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Home My WebLink AboutZ-25916FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25916 Date: 08/25/98 THIS CERTIFIES that the building DWELLING Location of Property 6565 INDIAN NECK LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 086 Block 0006 Lot 025 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- 25916 dated AUGUST 25, 1998 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 ACCESSORY GARAGE * The certificate is issued to SHIRLEY M ROMAN of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 (OWNER) N/A PENDING - AUG. 20, 1998 N/A Builds Inspect BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): SHIRLEY M HOMAN OCCUPANCY: SINGLE FAMILY SHIRLEY M HOMAN ADMITTED BY: PAUL HEFFERMAN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 86.-6-25 SOURCE OF REQUEST: PAUL HEFFERNAN AUG. 7. 1998 DATE: 08/25/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CELLAR: CRAWL SPACE: 100% TOTAL ROOMS: IST FLR.: 0 2ND PLR.: 0 3RD FIR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): YES* PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: YES GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: YES TYPE HEAT: OIL-HOTAIR WARM AIR: HOTWATER: OTHER: - ATTACHED TO HOUSE WITH HOT WATER HEATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME (2) * STORAGE, TYPE CONST.: METAL SHED SWIMMING POOL: GUEST, TYPE CONST.: OTHER: * ONE GARAGE PRE-EXISTING fcgE HELOW) VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE REMARKS: BP #43492 -CO Z-3570 (ACCY ) BP #77Q77.-m_Ql I.,Cy SHED) INSPECTED BY: - DATE ON INSPECTION: 08/25/98 MICHAEL J. VERITY TIME START: 10:30 AM END: 11:10 AM ZIA THE NEW YORK BOARD OF FIRE UNDERWRITERS ----- BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date -- -- - - Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named mt the above application number is in the premises of `= CARL i I L i r, - �j.r I, _�v Di:: in the following location; 0 Basement 0 I.st Fl. ❑ 2nd FY. n.PC /Q�'"j' .Section Block Lot a was examined on -- -- "- ` -- -- -' aad found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. OUTLETS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pi. TIME CLOCKS BELL TRANS. UNIT HEATERS MULTI -OUTLET SYSTEMS NO. OF FEET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. AMT. H.P. AMT. WATTS SERVICE DISCONNECT NO. OF METER EQUIP. S E R V I C E AMT. AMP. TYPE 1 0 RW 1 0 SW 0 SW 9 0 IW NO. OF CC COND. pER 0 A. W. G. OF CC. GOND. NO. OF HIAEG A. W. G. OF HI -LEG NO. OF NEUTRALS A W G. OF NEUTRAL OTHER APPARATUS: DEFECTS: "Plt electrical survey has been made of-- the exposed electrical equi.}ment in the premises indicztted." "No obvious o.nsatiafuctor.v conditiun was found. PAUL HE:FFER1fF..N � L 52-229 ROUTE 48 EPer SOUTHOLD, NY, 11971 GENERAL MANAGER 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . - - .1 � I ....................... New Construction...... ... Old Or Pre-existing Bu l//d/{..i�cn . Location of Property..�.a.1U...1'�!li/v.IY�,C ttfz�VN u House No. //�� Sttrre'jett Hamlet Onwer or Owners of Property..' 4 U�.. i1 !..l' `d:• x// •••••••••••••••• County Tax Map No 1000, Section.�........B1ock..�.�............Lotl�\ �5 ................. 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: $....jev.:................... f ._ Qom. Sg9f ) cdz2_ 916 LIC CONSENT TO INSPECTION do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at V\E1 \ TSI j 111 l_2 , which is shown and designated on the Suffolk County tax map as District 1000, Section , Block �—, Lot . 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: 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,�tules 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 r i �, ZNv. SURVEY of -R OP E.2T y LOCATEP) AT P E CONI C TOWN OF SOUTHOLU SUFFOLK COUNTy, NEW YORK 5 C T M. ' /000 - 06 - (o - 25 CERT/ FI EL, SHIRLEY /+7. HOfrAN CITATIONlCOVENANT AIBsTPACT co SNC Pk SPAR EL, By DONALD L. MALM LAND SURVE-y o2 72 5HAUJ AVE ='SLIP NY II -7s1 SCALE / "" = 30 D ATE /✓)AP -r H l8 1 9 9 fa ,�i.3, ✓'a;`drV:'Il�s*C.C, ;- �".�.¢Pv.,sFt LOCATION: SUBDIVISION NAME OF OWNER (s) OCCUPANCY ADMITTED BY: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING C number � street PECTION REPORT - A ;4�e munici''pality MAP NO. LOT (s) ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAR MAP NO._1494 SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUC ION # STORIES # E%ITS FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: IST FI.R. 2ND FLR. "'- 3RD FLR. BATHROOM (s) TOILET ROOM (s) — UTILITY ROOM ' v Oka- PORCH TYPE DECKlf�, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEAT OTHER: . ACCESSORY STRUCTURES: TYPE HEATER AIRCONDITIONING WARM AIR - — HOTWATER GARAGE, TYPE OF CONST. C�'�',/�4 STORAGE, TYPE CONST. SWIMMING POOL - _ GUEST, TYPE CONST. 779 7 z OTHER: .(�(�r- a O iN tp- '�- A e--)------------------------------------------------------------------- ------ VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY: DATE ON INSPECTION If9 TIME START ®.' } END //.'/0 zs"TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 65 GE DISTRICT SUB. LOT i ( I'1 G 1 Gil ✓v'f FORMER 6WNER i E? l C� Y l e ACREAGE S />Z 1 epi 14 N t. W'. �'o TYPE OF BUILDING / ZES. ,�D SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS b o ,2 So o 7 3 0 0 �Dv 6 v o I 7,o Ona P d d 9',o v 71 OP S' 7.S , - I I - o W e 5 F,6+, rna n -14//C AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre. Value Per Acre Value F riltable 1 p r. 60 00 Tillable 2 'o tillable 3 Noodland iwompland.„.. 3rushland • A A -louse Plot notal i M. Bldg. ,� X : �� `� 3 r� S 2 31. Fou ation Bath / Extension i / Basement �,� Floors b a.14 Extension S I Ext, Walls �` Interior Finish Extension Fire Place Heat f A ' ��Z ( Sn fr r, « Porch ; Roof Type Porch Rooms 1 st Floor z,(, 2 y S i atio Rooms 2nd Floor _ 5 Y ,� c Driveway Dormer j Garage O. B.