HomeMy WebLinkAboutZ-11862 TOW\' OF SOUTHOLD
OFFICE OF BUILDING INSYLCTOR
TOWN HALL
SOUTHOLD, NE`'i' I'OP.K
CERTIFICATE OF OCCUPANCY No . Z 1 1862
NONCONFORi~2ING PF~EI~4ISES August 23, 1983
THIS IS TO CERTIFY that the
/X/ Land
Building(s)
/ / Use(s)
located at 59475 Main Street Southold
Street Hamlet
shown on County tax map as District 1000, Section 056 Block 03 ,
Lot 006 does~not~conform to the present Building Zone Code of the
Town of Southold for the following reasons:
the lot has insufficient area, width, and depth.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /g/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 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: one-family dwelling with two (2 )
accessory buildings.
The Certificate is issued to KATHERINE FILIPICH
(owner, lessee-ox~tenarrt)
of the aforesaid building.
Suffolk County Department of Health Approval N/A
L'NDERWR,ITEf{S CERTIFICA'T'E NO. N/A
NOTICE IS HEREBY GI~~EN that the owner of the above premises H_AS
NOT CONSEI~TTED TO AN Il~'SPECTION 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.
i~~~ ,
~ _
Building inspector ~
FORM NO. 6
TOWN OF SOUTHOLD
Building 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 in duplicate 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 peoperty 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
2. Certificate of ogcupancy o pre-existing dwelling r land use !S $5.00
3. Copy of certificate of occup
Date
New Buil in .............Old orPre-existing Building(X) _ s Vacant Land .
7.S" j
lr~tv~~~/~ 5. ~~/T~~d~J~~.
Location of Property -
House No. _Street Hamlet
Owner or Owners of Property ../~:TL~€~~{~~' . ~''~1~, ~~l ~C7"/,
County Tax Map No. 1000 Section 5~v....... Block ...:-3........ Lot 1° .
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 ~Q............ -
/ Qre -Co ~ (C 8~
Fee Submitted n^ _ ~~-3 p ~r / T 3~
C~ l,0 V~T
ConsrtructionFon above described building and permirmeeES all ap le $ and gulations.
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Lic~nsec( Sv,r e~Sors
STATE OF NEW YORK
COUNTY OF SUFFOLK SS.:
Re: District 1000, Section 56,
Block 3, Lot 6.
KATHERINE FILIPICH, being duly sworn deposes and says:
1. I reside at (no Main Road, Southold, New York 11971
and I am the owner of the premises located on the northerly
side Main Road (Route 25) Southold, New York and known on
the Suffolk County Tax Map as District 1000, Section 56,
Block 3, Lot 6.
2. I hereby request the issuance of apre-existing Certificate
garage and outbuilding
of Occupancy and I state that the dwellinp~/on the said
premises were erected prior to zoning and on or about the
year 1952. I further state that the same have been used
with no changes. Attached hereto is survey of the premises.
3. I do not give consent or approval for the inspector to enter
the premises. ~~pp
/'~.LIl.!/'LGN~P~
Kat Brine Filipic
Sworn to before me
thi aay of Augu , 1983.
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C N.Y
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