HomeMy WebLinkAboutZ-36410 ~ Town of Southold Annex 7/22/2013
54375 Main Road
Southold, New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 36410 Date: 7/22/2013
THIS CERTIFIES that the structure(s) located at: 1890 Rocky Point Rd, East Marion
SCTM 473889 Sec/Block/f,ot: 31.-2-10.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements fora built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER ~ 36410
dated 7/22/2013 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with enclosed north
The certificate is issued to Retzos, Kimon
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE A"fTACHED INSPECTION REPORT.
Autho d Sign ture
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1 R90 Rocky Point Rd, East Marion
SUFF. CO. TAX MAP NO.: 31.-2-10.1 SUBDIVISION:
NAME OF OWNER(S): Retzos, Kimon
OCCUPANCY:
-
ADMITTED BY: Richard Clark, Tenant
SOURCE OF REQUEST: Retzos, Kimon DATE: 7/22/2013
DWELLING:
# STORIES: 1 # EXITS: 1
FOUNDATION: cement block CELLAR: CRAWL SPACE: X
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: enclosed DECK TYPE: PATIO TYPE:
- _
BREEZEWAY: FH2EPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: oil WARM A[R: floor heater HOT WATER:
# BEDROOMS: 1 # KITCHENS: 1 BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST:
-
SWIMMING POOL: GUEST, TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GARYF DATE OF INSPECTION: 7/22/2013
_
TIME START: 10:00am END: 11:00 AM
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' TOWN OF SOUTHOLD
BUILDING DEPAR7'MEN'f
TOWN HALL ~j~~-a~S,'~~Cm
765-1802 O ~ ~(~pv~
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
I . Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) nun-conforming uses, or buildings and "pre-existing" land uses:
I . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by [he applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
I. Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate ofOccuparcy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certiticate of Occupancy -Residential $15.00, Commercial $ 15.00
Datc. - _ a~ o~D /3
New Construction: O Old or Pre-existing Building: (check one)
Location of Property: I a 9~..._ l`C Ot r1"1' l~a~ ,~{,Sd-' ~1L1/1J~1
House No. 1 / II treet Hamlet
Owner or Owners of Property: _ >~t /1~.on TTY _~Q,'~205 _ _ _
Suffolk County Tax Map No 1000, Section _ Block _ Lot ~Q, /
Subdivision Filed Map. _ Lot:
Permit No. Date of Permit. Applicant_
Health Dept Approval: _ Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ _
~3 ~f
' Applicant Signahire
CONSENT TO INSPECTION
l min t7 • ~~oS ,the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned {is) (are) the owner(s) of the remises in the Town of
Southold, located at_ l 890 /'Zock~t PorrrF' ~octd ,
which is shown and designated on the Su olk County Tax Map as District 1000,
Section 3 I ,Block 2 ,Lot /c~, /
That khe undersigned (has) (have) filed, or cause to be flied, an application in the
Southold Town Building Inspector's Office for-the following:
' That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
.buildings located thereon,. to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
complywith all of the laws, ordinances, rules aiid regixlatiions of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so withthe knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in.subsequent prosecutions for violations of the laws, ordinances, rules or
tegutations of the Town of Southold.
• Dated:~~ aO
(Signature)
(Print Name)
. •(Signature)
(Print Name)
TOWN OP SOUTHOLD PROPERTY RECORD CARD
_ _ ~
WNER ~f S STREET ~ CJ VILLAGE ~ DIST. SUB. LOT ~
' tCYGI.W~>~ h.< -4~QSa ~ti415~ C~<L • i'' ~i 5 ~ ?/r ~ i ~ 1
FORMER OWNE IFa°K ~ 3° ~ E ACR.
J(y r ~ U r1 (?P ~"Z-O 5 ~ tNf^ S W TYPE OF BUILDING
RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
<
LAND IMP. TOTAL DATE REMARKS
~ ~ C G / / 3 y a a 1r y. ~ s 7 - , ~ e / o o v - Cc== cam-'
Z O-o /~6 ~ ~Zco .3.a ~
LSdr /G ~ ~r~ / ~d ~-a - 7~ - 1`~1 ~ -s+
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Szb g~-L ~l 3/ zz(- I~E~~"zas ,Pe zos
~o /zvl ~.3~ 1~'f2~s,~~f ~ (°~-zos do~c~~~ ~u ~o
s~ r
Tillable FRONTAGE ON WATER
FRONTAGE ON ROAD
Woodland ~ ~-.~:o. ~ ii o ~o, o-ro ~ /O o
~q~,~,~ DEPTH
0
House Plot BULKHEAD
Total ,
/I COLOR ~ TRIM ~!~~2•c-[~C;~
lilts y' ';I 1'I~2.`"~`: -O ~~~~'~"~C~~.J~--
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~ .Fi., ~~i
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Extension a ~ _ / ~ ~ ~ y'? a~ 3 ~-Y
Extension
Extension
Foundation G ~ Both ~ Dinette
P <o .?'.Za = / L/d / Basement ~ Floors ~ K.
Rorch Ext. Walls v,r ~ Interior Finish LR.
Breezeway Fire Place y~, Heat Q~. DR.
Garope ype Roof Rooms lst Floor BR.
Patio Recreation Raom Rooms 2nd Floor FIN. B
O. B. Dormer Driveway
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ANY AL lERA770N OR ADD/7)ON TO TH/S SURVEY lS A V10LAT/ON 5 ~.yo
OF SECTION 72090E THE NEW YORK STA7E EDUCA710N LAW.
N EXCEPT AS PER SECTION 7209-SUBD/V/S/ON 2. ALL CERT/FlCA110NS ~P'~
HEREON ARE VAL/D FOR 711/S MAP AND COPIES THEREOF ONLY lF ``SOS %
WHOSE S/G~ATUREIAPPEARS HEREONRESSED SEAL OF THE SURVEYOR SPRPa ~1g•~.~%%/
SURVEY OF PROPERTY
~ A T EAST MARION
IE ~ ~ TOWN OF SOUTHOLD
N6z3k1 ~ ~ SUFFOLK COUNTY, N. Y.
os 1000-31-02-10.1
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pAD ~ 1 79.64 ~=p~N (631) 765-5020 FAX (631) 765-1797
~AIN g /y/Q~ ~O~P ~ P.O. BOX 909
" ~ BASANI AREA=41,241 SQ. FT. sou°TH ~ DuEN. ~ is~i r 13-157
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant)
ADMITTED BY: -~~~-t~ ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTR~/U^"~~CTION: `~,W~ O;C.psH.E. # STORIES: # EXITS: Il'zt.K___
FOUNDATION: (/~t~.,,
j /tee cam. BASEMENT: CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR:
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: ~ DECK, TYPE: PATIO, TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: ~ TYPE HEATER~: -C. _ AIRCONDITIONING:
TYPE HEAT: WARM AIR: „i /Og~(„$OTWATER:
# OF KITCHENS: n~-_
FINISHED BASEMENT: YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
V OLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE P TION & BUILDING CODE
LOCAT DESCRIPTI ART. SEC.
~ L
G
REMA
INSPECTED BY: DATE OF INSPECTION:
TIME START: ~/tD END: /D ~