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Home My WebLink AboutZ-12346TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR TOWN ttALI, SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the / X/ Building(s) /-/ Use(s) # Z12346 Date March 13, 1984 located at 330 Doqwood Lane Southold Street Hamlet shown on County tax map as District 1000, Section 054 , Block08 Lot 003 , does[not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total areat insufficient 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 /~ Land /~/Building(s) /-/Use(s) existed on the effective date the present Building Zone Cod~ of the Town of Southold, and may be continued pursuant to and subject to the applY- cable provisions o£ said Code. IT IS FURTHER CERTIFIED that. based upon information presented to the Building Inspector's Office, the occupancy and use for which this CertifY- cate is issued is as follows: A-Residential-Agricultural Zoned · The Certificate is issued to Dorothy Delany (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...... UNDERVrRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that thc owner of the above premises IL~.S 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- ances0 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 re~,ula- tions. ]~uilding inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subm~ttedeH~du!~li tl~e 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, 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" lla nd uses: · Accurate survey of peoperty showing all property lines, streets, buildings and unusua~ natural or ,2 topographic features. · 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 / ~ 2. Certificate of occupancy on pre-existing dwelling/ land use --?re-Ex±st,±ng C. 0, 3. Copy of certificate of occupancy $1.00 ~/acant~ land C.0. -$ 5.00 Date .......................... New Building ............. Old or Pre-existing Building Y~( Vacant Land Location of Property . 3.~..0 ..................... .D?.g~/.oo..d..~.a~..e ........ .S?~.t,.~.o.l.d .............. House No. Street Ham/et Owner or Owners of Property DOROTHY R. DELANY, surviving tenant by entirety of Fred Delany, decd County Tax Map No. 1000 Section . .05.4 ........... Block . .0.8; .0,0 ......... Lot ..... .0.0.3:.0.0.0 .... 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 $ ............................. Construction on above described building and per,mit meets all applicable codes and regulations· Apphcant Rev. 10-10-78 AFFIDAVIT STATE OF NEW YORK ) COUNTY OF NASSAU ) ss.: DOROTHY R. DELANY, being duly sworn deposes and says: I am the surviving tenant by the entirety of Fred Delany, who died a resident of Nassau County on August 12, 1978, and I am making this affidavit in support of ~/ application for a Certificate of Occupancy on premises 330 Dogwood Lane, Southold, New York. My husband, Fred Delany, and I purchased this property as husband and wife on April 1, 1968 from Joseph and Jeanette Pokorny. We purchased this house as a one family house, and we used and occupied it continuously as a one family residence for ourselves. We have main- tained the property, and I consider it to be in very good condition. Attached hereto and made a part hereof is a survey by Otto W. Van Tuyl and Son, dated June 22, 1964. It is a survey of my home described above, and there have been no exterior changes since the date of this survey. I know that neither I nor my husband Fred made any changes since we purchased the home. ~oR--~l~ R. ~ELAN~ ~ Sworn to before me this 29th day of February, 1984