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Home My WebLink AboutZ-25216FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF O~CUPANCY No Z-25216 Date SEPTEMBER 2, 1997 THIS CERTIFIES that the building OWE FAMILY DWELLING Location of Property. 3950 STARS ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 22 Block 2 Lot 14.1 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25216 dated SEPTEMBER 2, 1997 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 OWE FAMILY DW~J.ING * The certificate is issued to JAMES & CLARA SA~MOUSAKIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A *P?.~SE SEE ATTAun~D INSPECTION REPORT. /~~~-u/il~i~inspector Rev. 1/81 LOC AT I ON · SUBDIVISION )lAP NO. NAME OF OWNER (s) JAMES SARMODSAKIS, DECEASED OCCUPANCY SINGLE FAMILY (type) ADMITTED BY: NICHOLAS SARHOUSAKIS KEY AVAILABLE SOURCE OF EEQUEST: BUILDING DEPARTHENT TOWN OF SOUTIIOLD }lOUSING CODE INSPECTION REPORT 3950 STARS ROAD EAST MARION, N.Y. (number & street) (municipality) LOT(s) & WIFE (owner-tenant) ACCOHPANIED BY: SUFF.CO. TAX MAP NO. 1000-22-2-14.1 CLARA SARMOUSAKIS DATE: JULY 15, I{~Z_ .... DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAl, ROOMS: BATI1ROOH PORCII TYPE BREEZEWAY DOMESTIC IIOT~ATER TYPE IIEAT OIL OTI1ER: CEMENT BLOCK CEMENT BLOCK CELl,AR I ST FLR. 2. _2NI) FLR. 2___ ONE TO I LET ROOH ( s ) YES ~ STORIES 2 ~ EXITS - - CRAWl. SPACE - - 3RI) FLR. DTII.ITY ROOH ATTACHED TO EEAROF HOUSE, UECK, TYPE SIDE &----- WA?ER HEA~ER FIREPLACE GARAGE TYPE IIEA'I'ER ELECTRIC AIRCONI)I'F]ONING WARM AIR XX IIO'I]~ATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIHHING POOL , GUEST, TYPE CONST. OTIIER: HELL HOUSE FOR PUMP ABANDONED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOR~ FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP ff6051 co Z10728 (add), BP g17512-COZ-lBOlO (Deck Add) BP ~20125 C0Z-20678 (Deck INSPECTED BY DATE OF INSPECTION JULY 22, 1997 TIHE START 10:40 AM ENI) I I :00 AM Form No. 6 TOWN OF SOUTHOLD ~C~ 765-i802 A. This application must be filled in by t~ewriter OR ink and submitted to the buitdinE inspector with the following: for new building or new use: 1. Final su~ey of property with accurate location of all buildings, property lines, streets, and unusual natural or ~opographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~). 3. Approval of electrical installation from Board of Fire Unde~izers. 4. Sworn statement from plumber certifying ~hat the solder used in syst~ contains less than 2/10 of i% lead. 5. Co~ercial building, industrial build,g, multiple residences and s~ilar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. [~FOr existing buildings (prior to April 9, 1957) non-confo~ing uses, or buildings and ~ ¥'pre-~is=ing" land uses: ~1. Accurate su~ey of property show~g all proper:y lines, streets, budding and unusual natural or topographic features. 2. A properly co~leted application and a consent to inspect si~ed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall sta~e the reasons therefor in ~iting to the applican~. C. 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. ~ Certificate of Occupancy on Pre-~xistinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - , .25~ 4. Updated Certificate of Occupancy - $50,00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..~'~7...~5~X.~.~:~~\~, .................. Location of Pr operty .3~ ~.~-~. ~.~[3~(~..\i~,.. ~ ~i..BO~~.r ~g~. ~O~ House No. Street Ha~et Onwer or O~ers of Proper~y ...... - ..................... No 0o0, ..... .... .......... ............ Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~ ............... ....................... c'o-e--JSD) b i I CONSENT TO INSPECTION C~('IY-C~ ~(~\~"-Y'~cw_~Z'~CK~ ~ -~ ' ,the undersigned, · -' Owner'(~ 'N~me{-s~ do(es) hereby state: That the undersigned (is) (a~c~the owner(~of the premises in fl~e To~ of .. outhold _ County tax map as District 1000, Section ~, Block aa , Lot 19,/ That the undersigned (has) ~filed, or caused robe filed, an applica- tion in the Southold To~ Building Inspector's Office for the following: ~ That the undersigned do{es) hereby give consent to the Building Inspectors of the To~n of Soutbold 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, ~clud~g Inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations o~ the Town of Southold. The undersigned, tn consenting to such ~spoctlons, do{es) so xdth the knowledge and understandh~g that any hfformation obtained tn the conduct o~ such inspections ~nay be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or regulations o~ the Town of Southold. (signature) (print name) (signature) (print name)