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Home My WebLink AboutZ-28257FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28257 THIS CERTIFIES that the building DWELLING Date: 03/07/02 Location of Property 30 OSPREY NEST RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 035 Block 0006 Lot 018 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- 28257 dated MARCH 7, 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 ONE FAMILY DWELLING WITH COVERED FRONT PORCH AND CONCRETE PATIO.* The certificate is issued to JOHN H & JESSIE GEIDEMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPART?-= OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3/6/02 Pending PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTI Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 30 OSPREY NEST RD GREENPORT SUBDMSION: NAP NO.: IAT (S) NAME OF OWNER (S): JOHN H & JESSIE GEIDEMAN OCCUPANCY: SINGLE FAMILY JOHN H & JESSIE GEIDEMAN ADMITTED BY: PAULA SHENGOLD ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 35.-6-18 SOURCE OF REQUEST: RICHARD ISRAEL, AGENT DATE: 03/07/02 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3 FOUNDATION: CONCRETE BLOCK CELLAR: PART CRAWL SPACE: PART TOTAL ROOMS: IST FLR.: 6 2ND FLR.: 0 3RD FIR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): CELLAR PORCH TYPE: FRONT DECK TYPE: PATIO TYPE: CONCRETE BREEZEWAY: FIREPLACE: ONE GARAGE: ONE CAR DOMESTIC HOTWATER: X TYPE HEATER: OIL AIRCONDITIONING: TYPE BEAT: OIL OTHER: WARM AIR: X HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. SEC. REKARKS: BP#28134 S OOM AND GARAGE COZ28256 INSPECTED BY: DATE ON INSPECTION: 03/07/02 JOHN BOUFIS TIME START: 9:45AM END: 10:15AM FormNo.6 U� Ch fc ii IY TOWN OF SOUTHOLD BUILDING DEPARTMENT 4 TOWN HALL 20 765-1802 nl i)r= i ,-J APPLICATION FOR CERTIFICATE OF OCC (� '`._ p 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 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 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. pZO New Construction: Old or Pre-existing Building: (check one) Location of Property: 30 Z%SPR_ 4 464T ZOAHO - Gfer,..�orT House No. Street Hamlet Owner or Owners of Property:_ iZ J t SS t t &t CwO e - M 4 00 Suffolk County Tax Map No 1000, Section Oj Block % Lot 19 Subdivision GIea.Jt-'-.'o Filed Map. Permit No. Health Dept. Approval: Planning Board Approval: Request for: Date of Permit. Temporary Certificate, Fee Submitted: $ / CW Applicant: Underwriters Approval: Lot: I Final Certificate: (check one) T"S5" Applicant Signature Q d46 -- r, 4 - ly TOWN OF SOUTHOLD PROPERTY RECORD CARD k - .� (/? OWNER STREET VILLAGE DISTRICT SUB. LOT FORMER OWNER N E ACREAGE SW TYPE OF BUILDING RES. SEAS. VL. �=R FARM COMM. r) IND. LAND IMP. I TOTAL DATE REMARKS 00 3 tf/ Z,&1110/d4 140 Nb lolall ,00 -Llza�,Zp325- CC, (!�L~ -eA Ll I Z-o/D/ SSI rp Ind Ik rom,`Z'7 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value 177� Tillable I Tillable 2 Tillable 3 Wcodland Swampland Brush land--t- House P6*o Total - I CONSENT TO INSPECTION vwner(s) do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town Of Southold located at -5a 09 kJ 19 gT " , 6 -re which is shown and designated on the Suffolk County tax map as District 1000, Section 3r, Block (p Lot 1 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspectors Office for the following: srIw� C, d. 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 Town of Southold. Dated: signature) (print name (signature) LOCATION: 4k-.q;t (numberf& stre ) SUBDIVISION: NO.: NAME OF OWNER(S): OCCUPANCY: �j/liS'�,�►i/y (type) (municipality) LOT($): (owner -tenant) ADMITTED BY:/i✓ ACCOMPANIED BY: 111 KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- — SOURCE OF REQUEST: ATE: DWELLING: 3 TYPE OF CONSTRUCTION: # STORIES: EXITS: FOUNDATION: d , - CELLAR: CRAWL SPAC�`r�' TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): 4±2L&= TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: Aet BREEZEWAY: FIREPLACE: tj'h-` GARAGE: / (fa.,L DOMESTIC HOTWATER: �� TYPE HEATER: AIRCONDITIONING: —' TYPE HEAT: d/ / WARM AIR: x HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: TIME START: % END: 0 i�S C-Y Art J v' --.r`.-.:' J. G E I D E IW A N V Yto-RI M :/- - - - �--- - —k- ...........' ............ ..................................-. ......... .Stale LI,.. Land Surveyor., � . , o � �,j Dated • , ` � f i /S'%ram ,�r.r?•. �7tU r1 1 1• 33.9 : %:::. a ` , ON 'p 7f)-il' iii%• kl- � r 1 ry•�'y'� ! _35 �Al2ACE Pyr,?T,,� Fn e1-7. v� A/rE- } %'► i G �,' i- Dr) vet, u � Lc��r_•:l r "CLEAVES PWNT f. Mil elml - Tow Above survey c0mpleled f s J. H. G E D E M A N A o:l' Z�'d�yOy Of v r Mg Ro. 4 C .✓. ARiolV, SUAfolk IL'0.10,ap A/0DD-D35-06-/6 NEW YORK-1/y39