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Home My WebLink AboutZ-14563TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN tLa. L L SOUTtIOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /~/ Land Pre C.O. #- Z14563 /~-/ Building(s) Date- June 27, 1986 /-/ Use(s) located ~ 2100 Bungalow Lane Mattituck Street Hamlet shown on County tax map as District 1000, Section 123 , Block 8 Lot 15 , does{not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Insufficient sideyard setback. Insufficient frontyard setback. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /_~/Land /X_--/Building(s) /i/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 an attached enclosed porch. Property also has a cement block accessory garage & asphalt drive. All this situated in the "A"Residential-Agricultural Zone with access to Bungalow Lane; a town maintained road. The Certificate is issued to of the aforesaid building. MICHAEL P. SHANAHAN & WIFE (owner, Suffolk County Department of Health Approval UNDER\~rRITERS CERTIFICATE NO. NOTICE IS HEREBY GIVEN that the owner of the above premises I-LiS 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. Building Ynspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANC L Tow'N-~)F $'6L~THOLD 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 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" land uses: 1. Accurate survey of pzoperty 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5.Updated C.O. $15.00 $15.00 / ! New Building ............. Old or Pre-existing Building .....l~. ...... Vacant Land ............. Location of Property .... .~..)..~..O ...... '~' '~ ?' ~3 .c37.o..c~.../. ~.F/L~. ........................... House No. Street Ham/et Owner or Owners of Property ...~l~ ,: .c-.~1..~. ,~., .-~....~..~..~ .Vl.~. ~..~.~...J...1~..;.f,~ ............ County Tax Map No. 1000 Section ..... /~...~ ...... Block ...... (~ ....... Lot .... /.-~.'~. ........ 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 Cer!;~ficate ..................... Final Certificate ....... ..~.. ............ Fee Submitted $ \.~. ~ Construction on above described building and permit meets all applicable codes and regulations. C'~'~lqS(~ Applicant. ,,~..~--~'~Sr.~..,,-~.,...~.,,~ gqq% l ................... Rev. 10-10-78 STATE OF NEW YORK COUNTY OF QUEENS ELIZABETH NELSON being duly sworn deposes and says: That she resides at 61-40 Booth Street, Rego Park, New York, 11374. That she is personally acquainted with the property District 1000, Section 12300, Block 0800, Lot 01500, on the Suffolk County Tax Map since prior to 1950. That your deponent and family rented the above premises in the year of 1951. Your deponent later purchased the above premises in 1959. That the said premises has been used continuously as a residence since prior to 1951 and no additions have been made to the premises. ELIZABETH NELSON Sworn to before me the 7r" day of June 1986. VINCENT NOTARY FS~l~i., 5'~ 6~ =',LW ¥0Ri~ No. (~u~lilied in Q~ens County Comm~i~ ~pires ~30, 19 Z Z 0 0 0 0 ~ ~ U -6.< > < 0 PARK AVENUE MAP OF SITUATED AT MATTITUCK TOWN OF SOUTHOL D SUFFOLK CO, N.Y. AREA 6,845 SQ. FT ,~. ~ I · / ONE STORY FRAI~E HOUSE 20 5' S78~ $ $' 00" W /V/FLY HANZON CER T/FlED TO.. HOG, PNO O ~'E LONG ISLAND ldORTG~GE COR$ CHICAGO TITLE INSURANCE FOR: MICHAEL SHANAHAN ~~':~ ~ II L~ engineering p.c. t ~~ ~-tl- "o ,,,,e~t moin ~treet '~°~.~'~%.'":'~,/¢ I/r,verheod, ne,,,, ¥or~ llApril 21, 1986 dob Ne 86-1236 ~~ ~ooo-~a~-oe-~5