HomeMy WebLinkAboutZ-12793TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/X/ Building(s)
/ / Use(s)
located at 6825
Pre- C.O.#Z12793
Date Sept.20,1984
Great Peconic Bay Blvd.
Laurel
Street Hamlet
shown on County tax map as District 1000, Section 126 , Block 10
Lot 017 , does.~not~conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area, insufficient side yards.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /~/Land /~/Building(s)
/Z/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: One and ~ story wood framed one family
dwelling with accessory garage and accessory shed. This property
situated in the A-Residential-Agricultural Zone with access to
Great Peconic Bay Blvd. a Town Maintained Road.
The Certificate is issued to
of the aforesaid building.
CROOKS,MARIE (Plage,Antoinette)
(owner, Ae~a~-~)
Suffolk County Department of Health Approval N/A
UNDER%VRITERS CERTIFICATE NO. N/A
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-
tions.
Bui~din~ ~.nspe ctor
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
,~outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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.
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.
Bo
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 safew inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Co
Fees:
1. Certificate of occupancy $5~00 /
2. Certificate of occupancy on pre-existing dwelling/ land use --?re-F,×±st±ng C. 0.
3. Copy of certificate of occupancy $1.00 Vacant, land C.O.
$15.00
$ 5.00
New Building ........ i],,~ ~:~OId or Pre-existing Building ..... ,x ...... Vacant Land .............
Location of Property . ~ ??. ,c?,n_~,' .c..B,a¥. ,B,o,u_~, ,e, .v-~r, ¢~. ,I~..u~, ,e,1 ..............................
House No. Street Ham/et
Owner or Owners of Property MaTie Cz:coks
County Tax Map No. 1000 Section ...1.2.6 .......... Block ...1,0 ........... Lot....]_.7 ...........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant . .FE2~..i.e..C..~c~o. ~.s ......................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ ~-5o 00 ........................
Construction on above described building and permit meets all applicable co,
f.~,~ ~.~.~) App cant ................
Rev. 10-10-78
TOWN OF SOUTHOLD
~SULE'vAR~
STATE OF NEW YORK )
ss.:
COUNTY OF SUFFOLK)
MARIE CROOKS, residing at 193-15 C 73rd Avenue, Flushing, New York
11385, being duly sworn, deposes and says that;
Deponent is the owner of certain premises at Laurel, New York on
the North side of Peconic Bay Boulevard, as shown on the attached survey by
Otto Van Tuyl & Son. Deponent is the owner by virtue of the Last Will and
Testament of ANTOIN~-i'r~: PLA6~ and is also a neioe of said Antoip~tte Plage.
Antoinette Plage, then Antoinette Eppers and John H. Plage purchased
the pr~nises in 1959. At that time, the house and garage were on the property
and it is believed that both were constructed during or prior to the 1940's.
No improvements were made thereon since April, 1957.
Deponent makes this affidavit to request the Building DepazhLent of
the Town of Southold to issue a Certificate of Pre-Existing Use for both the
residence and the garage.