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HomeMy WebLinkAboutZ-14125TOWN OF SOUTHOLD ©?FIC]:; OF BUll,DING INSPECTOR TOWN tlALL 5()UTI1OI,D, NEW YORK CERTIFICATE OF OCCUPANCY NONCONi, OI~'!ING I?REMISES Ti[IS IS TO (~i~F1F'/ that the /~/ Land Pre C.O. /X/ Building(s) Date- /-/ #- Z14125 12/27/85 located at 5200 Great Peconic Bay Boulevard Laurel ~trcet Hamlet ~;hown on County tax map a.~ District I000, Section 128 , Block 02 Lot 021 , does~not,)ccnform to the present Building Zone Code of the Town of Soulhold for' the following reasons: Insufficient total area; insufficient front and rear yard setback. ,Da th(; bas:is of information presented to thc Building Inspector's Office, it has been determined that the above nonco~fforming /]~ Land /~/Building(s) /~/Use(s) ekisted on the effective date the present Building Zcne Code of the Town of ,tn(~ amy be continued pursuant to and subject to the appli- cubic provisions of said C de. IT IS FURTIIE~ CELTH,~D that, based upon i~fformation presented to the Bu~/dinK InsDcctm-'s Office, the o:cupancy mud use for which this Certifi- cate i~ issued is as follows: property contains one-story, one-family wood framed dwel~ng, with a{tached porch. Property situated in ~h~, 'lg'2 Residential-Aqricultural Zone with access to Right-of-Way to Great Peconic Bay Blvd. The Certnmatc Is i~sued to of (he aforesaid buildinff,. FREDERICK W. BAKER (owner, ~ or Suffolk County Dcpnrtnmnt of llealth Approval no record .xI)l ,I ,k~ Il. ITL, IL., £.,,~1~ FII I£.A'I E no record NOTICE IS III:jRI,;IqY GIVEN that thc owner of the above premises I.UIS NOT CONSENTED TO AN INSPECTION of thc premises by the Building Inspec- tor to determine if the premises comply wi~h all applicable codes and ord'- znces, other than the ~'lui)din~ Zone C,~cle, and therefore, no such inspection has b~en c~,ndncl~d. This Certificate, therefore, does not, and is not intended to certify that the pr'eh,iaea ct)reply with all other applicable codes and tion:~. Buikilng inspector TOWN OF SOUTHOLD Building Department Town Hall APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filied 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 bui:dings and installa- tions, a certificate of Code compliance from the Architect ar Engineer responsible for the building, 5. Submit Planning Board approval of completed site pran requirements where applicable. For existing buildings (prior to April 1957), Nowconforming 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. Dute of any housing code or safety inspection of buildings or premises, or other pertinent inforrr,~a- tion required to prepare a certificate. C, Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling land use'FIE.`' 5.00 3. Copy of certificate of occupancy $1.00 Date ..... New Building ............. aid or Pre-existing Building(X) . .~. ...... = ~Vacant Land ,5%2 oo Location of Property ......... (.rlq ./~)...P.(~corti.c..B. oJ4..B.l.v.d. ..... L.a.u,r.e;1.,..N...Y... ...................... Hous~ No. Street Hamlet ay,her or Owners of Property . Frederick W Ba~er County Tax Map l~o. 1000Section ..[;~8 .......... Block 2 Lot 21 ' Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ...F.r:e.d.e.r.i.qk. ~....B.a.k.e.r. ............. Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ........................ Planning.~.~ard Approval .................. Request for Temporary Certificate ................ z~..F i~,~, Certificate . .... Fee ~ubmitted S iS.00 ....... / / ~.o structlon on above described building and per. l~ m~_all ~P~cable. codes and regulations. .~.~o.~o.~ Gary Flanner 01s~¢['~ Esq. ' Box 706 Cutchogue, N.Y. 11935 AFFIDAVIT Re: Baker File 420~ Premises: Pe~nic Bay Blvd. Laurel, NY. 11948 STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) Frederick W. Baker-, being duly sworn, deposes and states as follows: That I am the owner of the house described on Suffolk County Tax Map as lO00 128-2-21- - -; That I believe that said house was constructed prior to April 23rd, ~957, and has been used for many and is, in my opinion, suitable for single years as a residence, residential purposes. Frederick W. Baker Sworn to before me ~s 23~ day of September, Notary P~ GARY t=~NNEB OLSEN . 7 /