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Home My WebLink AboutZ-13266TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN PLiLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORI%~ING PREMISES THIS IS TO CERTIFY that the Land Use(s) located at 6015 Indian Neck Lane Pre C.O. #_Z13266 Date- March 15, 1985 Peconic Street Hamlet shown on County tax map as District 1000, Section 86 , Block 6 Lot 10 & 17 · does.~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area, non-conforming accessory garage in front yard. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconformingX/X_--/Land ~/Building(s) /Z/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: Parcel contains 1 story, single familY, wood framed dwelling with patio and an accessory garage; with black top driveway. Property contains detached parcel Tax map #1000-86-6-17 not buildable. Properties have access to Indian Neck Rd. a town maintained The Certificate is issued to Anne Olsen road. (owner, I~)~FD~XX~X of the aforesaid building. ~ Suffolk County Department of Health Approval N/A UNDER\%q~ITERS CERTIFICA~IIE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises tLiS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if 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. ~uiidin~ ~nspe ctor AFFIDAVIT Re: 01sen to Villani File 4037 Premises: Indian Neck Lane Peconic, NY S rATE OF NEd YORK ) SS: COUNTY OF SUFFOLK ) ANNE OLSEN, being duly sworn, deposes and states as follows: That I am the owner of the house described on Suffotk County Tax Map as 1000 - 86 - 6 - 10, 17; that I believe that said origina! house, garage, and side room attached to garage were constructed prior to April 23rd, 1957, and has been used for many years as a residence, and is, in my opinion, suitable for single residential purposes.~ o~*~ '~ ~A~~v~x-~Ou~ ANNE OLSEN Sworn to before ~ th~s 6th day of March, J1985.~ Notapy~ P g4~b 1 f~C 'aw PubliSh'ate of New York ~ No, 52-,..29~$500 Qualified in ou~olk Coun~ Commi~ion Expires March FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 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.~..1.~ ........ New Building ............ Old or Pre-existing Building . .~..~ ....... Vacant Land ............. Location,,~p ..... ~,6015 Indian Neck' Lane Feconic House No, Street Ham/et Owner or Owners of Property . . . A..n.n.e...0 ~.s.e.~. ............................................. County Tax Map No. 1000 Section .8.6 ............. Block ...... 6. ........ Lot i .... 1, 0...'.~ ~/.~.... 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 $ ............ 5,: Q Q ......... ~/~, ', Construction on above described building and p~t/~itC/meets/a~ applica~e codes and regulations. Applicant~~~ ,~,,.~.T,,...,.,~-~% ................. Rev. 10-10-78 c.o.z OL$'£N ~