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Home My WebLink AboutZ-24262FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. No Z-24262 THIS CERTIFIES that the bui PRE EXISTING FICATE OF OCCUPANCY Date APRIL 5, 1996 ONE FAMILY DWELLING Location of Property 105 CEDAR DRIVE EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 22 Block 2 Lot 34 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 E-24262 dated APRIL 5, 1996 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 The certificate is issued to JOHN TRIKOUKAS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECT Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOU TOLD HOUSING CODE INSPECTION REPORT LOCATION: 105 CEDAR DRIVE EAST MARION, N.Y. number 6 streeC)--- ----(munlcrpality SUBDIVISION IIAP NO. LOW) NAME OF OWNER (s) JOHN TRIKOUKAS J OCCHPAP17Y SINGLE FAMILY `—'-- - -- �t➢PP_.�__——------ --- (owner-tenanl')--- ---- — AUMITTF,D BY: JOHN TRIKOUKAS_ ACCOMPANIED BY: SAM KEY AVAILABLE SIICF.(;0 TAX MAP HO. 1000-22-2-34 _ SOURCE OF REQUEST: JOHN TRIKOUKAS DATE: MARCH 19, 1996 I)WUI.IANc: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION PIERS CELLAR TOI AL. BOOMS: IST FIR. 4 2NU Flat. BATHROOM (s) ONE TOILET ROOM (�) PORCH TYPE 1)I BREEZEWAY _ FIREPLACE DOMESTIC IIOTWATER XX _ TYPE HEATER EL: TYPE HEAT L.P. GAS WARM Alit XX OTHER: WOOD BURNING STOVE PRE EXISTING ACCESSORY STRUCTURES: CARAGE, TYPE OF CONST. SWIMMING 1'001. O`ruER.- I STORIES I NO CRAWL SPACE 3110 Fl,lt_ UTILITY ROOM K, TYPE WOOD PATIO GARAGE TRIC AIRCONDITIONING IIOTWATER STORAGE, TYPE CONST. GUEST, TYPE. CONST. EXITS I ------------------------------------------------------------------------------------------ ------------------------------------------------------------------- ----------------------- V1OLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE REMARKS: BP #10953-Z- CO Z-11534 (Swimming Pool) BP 823334 -Z -CO Z-24261 (Deck Addition) INSPECTED BY M. BOUFIS f DATE OF INSPECTION March 21, 1996 TIME START 9:40 AM END 10:05 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. B. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and pre -exiling" land uses: 1. Accuratesurvey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to insnec;t signed by the applicant. If a Certificate of Occupancy_is denied; the Building Inspector shall state the reasons therefor in writing to the applicant. 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. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. ;Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ! �� `?.... r Q �.� 16 ............... New Construction........ . Old Or Pre-existing Building.... ............. ell0 00 AJ Location of Property .....% ............... .. ...... ............. .. M .....I............ House No. ) /y, Street j/ Hamlet n Onwer or Owers of Property.. � Y}�.. .Y::(� tFl.... 1Z� k� S ...................... County Tax Map No 1000, Section... ....... Block ..... ........... Lot..? V ................ Subdivision....................................Filed Map ............ Lot ...................... PermitNo................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... $ /a D. D6 Fee Submitted: .. ................... ri �� Z Com. Sl ... APPLICANT Jo � /L/ rt M a z I n Oxviler(s) 1\'amc(s do(es) herebv stale: CONSENT TO IINS 1'LI, C I,10N �k1c) 0?&As the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the 'Town of Southold located at /0 S Ce o 4 R '_-PA� &-AST- ,!lga'�/O/1 which is shown and designated on the Suffolk County tax map as District 1000, Section 2a-_ , Bloch X , Lot 3'1 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold `1'oxv-ii Building Inspector's Office for the following: C. ,a N That the undersigned do(es) hereby give consent to the Building Inspectors of the 'I•own 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 with all -of the laws, ordinances, rules and regulations of the 'Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the Icnowlcdge and understanding that any information obtained hl the conduct of such ins pectlolls inay be used as evidence in subsequent prosecutions for vio- lations. of the laws, ordinances, rules or regulations of the Town of Southold. Dn(ed:Mp."""� (5 y'9r. r ; / r (signature)) %z, tC Oy 14 (print name) (siitnaturc) "A 12 I A -7-9 i ——(print name) MIAMI Arm f t z t b f 5 to " , ''-il Wan ;{� r R ' �: rr<f}4� VAN � 1 r a< F