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HomeMy WebLinkAboutZ-33276FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 33276 Date: 09/18/08 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 6500 INDIAN NECK LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 086 Block 0007 Lot 003.001 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- 33276 dated SEPTEMBER 18, 2008 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 ENCLOSED PORCH, DECK AND ACCESSORY GARAGE.* The certificate is issued to SUE K ODELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A Authorized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 6500 INDIAN NECK LA PECONIC SUBDIVISION: MAP NO.: IAT (S) NAME OF OWNER (S): SUE K ODELL OCCUPANCY: ONE FAMILY RESIDENCE SUE K ODELL ADMITTED BY: REAL ESTATE ACCOMPANIED BY: ffiY AVAILABLE: SUFF. CO. TAX MAP NO.: 86.-7-3.1 SOURCE OF REQUEST: WILLIAM PRICE, ATTY DATE: 09/18/08 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: PART CRAWL SPACE: PART TOTAL ROOMS: IST FLR.: 4 2ND FLR.: 2 3RD FLR.: 0 BATHROON(S): 2.0 TOILET ROON(S): 0.0 UTILITY ROOM(S): PORCH TYPE: ENCLOSED DECK TYPE: WOOD PATIO TYPE: BREEZEYAY: DOMESTIC HOTHATER: YES FIREPLACE: 1 TYPE HEATER: TYPE HEAT: ELECTRIC MARK AIR: YES HOTWATER: YES OTHER: HOT WATER HEATER GARAGE: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME 18.2' X 12.2' STORAGE, TYPE CONST.. SMIM@1G POOL: GUEST, TYPE CONST_: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. SEC. INSPECTED BY: GEORGE GILLEN -,DATE ON INSPECTION: 09/16/08 TIME START: END: tvil.l Lu, V TOWN OF SOUTHOLD BUILDING DEPARTHEII"r 'GOWN IIALL 765-1802 APPLICATION FOR.CERTLFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink -and submitted, to the buildiTig— inspector with the followingt for new building or new use: l: Final survey of property with accurato location of all buildings, property lines, streets, and unusual natural or topographic features. 2, Final Approval from Ilealth Dept.- of water supply and sewerage-disposal(S-9 form) 7. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains t. less than 2/10 of 1% lead. S. Commercial building, industrial building$ multiple residences and similar buildings and installations, a certificate of Code Compliance frorr'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 upre-existing11 land uses: L. 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 $25.001 Additions to dwelling $25.00. Alterations to dwelling $25.00, Swimming pool $25.001 Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 7. Copy of Certificate of Occupancy - $5.00 aver 5 years - $10.00 4. Updated Certificate of Occupancy - $50:00 5, Temporary Certificate of Occupancy - Residential $15.001 Commercial. $L5.00 September 10, 2008 Date , 4. , 4 4 . 1.1• New Construction........... Old Or Pre-existing Building.X...,., ......1. 6500 Indian Neck Lane' Peconic LOCpti011 of Property.../.II... 4114....:• I,. I., 41.611,...11 4I6:r..:...11. .....:..........1 (louse No. Street Ilnmlet Sre K. Odell Onwer or Owners of Property4... 644.+.1,.. .111444.11464:•14...•444..•1+4......4.4.........• County Tax (tap No 1000, Section,610861.600. ..R1ock...,,07 .00 &.,Lot...* -I.. 0 ...... 1 subdivision..,.;..........6.66...+.4.,..1.4...IFiled Nap.1.... 4.....Lot......... *4.......... Permit l'io,,6.E........ %,''.Date Of Permit,,.,,,,{• „ 6••,4ApplicaOt4....+:4.+6:4,1.,++4....... Health Dept. Approval.,:+:444.4.14..464+4+1,646Underwriters Approval..6:,4.,1.... I ... 1 .... I Planning Board Approval .... :......4....44.,...6 Request fort Temporary Certiflcate.i.4.,4+4.. Final Certicate...X.6..... Fee Submitted: $ 100.00 . ,,,,,4...+6;666, �3a ........ ... .........:4444 6666 ., Qe G ��i��j APQLIC.•..... Altj William H. Price,. r. TOWN OF SCOTHOLD PROPERTY RECORD CARD o "v r OWNER STREET '.,� ` VILLAGE DIST. SUB. LOT r FORMER OWNER N � E E ACR..7� 3 jj S Je W TYPE OF BUILDING :ES. ��� SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS U-0 `" J G8 - / 41gXrr y fQ e. 7//2/7-Z 3'1- U /o o a s 9 7S <3GE �o oOO L. P e3o% Zoo 00 /6J 32.o-zo d 9 00 3 � a� AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value tillable FRONTAGE ON WATER `;: 35. Noodland FRONTAGE ON ROAD 3 a' 0/0 0 - 7�f 0 Aeadowland DEPTH I t louse Plot BULKHEAD Total` - P DOCK t Pry, r . v CONSrNT TO 1NS1'L:C'TION William H. Price, Jr., as agent for Sue K. Odell, Owners) Naml'(s) the undersigned, do(es) hereby state; That the undersigned (is) (are) the owner(s) of the premises in the Town Of Southold located at 6500 Indian Neck Lane, Peconic, New York, which is shown and designated on the Suffolk County tax map as District 1000, Section086.00IIlocic 07.00 Lot 003.001 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion" in the Southold Town Duilding Inspector's Office for the following; Pre -Certificate of Occupancy ` 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 [nay be used as evidence in subsequent prosecutions for vio- lations of tite laws, ordinances, rules or regulations of the Town of Southold. Dated:_ 9/10/08 gnature) William H. Price, Jr. (print name) signature (print name) M. ZI 1EY OP PR P RT Y m A T PKCONIC ToyfN OF SOUTHOL i SUFFOLK r�OUNTY, MY 1000-86-07-3.1 SCALE.: 1'=60' SEPTEF,IBEP. 3. 2004 _.> ROAD NY AL IERA TION OR ADDIRON TO TILS SURVEY IS A WOLA TION SECAO.N 72O90F THE NEV,' YORK STATE EOUCA PON LAW. ,CEPT AS PER SECT✓ON 7209 -SUBDIVISION 2 ALL CERPFICAPONS REON ARE VALID FOR THIS V4P AND COPIES THEREOF ONLY IF VD MAP OR COPIES SEA"? THE LMFRESSED SEAL OF TIE SURVEYOR fOSE SIGNATURE A.=7F4RS HEREON AREA = 3,6080 Acres or ,'57,164 sq,tl. To Tie Line M=MONUMENT *=PIPE ,Al a+"554200 S2 ,EGl, (631) 765-5 i P.O. BOX 909f0 1230 TRAVELER S SOUTHOLD, NY 11971 f 1797 —228 LOCATION: 5-0 0 4"e. (number & street) (municipality) SUBDIVISION: V_ MAP NO.: LOT(S): NAME OF OWNERS OCCUPANCY: ' (type) (owner -tenant) ADMITTED BY: �� ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- — — 3. SOURCE OF REQUEST: W o DATE: 2—/0— 0 g DWELLING: TYPE OF CONSTRUCTION: W �h.Q, # STORIES: /�' # EXITS: FOUNDATION: CELLAR: F4f CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: 9— 3RD FLR: BATHROOM(S): d;, TOILET ROOM(S): — UTILITY ROOM: --- PORCH TYPE: Fi✓c 1- o S FD DECK, TYPE: WOOD PATIO, TYPE: BREEZEWAY: FIREPLACE: oNF GARAGE: DOMESTIC HOTWATER: � TYPE HEATER: AIRCONDITIONING: TYPE HEAT: �LE�'�_ WAS AIR: _ } � HOTWATER: . OTHER: �o-tWQL �� ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: oil roWOOD r-e#ME_ ^ , TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: END: