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Home My WebLink AboutZ-19524FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19524 THIS CERTIFIES that the building Location of Property 29215 MAIN ROAD House No. County Tax Map No. 1000 Section 13 Subdivision Date NOVEMBER 20, 1990 ONE FAMILY DWR. LLING Street Block 2 Filed Map No. ORIENT~ NEW YORK Hamlet Lot 9 Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCC. #Z-19524 dated NOVEMBER 20~ 1990 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 ONE FAMILY DWELLING & ACCESSORY COTTAGEr ACCESSORY BARN TYPE STRUCTURE & ACCESSORY SHED TYPE STRUCTURE * The certificate is issued to GUS & JULIE KYRKOSTAS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLRASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 Location Subdivision N~me of 0wner(s) · Occupancy A-! (type) Admitted by: GUS ~OSTAS Key ~vailable Source of request I BUILDIEG DEP.~d{T~"LENT '. T0;'~I OF SOUTHOLD, N. Y. HOUSIDG CODE IHSPECTION REPORT 29215 MAIN ROAD (numoer ~ s~ree~) Map No. GUS & JULIE KY~OSTAS ORIENT, N.Y. (Piun~cipa±i-cy) Lot(=), OWNER (own er- ~ enan~ Accompanied by: SAME Suffolk Co. Tax No. 13-2-9 GUS & J~LIE KYKKOST~S Date ! 1/6/90 D%'UELL ING: Type of construction Foundation STONE Total rooms, 1st. F1 5 Bathroom(s) I full bath Porch, type FRONT & SIDE Br e e z eway. ~ype ~eat OIL Fireplace(s) Domestic hotwater nILCO CAS Other WOOD F~E #stories Cellar i/2 Crawl space 2nd. F1 6 3rd. F1 Toilet room(s) ONE Deck, type Patio, type Garage Utility room · Warm Air .Hotwater xx No. ~its 3 Airconditioning Type heater 2 1/2 ACCESSORY STRUCTURES: ~ 'rx~E. STRUCT~E Garage, type const. Storage, type const.S~ED ~Y~E STRUCTURE Swi.~ming pool Guest, type const. WOOD F~ANE X~ 3 ROOMS FIRST FLOOR, I ROOM SECOND FLOOR, OIL WArM AIR MEAT, OIL HOT WATER ! BAT~, 2 EXITS. VIOLATIONS: Lncation .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Descriotion -- --I-A~rt-.] Sec. Remarks: Date of Insp. 'Time start NOV. 15, 1990 end Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building IJspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. -Businesses $50.00. Pre-existing Building - $100.00 Certificate of Occupancy on Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date November 6, 1990 :ew Construction ........... ~d ~5~e-existing Building...~ ............ Location of Pro~ertv ~, Main Road, Orient, New York 11957 House No. Street Hamlet )nwer or Owners of Pro-er~v GUS_ KYRKOSTAS and JULIE KYRKOSTAS ]ounty Tax Map No 1000, Section..q! qq ...... Block... l. ........Lot. PPP.'PPP .............. {ubdivision .................................... Filed Map ............ Lot ...................... ~ermit No ................ Date Of Permit ................ Applicant ............................. {ealth Dept. Approval .......................... Underwriters Approval..., ..................... 'lanning Board Approval ........................ lequest for: Temporary Certificate .... ~. ...... Final Certicate ........... ~C.~ ~. i~$~7 ~" ~/..~S~5!~$TAS APPLICANT ~gULIE KYPi~OSTAS CONSENT TO INSPECTION GUS KYRKOSTAS and JULIE KYRKOS~AS · the undersigned· Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at P.O. Box 2001, Main Road, Orient, New York 11957 · which is shown and designated on the Suffolk County tax map as District 1000· Section 013.00, Block 02.00 , Lot 009.000. That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy on pre-existin~ building on main buildin~ and cottage 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 comply xvith all of the laws, ordinances, rules and regulations of the Town cf Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws· ordinances, rules or regulations of the To--- $outho -/ ( prirf~ name) // - (si~na~u~) ' JULIE KYRKOSTAS (print name)