HomeMy WebLinkAboutZ-15926 TO��,• SOUTHOLD
OFFICE OF BUILDING INSPECTOR,
TOWN MlkLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREI\•IISES
THIS IS TO CERTIFY that the
Land Pre C.O. #- Z-15926
/ X/ Building(s) Date- July 8, 1987
Use(s)
located at 58605 Main Road Southold, New York
Street Hamlet
shown on County tax map as District 1000, Section 056 Block 2 ,
Lot 02 does�'not%conform to the present Building.Zone Code of the
Town of Southold for the following reasons:
Non-Conforming Veterinary Hospital
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /_/ Land /X/ Building(s)
/r/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 1 z story, one family wood framed
dwelling, animal hospital kenne s; three accessory sheds and a barn all situated in
'A' Residential Agricultural zone, with access to Main Road; a State Highway;
Permits 4214Z CO Z3658; 7171Z & 7222Z/CO Z6504; 13049Z/CO # 14269Z
The Certificate is issued to DR. WILLIAM. ZITEK
(owner, � �� XtiiX
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N677559-N I73834-N I47649
NOTICE IS IIER,EBY GI�TEN 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 orduz-
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.
��uildin� in��e ctor
STATE OF NEW YORK )
SS. :
COUNTY OF SUFFOLK )
Lawrence T. Waitz , being duly sworn, deposes and says:
THAT I was the original owner of the North Fork Animal Hospital . I
know that the above-mentioned Veterinary Hospital was in operation in
1957 , prior to the effective date of the zoning ordinance in the Town
of Southold.
Dated: June 9 , 1987
awrence T. aitz
Sworn to before me this
9th d of June, 1987 .
Notary Public
PATRICIA C.MOORE
NOTARY PUBLIC,Slate of New Yolk
No. 4861668, Suffolk County
Commission Expires June 16,1988
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.
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. Fetes
Certificateofoccupancy $25 . 00 -- BUSINESS $50 . 00 ACCESSORY $10.00
2. Certificate of-occupancy on pre-existing dwelling 5$p
3. Copy of certificate of occupancy $ 5 .0 0 , over 5 years $ 10 . 0 0
4.Vacant Land C.O. $ 20 . 00 e ,V_ FZ
5.Undated C.O. $ 50 . 00 1 /Date . . . . . . . . . . . . . . . . . . . . . .
New C'onstruction. . . . . . Old orPre-existing Building . . .�!. . . . . . . . Vacant Land . . . . . . . . . . . . .
.�
Location of Property �.�/.�. '!"L _ .
House No. Sfreet� Ham/et
Owner or Owners of Property . .c/ . . . ��-G./ ��� . . . . . . . . . . . . .
County Tax Map No. 1000 Section . . . . . . . . . . , . . . Block . . . . .1�1� . . . . . . Lot . . '.�-.'. . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot
NNo. . . . . .. . . . . . . . .
Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . .�. . . . . , . . ;
v•
Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .
Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . .
Fee Submitted $ . . g d-,-1 , , , , , ,
Construction on above described building and mit meets all applicable codes and regulations.
Applicant C. . . . . . . . : . . . .�.✓. . . . . . . . . . . . . . . . . .
Rev.10.10.78
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