HomeMy WebLinkAboutZ-13678TOWN OF SOUTttOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTItOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
TttIS IS TO CERTIFY that the
/ZX/ Land Pre C.O. #- Z13678
/ / Building(s) Date-July 29r1985
/-/ Use(s)
located at 10200 Rt. 25 Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 143 , Block 03
Lot 001 , doesinot)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient front yard set-back. Insufficient width.
On the basis of infor~nation 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 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 situated in the B-1 Zone
( General Business ) with a one story wood framed buildin9.
Property has access to Marlene Dr. a Town maintained road.
The Certificate is issued to
of the aforesaid building.
CELIC, ROBERT A.
(owner,
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO.
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises ILiS
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.
Buiidin~ inspector
FORM NO. 6
TOWN OF SOUTHOLD
Bu ilding Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~111~ 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 p2"operty showing all property lines, streets, buildings and unusual natural or
topographic 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.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15.0 0
3. Copy of certificate of occupancy $1.00 / /
4.Vacant Land C.O. $5.00 ~//7//~
New Building . Old or Pre-existing Building ~/~ V~cant Land .....
Owner or Owners of Property .............................. .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 Certificate ..................... Final Certificate .~. .....................
Fee Submitted $ .... /..--~, ,, . .'~.'~.-. ..............
Construction on above described buildin~meets a~appl~ble~,~Ces ~ regulations.
CaD ~-,'~ ~-~; Applicant ./.~../-~..~/: . . .~ ....................
Rev. 10-10-78
AFFIDAVIT/DEPOSITION
I, STANLEY SLEDJESKI, do herein state that the premises
located at 10200 Main Road (Rt. 25.) , Mattituck, Southold
Township, District 1000, Section 143, Block 3, Lot I and
presently owned by Robert A. Celic and occupied by Ce]ic
Realtors was constructed.on October 2, 1956 and therefore
Town Building Department permit
predates any Southold
requirements.
edjesk~
Sworn to before me this
17th day of July, ]985
DAVID C. CREATO
Notary Publle, State of New Yeek
N~ 4~34~1
quaffed ~ Suffolk County
Commi~ion F~ptr~ M~.~h 80. 19~7