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Z-36410
TF0 FF©l,f Town of Southold Annex 7/22/2013 �o�sU �oG � y� 54375 Main Road in x Southold,New York 11971 of �a PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36410 Date: 7/22/2013 THIS CERTIFIES that the structure(s)located at: 1890 Rocky Point Rd, East Marion SCTM#: 473889 Sec/Block/Lot: 31.-2-10.1 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36410 dated 7/22/2013 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with enclosed porch.* The certificate is issued to Retzos,Kimon (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Autho d Sign ture BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1890 Rocky Point Rd,East Marion SUFF.CO.TAX MAP NO.: 31.-2-10.1 SUBDIVISION: NAME OF OWNER(S): Retzos,Kimon OCCUPANCY: ADMITTED BY: Richard Clark,Tenant SOURCE OF REQUEST: Retzos,Kimon DATE: 7/22/2013 DWELLING: #STORIES: 1 #EXITS: 1 FOUNDATION: cement block CELLAR: CRAWL SPACE: X BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: enclosed DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: oil WARM AIR: floor heater HOT WATER: #BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 7/22/2013 `_`� TIME START: 10:00am END: 11:00 AM 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 Department with the following: A. For new building or new use: I. 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 I% 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-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 consent to inspect 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00, Additions to accessory building$50.00, Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 .5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. iL(k t t o;ZD/3 New Construction: 'InOld or Pre-existing Building: (check one) Location of Property: /' /® f�r.r," PQ104- fRocr.9 ,r AQ n'1CV—;011 House No. I I treet Hamlet �Owner or Owners of Property: 1 t V'VLOA f4l S Suffolk County Tax Map No 1000, Section 3 Block " ' .I Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature CONSENT TO INSPECTION l�'Y�DII � oS the undersigned, do(es)hereby state: Owners)Name(s) . That the undersigned(is) (are)the owner(s)of the nremises in the Town of Southold, located at D R o�k o a,�f o ctol which is shown aiid designated on the Su olk County Tax Map as District 1000' Section 3 I , Block 2 , Lot gyp, Than the.undersigned.(has) (have)'filed,.or cause to-be filed, an application ii the Southold Town Building Iispector's Office for-the following: That the undersigned does)hereby give.con§ent 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 co inpN-with.'afl of the laws,ordinances; rules aiid'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 in.subsequent prosecutions.for violations of the laws,ordinances,rules or regulations.of the Town of Southold: Dated: Q?ne;�f, �� o -;>.U . . (Signature) (Print Name).. (Signature) (Print Name) . . i TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER (Zet-, S STREET ,j XCI 0 VILLAGE DIST. ' SUB. LOT a + "c(ok FORMER OW N(E �l�"'0I"` �� E ACR. rye �j �y I t/i-) 7\ �iLi A)3d /0—70_ 40 K(ry-) U n e �� 5 S W TYPE OF BUILDING J , II YYl �. - RES. (� SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS L ,)) Soo 3 �inc7 �' l > b / bo o v 7--10-0 1`rya �Z cJ 6 e- S Now,- /1 159 1—. 4 "(C;-3 5_. —f oW,t n L WE�'t t�.� Icz'Y�ca � - . 1� 31,D2zC - 1 `sd ,fie aos All l2-0 �3� - ��os f fa P�Zvs ai�v cv - � � Il .e6 r {off C7!-( ?vim` f x""?!5• GG'.`J�+ l�� (Gi(dl..; Tillable FRONTAGE ON WATER FRONTAGE ON ROAD Woodland � �-•5�� •.i'�� n � n �o /O o Meadowtoki DEPTH 3 o House Plot BULKHEAD Total .\s r7 y-{ h>a Y �. OF�7 'B�' R. 3r0''{� tieP �ya13Sig3 ri�`�c is r r 00AWO.?t t cr a•? �,s 1. rY ep r �� k/tii a k jtl� hiw 43wi MM ..rj`` • rwr �� 1 - -''eye :!vj'Ya s<' l ' , .Iti ! 1s: ■■■■■■■■■■�■■■ ■■■■■■■■■■■■ , — b�f9Q1{/&I)�ts1+ - � i l rt`/kE<,JF i ■■■■■■■■■■■■■■■■■■■■ ■■■■■■ - �- .;..:.�; r,,l�.� F(y, „ �,� i 3� . ..y �;. �E ,.' ■■■■■■■�■��!■!©■BOO■■■■ 1,,w -,N`' (. 1- 1 1 I' . , ■■■■■■®.� - f ■■■■■■■Or■e��;■O' iiE■■■■■■■■■■NEON ■■■ ■E■■■■■■■E■■■ ■■■■■■■ENN■ MEN ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■ C........................■■■■■ ANY ALTERA77ON OR ADDI7ION TO THIS SURVEY IS A VIOLATION OF SECTION 72090F 77-IE NEW YORK STA7E EDUCA77ON LAW. N EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CERTIFICA77ONS HEREON ARE VALID FOR 7HIS MAP AND COPIES 7HEREOF ONLY IFSAID WHOSEASGNATURE APPEARS HEREON.P OR COPIES BEAR THE RESSED SEAL OF THE SURVEYOR SURVEY OF PROPERTY A T EAST MARION o / TOWN OF SO UTHOLD �62•3Ar SUFFOLKCOUNTY, N. Y. 1000_31 02 10.1 °vv°S .� o SCALE: 1'=30' GO? N N APRIL 17, 2013 boos P 3° w 153 es Z.cjZ Nc� Z I �6`' P � O U1NN OLEEA f 7.7 -r1 v 0 63.7' 70 N m W h O � O20.1' ILA. a 63.9' 1 0 1 � t m 3 = a �1N 0 w �P,�SOF NEW a � .1 MET O FE Z� FE O� (� 1.0' O C� b o Ts FR' 1.7' p�cK ? 11 2•1 Z GAR S81'309p0 Vy o 0 F LAZAROS TANASOV rn N y to N p 0 N. Y.S LIC. NO. 49618 ti 25) t-CONIC 1/EYORS P.C. R N82•,35�40p ■=MONUMENT ' pA� (s• N 0 W 79 64' •=PIN P 0.1) _BOX 909 20 FAX (631) 765-1797 FAIN R / �F �OSEPH ,, AREA=41,241 SQ. �. 1230 TRAVELER STREET BASANI SOUTHOLD, N. Y. 11971 13-157 LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) f � (owner-tenant) ADMITTED BY: (� ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: # STORIES: EXITS: (J-f� FOUNDATION: �- BASEMENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLR: 2ND FLR: ' 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: . PORCH TYPE: DELI{, TYPE: PATIO;TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING: TYPE HEAT: WARM AIR: LTWATER: 1LL # OF KITCHENS: �. FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: V OLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE P TION & BUILDING CODE LOCAT DESCRIPTI ART. SEC. ` I -77 REMARW ` INSPECTED BY: DATE OF INSPECTION: TIME START: V9 /F,ND: /p r