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Home My WebLink AboutZ-16809 TOES l, .JF_SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN I-hlkLL - SOUTIIOLD, NEW YORK . CERTIFICATE OF. OCCUPANCY NOi\ICONFOR,i�IING PP,I )\,IISES TIiIS IS TO CERTIFY that the /X_Xf Land Pre C.O. #- Z 16809 Building(s) Date- - April 2 1 , 198.8 Use(s) located-at 365 Pequash Ave . Cutchogue Street - Hamlet shown on County tax map as District 1000, Section 103 Block 07 ,. Lot 29 do'es�'noticonform to the-present Building Zone Code of the Town of Southold. for, the,following reasons; Insufficient total area . On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming AX/ Lana / / Building(s) / /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 cute is issued is as follows• Property contains 2 story, one family, wood framed dwelling with enclosed porch ; ' permit # 1041OZ with -c . o . Z10227 ; an ,accessory garage; driveway; all situated in A-Residential-Agri- cultural zone with access to. Fleets Neck Road; 'a town road .. The Certificate is issued to ARLENS MARy7N (owner, ,X9XX99MMXMX=1)Kx of the aforesaid building. Suffolk County Department of health Approval N/A UNDERWRITERS. CL'II,TIFIC'AT,E NO. N/A NOTICE IS HEREBY GI�TEN that the owner of-the. above premises I-U�S NOT CONSENTED TO AN INSPECTION of the premises by the.Buildirg.Inspec- for to determine if the premises comply with all applicable codes and ordin- ances, other than the Buildin7 'Lone 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. ��uildi ;nc:pector -- r o 7-3 S 3 5T APR 1 FORM NO.6 2 o88 j TOWN OF SOUTHOLD Building Department 9 a+� Town Hall Y 77 oo S q 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 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 AO 0 , over 5 years $ 1 . 00 4.Vacant Land C.O. $ 2 0 . 0 0 A\-�A ,1 .5.Updated C.O. $' 50 . 00 Date . . ' Aeb . . . . . . . . NewConstruction , , , , Old or Pre-existing Building . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property... House No. Street Ha let Owner or Owners of Property . . ,1. . . °C. .v, ? , , , , , , , , , , , , , , , , , County Tax Map No. 1000 Section . . . . . . . . . . . Block . . . . . . . . . . . Lot . .03 . . . . . . . . . . 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 $ . . :Q . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and permit is all applicable codes and regulations. A licant . . . . . .C�n � c — PP . . . . . . . . . . . . . . . . . . . . . . . Rey.io-ioaa 3 c/3,�7 P� c- 6. .i A F F I D A-i V I T Re: Marvin with Dime Title Number8808-356218 STATE OF NEW YORK) COUNTY OF SUFFOLK)SS: Robert Kosciuszkb, being duly sworn, deposes and states as follows: That I am the prior owner of certain premises located on the east side of Pequash Avenue, Cutchogue, New York, designated on the Suffolk County Tax Map as District 1000, Section 103, Block 7, Lot 029.000. That I have reviewdd a survey of Roderick Van Tuyl prepared for Cynthia Granickas dated January 13, 1984 showing a two story frame house and detached garage. That I was born in said house on February 25, 1947 and can say with my own personal knowledge that the two story frame -house and garage were,,buiIt prior to April 23, 1957 . That said house presently is used for residential fam;j)Tye-purposesaand . 1 is suitable for residential purposes. That a building permit #10410Z was issued on September 19, 1979 for an alteration to enclose the porch in the rear of the premises and to make same a habitable area .and a Certificate of Occupancy dated Octbber 29, 1980 No. Z10277 was issued for said alteration. I submit this affidavit in support of an application for a pre-existing Certificate of Occupancy for the house and garage. /I � . Robert Kosciuszko Sworn to before me this 12th day of April , 1988. Nwry oof-Maw Yak Notary Pu lic -�-•}-5 f 3af�� 0.07 sou,t, ! HBdaja 0.03 suSf N.44-44 SG E. ZOG.C�Co I W 3 , _..,{flag. - m mm ' W � sfi •�' or �, t11 Vi six: _ � _ N Lv Z i y r•.`. - •_ _ 4...� V! Of I MAU�ootaiD:iLflErwil.are TO THIS SURVEY 15 A VIOLATIONVIOLATIONS.44` S 1'3Q W. i1 /l Q U.NON 7209 OF THE NEWYO=STATE f Z, Nedg_ sou+S< 0f )iNe /` 0P.CATIONLAW. NI - COPIES OF TH15 SURVEY:nAP NOT U40%A1.1 ( jJ^:IAD a�rtV£YO9.'S".+$:D SEAL+_7$ 0 - ]WOSSED SEAL SFALL NOT SE CON:Z;F,220 3 � - h/1 s; A VALID TRUZ COPY. yy � P:?.PANLEES INCI.ATED 1'EF_ON SXALL RUN POLY YO'a HE Pc:S�a FJ2 W;Sv^!.t TY,f$I;2.Vi AND ON WS FcNALE t0 fF:f [ - _ t�TLE COMPANY, GOVf NIMENTAL AG:mC,%' A !f - �L- 1MG INS IM010N LISTED HE EO`+.LL [qQ.�THE ASSIGNEES OF TH- :�J NG !N: :: M-ONIi GUAiLANTEES ARE rz i Scot l c ' 40 0 I Yotri N1 AP or LA14 t3 nu tic Gourc t��Tax Map , •: SUR��CYE l �or� t O0o- to3 - z - 29 ---- -- — - uueircxri+---c4 +o 4ie u. S. ► i fe Tl-f-te irizurcirccc Cotnp•ar:tj as �urve:�c�d Marc. l3, I�8�. Gu-r- HaGt� fZ-00G-2tc.►4 VANTuYL, P.0 . 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