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Home My WebLink AboutZ-11739TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN ILiLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /il Land /X / Building(s) /x_-/ Use(s) No. Zl1739 June 24, 1983 located at 28675 Main Road Cutchogue Street Hamlet shown on County tax map as District 1000, Section 102 , Block 05 Lot 021 , does[not)conform to the present Building Zone Code of the Town of Southold for the following reasons: T~is pre-existing dwelling and accessory buildingS(per survey 6/14/83) is not a permitted use in this B-1 Zoned District. On the basis of information presented t0 the Building Inspector's Office, it has been determined that the above r~nconforming C/Land f/Building(s) /i/Use(s) existed on/he effective date the present Building Zone Code of the To%vn of Sou/hold, and may be continued pursuant lo 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 follo~vs: a non-conforming one-family dwelling with accessory buildings. The Certificate is issued to of the aforesaid building. JOYCE MONK ( o~vner, ~e~s-~e- or -t~n~n%) Suffolk County Department of Health Approval n/a UNDERWRITERS CERTIFICATE NO. n/a NOTICE IS HEREBY GIVEN that the owner of the above premises H_iS 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. ~L Building inspector FORM NO'. 6 TOWN OF SOUTHOLD Building Deoartment -[own Halt 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- tor with the following; for new buildinos 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 comoiiance 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 ali property lines, streets, buildines 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 infoTma- tion required to prepare a certificate. ' Co Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ...J.u.n.e.. 7.0.,..1..9.8.3 ......... New Building ............. Old or Pre-existing Building ....X ........ Vacant Land ............. Location of Property~f Main Road, Cutchogue House No. Street 7,'a ;;/ ,, Owner or Owners of Property . .~.O.y.C~..~.0..~.~ ............................................... County Tax Map No. 1000 Section . .~.0.2. .......... Block ...5 ............ Lot..0..2.]_ ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Unde ,r~vriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... :X ............... Fee Submitted S.15...QQ ...................... //~_! ,~¢~,~ ~t I~p~c d regulations. Construction on above described building a meets al I odes? Applicant..~c.,¢~.../~/...../. ~/~. ................... II STATE OF NEW YORK) : SS.: COUNTY OF SUFFOLK) JOYCE MONK, residing at Main Road, Cutchogue, New York, being duly sworn, deposes and says: Deponent is the owner of certain premises on the north side of Main Road, Cutchogue, New York, being conveyed to Pasquale Gemma. A survey of the property is attached hereto. Deponent further says that all the buildings on the premises were erected long before the turn of the twentieth century and that no new construction on any of the buildings has been done since April of 1957. Deponent makes this affidavit to secure a Certificate of Pre-existing Use for the buildings, consisting of a residence, garage, barn, two sheds Sworn to before me this 20th day of June, 1983 Notary Public and coops.~c~ ,~ ~~ /~ Joyce Mon~! ELLEN M. PRE~T-EH~ Notary Public, State of New York No. 4688534 - Su~olk C~unty Commission Expires March 30, I