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Home My WebLink AboutZ-15928TO\~_ ~F SOUTIIOLD OFFICE OF I~IiILDING INSPECTOR TOWN tLiLL SOUTtlOLD, NEW YOP, K CEI~TIFICATE OF OCCUPANCY NONCONFOllMING PREMISES Tills IS TO CERTIFY that the /'~/ Land Pre C.0. #- Z-15928 /~/ Building(s) Date- July 8, 1987 I-I Use(s) located at 2705 Bungalow Lane Mattituck, New York Street Ifamlet shown on County tax map as District 1000, Section 123 , Block 08 Lot 22. I , does{not!conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; front and side yard setbacks On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming ~'7 Land /'~/Building(s) /i/Use(s) existed on the effective date the present Building Zone Code of the Town of Southotd, 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 ~nd use for which this Certifi- cate is issued is as follows: Property contains one story, one family, wood framed dwelling with attached deck, and situated in 'A' Residential Agricultural zone with access to Bungalow Lane, a Town maintained road. The Certificate is issued to of the aforesaid building. J. PARKER WICKHAM ( O w n e r, X ~sv~eX ~ R~ ~ ~ ~X Suffolk County Department of IIealth Approval N/A UNDEtI\Vt{ITEi{S CEI, FIFI _,A 1 E NO. N/A NOTICE IS tiEllEBY GIVEN that the owner of the above premises I-HiS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordh~- ances, other than the lJuildinff 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 reffula- tions. .... 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 m"'----~- 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 p~operty 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 $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 /?.,.. 5.Updated C.O. $ 50.00 Date ./~..F,./. ...... NewCons truct ion ...... Old or Pre-existing Building . .~. ........ Vacant Land ............. House No. Street Ham/et Owner or Owners of Property ...-~..,..P.~):.¥~..L/'..L~.~......~./..~...l.~.d.,~...~..' ..................... County Tax Map No. 1000 Section .... ~,-~-.. ?. ...... Block ..... .~. ........ Lot.. ~..~. :/. ....... Subdivisiu, .............. ~ .................. Filed Map No ........... Lot No .............. Permit ~'- . .-~Aq:~-ffL'-a"fl~ :'. ................................ ......... ~. Date of Permit ........ Health Dept. Approval ..... ....,~ ........... Labor Dept. Approval ........................ Underwriters Approv~ . ................ Planning Board Approval ...................... Request for Tem~;~'~ry Certificate ......... Fna Certificate Fee Submitted $. · .L~.0.,. ~ Applicant . .~,~2.c,, / ~,~/~ '~/*"¢'~'~' ], . .~... ~ ................... Rev, 10-10-78 June 24, 1987 This building, called The Villa, was located on Bungalow Lane, Hattituck. Built before April, 1957, it was constructed for a summer bungalow and has been mainbained as such. It is in good structural condition with a tight;,~of. NOTARY PUBLIC, State oi New York No. 52-4519999 Suffolk County ~ CommisSio~ Ex~e~ November 30, ),?9..~J~ N LOT NUNI8 ERS REFER TO "MAP OF MARRATOOKA POINT "FILED MAR.9, IN THE OFFICE OF THE SUFFOLK COUNTY CLERK AS MAP NO 331 C£RTIFtED TO~ CiTiBANK SURVEY OF PROPERTY AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY , N. Y . I000 - 123 08 PlO 22.1 SCALE I" = 30' JAN. 8 , 19 8 7 //)' ..":-? (5~6) z65 - Il R BOX 909 0 MAIN ROAD SOUTHOLD, N.Y. 11971 LIC. NO. 49668 ENGINEERS, P C Prepared in cr~ord,*.nc~] wilh the minimum tho L.I./~ L. 5. c~,d op~,l~w,id ond odopto Title Association. 86 - 827 - 2