HomeMy WebLinkAboutZ-15196TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN tLiLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/--~ Land Pre C.O. #- Z-15~96
/--/ Building(s) Date- January ]3, ]987
/-/ Use(s)
located ~ 62265 North Road Greenport
Street Hamlet
shown on County tax map as District 1000, Section 40 , Block 0 I
Lot 03 , does[not)conform to the present Building Zone Code of the
To-~n 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 /-~/Land [--! Building(s)
/Z/Use(s) existed on the effective date the present Building Zone Code of the
Toxvn 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 one story, one family, 'seasonal
dwelling with enclosed porch and situated in the A-Residential Agricultural
Zone with access to Nortb Road; a Town maintained road.
The Certificate is issued to ESTATE OF JOSEPH GP, ZESIK
of the aforesaid building.
(owner, i%~YoVrX~XXX
Suffolk County Department of Health Approval
UNDERVrRITERS CERTIFICATE NO.
N/A
N/A
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 ff the premises comply with al! applicable codes and ordin-
ances, other than the Building Zone Code, and therefore, no such inspection
hus 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.
?,uiidin2 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-
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.
Forto April 1957), Non-conforming uses, or buildings and "pre-existing"
existing
buildings
(prior
land uses:
1. Accurate survey of p~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
5. Updated C.O. $15.00 Date ..........................
Ne~ ...... Old or Pre-existing Building ...X. ........ Vacant Land .............
309 North Re~d G
Location of Property .......................... re enpor t
House No. Street Hamlet
Owner or Owners of Property Estate of Joseph Grzesik Executor Frank '~ '
~rz e S lk
County Tax Map No. 1000 Section . O[I.Q .......... Block ....0,1 .......... Lot .... .0.0.~, ........
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.
Applicant ................................................. ~..
Rev. 10-10-78
Applic~tien f~r Certificate of Occupancy
I, Stefan Grzesik, one of the heirs ef the
property st 309 Nerth Ro~d Greenpert,
know that the blue house at ebove preperty
w~s built for ~ summer residence around 1955.
It i~ now rented ~nd in fair condition.