 15 .00. ... . . . . . . . . . . . . . . . . . . . .
Construction on above described building and permit meets allapplicable codes and regulations.
Applicant ,>,n . .. 4S \'i�. �`-`: . . . . . . . . . . . . . . . .
Rev.10.10-78
Rxc. 3)1,35
- ' - - _ x
_ In the- Matter •of
Title Being Conveyed
from Barbara: Kane Javeaera.�_'
: -AFFIDAVIT
to ":Jean M. Leuchtenburg
Situate on. Fisher's Island "
and - known -,as F }
w _
Mansion' House`:Cottage.. C;
STATE., OF -NEW YORK)
ss
COUNTY -OF SUFFOLK),
I, RICHARD.' S`. BAKER; having` 'been--:duly -'swor.n,J do depose
and stay .
.•I ,am-'over ,the' 'age, -of twenty-one. .(21) °years 'and now reside
on Fishers Is-Land,, wh`i_ch has been my -residence for over; thirty (30)
•years last past
I am- familiar' with . the -,Mansion ,House` Cottages,:, which I'
believe were originally 'built in or- about 1917 .
I, ,have examined-the" survey ;of Chandler &:-Palmer •'dated-
'� September '.;1964` of subject premises and certi^fy th•at there have bee•
-no exterior:,changes. or`'additions to``-the' structure. on;`the • premi.ses subsequent `to` 19.64-., I:,.further certify that I ..believe said .s'truc-
tore- has -remained ' unchanged"-since prior, to .1957
I am .not related-.::in any manner to` _Barbara 'Kane'•-Jave,l•era:'
}
nor '.to ' Jean M.• Leucht'enburg 'and have no pecuniary interest in,
subject premises
w
' Ric ar.d Baker
• - - - - - '_ ,, _ -, L; �-- w' i�--^4•{mil^» y `'� •
Subscribed' and Sworn to
r 'r -Before me this'
4); day of April- 1.987
�Jyf3a. No Public '
w1EA6UccED 1=KOM U. S, Cn,gST AN0 GEOgETIG
tUKVEY TKIAI.IGULAT'Ic STAT1011
3.po. o
98
Jf Al
of
(0 /Y
0 Le
w
;TITLE � ISO- ►fl{- -81a
G u AKAW-r.EE D. To
'rVAV TITLE GUARALITEE COMPANY
I HEi�'E8Y CEf�TI�`f THAT TWIG ,
PL.A,w I S. CoKKECT.
PLAN OF PKOPE IZTY To 13E.CONVEY VEOTO
�FE591pN . .
FKAN K B . M c K OWN , J �. .
z10F15�iEc�S I SLAM D NEW Yo��
U �- � SGA1.E; 1��= 4-oFT. C1�A►�Jc7LE1� {¢ PAL_MEP�ENG�� ,
s SEPT. I Ira,Ue
37704
O NEB -to
F