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Home My WebLink AboutZ-17064 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the Q Land Pre C. O. #- Z- 17064 Q Building(s) Q Use (s) Date- July 6 , 1988 located at 4900 Peconic Bay Blvd . Laurel , N .Y .. Street Hamlet shown on County tax map as District 1000 , Section 128 Block 04 Lot 04 does (not) conform to the present Building Zone Code of the Town of Southold for the following reasons : Insufficient total area ; front & rear yard set-backs ; less than minimum habitable space . On the basis of information presented to. the Building Inspector ' s Office , it has been determined that the above nonconforming Qx Land /T/ Building(s) Q 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 applicable 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 Certificate is issued is as follows : Property contains a one story, one family wood framed seasonal dwelling; with screened porch; all situated in 'A' Residential Agricultural zone, with access to a Private R.O.W. The Certificate is issued to MARY ROSS (owne r,x3XKX _WyXXyENUXXx)R 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 ordinances , 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 regulations . VX lcj� eC,00 O-A-A Building Inspector ' 7D � 0 JUN Z �98$ 6 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall 7 y3 Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY a�a,- ` (� Instructions A. This application must be filled in typewriter OR ink, and submitted =s�iiii 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: Additions $25 . 00 POOLS $25 . 00 ALTERATION $25 . 00 1. Certificate of occupancy New Dwelling,$25.00, Accessory,,,$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $ 10 0 0 4 .Vacant Land C.O. $ 20 . 00 5.Updated C.O. $ 50 . 00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . NewConstruction . . . . . . Old or Pre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property . . .j'14c9-0. . . .P ,46 a_",a 8 J t1k. . House No. Street y� � Hamlet Owner or Owners of Property . . . . . . . . . . . . . ..... :5 . , . . . . . . . . . . . County Tax Map No. 1000 Section . . ./.4Ze . . . . . . . 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 and peUe is all appl' able es and regulations. Applicant . . . ., . . _. . . . . . . . . . . . . . . . . . . . . . . . . . . Rev.1 a10-78 cow 1iaq Form No. .6 p; TOWN OF SOUTIIOLD MAR 21999 BUILDING DEPARTMENT TOWN HALL BLDG. DEPT. 765-1802 b T0',A1 ' OF';QUTHOL!? APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept, of water. supply and sewerage—disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 3. For existing buildings (prior to April 9,"pre—existing" land uses: 1957) non—conforming uses, or buildings and 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy — New dwelling $25.00, Additions to- dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre—existing Building — $100.00 3. Copy of Certificate of Occupancy — $5.00 over 5 years — $10.00 4. Updated Certificate of Occupancy — $50.00 5. Temporary Certificate of Occupancy — Residential $15.00, Commercial $15.00 Date , , , March •�,• •, 1-999 New Construction. . . . . Old Or -Pre—existing Building. • R . . . . . . . . . . . . . . .. . . . . . Location of Property. 155.Birch. Drive: Private Road, #6 • . . . . . . . . . . . • • • . . . Laurel House No. Street -- * * - - - -Hamlet* * * * Onwer br Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. A q 00, . . . . ,Block. 04:OO. . . . . . , , ,Lot. . , 004:000• • . • • • . • • . Subdivision. . . . . . . . .N. . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . M4. . . .Lot. . . . .N/A. . . . . . . . . . . . . . . . Permit No. !". . . . . . . . . . .Date Of Permit. . . . . . . .Applicant. . . . . . . . 141A . . . . . . . . . . . . . . . . . :iealLh Dept. Approval. . . . .N�A , , , , , , , , , , , • „• „Underwriters Approval. . . .NIA . . . . . . . . . . . . . . . . . "lanning Board Approval. . . . . . . . . . . . . . . . . . . . . -equest for: Temp orary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . ee Submitted: $.100:00 . . . ... . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •� APPLICANT • • RICHARD ROSS, being duly sworn, deposes and says: 1. I reside at 231 Park Avenue, Huntington, New York; 2. I am fully familiar with the premises - 4900 Peconic Bay Boulevard, Mattituck, New York; 3. My_ parents, Mary J. Ross and Ray J. Ross, purchased .the premises in 1949. 4. From the time of the purchase, I visited the premises every summer. 5. The property is a single-family dwelling of frame,.construc- tion. 6. There have been no structural changes made on the property since the house was conveyed to my parents. I make this affirmation knowing that the Town of Southhold relies on the statements made herein. RICHARD&/SS Sworn to this 27th day of June, 1988. GLORIA' F. THELEN NOTARY PUBLIC, State of New York No. 52.9312200, Suffolk County fcomm pion Expires May 31, 19.#810 SURVEYED FOR:- LOCATED AT G QZ1jE:E1 TOWN OF SQl/TyOL.� SUFFOLK COUNTY N.Y. LOT Q,ESC,e/BEO �I20PE,�f MAP OF PZ0� ow,J� gy �PGE S chi , CO. CLK. NO. FILED SCALE 1" SUFFOLK CO. TAX MAP DATA:- DIST. SEC. 12&00 BLK. OV LOT OOP 000 S.�� OD �.u,E IOQ C71� tJMM FROM STRUCTURES Fo TO RELATIVE BOUNDRY LIN ,, ON SURVEY, ARE FOR A Q SPECIFIC USE ONLY, AND SHOULD NOT BE USED FOR CONSTRUCTION OF FENCES W � v OR OTHER STRUCTUR� lk� jMW WAYSURVEYED -J1-1AAFG6 19A5BY WILLIAM R. SIMMONS JR. P/O BOX 377 J C� JAMESPORT, L. I., N. Y. 1,,1947 FILE NO. ! / PAGE GRID l�. p DRAWN BY� ■■■■N■■■■■■■■■■■■■■■■■■■■■■■ IDb. [ E t r.'1 d`��((� "�4 4 S4 �f / NOON■■■ ■■■■■■■■■■■■■■■■■■■ 4 •, s. + f q r :- L .; ■E■E■NE NONE■■■■■■■■■■■■■■■ TRIM ■■NNE■ ■■E■■■■■■■sEE■■■N■■N s ' Jig: ;. ■NNNNNN ■■NEN■N■■■■NE■■■■■■ a f` ■■■■Nape :� ■■■N■■N■ENE■E■■■■e ti '°��EY-i-'a..�.i '`,f�°F-r'. 119�`+•.m�+s 7 ' x • 3 ' ✓r <-. t -� '� � l { '`�ra.�-''_' k"t3ol `b' Vn% ■■■■.le■ ��1 /N .IE■N■NO■■■■eee if �. NOON■■■ ■■E■■N■NEEE■NEN■■■■ NOON■■■ ■■■■■■■■■■■■■■s■■■■■� Interior Finish Rooms I st Floor • � sue■ .. ation Room Rooms 2nd Floor r � TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNER N E �r ACR. .Sevee y9e-G IJYiSD 1� $ V/ a -, TYPE'OF BUILDING RES. SEAS. ✓ VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS �j" G�{� /,,��`-� � � t��T r �!�' �� I 3 di`•�� ,4 c� - W � arc,' -1-� I�� AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTHC/ BULKHEAD Total DOCK