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: