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Z-13193
TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN tLC, L L SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES DATE: FEB. 5, 1985 THIS IS TO CERTIFY that the Pre C.0. #Z1B195 / / Land ~X/ Building(s) I-I Use(s) located at32900 Main Rd. & 320 Eugene's Rd. Street shown on County tax map as District 1000, Section Cutchogue Hamlet 97 · Block Lot 3 , does{not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Non-~onforming accessory building in front yard. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /Z/ 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: This property contains a one family dwelling with an accessory garage, situated iD the A-Residential Agricultural zone with ~qcess to ~ Main Rd.: a state m~ini-.ainad road. The Certificate is issued to of the aforesaid building. Suffolk County Department of Health Approval UNDER~q{ITEl~S CERTIFICATE NO. Pauline Frilucik (owner, N/A N/A NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS 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. Bu~.~'dmg inspector GARY FLANNER OLSEN COUNSELLOR AT LAW MAJN ROAD MATTITUCI"(. NEW YORK 1 1952 AFF[DAV[T Re: PRILUCIK to Lesser File #3939 Premises: Main Road Cutchogue, NY jSS: COUNTY OF ~:~-~ ) PAULINE PRILUCIK, being duly sworn, deposes and states as follows: That I am the owner of the house described on Suffolk County Tax Map as 1000 - 97 - 6 - 3; Tha% I believe that said house was constructed prior to the issuance of a Certificate of Occupancy and has been used for many years as a residence and is, in my opinion, suitable for single residential purposes. // . LINE P ILUCIK Sworn to before me this day of December, 1954 / ~otary Public 03-5960600, Qual. in Br~x Co. ~ ~tifi~ fil~ in New Y~k ~,n~ / ~ Commissi~ Expires March 30, 19] ~ 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-' tar with the following; for new buildings or new use: 1. Final su~'ey 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 Fir9 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. Bo For existing buildings (prio[ 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 topo;3raphic 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, , Co Fees: 1. Certificate of occupancy $5.00 at 2. Certificate of occupancy on pre-existing dwelling land use~'l~' 5.00 3. Copy of certificate of occupancy $1.00 Date ... January 3, 1985 , .. New Building ............. Old o? Pre ,existing Bu,,ilding(X). _. X. .... =/Vacant Land "i... . ......... Location of Property 1~ ~3;~I~o M~, ~,-,~,-' ^ · · ........ . ..... ~ ....... ,.,.~,. r,~au. ........buLCl3og~ue~.. ~1~, .........-. House No. Street Ham/et Owner or Owners of Property Pauline Pr~J. uc~k County Tax Map P~o. 1000 Section ...9.7 ........... Block ... 6 ........... Lot .... 3~ .......... 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 S$5.;00 ........................ Construction on above described building and permit'meet~ all appl~,cable..ccodes and regulations. Rev. 10-10.78 Applicant .; .... .¢ ....... ... ........ ....f ................................ GARY FLANNEL 0LSEN, ES(}. P.O. BOX 706 , .cu c 0 u , u., NZ:. z 3 " tlJ ~ ,J _ ~ . 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