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Home My WebLink AboutZ-12764TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YOP, K CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the Land Use(s) C.O.#Z12764 Date: Sept. located at 4775 Paradise Pt. Rd. Southold 11, 1984 Street Hamlet shown on County tax map as District 1000, Section 081.0p Block 01 . 00 Lot 024. 005 , 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 Inspector's Office, it has been determined that the above nonconforming /~(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 CERTIFEED 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 story frame dwelling with attached porch. Proparty a]~o has an accessory garame and steps down the bluff to beach. Property situated in A-Residential Agricultural zone with access off a private road. The Certificate is issued to of the aforesaid building. Suffolk County Department of Health Approval UNDER\~q~ITERS CERTIFICATE NO. Laurel A. Shaw (owner, keXs~eX ~!~ X~D Il BI~ 1~ X X N/A 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. ~uiiding inspector 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 submitte~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. 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 featu res. 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 --?re-2;×±st,±n~; C.O. $15 · O0 3. Copy of certificate of occupancy $1.00 ~lacant land C.0. $ 5.00 Date .... .~.~..~.~..~.~. ............. New Building ............. Old or Pre-existing Building ...~'.... ~ .... Vacant Land ............. Location of Property .,~?. ?.~.~...~. ,~,~??. ,~,/,~.~. ?,T,. ~,~. .... ~.~.~.~.. ..... House No. Street Hamlet Owner or Owners of Property ..... .~. ?.e,.~.~....~......~..~.~. ~ ................................ County Tax Map No. 1000 Section . .(?.~.¥.~?. ...... Block ...~.~. '.?? ....... Lot. 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 ~1 permit meets all applicable codes an~Y~tations. Applican~;~., ......................... Rev. 10-10-78 STATE OF NEW YORK SS. : COUNTY OF SUFFOLK EDWARD JOHN BOYD V, being duly sworn, deposes and says: 1) That I reside at (no number) Cedar Beach Road, Southold, New York, 11971. 2) That I am the attorney for LAUREL A. SHAW, owner of the premises located at (no number) Robinson Road, Southold, New York, which premises is further identified by Suffolk County Tax Map Numbers: 1000~ 081.00~ 01.00~ 024.005. 3) That I have known the owners of this premises, i.e., Laurel A. Shaw and preceeding her~ her father, John H. Schutte, and the premises itself since June, 1958 and that during that time the premises has been used and occupied solely as a one-family dwelling and that such use continues up to and including this date and that the condition of the residence and garage on the premises can be described as good. 4) That I am making this affidavit at the request of the Town of Southold Building Department as part of an application for a "Pre-Existing Certificate of Occupancy" for the premises. Edward John Boyd V Sworn to before me this 4th day o£ September, 1984 No. 52-4602497 Qualified in Suffolk Ceunl~/ ~m~mi~ion Expires March 30, ¸5' JoptN k-I. '.~CHLJTTE ~ ETA~ L ,/ LOCATION MAP ~cole': I00'~ I"