HomeMy WebLinkAboutZ-14207 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR,
TOWN HALL
SOUTHOLD, NEW YORK
'CERTIFICATE OF OCCUPANCY '
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
i
/xJ Land pre C.O. #-Z14207
/xk Building(s) Date- Feb . 5 , 1986
/ / Use(s)
located at 2600 Main Road Laurel
i
Street Hamlet
shown on County tax map as District 1000, Section 1 25 Block 03 ,
.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
�4raL -
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming G/ Land /D Building(s)
/_/Use(s) eicisted 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 fr _med dwelling. with a wood framed
ar_eecanry garage - PrnenPrty 7nnPd A-Residential _Agrirnitural with
acces—s_ to Main Rd . , a state maintained highway .
The Certificate is issued to EDWARD W . LUNDSTEDT & LORRAINE C . LUNDSTEDT
(owner, kesE;mx%1x)tR;1
of the aforesaid building.
Suffolk County Department 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 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.
i
Building inspector
I 9OL/ L�
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FORM NO. 6 FEB 4
TOWN OF SOUTHOLD
Building Department TOWN OF SOUTHOLD
Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted to G�iiiiii 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 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.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15 . 00
3. Copy of certificate of occupancy $1.00
4 .Vacant Land C.O. $5. 00
Date , February 4 ,. 1 g86
New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . .X. . . . . . Vacant Land . . . . . . . . . . . . .
Location of Property 6Ga . . . . . . , . .Main„Road. . . . . . . . . . . . . . . . Laurel
House No. Street Hamlet
Owner or Owners of Property Edward, X c . Lundst,edt. &, Lorraine. C.: Lundste.dt , . . . .
CountyTax Map No. 1000Section . . . 1.25 ; 000 . . Block . . .03; 00 , . , . . . Lot . .Q99.•,000. . . . . .
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 and it meets all applicable co nd regulations.
Applican .G. . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Rev.10-10-78
�, D . � Y�o'
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 buildings thereupon were constructed prior to the zoning
regulations in the Town of Southold .
`-` Edward W . Lundstedt
Sworn to before me this
4th day of February , 1986 .
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SURVEY ,FOR .:. '
NORTH FORK BUILDERS, INC. e
LAUREL r'
,SEARtINGS SHOWN THUS (.a/d9°0�-/DE� TOWN OF SOUTHOLD
�1RE ROM SURVEY,FOR LEONARD C. EMMA..F S U F F. CO.,, N. Y.r st •, GUARANTEED TO
"BEARINGS:',SHOWN'.THUS N:60�22�OOE: SCALE ' ( " = 4O� SECURITY .TITLE ' 9 GUARANTY
ARE FROM DEED TO MARGARET HALSEY CO.
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�2 AUG. 12, 1969 3�
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} AUG. 18, .1969 ;
�N07E t PROF
ESSI 6NAV E N G I ER =AND
b pr MONUMENT
'LAND
SURVEYOR, N Y S,LIC.NQ 184
3 t :.RIVERHEAD ;' N.Y ; ,