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HomeMy WebLinkAbout28134-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28256 Date: 03/07/02 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 30 OSPREY NEST RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 35 Block 6 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 4, 2002 pursuant to which Building Permit No. 28134-Z dated MARCH 4, 2002 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 GARAGE ADDITION AND AN "AS BUILT" SUNROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN H & JESSIE GEIDEMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 03/06/02 PLUMBERS CERTIFICATION DATED N/A Authorized nature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28134 Z Date MARCH 4 , 2002 Permission is hereby granted to : JOHN H & JESSIE GEIDEMAN PO BOX 416 EAST MARION,NY 11939 for CONSTRUCTION OF A GARAGE ADDITION (RENEWAL OF PERMIT #6931) AND AN AS BUILT SUNROOM ADDITION AS APPLIED FOR at premises located at 30 OSPREY NEST RD GREENPORT County Tax Map No. 473889 Section 035 Block 0006 Lot No. 018 pursuant to application dated MARCH 4, 2002 and approved by the Building Inspector. Fee $ 450 . 00 A oriz d Signature COPY Rev. 2/19/98 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: 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-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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. March 7, 2002 New Construction: X Old or Pre-existing Building: (check one) Location of Property: 30. Osprey Nest Rd Greenport House No. Street Hamlet Owner or Owners of Property: John H & Jessie Geideman Suffolk County Tax Map No 1000, Section 35 Block 6 Lot 18 Subdivision Filed Map. Lot: Permit No. 28134 Date of Permit. 3/4/02 Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Sub tted: $ �J Applicant Signature M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1CATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMA KS• ..get, ol DATE o� �02 74 FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) - -- -- - y ------------------------------------- FOUNDATION(2ND) - O H ROUGH FRAMING& -- -- --- - -- - -- - - --- - - r H PLUMBING -- --- - - r Y t. INSULATION PER N.Y. STATE ENERGY CODE ----- - - - - - -- -- -- ------ -- ; FINAL ADDITIONAL COMMENTS -- - O _ � m r" b - O H d b H Nf-ST SO' — P2/VATC--) • GEIDEMAN of poo� � 2 0' - - -- - - - - - Y. 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