HomeMy WebLinkAboutZ-15449TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN PLiLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORRHNG PREMISES
THIS IS TO CERTIFY that the
~/ Land Pre C.O. #- Z15449
~X/ Building(s) Date- December 3, 1986
I-I Use(s)
located ~ 27475 Main Road
Cutchogue
SLreet Hamlet
shown on County tax map as District 1000, Section 102 , Block 01
Lot 13 , does.~not)conforrn to the present Building Zone Code of the
Town of Southold for the following reasons:
Insuffficient total area. 2nd residence insufficient front
and sideyard setbacks.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming ~_--~ Land ~--_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: Property contains two one family dwellings
situated in the A-Residential Agricultural zone with access to Rt.
25: a state maintained road.
The Certificate is issued to
of the aforesaid building.
w. state of Josef Zielonka
(owner, ~~x
Suffolk County Department of Health Approval
N/A
UNDER\%rftITERS CERTIFICA~"E NO.
N/A
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 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 applicable codes and regula-
tions.
~ ~spector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N,Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 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 p~Coperty 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~ $15. O0 '~
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
5.Updated C.O. $15.00 Date.~Q....~......~b....~.~.~
New C on s t P u c t i o n ...... Old 9~Pre-ex isting Building ., .~ ...... Vacant Land .....
~ 7Y7~
Location of Property ....... ~..0~...'.., ./~..~../.~/....~...~.0 ............ ' ~ .~-¢/~' '
House No. Street Ham/et
Owner or Owners of Property . . ,I ............
County Tax Map No. 1000 Section .... /..(~...~. ..... Block ... ~ ...... Lot..J..~ ..........
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 an,d-t~e, rcnit meets all amicable codes and regulations.
Rev. 10-10-78
November 30. 1986
Building Department
5outhotd Town Hall
Main Road
5outhold, NY leg7]
RE: 1000-10~-]-11
Dear Building Inspector:
I am familiar with the property mentioned above. I hve lived in the area
for a long time. I personally know that the property has been used as a
habttaile residence and that no additions or structural changes have been
~eae since April, 1957.
~o. 52 - 4665676
~ualified m St,ffolk County
Very truly Yours,
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