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Home My WebLink AboutZ-13084 TO~'UN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN FIALL SOUTHOLD, NEWS' YOP~K CERTIFICATE OF OCCUPANCY NONCONFORiVZI1VG PF.EMISES Date: January 9, 1985 THIS IS TO CERTIFY that the Pre C.0. ~kZ13084 / X/ Land Building(s) / /Use(s) located at 4135 Camp Mineola Rd. Mattituck Street Hamlet shown on County tax map as District 1000, Section 1 23 Block 05 , Lot 027 doesinot~conform to the present Building Zone Code of the Town of Southold for the following reasons: Lot is insufficient in width and area--accessory garage and bath facilities are located in the front yard area--dwelling has insuffic- ient rear and side yard set backs. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X/Land /X X/ 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• One family dwelling w/accessory garage and ~11ath Fari li_ty. Premises is located in an A Residential district with _Private road access from Kraus Rd: The Certificate is issued to PAUL KELLY & JACQUELINE M. KELLY, HIS WIFE (owner, k8~4~Xffiif}~ii~4t4X of the aforesaid building, Suffolk County Department of Health Approval N/A UlVDERVVR.ITEt{,S CERTIFI~:ATE NO. N/A 1VOTICE IS HEREBY GI~TEN that the owner of the above premises H_AS NOT CONSENTED TO AN Il~'SPECTIOhT of the premises by the Building Inspec- for 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 pplicable codes and regula- tions . Buii ing ?nspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall 4iouthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling /land use --Pre-Existing C . 0. $1 5.00 3. Copy of certificate of occupancy $1.00 Vacant land C . 0. $ 5.00 Date ,November ,26,,,,184,,,,, New Building .............Old or Pre-existing Building XX Vacant Land . Location of Property .Ole ,Jule ,~,,~~,e„ , Ma.t;titx~k . House No. Street Ham/et Owner or Owners of Property PAUL, KFU~,Y„&,,T~~QU1;I.~H~.M..K~J.I.Y,.his.w.i£e....... County Tax Map No. 1000 Section 1,23, 00, , , , , , , , , Block . A.5.,Q0........ Lot ...027...000.... . 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 $ .15: 00 Construction on above described building and permit meets all applicable codes and regulations. Applicant .DANIEL L : STEVENSON~ ES4; , . . . Rev. 10-10-78 ~ was Y~i ~~~/~S c.®~~Z 13Q~~ STATE OF NEW YORK COUNTY OF SUFFOLK ss.: PAUL KELLY and JACQUELINE M. KELLY, being duly and sever- ally sworn, depose and state the following: That we reside at 31 Hillside Lane, East, Syosset, New York; fihat we are the owners of premises known as Ole Jule Lane, Mattituck, County of Suffolk, Town of Southold and State of New York; That we have owned the above premises since 1952, and that there have been no structural changes to said premises since that time; That we make this affidavit knowning that the Town of Southold will rely on same to issue a Certificate of Existing Use for the above premises. J_ ~ ~ PAtiL KELLY f~/~`~ JACQtiELIN~ M. KELLY Sworn to before me this 2 7 day of November,1984 IOHN G HILLER NOTARY PUBLIC, State of New Yurk No 39 17994,p Quelitix0 in Nassau Cowry o Crmmtsnnn Clpirr~ M~rcn 30, 19.pjy I ~ Y N ,~Q ~ 1; ~ 0 e~ 3 v''~ ~ ~r v ,g0~'~~ ~~d ~ b i o ~Z s~; 0' ~ 1 .r~ ,c RZ •1J1 k - SL ~ ~ w o / ~ `C~ r ~o• Goursas o~+W~st IInQ of 25' ~ ~ ao~. Rigl+t of Wc+K f~rorr. Mon.`A~ ,sg ~o Sout1+ lire New SuFfolkAvis. 0~ f. N.4'4g~00"W.--512.51 2. N 1G~ 50~ 00` W. ^-1206.04 3. N.4~ 52'.04" L . ~oTZ.1 S 4. N. 5' \'T' 00 E . 521.93 i / N ~ ~ ~ v LL A 3 ~ Q • x r ,3 i d N I m '~e~~y N MAP OF L.ANO a SuRVEYEO FoR U j e .SACQI.IELINE KELLY H - . _ i Z Po.rcti ~ AT ~ j~ MATTITUCK Y s'r ~ ~ SuFt=o~rc GcuKtY , N.Y. ~ ,i• h? o e,,~`~ v ~ • ~ Scale : 30•: 1 N ' 6• ,G J ~GO~ 1 P P~ Gu~o~rar~tssd to t1+s Ir~tsr-Count • Tit\c Guo?rc.r~ty s Mortgage Co ' ~ the L..or~q 1aldttd Nn~ioewl 80 71 r~aoKUre~sr}t ars survsysd Geb. 7 , t9S2. ~ ~ Ci'kt'o W. 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