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Home My WebLink AboutZ-20666FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20666 Date APRIL 22, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 270 OSPREY NEST ROAD EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 6 Lot 20 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-20666 dated APRIL 22, 1992 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 AGNES VANDERNOTH (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 INSPECTION REPORT. , '�'L /- 1'e' , �/- BiAlding Inspector Rev. 1/81 TO' 'If Or SC=11OLD, N. Y. hCUCI::G CODC. I: S??CTIOc1 RE7 Ck�LT Location 270 OSPREY NEST ROAD GREENPORT, NEW YORK ic�pallcy) Subdivision i1a-o No. Lot(5) Naze of O�rner(.;) AGNERS M. VANDERNOTH Occupancy A-] RES. (type) Adnitted by: AGNES VANDERNOTH OWNER �O`anBr-Cen�i7� Accompanied by: SAME Key available Suffolk Co. Tax iio. 35-6-20 Source of request AGNES VANDERNOTH• Date MARCH 31, 1992 D?,'E'L LING: 'Type of construction WOOD FRAME `stories ONE Foundation CEMENT BLOCK Cellar PARTIAL Crawl srace Total rooms, lst. Fl 6 2nd. Fl jrd. F1 Bathroom(s) 2 FULL BATHS Toilet room(s) Porch, type Deck, type WOOD 8'x16' ID Patio, type_ Breezeway Garage 1 CAR •rJtility room Type Heat OIL Warm Air %% Hot:•iater Fireplace(s) NONE No. axits 3 A.ircc^diticning Domestic hotaater YES Type heater ELECTRIC Other WOOD STOVE ACC=STORY STPTJCTiT F'S - NONE Garage, type const. Swi,..ming pool Other Storage, type const. Guest, type const. V T OLATIO'NS: CHAPTER 45--N.Y. STA'T'E UNIFOIal FIRE PR1iVENTION S 13UILDING CODE Remarks: BP #9106Z CO Z-7822 Inspected by: Date of Insp. APRIL 7, 1992 GJ. ISH Time start 9:30 end 9:50 0 ' Form No. 6 TOWN OF SOUTHOLD 0) � BUILDING DEPARTMENT k? TOWN HALL r 'q ,± MAR 3 1 765-1802 IV17Yl i'i y� i�f APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building 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 $15.00 Date ............... 31/9 .................. New Construction..........r1. Old Or Pre-existing Building............ Location of Property...? 7A .... QS.P.(RJ; 5.T ... R't>...... I�1�S.T. (1'1%}141.0✓ House No.' Street Hamlet Onwer or Owners of Property..... Ct-(Vg$... m... .f!NJ1 I-: A..Al4 T4 ...................... County Tax Map No Xi 1000, Section... �� .:.....Block..... ........Lot....... ............... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate.......... Fee Submitted: $............................. %f . J ......... . PPL-ICC/ANT ........... co i!40(?�6 inspector with the following: for new building or new use: 1. Final survey of property with accurate location cf 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. 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. 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 $15.00 Date ............... 31/9 .................. New Construction..........r1. Old Or Pre-existing Building............ Location of Property...? 7A .... QS.P.(RJ; 5.T ... R't>...... I�1�S.T. (1'1%}141.0✓ House No.' Street Hamlet Onwer or Owners of Property..... Ct-(Vg$... m... .f!NJ1 I-: A..Al4 T4 ...................... County Tax Map No Xi 1000, Section... �� .:.....Block..... ........Lot....... ............... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate.......... Fee Submitted: $............................. %f . J ......... . PPL-ICC/ANT ........... co i!40(?�6 67.031 A/-7022'50" VV Jj;'��cm r Platform Z' Open I7c riv ti su N/ Is�2REL rllrrvo,-zEi'�c1 in areG/h �he� miv�rmdrn SI�G�1Cia��S {or fii`/c' srJl-v^'�; c Df the ,VY �Yoie A'ssb. xTaEDMPosr ISABai w I H. GEIDEMAN C` MP R rO AJ L, 1, NEW YORK I l 93 y- o416 .................... . N. Y. State Lic. Lind Surveyor. 22840 We 3 Z(,/92 MAP LF LOT 1,5 41 SnCfL612 Clealle,5 PQIP-2'-" Suffolk Ca MAP :" 214 5 -6 Af f--P1JRPl0P4- Town of c OY-t1YOL D L V. .F011i CD. N Y. For- �61�/�S �E11YQFI; NDTt_l SUFFO k C 1r�x MAP �loGo-3S - 6 -20 Surveyrd as exlstiny //yrs Zb-aay of lYloech /99-. SCALE: _ e'Q P B DRAWN BY - y DATE: _:3L715 45jZ FL.S. N, Y, STATE aN4 SURVEYOR k -v -1.. . ,G G &' Z4Ild ................. ... I DRAWING NUMBER )U6 No . .................................... 4e �2z I `p Open I7c riv ti su N/ Is�2REL rllrrvo,-zEi'�c1 in areG/h �he� miv�rmdrn SI�G�1Cia��S {or fii`/c' srJl-v^'�; c Df the ,VY �Yoie A'ssb. xTaEDMPosr ISABai w I H. GEIDEMAN C` MP R rO AJ L, 1, NEW YORK I l 93 y- o416 .................... . N. Y. State Lic. Lind Surveyor. 22840 We 3 Z(,/92 MAP LF LOT 1,5 41 SnCfL612 Clealle,5 PQIP-2'-" Suffolk Ca MAP :" 214 5 -6 Af f--P1JRPl0P4- Town of c OY-t1YOL D L V. .F011i CD. N Y. For- �61�/�S �E11YQFI; NDTt_l SUFFO k C 1r�x MAP �loGo-3S - 6 -20 Surveyrd as exlstiny //yrs Zb-aay of lYloech /99-. SCALE: _ e'Q P B DRAWN BY - y DATE: _:3L715 45jZ FL.S. N, Y, STATE aN4 SURVEYOR k -v -1.. . ,G G &' Z4Ild ................. ... I DRAWING NUMBER )U6 No . .................................... 4e �2z COINS F] TO IINS11CC' CION Uwncr(s) Name(,,; do(es) hereby state: MAP 3 1 1.,:' } thQ undersil,ned, That the undersirrncd (is) (are) the owner(S) of the premise:, in the Town of Southold located at cq !70 6 S P R j Y, Al (a: ST R�, I gST MPq&, (c W which is : ho%:,n and designated on the Suffolk County tax map as District loon, Section 3r , Block7 Lot 6 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld Town Building Inspector's Office for the followinc: ifl �✓ i .a-- D .n 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 ., ay deem necessary with respect to the aforesaid application, including inspec;iors to determine that said premises comply with all of the laws-, ordina^ccs, rules and regulations of the Town cf 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 Town of Southold. Dated: 2) 3 ( V (signature) )i CstV►5- S m to I1V6 T)+ (print name) signature) (print name) Location BUILDING DEPARTMENT TOWN OF SOUTHOLD, N, Y. HOUSING CODE INSPECTION REPORT Subdivision Map No. Lot(s) Name of Owner(s) Occupancy ft — (t pe )r,��_Accompanied (owner--te ant Admitted.by: U by: Key available v Suffolk Co. Tax No. Source of request Date - & DWELLING: Type of construction "04 rl.L . #stories eAx-- , Foundation &"- Cellar � ` Crawl space Total rooms, lst. Fl_ a 2nd. Fl — 3rd. Fl Bathroom(s) .24&jj _Toilet room(s) �— Porch, type Deck, -type Wmr4pjr/& Patio, type Breezeway Garage C Utility room Type Heat 'Vlarm Air Hotwater Fireplace(s) it/o,vje No. Exits 3 Airconditioning_ Domestic hotwater f Type heater Other (,��,� C ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter JW Vs- Remarks: alk q30('0 C l� 2� Inspected by: Date of Insp. Time start