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HomeMy WebLinkAboutZ-14207TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECT©R TOWN HALL SOUTIIOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /__.~: Land / X~ Building(s) /-/ Use(s) Pre C.O. #-Z14207 Date- Feb. 5, t986 located at 3600 Main Road Laurel Street Hamlet shown on County tax map as District 1000, Section 125 , Block 0~ Lot 009 , does[not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Insufficient set-backs (rear) accessory On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming ~/Land /~ Building(s) /i/Use(s) ektsted 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 two story, one family, cate is issued is as follows: wood framed dwelling, with a wood framed Property znn~d h-Residential-A~ricultural with access to Ma%~ ~d,, a state maintained highway. The Certificate is issued to EDWARD W. LUNDSTEDT & LORRAINE C. (owner, of the aforesaid building. LUNDSTEDT Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. N/A N/A NOTICE IS HEREBY GIVEN that the owner of the above premises }LiS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine ff the premises comply with al! 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. Building inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 TOWN OF ~OUT~IOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- tor with the following; for new buildings or new use: I. 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 property 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 dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date . .F.e.b?..u.a.~.y., 4. .,..1.9. 8..6 ...... New Building ............. Old or Pre-existing Building ..... X. ...... Vacant Land ............. Location of Property . ..~.~ .~.~.d.O. ....... . ,Fi..a .i.n..R, o..a.d ......................... L. a..u .~.e.1.... House No. Street Ham/et Owner or Owners of Property .E.d.w.a. ?.d. ,W.:..L.u.n..d.s.t.e.d..t..&..L. 9.~?.a.i..n.e' .C.: . .L.u.n.d.s..t.e.d.t. ........ County Tax Map No. 1000 Section .... 1.2.5.: .0.0.0.... Block ...0..3...0.0. ...... Lot..0..09.'.0.0..0 ...... 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 $ ............................. Construction on above described building a~it meets all applicable co~.desTnd regulations. Applican .t/______..~.. ........... 4~....~.. ..... ~~ ............... z7 AFFIDAVIT STATE OF NEW YORK) COUNTY OF SUFFOLK)ss.: EDWARD W. LUNDSTEDT, being duly sworn, deposes and says: That I am the present owner of premises located at Main Road, Laurel, New York. That the house upon the premises is a family dwelling. The house and premises are as set forth on the accompanying survey and the buildin~ thereupon were constructed prior to the zoning regulations in the Town of Southold. Edw~ard W. Lundstedt J Sworn to before me this 4th day of February, 1986. NiIIfy/ild~ ~lll d l#w YOlk : BEARINGS SHOWN THUS:-- '~'-' BEARINGS SHOWN THUS, FROM DEED TO MARGARET HALSEY ,.~ MONUMENT SURVEY FOR NORTH FORK BUILDERS, INC. LAUREL TOWN OF SOUTHOLD SUFF. CO., N.Y. GUARANTEED TO: SCALE: I" = 40' SECURITY TITLE CO. AUG. 12, 1969 AUG. 18, 1969 GUARANTY R AND" LAND SURVEYOR, N.Y.S.UC.NO.I RIVERHEAD ~ N.Y.