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Home My WebLink AboutZ-11760 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE"OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the g 1 1760 _ June 30 , 1983 Ix / Land. Building(s) Use(q) located at 2580 Peconic Lane Peconic Street L Hamlet shown on County tax map as District 1000, Section 74 Block 3 , Lot 20 does not conform to the present Building Zone Code of the Town of Southold for the following reasons: A pre-existing use of building and premises . On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /x / Land / x/ Building(s)-- /x /Use( ) 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: A one-family dwelling: The Certificate is issued to TPcl(ly AntnpP & Emma liza e h Ku 'al wski (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A Sr . Building Inspector K FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall 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 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling r land use$ (s/$5.00 3. Copy of certificate of occupancy $1.00 Date . . . . New Building . .05 ® . . . . . . . Old orPre-existing Building(X) . z 'Vacant Land . . . . . . . . . . . . . Location Pf 4perty . . . . . . . . . . . . . . . . . . . : ... . . . . ..::.. : . . . . . House No. Street Hamlet Owner or Owners of Property Teddy .Auto .-� .L M��. . .f.. �.. �� .�'.�. . . ... ne -Ku,j.aWs-ki County Tax Map No. 1000 Section . . .07,4 . . . . . , . . . Block . .03 . . . . . . . . . . . Lot . .020. . . . . . . . . . . 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 $ . 15.A0. . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and permi meets all appf{cablgcDde�and regulations. Applicant . GA Y.FIANRER.— ESO: :. _ . . . . - . . . . Rev.10-10-78 ,/ P. 0. Box 38 � X main Road ° a� i��sk L. L. N.Y. 11952 - A F F I D A V I T Re: Teddy Antone Jujawski STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Teddy Antone Kujawski , being duly sworn, deposes and states as follows: That I am the owner of the house described on Suffolk County Tax Map as 1000-074-03-020. I believe that said house was constructed prior to the issuance of Certificate of Occupancy and has been used for many years as a residence and is , in my opinion, suitable for single residential purposes. Te y / ntonv e/K awskii Sworn to bef re me this/ 28th day of June, 198, GARY FLANNER OLSEN COUNSELLOR AT LAW -Notary MAIN ROAD GARY MATTITUCK, NEW YORK NOICr Y Public, l.t' Ql$EN stato of New York 11952 No. 52-2959G00 Qualified in Suffolk C nly ou Term Expires M01ch 30, 197' JUN. 2 B OF SOUTHOLD PROPERTY IECOR CAR® - -i OWNER STREET VILLAGE DIST. SUB. LOT FOR R OWNER �-• E/� � � �5--� ' r S W TYPE OF BUILDING RES. /D SEAS. VL. FARM COMM. CB. MISC. Mlct. Value LAND IMP. TOTAL DATE REMARKS �_0 it U �V .�B" l . !' 1 —�">"lar AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable i Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD --� '_ -` `' ' '-'Z j House Plot DEPTH /�- BULKHEAD DOCK t l �. �. COL OR — f • -- I r �4 TRIM �_,� I 7 i Both Dinette M. Bldg. I y 5 _ q�! G �! — _ .`S �undation ?. / J �� r I Extension i f �.� 4 !Basement ;,, - :� Floors ter-�, ,_ K- Extension , �° 3 $ r �. •T / 'i. Walls �;, �. . interior Finish �R.f_s_" LR. Extension Fire Place Heat S y` DR. Type Roof f r I Rooms 1 st Floor BR. Porch Recreation Room Rooms 2nd Floor FIN. B. Porch Dormer Breezeway Driveway Garage o Y c> Y t �•.�O o-� Patio 0. B. Total