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Home My WebLink AboutZ-22646FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22646 Date OCTOBER 8~ 1993 ONE FAMILY DWELLING THIS CERTIFIES that the buildin~ Location of Property 230 EAST ROAD MATTITUCKr N.Y. House No. Street County Tax Map No. 1000 Section 106 Lot 4 Subdivision Lot No. Block 3 Filed Map No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22646 dated OCTOBER 8~ 1993 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 SEASONAL DWR. LLING * The certificate is issued to CLEO P. TSOUNIS (owner) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTHAPPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PleASE SEE ATTACM~.D INSPECTION REPORT. /ilding Inspector Rev. 1/81 LOCATION: BUILDING DEPARTmeNT ToWN OF SOU~IOLD [lOUSING CODE INSPECTION REPORT 230 EAST ROAD HATTITUCK, NI~YORK (number & street) SUBDIVISION NAME OF OWNER (s) CLEO P. TSOIINIS · HAP NO. (municipality LOT OCCUPANCY A-I RES. OWI~R (type) ADMII-rED BY: SELF KEY AVAILABLE SOUKCi OF REQUEST: CLEO TSODNIS (owner-tenant) SELF ACCOMPANIED BY: SUFF. CO. TAX MAP NO. !000-106-3-4 DATE: AUG., 13, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAHE FOUNDATION CgNKNT BLOCK TOTAL ROOMS: IST FLR. BATHROOM (s) ORE PORCH TYPE ENCLOSED BREEZEWAY DOmeSTIC HO~ATER YES TYPE HEAT NONE O~IER: 2ND FLR. TOILET ROOM (s) DECK, TYPE FIREPLACE TYPE HEATER WARM AIR PROPAIqg ~ STORIES ONE ~ EXITS CELLAR PARTIAL CRAWL SPACE 3RD FLR. UTILITY ROOM PATIO, TYPE GARAGE AIRCONDITIONING HO~ATER ACCESSORY STRUCTURES: GARAGE, TYPE OF cONsT. S~LMMING POOL O~R: NONE STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART' SEC. REMARKS: BP #20108-Z CO Z-22645 FOR ALTERATIONS TO EXISITNG PORCH DATE ON INSPECTION TIME START ENIJ OCT. 4, 1993 Form No. 6 TOWN OF SOUTIIOLD 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/lO.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' si~ned 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 Building - $100.00 3..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 . .~.~..~ .% .?~.. i ......... Ne.w' Construction ...... -' .... Old Or Pre-existing Buil~in~,.,,,~,., Location of Property... ~..-.~. ?. ........ ' .... . .~.~.~>. ~-....~.1: ~.~. .... J"'i~k~'~..~": :~-.~ .q ./.~ .... j.'. House No. Street 'Hamlet Onwer or Owners of Property,, ' ,~,C~. ........ .~,',:~,/'~'Q,I ................... County Tax Map No i000, Section ..... /.~"..~L..Block .... .'-'.~. ......... Lot..~,. ................. Subdivision,. C~,. .... .... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant., ' , .... Health Dcpt. Approval .......................... Underwriters Approval ................ : ........ Planning Board Approval ............. ~ .......... · Request for: Tempo. rary Certificate ........... Final Certicate ........... -- CONSENT TO INSPECTION Owu]er(s) Name(s) · the undersigned, do(es) hereby state: That the undersigned (is) {are) the owner(s) of the premises in the Town · which is shown and designated on the Suffolk County tax map as District 1000, Section /~ ~, Block ~ , Lot z/ 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:__ 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 t'o the aforesaid application, including inspections to determine that said premises comply with ali of the laws, ordinances, rules and regulations of the Town of 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 lations of the laws, ordinances, rules or reg-ulations of the Town of Southold. - - (signature) (print name) (signature) (print name)