HomeMy WebLinkAboutZ-14421FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..Z3A4. .......... Date ..... .M.a.¥..2.1. .................... 19.8.6.
THIS CERTIFIES that the building s .... Eron.t .~w~.lling..'rt. ~R~¥..d,w~.J..i.r~g, .....
Location of Property ... ~ .1.3.5...I .Np.I.A.N...N.E.C..K..L.A.N.E. ................ P..E.C.O.N.I..C ...........
House No. Street Hamlet
County Tax Map No. lO00 Section ...Q~.6 ...... Block . .0.6. ........... Lot . .0.~.9. ............
Subdivision ............................... Filed Map No ......... Lot No ..............
Requirements for a private one-family dwelling built prior
conforms substantially to the-Appli~al4on-fo~-B~ing-l~it-~ofore-f, itefl-M-t-his--offi~e-d~e~
t.o.....A.p .r.i.1..2..3, ......19 .5.7. pursuant to wh~cl~rl~t~n~d~am~Io.OC.c.u..P.a.n.c.,y. .#.Z14921..
dated ~Y. 2.1, .................... 19 .8.6., 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 .........
.2. One. family..dwe ~.~g~..~ .d..a..1...c.a.r..g.a.r.a.g .e., .a.n..d..a..w. 99.d' .s..tp.r.a. 9.e' .b.u. ~ .lding.
The certificate is issued to . . .A..L.B.E.R.T...J....&...J.U.N.E...B.O.D.E..N.S.T.E.I..N ........................
(owner, ~ ~r-terra~O
of the aforesaid building.
Suffolk County Department of Health Approval ............ .N./.A. ..........................
UNDERWRITERS CERTIFICATE NO .................... .N/.A. ..........................
Building Inspector
Rev. 1/81 .
BUILDING DEPARTS,LENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 6135 Indian Neck Lane
(number & street)
Subdivision
Map No.
Peconic
(Municipality)
Lot(s)
Name of Owner(s) Albert J. & June Bodenstein
Occupancy R-1
(type)
A~mitted by:Mr/Mrs Bodenstei~
Key available
(owner-tenant)
Source of request
Albert J. Bodenst~in
Accompanied by: same
Suffolk Co. Tax No. 086-06-019
Date 4/24/86
DI'~LLIMG: Front Dwelling
Type of construction
Foundation ~m~nt block
Total rooms, 1st. F1 4
Bathroom(s) ~
Porch, typ~ cement
Breezewa~
Type Heat oil fired
Fireplace(s)
Domestic hotwater yes
Other Wood burner
wood framed #stories
Cellar partial Crawl space
2nd. F1 3rd. F1
Toilet room(s)
Deck, typ% Patio, type
Garag~ Utility room
Warm Air xx Hotwater
No. Exits 3 Airconditionin~
~ype heat'er .~as
one
rest
ACCESSORY STRUCTURES:
Garage, type const.one car wood
Swimming pool
Other
Storage, type const, wood.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location Descriotion Art. J Sec.
Needs paint j
Door sill needs repairinq
This includes B.P. 6980Z C.O. issued Z10339
Remarks:
Inspected by: . -. a. te of Insp. April 24, 8~
Curtis W. Horton -Time startl2:15 end 1;00 o.m.
CONSENT
TO
INSPECTION
OwnS(s) Name(s)
do(es) hereby state:
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
~~., ~. C~ , whichis shown anddesignated ontheSuffolk
County tax map as D rict 1000, Section 0~) , Block O~o , Lot (~
That the undersigned (h_.as) (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, 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.
(print name)
(signature)
(print name)
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y, 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of properW with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings. Industrial buildings. Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15.00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
5.Updated C.O. $15.00 Date., ,Ap.r.i..1..2.4. ~ ,1.9.8.6, ........
New Building ............. Old or Pre-existing Building .. ~ ........ Vacant Land .............
Location of Property . .6 .Z.3.5. ............ [..~.d.~.a.~...N.e.c.~..~.a.~..e ................. .~.e.c.o.~..~.c .....
House No. Street Ham/et
Owner or Owners of Property ....... .B.O.D.E..N.S.T.E..I .N/..A..L.B.E.R.T...J....&....J.U.N.E. ...................
County Tax Map No. 1000 Section ...... 0,8..6 ...... Block ..... .0.6 ........ Lot .... .0.~.9. ........
Subdivision .......... .X. ..................... Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant .... .~.~.~.e..~. ?. :..~.o.~.e..~.s~.e.~. ~ ......
Health Dept. Approval ....... .N/.A. ............. Labor Dept. Approval .... N../.A. ................
Underwriters Approval ....... .N./.A. ............. Planning Board Approval . .N../'.~ .................
Request for Temporary Certificate ..................... Final Certificate .. ×
Fee Submitted $...5.: .0,0 ......................
Construction on above described building and permit meets all apj~licable codes and regulations.
Applicant
COUNTY OF SUFFOL~ :
:
STATE OF NEW YO~( :
In the Matter of Application of Albert J.
and Eleanor J. Bodenstein for a Certificate
of Occupancy for property known as 6135
Indian Neck Lane, Peconic, New York
With regard to the captioned matter, I, Eleanor J. Bodenstein,
to my personal knowledge and through certain papers in my possession, do
hereby depose as follows:
The unimproved property was purchased on 6/17/b~ by Daniel C.
Kluge from Irving R. Wiles and Gladys Wiles Jepeon. The Kluge family
subsequently built 2 small summer cottages thereon, one on a 50' strip
running approximately ~7' south from Richmond Creek, the other a 3Aroom
shell on a 100' strip running thence approximately 225' south to Indian
Neck Road.
My parents, Andrew Clifford and Grace E. Smith. purchased the
property with structures from the Kluge family on 4/4/62.
In 1968 under Permit 3943Z dated 7/8/68 for a 14' x 17' and
a further 12' xx 24' extension, my husband and I built the 14' x 17'
addition on the west side of the cottage on the 100' portion of the
property.
A storage shed was built on the 50' portion in 1969 under
Permit 4~8~Z dated 10/3/69.
In July 1971 Alfred Goldsmith built a rear 12' x 12' and a
front 14' x 14' extension on the waterfront cottage of Mr. & Mrs. Smith.
In October 1971 William Jacobs added a 14' x 24' room with
cellar to the west side and a 4' x 9' extension to the east side of our
house o
We have no record of the permits obtained by the two builders..
On 8/7/72 the deed was changed to show Andrew C. and Grace E.
Smith and Albert J. and Eleanor J. Bodenstein as joint tenants of the
whole property.
Under Permit 2980Z dated 11/9/73 an 18' xx 26' garage was
placed in the front yard area of the roadside house.
On 10/~/~3 we were denied a C.O. on our house in part because
of the unsatisfactory cellar stairway, which we now wish to re-build and
etloloIle.
On 10/21/75 the property vas placed solely in the na~es of
Albert J. and Eleanor J. Bodenstein.
ELEANOR J. BO~STEIN
Signed and Sworn to before me
t~is 7~ day of April, 1986
Notary Public, State of New York
No. 4S4~180
Qualified in Suffolk County
Commi~t.l~ Eliplres March ~O, 19~
Iv]Ap OF' Pr'4OPEFLT¥
'DUi~V~ED ~
A~EF2T BODENSTE
PECON lC
'r'owN~ O,F.5OUTHOLD;
~CALE - 50, I
m, MONUME~.rr'_. _