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Home My WebLink AboutZ-19134LSC Z-19134 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date JUNE 11, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 5655 INDIAN NECK_ ROAD PECONIC N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 86 Block 6 Lot 14 Subdivision iled Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19134 dated JUNE 11, 1990 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 * The certificate is issued to ESTATE OF DOROTHY HYNDMAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. i4 w-/ uilding Inspector Rev. 1/81 BUILDId1G DEP ,RT.IE�iT T0.11\1 OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 5655 INDIAN NECK ROAD PECONIC N.Y. knumoer do street) Iliunicipaiity) Subdivision clap No. Lot(s) Name of Owner (s) ESTATE OF DOROTHY HYNDMAN Occupancy R-40 OWNER (type) owner -tenant Admitted by: GARY OLSEN Accompanied by: SAME Key available Suffolk Co. Tax No. 86-6-14 Source of request DOROTHY LOUISE RICHARS, EXEC. OF Date ESTATE OF DOROTHY HYNDMM MMLI'M : 6/1/1990 Type of construction WOOD FRAME #stories ONE Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, lst. F1 3 2nd. F1 - - 3rd. F1 - - Bathroom(s) ONE �L Toilet room(s) _ _ Porch, type — — — — Deck type — — Patio, type Breezeway _ _ Garage — — Utility room — — Type Heat PROPANE Warm Air CENTRAL .Hotwater Fireplace(s) X No. Exits 2 Airconditioning Domestic hotwater PROPANE Type heater RHEE14 Other ACCESSORY STRUCTURES: NONE Garage, type const. Storage, type const. Swi,-,uning pool Guest, type const. Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: Inspected by• b �/Li, Date of Insp. 6/7/90 G J. FISH / Time start 9:30 end 9:45 . FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 'JlHv — `J- i9% A. This application must be filled in typewriter OR ink, and submitted a v r to the Building Inspec- tor nspectfor with the following; for new buildings 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 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. B. 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 unusuai 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 $25:00 BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupancy $ 5:00 , over 5 years $10.00 4.Vacant Land C.O. $ 20.00 \ (� 5.Updated C.O. $`50.00 Date ....... �1�: \j......... New Construction,..,,, Old or Pre-existing Building ... ....,.`. Vacant Land ............. Location of Property House No. Street\ Hamlet Owner or Owners of Property ... �. �::1 �.. . •��•�!� 111/ • • �� 0. � County Tax Map No. 1000 Section .. .W.... . Block .....tD......... Lot .. 1 .......... Subdivision .............................. `...Filed Map No. ........ .Lot No. ............. Permit No. .......... Date of Permit ..........Applicant ....................... ........ . Health Dept. Approval .................. ..Labor Dept. Approval ........................ Underwriters Approval .................... .Planning Board Approval ...................... Request for Temporary Certificate ....... ..........Final Certificate . VA. .� .CP....P.V.' .a0 Fee Submitted $ . A A ................. Construction on above described building and permit mee all pli a cod and regulations. Applicant ...... . �..�i . . . .......... ............. Rn. 10.10.78 GARY FLANNER OLSEN, ESQ. P.O. BOX 706 CUTCHOGUE, LL, N.Y. 11935 G { ' JLW-5W j CONSENT�1 i V TO TowN o�SDFPT. o�n INSPDCTION' borothy Louise Richards . Execu�rix, Estate of Dorothyy the undersigned, Owner(s)Name(R) Hynaman do(oe) hereby etntei That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Indian Neck Lane,, Pe;onic New York which is shown and designated on the Suffolk County tax map as District 1000, Section 86 dock r 6 �, Lot1. 4_ That the undersigned (has) (have) filed, I'or caused to be tiled, an applica- tion i6%he Southold Town Hutlding inspuujw& w c%rCLO% e-- fti. tnitnwing, -Pre-ex I-StIM houst 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, ineiuding- innpeotiona u 4 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 understandiiV that any information obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for vlow , lations of the laws, ordinances, rules er regulations of the Town of Southold, Dated;_ June .1, 1990 �..tAoed signature Dorothy Louise Richards —Tprint name"+ I i r s SUR VE Y OF PROPERTY A T PEC ONI C TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000 - 86 - 06 - 14 Scale 1" = 40' May 21, 1990 AREA = 32,977 sq. ft. Prepared in accordance with the minimum standards for title surveys as established by the L.I.A.L.S. andapproved and adopted for such use by The New York State Land Title Association. 201 W'D �—To O W ^pA0 , YONNO MON LOW C.E. LLC..rr Os MAW PUMP 6 SratY r a NO, cmY MOUSE w d\ \ UMN 0AV Lor \ .I P F N° 4 6 Z$ 21, 20 Piy� S 160.68 , 05,3 93 30 99, +p.• Vr O /� O EGK R /'� IN�IAN N CERTIFIED TO: SECURITY TITLE 6 GUARANTEE COMPANY JACK J. GISMONDI CHRISTINE GISMONDI N W m Y. 11971 UC. NO. 498t1B. BUI:.DI:•:G DEPART:•IENT TOW -N OF SOUTHOLD, N. Y. HOUSIidG CODE INSPECTION REPORT Location knumoer Subdivision Name of Owner(s) Occupancy _C - e Admitted by: street) rias !Muni c ip ai i ty ) No. Lot(s) (owner -t -anti) Accompanied by: �_ Key available Suffolk Co. Tax No. �7 Source of requestDate Q. C4 -k&-4u, .4,L-W.v DTr1ELLING Type of construction w2� #stories• Foundation p, Cellar. 1�2"" Crawl space Total rooms, 1st. F1 2nd. F1 3rd. F1 Bathrooms) Toilet room(s) Porch, type Deck, type — Patio, type �- Breezeway --- Sara �-- �• g� Utility room Type Heat 'alarm Air lam_ Hotwater Fireplace (s) No . E:tits Aircnditioni ng_ Domestic hotwater Type heater Other ACCESSORY STRUCTURES: �r%_,e - Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: CHAPTER 45-N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: Inspected by: �IWC 01 Date of Insp. O .Time start end 7 S 0 I,-- /y TOWN 00 SOUTHOLD P91OPERTY RECORD CARD --I, /,P` OWNER STREET VILLAGE DISTRICT SUB. LOT L F" h �-' .F � �/Y1 ✓) r � C2�/A�/1 �� ` / � 0� 'L`J (�J i� � �C 'h` di'�J�'. f� � � 'y _ FORMER OWNER N 1 E ACREAGE S � � :2 � -a 1 ��Cyr U W a TYPE OF BUILDING )43 .. RES. a SEAS. VL. FARM COMM. I IND. V CB. I MISC. ( Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 2,260 200 '? A% ✓' _ 2- 7U C/ O 6 6 y 6j, 316 (5"/, f 90 ---` AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE OIC ROAD / 0 0 X -0 �• ori - o Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot Total - I IN � _ 1, ;1141 n rX M. Bldg. ,. �' �— F ndation Cw�c a� v{ I / !- I I4—-- - 'I Basement I Floors Extension �` 1 _ -_ Ext. Wall!j,I `-r \ Les I —Tt—r-- --T- 1-- 4-7— Extension f rX M. Bldg. ,. �' �— F ndation Cw�c a� v{ Bath / !- Extension ! Basement I Floors Extension �` 1 _ -_ Ext. Wall!j,I `-r \ Les Interior Finish r Extension f Fire Place Heat Porch Porch I Roof Type Rooms 1st Floor Breezeway __- --------� -- i ---- -Driveway Patio --- _ Rooms 2nd Floor Dormer _ Garage O. B. z3s�