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Home My WebLink AboutZ-12360TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the ~__! Land ! ! Building(s) /--/ Use(s) N/W side of Main Road Rt. located at Old Main Road 25 & Date: March 14, #Z12360 Laurel 1984 Street Hamlet shown on County tax map as District 1000, Section 127 , Block 01 Lot 2 , does[not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient area, insufficient front setback On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /~! Land /Z/Building(s) /--/Use(s) existed on the effective date the present Building Zone Code of the To~n 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.. 2 story one family dwellln9 with garage in year yard. A-Residential-Agricultural with access to Franklenville Rd. The Certificate is issued to Alberta S. Young and Marguerite E. (owner, lessee or tenant) of the aforesaid building. Scholtz Suffolk County Department of Health Approval N/A UNDERVrRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HiS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine ff 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. Buildin~ hSspe ctor FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, 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 Inspector 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 installations, 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. 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 in- formation required to prepare a certificatel C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 New Building ................ Addition ................ Old or Pre-existing Building ..... × ......... Vacant Land .............. Laurel, N.Y. (j~e~Owners Of~Property ...AlbP_,~.t.a..,$.,....~Z.q. UD.c~...~.n~l...]~.~.rg.u.q.r.i...t..e.....E. ..... .S.g..h..o...1..t...z ............... Subdivision ........... .N./..A. .............................................. Lot No ............. Block No ............. House No...~ ......... Permit No...N.../..A.. ........... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ........ .N./..A. ............................. Labor Dept. Approval ....... .N./..A. .................................. Underwriters Approval ..iXl/A .................................... Planning Board Approval ...... .N./..A. ........................... Request For Temporary Certificate ........................................ Final Certificate ..... 2~ .................................. Fee Submitted $ ...... .1..5..:..0..0. ................... Construction on above described building and permit meets cfd applicable codes and regulations. Applicant .':~..~:~_ .~~.'.~..: ...... ~'<.?.~.~ ..................... Alberta Sz. You~- ~ . Sworn to before me this ,~,,,A;/ // Notary Public ..... ~]J.z~P.~]f .............. County NotaryF~uA~[~ ~aB'~/~ew York / No. 4734477 '~ Oualified ~n Suffolk'County Commission Expires March 30. AFFIDAVIT STATE OF NEW YORK) : COUNTY OF SUFFOLK) SS. : ALBERTA S. YOUNG, being duly sworn, deposes and says: That she resides at 91 Sound Avenue, Riverhead, New York. That she and her sister, Marguerite E. Scholtz are the former owners of a two story frame dwelling located on the northwest side of Main Road N.Y.S. Route 25 and Old Main Road, Laurel, New York. That said premises have been owned by your deponent and her sister, Marguerite E. Scholtz as joint tenants since September 22, 1964, having inherited said premises from your deponent's mother, Mary E. Scholtz. The premises were conveyed to Donald and Nancy Scholtz on December 21, 1983. That there have been no structural alterations to the dwelling since April 1957. That no changes to the premises or their use have been made since the date of the adoption of the Southold Town Zoning Ordinance, to wit: April 1957. That said premises have been as shown on the annexed survey without change since 1957. That your deponent requests that a Certificate of Pre-Existing Use for the subject premises be issued. (Alberta ~S ~y~/ng) ~ Sworn to before me th~s FEANK J. BLAZDA ~otary Public, StaL(; o~ New York ~o. 473~477 Oual;f~ed m Gu~;oik Coun~ Commission Exp;t-es March 30~ ¢~¢ oo~ o~ o~ NOTE : · = MONUMENT ~UFF CO.T~IX MAP DIST, /000 SECT. BO DONALD AT LAUREL TOWN OF SOUTNOLD SUFFOLK COUNTY, NEW YORK ~.UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW ~COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE a VALID TRUE COPY. #GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- MENTAL AGENCYAND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. N-DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES. DATE : DEC SCALE: I '" : 40 ' NO. ; 83 -1107 GUARANTEED TO; THE TITI.~ G~ YOUNG YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER A"~ LAND SURVEYOR N.Y.S. LICENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE N0.45893 400 OSTRANDER AVENUE RIVERHEAD , NEW YORK