HomeMy WebLinkAboutZ-17287 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
j~ Land Pre C.O. k- 217287
Q Building(s)
Q Use(s) Date- September 13, 1988
located at 180 Kerwin Boulevard Greenport
Street Hamlet
shown on County tax map as District 1000, Section 53 Block
2 Lot 23 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 L~J Land
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 applicable 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
Certificate is issued is as follows: Property contains a one story, one
family, wood framed dwelling with open porch and attached garage; wood deck with
above ground pool; accessory two car garage and shed; stockade fencing. Permits
issued 107592 CO I1Z17286 for cellar permit 109322 CO lI217285 accy. garage, permit
139352 CO /iZ17229 pool/fence. A11 this situated in C-Light Industrial Zone and
accessible to Kerwin Boulevard.
The Certificate i5 issued to RAYMOND P. & ANNA B. CIACIA
(owner , Agi§~fi~~~~'fl~i>~~
o£ the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE N0. NfA
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with all applicable codes and
ordinances, 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 regulations.
e,a w.~l
Building Inspector
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 ~ to the Building Inspec-
torwith 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, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property 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 New Dwelling $25.0.0, Accessory ]0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5 .00 , over 5 years $ 10.00
4.Vacant Land C.O. $ 20.00 August 1, 1988
S.Updated C.O. $ 50.00 Date
NewConstruction,,,,,,OldorPre-existing Building ..XX........ Vacant Land
Location of Property , ,7.$Q. )Zerw~n, , ,Boulevard , Greenport
House No. Street Hamlet
Owner or Owners of Property , . Raymond, P.. and Anna B : Ciacia
County Tax Map No. 1000 Section ....053 ; 00• , - , Block , , 02 :00 , , , Lot , ,023: 000.
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 ..:y .
Fee Submitted $ ,50; 00 , ,
Construction on above described building and permit meets all applicable codes and regulations.
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A p F I D A V I T
i
~ Re: Raymond P. Ciacia and Anna B. Ciacia
Premises: 180 Kerwin Boulevard, Greenport, New York
STATE OF NEW YORK) ~
COUNTY OF SUFFOLK)ss.:
RAYMOND P. CIACIA and ANNA B. CIACIA, being duly sworn depose
and state the following: I
1) That we are the owners of the house described on Suffolk
County Tax hlap as 1000-053.00-02.00-023.000. That I believe that
said house was constructed prior to April 23, 1957 and has been
used continuously since that time as a one family residence.
~ ~
1 ./AA ~ ~!/.4~i~
RAYMOND P. CIACIA
i
AN B. CIACIA '
i
Sworn t before me this ~
day of ~s2 , 1988.
I
r~S
notary public J
py,~?
1{~ yr NMwyn~~ D.&
~~~Yp_ky~/
M ~Nnw~Nn F~o+r~~ fit; ~K(G
N1 ~ AID