HomeMy WebLinkAboutZ-12681TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
DATE: August 8,
PRE C.O. #Z12681
Land
/X/ Building(s)
1-1 Use(s)
located at 4985 Great Peconic Bay Blvd.
Laurel, N.Y.
1984
Street Hamlet
shown on County tax map as District 1000, Section 128 , Block 1 ·
Lot 16 , does~not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
D'welling contains less than 850 sq. ft.--insufficient side yard
set back--Lot is insufficient in width & area Art. III Sec. 100-31
Bulk Schedule (Col. A)
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /~/Land /--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 thai, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this Certifi-
cate is issued is as follows: One family dwelling
The Certificate is issued to John and Maureen Brisott~
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval No record
UNDERWRITEI~S CERTIFICATE NO.
Nb record
NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS
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-
~t~ildifig ~spec~or
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
· ~outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This appliqation must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the ~ollowing; 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.
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.
Fees:
1. Certificate of occupancy $5.00 /
~2. Certificate of occupancy on pre-existing dwellingtlanduse--[~re-Ex±~ting C.0. $15.00
~3{ Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00
Date ..........................
New Building ............. Old or Pre-existing Building .)~ .......... Vacant Land .............
Location of Property .... (.RQ .~ .P. eCQFJ~.C .~q34 .I]QU],e~qr.d ........... I.~ure[, .~Y .............. ·
House No. Street Hamlet
Owner or Owners of Property ...... O.o.h n..qn.d..M.a.u.r.e.e.n..B. ~. ~.s.o.~t. i. .............................
County Tax Map No. 1000 Section ...t28 ......... Block ..... 1. ......... Lot.. 16 ............
Subdivision ................................. 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 $ .... 1.~..0.0. ....................
Construction on abo~e described building and permit meets all applicable codes and regulations.
Applicant ....................... '. ............................
....,o-,o-Te -, ~R¥ RANNER 0LSEN, ESQ. '-
k'~ ~ ~ ~ / ~.~ P.O. BOX 706
CUTCHOGUE, LI., N.Y. 1.,1935
"~"/~Tr young
J. ~lO~
GARY FLANNER OLSEN
COUNSELLOR AT LAW
MAIN ROAD
AFFIDAVIT
Re: Brisotti to Peters
Premises: Peconic Bay Blvd.
Laurel, NY
SCTM#: 1000-128-1-16
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
JOHN BRISOTTI,
follows:
being duly sworn, deposes and states as
That I am the owner of the house described on Suffolk County Tax
Map as 1000 - 128-1-16; That I believe that said house was
constructed prior to the issuance of a Certificate of Occupancy
and has been used for many years as a residence and is, in my
opinion, suitable for single residential purposes.
O~iq N BRISOTTI
Sworn to before me this 15th
day of June, 1964
N~t~ry Public