HomeMy WebLinkAboutZ-16503 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
J
7 Land Pre C.O. z-16503
Building(s)
Use(sl Date- December 16, 1987
located at 825 Bungalow Lane Mattituck, New York
Street Hamlet
shown on County tax map as District 1000, Section 123 Block
03 Lot 10 does (not) conform to the present Building Zone
Code of the Town of Southold for the following reasons:
Insufficient total area; garage encroachment in front yard; insufficient
rear yard.
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 Code of the Town of Southold, and may be continued.
pursuant to and subject to the applicable 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
Certificate is issued is as follows: Property contains a 2 story, one family
wood framed dwelling, with attached garage and screen porch; root cellar; terrace;
fencing, walls, well, stairs and dock, and all situated in 'A' Residential Agricultural
zone with access to Bungalow Lane; a Town Maintained Road.
The Certificate is issued to ELSl$ A. xnsTNER
(owner, 1~e~xtxer'~t~
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE N0. N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
for to determine if the premises comply with all applicable codes and
ordinances, 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 regulations.
d~~
Building Inspector
M-3646
FORM NO. 6 ~ S
DEC - g iy~ t
TOWN OF SOUTHOLD i
Building Department BLDG. DEPT"'
Town Hall TOWN OF SOUTHOLD
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY ~vA~~
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
torwith 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, acertificate 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 inform~-
tion required to prepare a certificate.
C. Fees:
1. Certific, ce of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling x$50.00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00 d17`~-
Date Ne;~et- , 198 7
New Building .............Old orPre-existing Building Vacant Land .
Location of Property 825 . Bungalow Lane ~ Mattituck
. .
House No. A Street Ham/et
Owner or Owners of Property ELS IE ~KASTNER, , , , , , , , , , , , , , , , ,
County Tax Map No. 1000 Section Block 3........... Lot , 10
Subdivision .................................Filed Map No. ..........Lot No. .
Permit No: Date of Permit ..........Applicant .
Health Dept. Approval ........................Labor Dept. Approval .
Underwriters f' pproval ........................Planning Board Approval .
Request for Temporary Certificate .....................Final Certificate .
Fee Submitted $ , , 50; 00 ,
Construction on above described building and permit meets all applicable codes and regulations.
Applicant . , , , , ,
Ate. to-tone
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M-3646
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
I
I
RENSSELAER G. TERRY, JR., being duly sworn, deposes
A.
~ and says that he is the attorney for Elsie/Kastner, the applicant)
for a pre-existing certificate of occupancy; that deponent knows
li
of his own knowledge that the dwelling house on said premises was
constructed and occupied prior to 1957; that no changes have bee
made subsequent to the enactment of the zoning ordinance; that
attached hereto is a survey of said premises. Premises are
~ occupied as a one family residence.
I
_ a~J.
(Rensselaer G. Terry Jr r
Subscribed and sworn to
before me this ~f~~day
of November, 1987.
Q.
Notary Pub c . ALICE J. KRAMER
NOTARY PUBLIC, State of New Yark
ResidmQ in Suttolk County
No. 52.4822133
My Commission Expires Mhrefr3B,'t~
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