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Home My WebLink AboutZ-13498TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN IIALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the ~! Land [--! Building(s) /-/ Use(s) located at 400 Marlene Lane Pre C.O. Date- #-z1349~ June 5, 1985 Mattituck Street Hamlet shown on County tax map as District 1000, Section 143 , Block Lot 24 , 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 that the above nonconforming ~_--X/Land /Z/Building(s) /Z/Use(s) existed on the effective date the present Building Zone Code of the Town o£ 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 £ollows: Property contains a one storyi wood framed; one family dwelling with concrete patio; a burner and accessory garage. Property situated in the A-Residential-Agricultural zone with access to Marlene Lane; a town maintained road. The Certificate is issued to WILLIAM D. SULLIVAN & JANE A. SULLIVAN (owner, of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HiS 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. Buiidin~ inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~e~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions in duplicate ~ A. This application must be filled in typewriter OR ink, and submitted, ~V~ ~:~:o~ ~he 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. §. Submit Planning Board approval of completed site plan requirements where applicable. Bo For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusua~ natural or topograph lc featu res. 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. Co 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 $15.00 Date .......................... New Building ~ Old or Pre-existing Building ~ Vacant Land Location of Property ...~..0.. ~..a:_~.]:. e..~.e..~..~..e.% . .l~.~.t;?.~..t;~.c.~. ................................ House No. Street Ham/et Owner or Owners of Property ...~.~. 1..~.i.~.m.. ~....~..1;1.]..~.~?..8~.. ?...~.a~..e..~....~.~.~..1~?..~..~ ............ County Tax Map No. 1000 Section ....~.~.~. ........ Block 2 Lot 2/& 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 permit meets all applicable codes and regulations. ~FllIi~ D. Sulliv~n STATE OF brEW YORK COUNTY OF SUFFOLK SS: says: WILLIAM D. SULLIVAN~ being duly sworn, deposes and That I reside at 5990 Pine Cone Court, Lake Worth, Florida and I am one of the owners of the premises known as 400 Marlene Lane, Mattituck, New York since April 15, 1972. That the said premises had .been owned by Angelo Coletti since July 24, 195# and had been used and occupied as a one- family dwelling. That the building erected on the said premises is and has been in good condition and suitable for occupancy as a one-family dwelling. William D. Sull~van Sworn to before me this~ V~,Lt. JAM J. CLARK NOTARY PUBLIC, State of New York No. 52-5712500 Qualified in Suffolk County Term E. xpirm March 30. 0 'gL 96 iO~ J