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Home My WebLink AboutZ-13717TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /~/ Land Pre C.O. #- Z13717 / / Building(s) Date- Aug. 6,1985 /-f Use(s) located at 6075 Pequash Ave. Cutchogue Street Hamlet shown on County tax map as District 1000, Section 110 , Block 07 Lot 014 , does~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Insufficient front & side yard set-backs. On the basis of information presented to the Building InspectOr's Office, it has been determined that the above nonconforming /i/Land /l/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 follo~vs: Property contains a one story, one fam- ily, wood framed dwelling with attached garage. Property also con- tains a patio and fence along the south side. Property is in the A-Residential-Agricultural Zone, situated on a corner lot with acc- ess to Fleet's Neck Rd. & East Rd.; both Town maintained roads. The Certificate is issued to of the aforesaid building. P~LKO, PAUL & ANITA (owner, Suffolk County Department of Health Approval N/A UNDER\%rRITERS 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 ff 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. Building inspector FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ,~}outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructiens A. This application must be filled in typewriter OR ink, and submitted~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 featu res. 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, I~ultiple 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 al~d "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 / 2. Certificate of occupancy on pre-existing dwelling/ land use - - P r e - E × i s t ing C. 0, $15;. 0 0 3. Copy of certificate of occupancy $1.00 Vacant land C.0. $ 5.00 Date .... .]).e. q .e .m.b.e.~'..2.8.,.. ~ 2.8.4.. New Building ............. Old or Pre-existing Building ...... X. ..... Vacant Land ............. Location of Property ........ .6.0.7..5. ?.e.q ¥ ~.s.h..~y.e.~q¢ ............. .C.u,l:,C b o~u,e, ........... House No. Street Hamlet Paul and Anita Pylko Owner or Owners of Property ............................................................ 110 07 014 County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Michael J. Hall Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ................. ....... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... 15.00 Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. ~ ~'~--~ Applicant ......... ~ ~ p~h.a.~ ~..J .... U ~.L.,. ~,s.q, .................... Rev. 10-10-78 AFFIDAVIT Re: Anita Pylko Premises: 6075 Pequash Avenue Cutehogue, New York STATE OF NEW YORK) COUNTY OF SUFFOLK) SS.: Anita Pylko, being duly sworn deposes and states the following: That I am the owner of the house described on Suffolk County Tax Map as 100-110-07-014. That I believe that s~id\ o house was constructed prior to April 23, 1957 and has been used f r many years as a residence and is, in my opinion, suitable for single residential purposes. Sworn to. before me this day of~ , 19 DILLAYE O. KRUSE ~ARY Pt'~! !C, SI ~e o~ New Yor~ 'l'erm Expires March 30, rr?~ UL ~ ~,a ,.m, ,l~-,= d 4o -I /,e ..~ ~..~, , ',4i T,' ¢ /~ ~ . vo,.._-r'_..:, ~" '_