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Home My WebLink AboutZ-30606FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 30606 Date: 32/08/04 THIS CERTIFIES that the building DWELLING Location of Property 6525 INDIAN NECK LA (HOUSE NO.) County Tax Map No. 473889 Section 086 subdivision PECONIC (STREET) (PiAMLET) Block 0006 Lot 024 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 OCCUP~NCYlqUMBER Z 30606 dated DECEMBER 8, 2004 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 CARPORT.* ~e certificate is issued to AGNES COMBS of the aforesaid building. ( OWNER ) SI/FFOLK COUNt"f DEPARTMENT OF ~F2%LT~A~PRO%rAL ELEC~RICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~I'~3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Authorized Signature Rev. 1/81 BUILDING DEPD~RTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 6525 INDIAN NECK LA SUBDIVISION: NAME OF OWNER (S): AGNES COMBS PECONIC MAP NO.: ~ (S) AGNES COMBS F~EY A~I~LE: S~F. CO. TAX ~ NO.: 86. 6-24 SOUBCN OF P~EQDEST: AGNES COMBS DATE: 12/08/04 DWELLING: OTHER: BASEBOARD HEAT; CARPORT ACCESSORY STRUCTURES: VIOLATIONS; CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. B/~: BP30184 DECK COZ30605; BP30183 SHED COZ30604 ~ DATE ON INSPECTION: 11/23/04 GEORGE GILLEN TIM START: 2:15PM ~D: 2:40PM APR 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 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 Complianoe from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For exis~nl bulldin~.~ ~r.,i% 9, 1957) non-conforming uses, or buildings and es: ' " 1. ~e~. ~y. of ~er.ty ~howing all property lines, ~t~eets, building and ~u~ na~a'l ~ ,.~ic features. A p<~l~ ~t4.~Rli~atiOn and s~consent to inspect s~gned by the applicant. If a Certificaee of $~y '~'~ ~'~d, ~ B~ilding Inspector shall sta~e the reasons therefor in ~iet~;~b~'~h a~plieant. 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-existinK Buildin~ - $100.00 3. Copy of Certificate of Occupancy - · 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............................ New Construction ........... Old Or Pre-existing Building ................. Location of Property ~--~.Cg--_~o~/~a-) /t/ao~ House No. Street Hamlet Onwer or O~ers of Property. ~ ~' .~.~..~&.,.~.~.~-~ ........ 000, ......... ................. 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: $.~.~.~P.'.~ .................. (.~--e~. G 7L[~__~ APPLICANT OF SOUTHOLD PROPERTY. RECORD CARD /~_ ~ --~-z~ TOWN OWNER STREET ~/~ s~s. v~. E WE ? , DISTRICT -/ ACREAGE TYPE Of BUILDING LAND IMP. TOTAL DATE REMARKS Est Mkt. Volue NORAAAL NEW SUB. LOT House Plot Total Value Per Acre Tillable 3 Woodland Swampland Brushland Tillable 2 Tillable Farm Acre BUILDING CONDITIOF BELOW ABOVE Value BULKHEAD ~' i'- 0 DOCK i ! -Extension ]reezewayI ~arage J ! .lO lExt. Walls Fire Place Patio Interior Porch Porch /' 0 11Heat ? Roof Type i Rooms Ist Floor i Rooms 2nd Floor I Dormer CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, locatedat &5'~'l~' '~-'.~d,a., II, J~e/e. /--q. ~o,'~,~, ,,t.,~ ~q. al', which is shown and designated on the Suffolk County Tax Map as District 1000, Section , ~'{,, .,Block ~ ,Lot ,,~y . (,~7~'0'-'~{. - ¢ ...ivd That the undersigned (has) (have) filed, or cause to be filed, an application 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, 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Toxvn of Southold. Dated: - 67 (Signature) (Print Name) (Signature) (Print Name) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION BA YLIS LEMMOR BA YLIS, FORMERLY KN 0 WL ES RICHMOND CREEK AVC. EL. 9.2 9.51 ZONE X SLAB EL. 11.41 1' -CELLAR FL. 9.3 EL. 4.28 POLE N/F CHAD WICK & LOWENHEIM N 11.66 SURVEY OF DESCRIBED PROPERTY SITUATE PECON/C, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR RAY COMBS NOT TO SCALE ELEVATIONS IN 1929 NAVO FLOOD ZONE MAP: t]t36081,7 J6105COI62G J610JCOI64G EFFECTIVE DATE MAY 4, 1998 TM 1000-86-06-24 SURVEYED 5 JANUARY, 2000 SCALE 1"=50' AREA = $2,491.899 SF OR O. 746 ACRES 12.5 GUARANTEED TO RAY COMBS TOWN OF 50UTHOLD NO?E: 'C I 4U¢ 2000 ADD EKEV4 TION~ c% FEM4 ZONE 29 JUNE 2000 SE1- SLAKE & SMALL PK NAIL, SURVEYED BY STANLEY J. /SAKSEN, JR. P. 0.,~ BOX 294 NE~ SUFFOLK, NY ! I,~6 NYS LIC. NO. SHOW BULKHEAD. FROM : MarkScKwartz,AIA-Architect PHONE NO. : ~:~17344185 Nov. 29 2004 01:49AM P1 Mark K. Schwartz, A1A -Architect, PLLC LAX TRANSMITTAL Date: November 29, 2004 To; Southold Btutlding Depa, h~ent Ma/n Road Southold, New York 11971 F~x number. 765-9502 Phon~ number'. 765-1802 From: M~rk Schwarlz 6526 Indian Neck Road Feconic, New York Pa~es: I (including co~r sheet) Comments: I l~ve inspected the water side deck for rite a~orem~ntioned project and cer~ the construction meets or e~.¢__~is the NY~ code when bruit. Please call this office if you have questions or ~lrare additional information.