HomeMy WebLinkAboutZ-14569TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HiLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORA~ING PREMISES
THIS IS TO CERTIFY that the
~--/ Land Pre C.O. #- Z14569
/~-/ Building(s) Date- June 2?, 1986
/-I Use(s)
located at 235 Bayberry Lane Southold
Street Hamlet
shown on County tax map as District 1000, Section 76 , Block 1 ,
Lot 5 , doesinot~conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area. Insufficient front & side yard setbacks
on main building and insufficient side & rear yard setbacks on
accessory shed.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /i/Land ~___/Building(s)
/i/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: Property contains one story, one-family,
wood-framed dwelling with two stoops, an accessory shed & fences.
Property in "A"Residential-Agricultural Zone with access to Bayberry Rd.;
a town road.
The Certificate is issued to
of the aforesaid building.
FLORENCE E. SEIGERMAN
(owner, ~i~ ~g~ Y~X~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 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.
Buiiaing ~ns pe ctor
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
~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 completed 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.
1. Certificate of occupancy $5.00 /
._2. Certificate of occupancy on pre-existing dwelling/ land use --?t'e-Ex±st.±ng C.O. $1.5. O0
· Copy of certificate of occupancy $1.00 Vacant, land C.O. $ 5.00
Date ...~.r)(~.~),. 1.9~(~ ...........
New Building ............. Old or Pre-existing Building ~(~ .......... Vacant Land .............
~no~) Bayberry Lane, Southo
Location of Property ............................... .[.d ..................................
House No. Street Hamlet
Owner or Owners of Property ..... .F ! .o,r.e.n.c .e . .E : . .S .e ! ~.e.r,m.a~ ..................................
County Tax Map No. 1000 Section ...D.76.: .O.D.. ..... Block ....D!:.D.D ....... Lot.. 99.5,.0.0.D .......
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........... , ............ Labor Dept. Approval ........................
Underwriters Approval .............. ,. ),t ....... Planning B°xs~l~Approval ......................
Request for Temporary Certificate .................... J~mal//(~rtificate ....... .~... ..........
Fee S' bm itted $ · 1,5, ',0,0, . .~. 1~, .k~, .~, .........
Construction
· ' ' P.O. BI~YX 706
CUTCHOGUE, New York 11935
AFFIDAVIT
Re: Seigerman to Leavy
File # 4335
STATE OF NEW JERSEY)
COUNTY OF ~¢~e~ )
SS:
Florence Seigerman being duly sworn, deposes and states
as follows:
That I am the owner of certain premises located at (no #)
Bayberry Lane, Southold, New York, designated on the Suffolk
County Tax Map as District 1000 Section 76 Block 1 Lot 5.
That all the structures including the house where built
before April of 1957 and in my opinion the house is suitable
for single family residential purposes. I submit this
affidavit in support of my application for a Pre-existing
Certificate of Occupancy.
Florence Seig
Sworn to before r~e this
/~ day of June, 1986.
Notary Public V.
N/O/F HARVEY W. GORDON
LOT 22
N. 4.5° 09' 00" E.
,50. 02 ',
I I ~-~.
22?. 29'
LOT 23 J
99' 15 6'
LOT 2 4
BAYBERRY
ROAD
Prepared in acco~dnnce with the minimum
standards for title ",r~'eys as established by
the L.I.A.L. $. o~R c~pFroved and adopted
for such use by The New York State Land
Title Association.
P.O. BOX
SURVEY OF
LOT' 23
"MAP OF WEST CREEK
FILED JUL 6 , 19.5'7 FILE
'AT SOU'I'HOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY , N .Y.
I000 76 - 01 05
SCALE I" . 20'
MA Y 19, 1986
~~I.Y.S. LIC.NO. 49668
ENGINEERS , P C.
MAIN ROAD
SOUTHOLD, N. Y. 11971
CERTIFIED TO :
FORTUNE MORTGAGE
BANKERS INC.
r~FCONIC ABSTRACT
KEVIN LEA VAY
KATHERINE LEAVAY.
DEVELOPMENT"
NO. 123 6
INC .
86 - 265