HomeMy WebLinkAboutZ-20414TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY - NON -CONFORMING PREMISES
THIS IS TO CERTIFY THAT THE �PRE�CO # Z-20414
DATE: DECEMBER 17. 1991
Land
�� Building (s)
/—T Use ( s )
located at 8960 PECONIC BAY BLVD. MATTITUCK, N.Y.
STREET HAMLET
shown on County Tax Map as District 1000, Section 126 Block 05 ,
Lot 06 , does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area; accessory garage in front yard.
On the basis of information presented to the Building Inspectors
Office, it has been determined that the above non -conforming ,'Xjv Land,
/OLT Building (s) 1--T 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 applicable 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
Certificate is issued as follows: Property contains A story, one family, wood
framed dwelling with attached porch; accessory garage and situated in R-40 Zone with
access to Peconic Bay Blvd, a Town maintained road.
*THIS UPDATES PRE CO Z-15005 DATED OCT. 17, 1986.
The Certificate is issued to HARRY G h JANET L. BOHN
(Owners, )XXXxXXXXXXXX
of the aforesaid building.
SUFFOLK COUNTY DEPT. OF HEALTH APPROVAL: N/A
UNDERWRITERS CERTIFICATE NO. N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT
CONSENTED TO AN INSPECTION of the premises by the Building Inspector
to determine if the premises comply with all applicable codes and
ordinances. This Certificate, therefore, does not, and is not intended
to certify that the premises comply with all other applicable codes and
regulations, other than total area of lot.
C/�i✓,r a.LO
Building nspector
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
3. For existing buildings (prior to April 9,
tl pre-existing" land uses:
1957) non -conforming uses, or buildings and
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C, Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on I're-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date „ December 12, 1991
':ew Construction....... .. Old Or Pre-existing Building....... ..
Location of Property... 8960 PECONIC RAY. BLVD. MAITITDCK, N.Y.
House No. Street .....................................
Hamlet
Unwer or Owners of Property... HARRY G. 6 JANET L: HOHN
County Tax Map No 1000, Section ..... 126 ......Block... 5 6
.............Lot......................
:subdivision....................................Filed �I:'p............ Lot:
......................
Permit No................Date Of Pe .,
Permit . .............Applicant.............................
"(2,111 Dept. Approval..........................Underwriters Approval.........................
:Tanning Board Approval ........................
equest forUPDATED PRE CO %X
y Certificate.......... Final Corticate...........
ee Submitted. $. 50:00
t(3 ► o o MARGERY WALKER FOR HARRY HOHN
,V1&A_A_B,2 t0 ( i U APPLICANT
dv4yili �i'J:.. �:➢PIiV��J
- '�t3iGi4id iJ�p��;S*7:i•i;d'E"; '
Town : tai
$outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. 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 cemplated 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 --Fre-Existing C.O. $ 15.00
�3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00
Date . A lY. 25.,..1,9,8,6............
New Building ............. Old or Pre-existing Building X........... Vacant Land .............
Location of Property ... PP pp� C, Bay, Blvd; ; Matti tuck NY .... . .... . ..... . . . .
Nouse No. Street Hamlet
Owner or Owners of Property , ,Frank H: Bellinger ........................................
County Tax Map No. 1000 Section .. 126, .... .... Block . 5 ............. Lot . 6............. .
Subdivision .................................Filed Map No. ..........Lot No. i ........... .
Permit No........... Date of Permit ..........Applicant ........... . .
Health Dept. Approval .............Labor Dept. Approval .... .
i 1 • • 1 i . . 1 i i t . . . . . .
Underwriters Approval ............. . k. , .. , .. ,Planning Board Approval ..................... .
Request for Temporary Certificate .................. inal ertificate .i ...................
Fee Submitted $ , 15.00
.......................... .
Construction on above described building and mi all icable odes and regulations.
Applicant .... .............
Y F ER OLSEN,ESQ.
Rev. 10-10-78 P. 0. Box 706
Cutchogue, NY 11935
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STATE OF NEW YORK)
COUNTY OF SUFFOLK)
A F F I D A V I T
ss:
Re: Bellinger to Hohn
File # 4435
Frank H. Bellinger being duly sworn, deposes and states as follows:
That I am the owner of certain property located on the South side of
Peconic Bay Blvd., Suffolk County, New York, designated on the Suffolk
County Tax Map as District 1000, Section 126, Block 5, Lot 6, on which
there is located a single family dwelling and a detached garage both
of which were constructed prior to April 1957. I submit this affidavit
in support of my application for a pre-existing Certificate of Occupancy.
Sworn to bfiqre me this (�
day of iyfy,l 1986.
Lary
Nolie, S7Gie of hietw 1'0
52-29;;900
�molifiea in Suffolk coupf
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TOWN OF SC.JTHOLD PROPERTY '..iECORD : CARD
OWNER
STREET
VILLAGE
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DISTRICT`
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FORMER OWNER
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TYPEOF-BUILDING
RES.
SEAS.
VL
FARM
COMM.
I IND.
( CB..
I MISC.
Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
�0 0
-2,'2,0 0
L100
%/'fd *C2 A��
e��� �,,
es
3-000
o
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON. WATER
a ; a F/3
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD �d
Tillable 1
BULKHEAD
Tillable 2
DOCK
Tillable 3
220
Woodland
Swampland
Brushland
House Plot
Total
IL
-ell
A
M. Bldg. n,% y 34,
Foundation
I r- fi.
Both
i / 117,-
7
Extension
Basement I
I Floors
Extension
EIs.
'Ext. WER
Interior Finish
Extension
Fire Place
Heat
Jijj IV7
Porch!
Porch
Roof Type
Rooms I st Floor
Ta
Breezeway
Garage
B.
Cle-7 7 Q
Patio
Driveway
Rooms 2nd Floor
Dormer