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Home My WebLink AboutZ-15071 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPI?CTOR TOWN HALL SOUTHOLD, IVEVG' YOP~K CERTIFICATE OF OCCUPANCY NONCONFORMING PF~EI~-TISES THIS IS TO CERTIFY that the Land Pre C.O. 215071 /x / Building(s) Date- November 7, 1986 / / Use(s) located at 2885 Peconic Lane Peconic, New York Street Hamlet shown on County tax map as District 1000, Section 074 Block 04 , Lot 1 7 doesinot~conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; rear yard and side yard set-backs; over 20% lot coverage; non-conforming store On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /x /Land /C /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: Property contains a two story, one family, wood framed dwelling; accessory apartment• and first floor or A11 situated in the A-Residential Agricultural zone with a Pis n YPCOn1C Lane; a town maintained road The Certificate is issued to GEORGE KOKKINOS {owner, )~X~tX~~CS~X1})XX of the aforesaid building. Suffolk County Department of Health Approval N/A U1`'DER~T~~R,ITERS CERTIFICATE NO. N/A 1VOTICE IS HEREBY GI~TEN that the owner of the above premises H_AS NOT CONSENTED TO AN IhTSPECTIOIV 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. ~~uildin~ Inspector . jt " y` - ~ i' FORM NO. 6 ~ ~ 3 O TOWN OF SOUTHOLD Building Department - Town Hall Southold, N.Y. 11971 - 765 - 1802 ~ ~ S~_ a ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ to the Building In~ec- torwith 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, 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 p~perty 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 $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 ~b\1o` 4,~ S.Undated C.O. $15.00 Date ! 1 NewConstruction,,,,,,OldorPre-existing Building Vacant Land Location of Property o~.~ ~ ~ h.~: C..`~-~^sh~-~......... ~~r.G~ ?R.l Cr...... . House No. Street Ham/et Owner or Owners of Property ...~Q'~~.~t:!......1.~?~'.'~ ~~.........11 . County Tax Map No. 1000 Section Block Lot.l..~........... 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 permit meets all applicable codes and regulations. Applicant .....T.=:~.'. ~ . Rev. 10-10J8 R-u~ 3 0 (c75 co"~. 150~~ SECTION#74 BLOCK #4 OCTOBER 16,1986 LOT #17 I, Al Blaschack, hereby state that the building previously owned by me on Peconic Lane, was built approx. 100 years ago which consisted then of one store facing Peconic Lane and an apartment above the store with a separate back entrance. 35 years ago an addition was built on the existing build- ing consisting of one store in front facing Pec- onic Lane, plus another 5 bedroom apt. 15x27 wit? back entrance. All above stated has been occupied at all times by tennants. Ihereby sware that the above stated is true. ~~fNOYN /6 ~OC(pV~`' me -f h, s / 7''~ d~Y o-~ ~cyo~~., /~~C 9 'ia~'~ ~ ~ ~soeMe~wst. ~ w ci w a o~ a N 6 ~ m o O CC ~ $ o. 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