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HomeMy WebLinkAboutZ-11760TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /~-/ Land /~! Building(s) ~--/ Use(~) located at 2580 Feconic Lane Street shown on County tax map as District 1000, Section ~1~760 June 30, 1983 Feconic Hamlet 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 /~'/Land /-~/Building(s) - /Z/Use(m) existed on the effective date the present Building Zone Code of the Toxvn of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFEED 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 of the aforesaid building. Teddy ~ntone ~ Emma Elizabeth Kuiawski (owner, lessee or tenant) Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A Sr. Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Ao 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. 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. Fees: 1. Certificate of occupancy $5.00 /r 2. Certificate of occupancy on pre-existing dwelling land use $ ! $5.00 3. Copy of certificate of occupancy $1.00 Date ..... New Building ...,, ~ ....... Old or Pre-existing Building(~). -.X-- _ =/Vacant Land ............. Location of Property .P.~.c. oj3 J~(; .L.a.n.~, .S. qul;ho. ~..NY. .............................. - .......... House No. Street Ham/et Owner or Owners of Property .T. eddy .Ant. one KujaWsk-J.-. f~..........(~1/~ l~J. ......... I~. h ~J~-'l~...............{~Uj~rw.Sk,) County Tax Map No. 1000 Section ...0.7~4. ......... Block . .0.3. ........... 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 .~J~. Fee Submitted $. ~§.00 ....................... Construction on above described building and permit"meets all aPl~cable~co.des and regulations. Rev. 10-10-78 ~ ~/z Applicant. GAR .-.FLANNER. OLSEN- E.SQ, ....................... P. O. Box 38 Main Road Mattituck, L. i., N.Y. 11952 ' JUN.' 2 8 R~cl, GARY FLANNER OLSE~r COUNSELLOR AT LAW AFFIDAVIT 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 1000-074Z03-020. 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. Sworn to bef~28th ~' Notary~ JgARY F[ANNER OLSEN ~olar¥ P~b~/c, S~e o~ N~w No. 52'2959600 ~ua~ff~ed ~n SuffMk County Term Expires March 30, 1971 JUN.