HomeMy WebLinkAboutZ-12149 TOWN OF SOUTHOLD
OFFICF_' OF PUILDI\G INSYI;CT~-~R
TO~t~ N BALL
SOUTIIOLD, NE~~' YORK
CERTIFICATE OF OCCUPANCY No. 212149
NONCONFOI,2.i~2ING PF~ER4ISES December 15, 1983
THIS IS TO CERTIFY that the
/X / Land
/X/ Building(s)
/ /Use(s)
located at 3905 Pequash Avenue Cutchogue
Street Hamlet
shown on County tax map as District 1000, Section 137 Block 02 ,
Lot P/0 19.2* does~not~conform to the present Building Zone Code of the
Town of Southold for the following reasons:
the property has insufficient area and width, the dwelling has
insufficient sideyard setback.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /g /Land /g /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-
cate is issued is as follows: a private one-family dwelling.
The Certificate is issued to JON C. KERBS & WILLIAM LAKOWITZ
.(owner, -iesse~~r-terraat)
of the aforesaid building.
Suffolk County Department of Health Approval no record
U'ATDER~~~R,ITERS CER'T'IFICATE NO, no record
1VOTICE IS HEREBY GI~TEN that the owner of the above premises H_AS
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.
*This lot is also known as Lot 1 of ^
the Minor Subdivision in the name of `\y//~
Kerbs & Lakowitz, Minor Sub 4259.
Building in pector
' 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-
torwith the following; for new buildings or new use:
1. Final surrey 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, acertificate 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 t /S/ $5.00
3. Copy of certificate of occupancy $1.00
Date November 17, 1983
New Building .............Old or Pre-existing Building XX Vacant Land .
Location of Property ....~~~:5 . Pec~uash Avenue Cutchogue
House No. St~eei Hamlet
Owner or Owners of Property Jon C. Kerbs & William Lakowitz
County Tax Map No. 1000 Section ..137.......... Block , ,02 ~ ~
Lot . . ,0, .
Minor Subdivision Made For Jon -
SubdivisionC. Kerbs & William LakowitzFiledMa No. a~~ 1
p ..........L.ot No . .
Permit No. Date of Permit ..........Applicant .
Health Dept. Approval ........................Labor Dept. Approval .
Underwriters Approval ........................Planning Board Approval ,February 8, 1982
Request for Temporary Certificate .....................Final Certificate , , XXXX
Fee Submitted $ - 15.00
Construction on above described building and permit meets all applicable codes and regulations.
Applicant
William H. Price, Jr., Attorney/Agent for
Re~.to-to-~a n Jon C. Kerbs and William Lakowitz
~/inn - ~'v ~ I a l
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Premises at Pequash Avenue
Cutchogue, New York
STATE OF NEW YORK)
COUNTY OF SUFFOLK) ss.:
JON C. KERBS, residing at 510 Main Street, Greenport, New York,
being duly sworn, deposes and says:
That I am one of the present owners of the premises located at
Pequash Avenue, Cutchogue, New York, known as Lot No. 1 on Minor Sub-
division made for Jon C. Kerbs and William Lakowitz, and am familiar
with the condition of same;
That the structure situated thereon has been designed, arranged
and physically occupied as a single family dwelling;
That at this time the premises is/~~rrero-t occupied;
That the condition of the existing structure on the premises
is good;
That I make this affidavit in the knowledge that the Building
Department of the Town of Southold will rely on the accuracy thereof in
issuing a certificate of occupancy for pre-existing use.
. Kerbs
Sworn to before me this
18th day of November, 1983.
Nota y Public
IUTHr M, KLINGE
MUBIIC, ~ of NM~YeIp
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