HomeMy WebLinkAboutZ-15339 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN tLiLL
SOUTHOLD, NEW YOP~K
CERTIFICATE OF OCCUPANCY
NONCONFORI%~ING PRE~¢ISES
THIS IS TO CERTIFY that the
/~ Land Pre C.O. #- Z!5339
/ / Building(s) Date- March 1 ] , ]987
/-/ Use(s)
located at 1855 Kenny's Road Southold
Street Hamlet
shown on County tax map as District 1000, Section 059 , Block 07 ,
Lot ] 2 , does.~not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area.
On the basis of information presented to the Building Inspector's Office,
it has been determined thai the above nonconforming /~/Land /Z/Building(s)
/Z/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 one story, one family,
wood framed dwelling, with attached deck; an accessory shed B.P. ]555Z
and C.O. Z1225 and all situated in the A-Residential Agricultural
zone with access to Kenny's Road.
The Certificate is issued to Dennis
of the aforesaid building.
and Dorothy Mulligan
(owner, ~ex~ ~ar~ x
Suffolk County Department of Health Approval N/A
UNDER\~q%ITEI~S CERTIFICATE NO. N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises H_iS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with al! 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.
?,ui~din~ inspector
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted in duplicate 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.
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 --?r'e-Ex±sting C.0. $15,00
3. Copy of certificate of occupancy $1.00
Vacant land C.O. $ 5.00
.....
New Building Old or Pre existing Building X Vacant Land
I ..... .............
rtouse No. , ~ ~;reet .............. Hamlet
Owner or Owners of Property iii~iiiii~.i.~'~'~_q ~ ~1 ,~'~~
County Tax Map No. 1000 Section .... '.~J..J. ....... Block ...... '~. ....... Lot .... J..c~. ........
Subdivision ......................... Filed Map No. ~...J..~. .... Lot No. . .,. . .-¢-. .J '~')'~ ......
PermitNo ........... Oate of.ermit .......... 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 permit meets all appl~odes and regulations.
STATE OF NEW YORK:
: SS
COUNTY OF SUFFOLK:
DOROTHY MULLIGAN being duly sworn, deposes and says:
THAT she is familiar with the property known as
1855 Kenny's Road, Southold, New York, designated on the
Suffolk County Tax Map as: District 1000, Section 059.00,
Block 07.00, Lot 012.000. A copy of a survey of these
premises dated September 8, 1980 prepared by RoderickVan
Tuyl, P.C. , is attached hereto.
THAT on personal knowledge, information and belief,
your deponent can state that the structures shown on said
survey were built prior to April 23, 1957; and that there
have been no changes to said structures, other than normal
maintenance, since prior to April 23, 1957 except as set
forth in Permit No. 1555Z dated September 18, 1961 and
subsequ~ntly covered under Certificate of Occupancy No.
z ~
Dated: February 14, 1987
Dorothy M~I 1 ~gan ~,J
Swo. r~o before me this
/~F~of February, 1987.
Commission