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Home My WebLink AboutZ-13631TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN tLiLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /~/ Land Pre C.O. #- Z13631 /X/ Building(s) Date- July 11 1985 /-/ Use(s) ' located at 5545 Skunk Lane Cutchogue Street Hamlet shown on County tax map as District 1000, Section 138 , Block 02 Lot 009 , does.~not)conform to the present Building Zone Code of the Map of Nassau Farms, Lots 111 & 112 Town of Southold for the following reasons: Insufficient total area. Non- Conforming cottage. Insuff- icient side yard set back on dwelling. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X_-/Land /iX/Building(s) /l/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 Cede. 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: Property contains a one story, one family wood framed dwelling and a cottage, shed and burner. Property situated in the A-Residential-Agricultural Zone with access to Skunk Lane, a Town maintained road. The Certificate is issued to DELALLA, DONALD C. (owner, l~e~-~) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDER\lrRITERS 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 ff the premises comply with al! 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 Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY APR TOWN OF SOUTHOLD Instructions ~ e"[:Pr; cY~ "~ This application must be filled in typewriter OR ink, and submitted in duplicate to the Bui nscec- 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 property 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ...A?.r.i, 1., .1.0.,., 1. .9.8.5. ....... New Building ............. Old or Pre-existing Building . ./~ ......... Vacant Land ............. Location of ProperW ~ Bay Avenue Cutcho§ue House No. Street Ham/et Owner or Owners of Property Donald C. Delalla County Tax Map No. 1000 Section ....1.3.8. ........ Block ...... .2 ........ 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 $ 15.00 Construction on above described building and permit meets all applicable codes and regulations. ~f)~_ %~o'~\ Applicant ...... ?.~.c..~.~.e. 1...3,...~..~.1.1,,..g..s.q.. ..................... Rev. 10-10-78 ~ARD OE L~HD S UR,¥EYED FDR IOON~Li3 C, D~LI]LLfl 5CHLG. 50'= 1" ca: IAONU/AF.I'(T G~JRRIII4TEEO TO TUt INTER, C~)U~TY TITLE VHN TUYL a SON AFFIDAVIT Re: Donald Delalla Premises: 102 Bay Avenue Cutchogue, NY STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Donald C. DelaIla, being duly swern, deposes and states as follows: That I am the owner of the house described on Suffolk County Tax Map as 1000-138-2-9. That I believe that said house was constructed prior to the issuance of a Certificate of Occupancy and has been used for many years as a residence and is, in my opinion, suitable for single residential purposes. Donald C. Delalla Sworn to before me this 28th day of June, 1985 N~tary Public AFFIDAVIT Re: Donald Delalla Premises: 102 Bay Avenue Cutchogue~ New York 11935 STATE OF NEW YORK)ss COUNTY OF SUFFOLK) ': Donald C. Delalla, being duly sworn, deposes and says: That I am the owner of the house described on the Suffolk County Tax Map as 1000-138-2-18. That I believe that said house was constructed before April 23, 1957 used continuously as a residence and is, in suitable for single and has been my opinion, residential purposes. DONALD C. DELALLA Sworn to before me this day of March, 1985. Vnotary public