HomeMy WebLinkAboutZ-12136 TOWN OF SOUTHOLD
OFFICE, OF BUILDING INSYGCTnR
TOWN I-LNLL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO.CERTIFY that the
Land DECEMBER 7 , 1983
Building(s)
Use(s) Z12136
located at 3300 MANHASSET AVE . & 55.0 Wood LANE GREENPORT
Street Hamlet
shown on County tax map as District 1000, Section o43 Block 4 ,
Lot 19 doe<no0conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient Area; Insufficient front and side yard area setbacks
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /X/ Land / x/ 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: A ane fermi l y ritual l i rim, located J u tY e
residential-agricultural zone
The Certificate is issued to KATHERINE LEVENTOPOULOS
.(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. 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 if the premises comply with all applicable codes and ordin-
ances, other than the Buildinb 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.
Buiidinv 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-
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 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 $5.00
2. Certificate of occupancy on pre-existing dwelling { land use --Pre-Ex is ting C . 0 1 5�O�O
3. Copy of certificate of occupancy $1.00 /r Vacant land C . O . $ 5 . 00
Date . . . . / . . • . . . . . . . . . . . . . .
New Building . . . . . ... . . . . . . Old or Pre existing Building . . . . . . . . Vacant Land . . . . . . . . . . . . .
Location of Property ."Cae . ep_ d I.4vecib ti.e Y-/�'//�Ni��S�T/�(/�� • �/eF'&A1'P'd 7,�j�
. . . . . V. . . . . . .
House No. Street �j •Hamlet
Owner or Owners of Property .`. t�. ?���. . . �� . . . .�r�U�S• . . . . . . . . . . . . .
County Tax Map No. 1000 Section . . . . . . . . . . Block . . . . . . . . . . . . . Lot . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . .
PermitNo. . . . . . . . . . . Date of Permit. . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .
Underwriters Approval . . . . . . .. . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . .
Request for Temporary Cert• icate . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . .
s:Fee SubmittedS ".. •f•(/•�• • • • • • • • • • • • • • • •
Construction on above described building and pe _ ets all app ;Lalai�codpdhd regulations.
Applicant . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .
Rev. 10.10.78
T.39 {)) 4
MAP - OF LAND
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Now. ov -Coy me.r1
_. �.. vticQy.a o'`fke SecUv►`
} 4 h f as 3411yvc't1ed, Nov. 19�a�f
`T
STATE OF NEW YORK
COUNTY OF SUFFOLK SS. :
Re: Dist. 1000, Sect. 43,
Block 4, Lot 19.
KATHERINE LEVENTOPOULOS, being duly sworn deposes and says:
1. I am the owner of the premises above-captioned.
2. I. hereby request the issuance of a pre-existing
Certificate of Occupancy for the said premises.
I have been an owner of said premises since November
16, 1968 and I believe the premises were erected -
prior, to zoning.
3. No consent or approval for the inspector to enter the
premises is given.
Katherine Leventopoul ds
Sworn toefore me
this ���day of November, 1983.
Not Public
iMEMICK J.TO
NOTARY PUBLIC,Steve yG*
No.52-
Quelified in Suffapt
CO�n 2 ion Expires March 90. 98....