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Home My WebLink AboutZ-16716 FORM N0.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. IIPDATED PRE C.0. Certificate Of Occupancy Z 167 16 Date ..March 17 , 1988 No......... THIS CERTIFIES that the building .One ,family dwelling Location of Property ...455 KOUROS ROAD, NEW SUFFOLK, NEW YORK .......................Street.......................Ham/et House No. County Tax Map No. 1000 Section > > ?.......Block ...06..........Lot ~ .'.002.. , , . Subdivision ...............................Filed Map No. ........Lot No. . REQUIREMENTS FOR ONE FAMILY DWELLING BUILT PRIOR TO conforms substantially to the Xki;>~ti~Xflbx7~i~~7ii~11?~i~I~~#'elFdlt~~C~Q¢~x~~;tl~~Xd~X CERTIFICATE OF OCCUPANCYZ16716 A p r i l 2 3, 1 9 5 7 pursuant to which~GAii~ti~~>KNo . . dated March 1 7 , 19 8 8 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . Private one family dwelling. The certificate is issued to EFSTATHIOS & MARYANNE KATSOULAS (ownerg~+8{by of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO . . . N /A PLUMBERS CERTIFICATION DATED: N/A Update of Pre c.o. 29540 ,,yp. .tya a.a. a~ ,t c~T'v~. Building Inspector Rev. 1/81 FORM NO. 6 e a TOWN OF SOUTNOLD , , ~ 1& Building Department ~ M~R ~ 7 , ~ j ~ I; H= Town Hall j Southold, N.Y. 11971 Pt_~ ~ 765 - 1802 TOWN OF SOUT?+r APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ r~ 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 property showing a{I 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory $]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.undated c.o. $ so.oo Date ....MAR,-.9,!~gg,........ / NewConstruction~,t, , Old orPre-existing Buil~d_in~g Vacant Land • • • Location of Property .':L'Ja ~~..1~~:~:(~. .......~"?-4~... . . House No. ,r~ ~ Stet Ham/et Owner or Owners of Property ~45~.1.G'r~.~~; :~'.1" 11~R~~}N~,~ ..~'1',Sc.'1 .1~+'~.,c • County Tax Map No. 1000 Section . 1~~.L?Cz Block . ~~p• GC7..... Lot ~V . Subdivision . X)QC ............................Filed Map Npo~. ~C1(......LOt No. ~.1.~1~-4:yZ?.. . Permit No. Date of Permit l~Applicant .r-x~.~~ ~..JAh~11 ~ ~K........... . Health Dept. Approval .Labor Dept. Approval . . Underwriters Approval .....................Planning Board Approval . Request for Temporary Certificate .................Final Certificate . Fee Submitted $ .~®eU~ . Construction on above described building and permit meets all applicab~/e codes and regulations. ApPlic a~~(;~-FST'AT1-IlQS / k~H~~'CJl"~L..J'~S. . Rev. 10-10-78 n ~3 v( G ! C fi,+q~O,J/f'~ 1~` ~~DLAND,~~HIi q >l,Q~ ~ ~ O 'L .e(, ~'E;~~~ KS ~ ~ `S'T 3369 ,.N 9r'e O F N E~ ~ ~ , I ~tJ ~ _ ~ ~ / ff°ry i ~ ~ ~ ~ ~ j ' ~ 1 ~ day ~ ~ ~ ~ r ~ _ - ~ w ~ r ~ , ~7Z- 37 ,~aRo ~ ,o~T,~'~'f' A. I c~ A ~ ~ 7 G~ ~rrf-~ L ~ T,u d/~ ~ ~ ~ G~,T,~/ • Q , -rte ~~g S s~A'`~`~ vf~a~ C'°""T FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No..9.540Z .......... Date ................ Aay . 34 ......... 197.9 . THIS CERTIFIES that the building ................................................ Location of Property ..4?� ... i�.o=Qs..Pwad.,..New. .Suffolk, . New. York • • • • ..Ham%t House No. Street County Tax Map No. 1000 Section ... 117 ...... Block ....06 .........Lot ...all.......... . Subdivision ........ XXX ...................Filed Map No. . ,:XX ...Lot No. .. XXX conforms substantially to the Ag REQUIREMENTS { QR ONE. F �ZI L D X MANK OR TO CERTIFICATE OF O CUPAINCY A it i 1 23 , , 19 . 5 Ypursuant to which No. ........9.540Z ........ dated ............ I'iay.. 3 D.,........ 197 9. , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ..........T-.'1= Y4tp..Qw. F.aiail.y..Dwelling...................................... The certificate is issued to ... , ... , ..... , (owner,eKil of the aforesaid building. Suffolk County Department of Health Approval ......./. A ................................ UNDERWRITERS CERTIFICATE NO .............. U/. %............................... . ................. Biii lding Inspector ector Rev 4/78 12-q FORM NO. 6 lv TOWN OF SOUTHOLD Building Department Town Clerks Office 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 Inspector 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 installations, 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date .... fty.. 2 9 r...12.7.9 .............. New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property .....N/S..Kouros Road, New Suffolk, New York ........................................................................................................ Owner Or Owners Of Property ..... A bin..:?anu.ck.................................................................................. Subdivision................................................................Lot No............. Block No............. House No............. Permit No ..................... Date Of Permit Applicant ..... Albin Januick .................... .......................................... Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .... X................................... Fee Submitted $ .5...00 ......................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ...Albin Jan b Rud�'H. ..ruer Sworn to before me this 2 9th day of ... nY ...1979 .................. (stamp or seal) Notary Public ......Suffolk County BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location �Z-5- o u N�ct/ �GI'�OL � �l• / ' Municipality number & street) Subdivision Map No. Lot(s) Name of Owner(s) lAot-v/ Occupancy__S:- e owner--tenan Admitted by:, 4ZSIA4 </AoU1c-k Accompanied by: 154 Key available, Suffolk Co Tax No . IL), 7 d6 �0l / Source of request �LP .�U, / Date t�Z'- 79 DWELLING: Type of constructio#stories ol,,= Foundation e=,c,'Z- Clc Cellar >l/ Crawl space Total rooms, 1st. FC6 3 Ames 2nd. F1_ _ 3rd. Fl Bathroom(s) o tic a-1 Z Toilet room(s) — Porch, type Deck, type Patio, type ,osey ,orio� rP Breezeway Garage ility room Type Heat Warm Air Hotwater Cj7AS Fireplace(s) ox -,,F No. Exits -7t&Q Airconditioning Domestic hotwater /o e heater F-1 Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected .415 Date of Insp v -1 O Time start ,r..._ _ >>�' :n ` '6-• _, a _.y -...�. s. ., i. - :?. 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