HomeMy WebLinkAboutZ-19524 FORM 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 Date NOVEMBER 20, 1990
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location_ of Property 29215 MAIN ROAD ORIENT, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 13 Block 2_ Lot 9
Subdivision Filed Map No. 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 COTTAGE, 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
*PLEASE SEE ATTACHED INSPECTION REPORT.
ilding Inspector
Rev. 1/81
BUIT DI',,.'G DEPARTJ'IEDIT
T 0.1711 OF SOUTHOLD, . N. Y. ,
HOUSIM CODE INSPECTION REPORT,
Location- 29215 MAIN ROAD ORIENT, N.Y.
�numoer & . street) (I'luni-cipaiity)
Subdivision _MaiD No . Lot(s)
Name of Oivner(s) GUS & JULIE KYRKOSTAS
Oc cup anc A-1 OWNER
(type) (owner-zenanz)
Adn, itted by: GUS KYRKOSTAS Accompanied by: SAME
Key available Suffolk Co. Tax No. 13-2-9
Source of request GUS & JULIE KYRKOSTAS Date 11/6/90
MITELLING:
Type of construction WOOD FRAME 77 2
stories
Foundation STONE Cellar 1/2 Crawl space 1/2
Total rooms , lst. Fl 5 2nd. F1 6 3rd. Fl— -
Bathroom(s) I full bath Toilet room(s) ONE
Porch, type FRONT & SIDE Deck, type Patio, type
Breeze:�ay Garage UUVERErr—
—Utility room
Type Heat OIL Warm Air xx
Hotwater
Fireplace(s) 2 No. Mcits . 3 Airconditioning
Domestic hotwaterLILCO GAS Type heater
Other
ACCESSORY STRUCTURES: BARN TYPE STRUCTURE
Garage, type const. const.SHED TYPE STRUCTURE
C� Storage, type
SWiimmin- pool
CD 'Guest, type const. WOOD FRAME
XXXXXa 3 ROOMS FIRST FLOOR, I ROOM SECOND FLOOR, OIL WARM AIR HEAT, OIL HOT WATER
I BATH, 2 EXITS.
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Lncation
Descrintion Art. 1 Sec.
WOOD STOVE REMOVED FROM WOOD FRAME COTTAGE.
.. ...... ..
Remarks
Inspected by: Date of Insp. NOV. 15, 1990
—i�RY J F H
Time start end
Form No. 6
TOWN OF SOUTHOLD �5
BUILDING DEPARTMENT
7� TOWN HALL k ,
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY OFSOIlTFiO�.D
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. '
3. 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 Inspector 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.
( L.) Certificate of Occupancy on Pre-existing Building - $100.00
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. . . . . . . . . . . Old Or Pre-existing Building. . X
g� r� . . . . . . . . . . . .
.ocation of Property. . . . . . . . . . . . . . . ,, • . . • . • • . . .Main Road,. . . . . . . . New . . . . . .York . . . . . . . . . . . . . . . . . .
House No. Street Hamlet
)nwer or Owners of Property. ,GUS'_''KYRKOSTAS and JULIE KYRKOSTAS . .
,ounty Tax Map No 1000, Section. . . . . „Block. . 02.00. . , , , , , , .Lot. 009.000. . . . . . . . . . . . . .
subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
'ermit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . ... . . . . . . . . .
iealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval—'%.. . . . . . . . . . . . . . . . . . . . .
'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
tequest. for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
'ee Submitted: $. . . . .
i
�co 2-- t cls ay ��U�KYYRK STAS APPLICANT• .;. ULIE KY OSTAS
// F
CONSENT
TO BLDG.DEPT.
INSPECTION - ..TOW SOUTH®L� LD
GUS KYRKOSTAS and JULIE KYRKOSTAS 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
%,hich 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-existing building on main building 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 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
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 Southo
Dated: November 6, -1990
signat
Z
(pri "t name)
/ (signer ur )
JULIE KYRKOSTAS
(print name)
i
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST. SUB. LOT
` FORMER,OWNER N' I f
.� E Y ACR.
S W. 4 TYPE OF BUILDING
74
"RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
fo V
LAND IMP. TOTAL DATE REMARKS
g®c7 6 0 a
AGE_ BUILDING CONDITI N
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable` 1
Tillable 2
Tillable' 3
Woodland
Swampland FRONTAGE ON WATER
Brushlond FRONTAGE ON ROAD o �z
House Plot DEPTH
BULKHEAD
DOCK _.
■■■■■ ■■��■e ■■■■■■■■■■■■■
ga ■■■■■■ ■■NI■■E■■■■■■■■■■■■■
MEMEMEM
■■■■rN■■■■■■■��■�►w■■■■■■■■■■■
■■■■■■■ i■■■■■■■■■■e■■e■■■■■
i •• I f� Foundation
i•
I
Basement
Interior Finish
Fire Place
Type Roof Rooms Ist Floor
'Recreation Room
Porch
Breeze"way Driveway
Garage
'•t Aior
6
i
BUIIDI'-•;G DEPARTHENT
T0:•1i\1 OF SOUTHOLD, N. Y.
HOUSIING CODD/EINSPECTION REPORT
Location
knumoer do street) TE—HIcipality)
Subdivision Map No. Lot(s)
Name of Owner(s)
Occupancy -�
ltyP owner-tena� -
Admitted by: <- Accompanied by:
Key available Suffolk Co. Tax No.
Source of request � o < Date
DWELLING:
:
Type of construction stories o�
Foundation y,,�1 Cellar /y Crawl space__�y
Total rooms, �lst. Fl J 2nd. F1 3rd. Fl
Bathroom(s) Toilet room(s)
Porch, type ¢ Deck, type C Patio type_
Breezeway Garage Utility room
Type Heat - warm Air .Ho twat er �
Fireplace(s) No. Exits Airconditioni ng
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES: p
Garage, type const. Storage, type const.
SWi=ing pool Guest, type const.
Other—
VIOLATIONS: -CHAPTER. 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE -
Lc,cation Descrintion Art. ++1 Sec.
------------
Remarks
Inspected by: Date of Insp.4ern4
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