HomeMy WebLinkAboutZ-14031 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the C.O. #Z.14031
te November 25 , 1 985
Land Da
tX/, Building(s)
Use(s)
located at 855 OLD HARBOR ROAD NEW SUFFOLK
street fiamlet
shorn on County tax map as District 1000, Section 1 1 7 . 0,o Block 03 . 00 ,
Lot 07 . 000 does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area . Non-conforming accessory garage in side
yard . Insufficient rear-yard set-back.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming lX/ Land X/X / 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-
Property contains . a one story, one family ,
sate is issued is as follows: wood framed dwelling with. a two car acc-
essory garage and well pit . Property situated in the A-Residential
Agricultural zone with access to Old Harbor Rd . a town maintained street .
The Certificate is issued to ESTATE OF FLORA B. MASON , DECEASED
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
Building Inspector
BUILDING DEPART1,1ENT
TOWN OF SOUTHOLD, N.-Y.
HOUSING CODE INSPECTION REPORT
Location 855 OLD HARBOR RD. NEW SUFFOLK
number & street Municipality
Subdivision Plap No. Lot(s)
Name of Owner(s) FLORA B . MASON
Occupancy
type . (owner-tenant)
Admitted by: Accompanied by:
Key available ! Suffolk Co. Tax No.
Source of request RICHARD LARK ATTORNEY Date
DWELLING:
Type of construction . WOOD #stories 1
Foundation CONCRETE Cellar FULL Crawl spac _
Total rooms, 1st. F1 5 2nd. F1 3rd. Fl
Bathroom(s) 2 Toilet room(s)
Porch, typeSCREE` '/CONCRETI)eck, type ___ Patio, type
Breezeway Garage Utility room
Type Heat OIL Warm Air Hotwater xx
Fireplace(s) xx No. Exits 3 Airconditioning
Domestic hotwater XX Type heater HOT WATER
Other
ACCESSORY STRUCTURES:
Garage, type const. WOOD 2 car Storage, type const.
Swimming pool . Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 45' N.Y. State Uniform Fire Prevention
B ildi Code
Location Description Art. 1 Sec.
Remarks:
Inspected by: AC Date of Insp.
Time start . Za end ' .0%
D
FORM NO. 6 `�„{I I � (985 L'
TOWN OF SOUTHOLD 11� F�
Building Department
Town Hall 13!_CG.
.:`�outhold, N.Y. 11971 TOVdtE U` �c:,, `�r��t; ..w
APPLICATION FOR CERTIFICATE OF OCCUPANCY --tF
Instructions
A. This application must be filled in typewriter OR ink, and submitted �4+eatato 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
November 6, 1985
Date . . . . . . . . . . . . . . . . . . . . . . . . . .
New Building . . . . . . Old or Pre-existing Building . . . . .X. . . . . . Vacant Land . . . . . . . . . . . . .
Old Harbor Road New Suffolk
Locationof Property . . . . . . . . . . . . . . . . .. . . . . . . .
House No. Street Hamlet
Owner or Owners of Property . . . .FrPt atQ. At ,FIAr4,B,.. Mason, , deceased , , . , , , , , , , , , ,
County Tax Map No. 1000 Section . 1.1,7. , D0. . . . . . . Block . . .03,. 00 , , , , , , Lot . .007.. 000 ,
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . .
Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant ,Richard, F.. ,Lark . . . . . . . . . . . . . . .
Health Dept. Approval . .n/. . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . n/a. . . , . . . . . . . . . .
Underwriters Approval . .n/a. . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . n/a, , . , , . , , . , , . , .
Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . ... . . . . . . . . . . . . . . .
Fee Submitted $ . . . . . . . . . . . . . . . . . . . . .
Construction on above described building and perm/mee a lica le esan re lations.
Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Richa . Lark, att � ney �for owner
Rev.10-10-78
r
CONSENT
TO
INSPECTION
B. Mason, deceased
Margaxe ..Donahue, Executrix 4f,� the Estate of loran. the undersigned,
Owner(s) Name(s)
do(M hereby state:
estate is
That the undersigned 410 (arekthe owner(s) of the premises in the Town
of Southold located at 'Old. .Harbor Road; New. Suffolk _
which is shown and designated on the Suffolk
County tax map as District 1000, Section 117 . 0 p Block 0 3 . 0 0,..Lot 0 0 7 .0.0 0
has
That the undersigned UW4havvi filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Pre-existing Use
does
That the undersigned de(vx) hereby give consent to the Building Inspectors
of the Town of Southold to'enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do0ft) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations: of the Town of Southold.
STATTE OF FLORA B. MASON
Dated: -November.�D', 1985. By: /
(sign ature)
Margar t Donahue, Executrix
MARGARET -DONAHUE
(pripk.,namne)
(signature
(print name)
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CERTIFIED TO : 4 4,,V
AMERICAN TITLE
INSURANCE COMPANY
TITLE NO. 07 - 108295 SURVEY FOR
ELLEN M. BLACK U GUOYTON RICHARD K. GUYTON
6k
ELLEN M. BLACK - GUYTON
A7 NEW, SUFFOLK
oF NEw y TOWN OF SO U THOL D
�'`Poy,eti A. 1,AVQ 0 SUFFOL K COUNTY , N. Y.
do WOO - 117 - 03 - 07
' SCALE 1 "- 40'
OCT. 7, 1985
2
D 4,966 N.Y.S. L I C. NO. 49 668 wish the mir�'n'u"'
-HA 1kin. Prepared in accordan s as established by
P EC I R S & ENGINEERS , P. C standards for title surveys
and adopted
(51'6 765 - 5 0 0 the L.1.A.L•S. and approved
State Land
P. 0. BOX. 909, for such use by The NOW
MAIN ROAD Title Association.
SOUTHOLD, N.Y. 11971
85 - 347