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Home My WebLink AboutZ-15560TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the / X/ Land Building(s) Use(s) located at 41780 Main Road Pre C.O. #- Z-15560 Date- April 1, 1987 Peconic, New York Street Hamlet shown on County tax map as District 1000, Section 086 , Block 01 , Lot 07 doesinot%conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; side yard setbacks on dwelling and accessory. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X / Land /_/ 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 follows: Property contains a 2 story one family wood framed dwelling; with 2 accessory sheds and situated in 'A' Residential Agricultural zone with access to Main Road; a State maintained highway. The Certificate is issued to of the aforesaid building. THEODORE SZCZOTKA owner, 1XX$X9YdkXYa1�MXX Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises I -IAS 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. wilding inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted n e� 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. B. 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 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. C. Fees: Additions $25 1. Certificate of occupancy New Dwelling $25. 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $ 5.00 , 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 00 00, Accessory,$10.00 Business $50.00 $ 50.00 over 5 years $10.00 Date .... . 1.2./.18./.8.6 ............ NewConstruction ...... Old or Pre-existing Building ...X........ Vacant Land ............. Location of Property 41780 Main Road Peconic, New York House No. Street Ham/et Owner or Owners of Property ,.... THEODORE SZCZOTKA 1 07 County Tax Map No. 1000 Section .... 86......... Block ............... Lot ................ Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant . , .Paul Cam init i Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate ....................... 15.00 Fee Submitted $.................... I........ Construction on above described building and permit meets all applicable codes and regulations. PAUL CAMINITI Applicant.................................................... Rev. 10-10-78 Q 0 � 155(�0 STATE OF NEW YORK) COUNTY OF SUFFOLK) ss.: THEODORE SZCZOTKA, being duly sworn deposes and says that I am one of the owners of no # Main Road, Peconic, New York 11958 (Dist. 1000, Sect. 86 Blk. 1, Lot 7). The property contains a two story wood framed one -family dwelling, with an attached rear porch and three accessory buildings. The house is in good condition and livable. The house and the accessory buildings existed prior to April 23, 1957 and a Certificate of Occupancy has never been issued A Certificate of Occupancy was issued for this property by the Southold Town Building Department for an addition to one family dwelling on October 20, 1967 under Building Permit # 3296 Z. Theodore Szczotk Sworn to before me this 18th day of December, 1986 i'L L' i✓ � y L - Notary Publ c 1 lllifilllAlp New Ywk M,dco%un SURVEYED FOR:- -..TAMES C. /i'1c�U.PiCf/E��`--�os�,r�-4 Ci'F'�� LOCATED ATGO/C//C TOWN OF SUFFOLK COUNTY N.Y. LOT MAP OF SCALE 1 SUFFOLK CO. TAX MAP DATA: - DIST. A514-10, SEC. BLK. O/.Gk5) LOT 414n74' -Inn G�.A.e��-uTEEo 71 741 ..oma. DRAWN BY ,� , CO. CLK. NO. �<<S N N fes. L�vt/L.G 45t B Q f�.ecf,/ R ze FILED GA 14#12�1<1 6 �? SURVEYED Z-E� 198,7BY WILLIAM R. SIMMONS JR. P/O BOX 377 JAMESPORT, L. I., N. Y. 11947 FILE NO. �� %SGS PAGE Z3 GRID T4O BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location % G r �r �v�i �c� fi c� G /G Z,1-'- Al -' number & street (Municipality) Subdivision Map No. Lot(s) Name of Owner(s) Occupancy type) (owner -tenant) Admitted by: Accompanied by: Key availableZ n /,s-c7A-,< Suffolk Co. Tax No. Source of request ( r� Date DWELLING: Type of construction i`.L��i�1 FI-7Ktl"� #stories /yam Foundation _� ,� «,� 1 ' c-� Cellara; Crawl space fir, Total rooms, 1st. Fly 2nd. Fl lyl7lc,� 3rd. Fl Bathrooms) 'r-� /ice Toilet room(s) -- Porch, type - Deck, type d)dco Patio, type ----- Breezeway Garage Utility room Type Heat Warm Air Hotwater <79,4-- Fireplace(s) 79,4--Fireplaces) No. Exits � o Airconditioning Z Domestic hotwater ��--- Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const.dUG,�� Swimming pool Other Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. cu/J < <- — moiCJ-2-,57- G Remarks: Inspected by: Date of Insp. rd Time startZ'fct /-4end`�'oo ->?A-( (1)