HomeMy WebLinkAboutZ-20441No Z-20441
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date JANUARY 2, 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 775 WOODS LANE_ PECONIC N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 86 Block 6
Subdivision
Filed Map No.
Lot 9
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-20441 dated JANUARY 2, 1992
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 ACCESSORY WOOD FRAME GARAGE*
The certificate is issued to ERNEST & DOROTHY HYDMAN DECEASED
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
B ilding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TONIN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 775 WOOD LANE
number & stre
PECONIC, N.Y.
Subdivisionki•lanicipal ity )
P�fap No. —Lot(s)
Name of Owner(s) ERNEST S DOROTHY HYDMAN, DECEASED
Occupancy A-]
ttype
Admitted. by: HENRIETTA CHITUKby: S cena�t)
Accompuniod by; SAME
Key available
Source of request
Suffolk Co. Ta_{ tqo. 86-6-9
DOROTHY LOUISE RICHARDS
Date DEC. 18, 1991
DWELLING •
--- ---
Type of construction
WOOD FRAME
Foundation
CONCRETE
stories ONE
Total rooms,
lst. Fl
Cellar PARTIAL_ crawl space
5
Bathroom(s)
2nd. 1;11
1 FULL BATH3rd.
Fl
Toilet
room's)
Porch, type
SCREEN
-h
Dect;, -type
Breezeway
Patio, type CEMENT
Type Heat
OIL
�,
s� age
Utility room
Fireplace(s)
NONE
' Air
Hotwater xx
Domestic hotwater
1Jo,Fxits 2
YES `-'
Airconditioning
Other
Type heater
ELECTRIC
ACCESSORY STRUCTURE'S:
Garage, type const. 1-1/2 CAR Storage, type const.
Swimming pool WOOD AME
--- Guest,
Other type const.—
VIOLATIONS: Housing Code. Chanter
Remarks: BP #20358-Z CO Z-20440 ISSUED TO ENCLOSE PORCH
Inspected by
mm_w_�
x/1/1 Date of Insp. DEC. 30, 1991
SH Time start 9:30
end 9:50
4
A
MAP OF LAND
SURvr_yrlU sort
c
RICHMONL) CREEK
-. O.[>D, t11G11�1 W1lTEt3 h�IARLi
1\1.V. !f It 5.02
I� [=1 ooCr
�-DMAN
A I`J I)
MnD' i_i\•iE-_ HYNOMAH
AT
I�I_COt\J I(:
TO`NI4 OF SOUTHOLU• 1J Y.
c 1\ I' rl (1 1 111
17 -= IJ1phJI,tMF4hIT
t�
'Z01
275.0
J
C) ►1 A
V
G
fo' n,1c 1I I' Or WAY
TO
Ir1l)Inh! NECK RC)Ap
M
x
IV
u
NUn,JFR 11
�I icrJ. I {SIS{
Cur, s l
rnAr,• j+vtl Ill
in
wRI_1 c N 7
-1 vJ
? 0 C
inAe.I'Of
(A -1 IL
10
y 1�
mw
v1 O
7.
Id
IL
I
1
e 111tr -4
78.87 `
. O p'
5.81'10
GUARANTPRb TO -rIIE IIOLArc TITLE DIV. -
C111CA ,O TI TL5 '"SUPANCr4 COMPAFJV AND
TIIP 501371101-0 SAVINGS RAIJK
SIJRVE'IEyh � hECF.MB&r>! 21.1967• '
VAN -i•(JYI� A SON
LICE fJSEU LAND SUh�+I`YOt?g
nar, r:►Ir>an-r, fJFw Ybt�1<
ry
(1u•i n••1^i• In.br •.• 1•n,+rr •!, •11 r•y.
'\
,.•y In Vie ... .r.,� 1'r, v . .
!�,v
h r. •.r ...I. n.a r,n Lic ! � .In r
d �l
r,v. An... r•o.n .,-141. J /
luq �., t�.., r•..n•r nnl 1. n.. i. +rl•�
- -• �--
Q 1.16b1Ir11oO) N !U' "I'lenl
-.
rr• �' d Pfn•
mv'le, f.
MAP OF LAND
SURvr_yrlU sort
c
RICHMONL) CREEK
-. O.[>D, t11G11�1 W1lTEt3 h�IARLi
1\1.V. !f It 5.02
I� [=1 ooCr
�-DMAN
A I`J I)
MnD' i_i\•iE-_ HYNOMAH
AT
I�I_COt\J I(:
TO`NI4 OF SOUTHOLU• 1J Y.
c 1\ I' rl (1 1 111
17 -= IJ1phJI,tMF4hIT
t�
'Z01
275.0
J
C) ►1 A
V
G
fo' n,1c 1I I' Or WAY
TO
Ir1l)Inh! NECK RC)Ap
M
x
IV
u
NUn,JFR 11
�I icrJ. I {SIS{
Cur, s l
rnAr,• j+vtl Ill
in
wRI_1 c N 7
-1 vJ
? 0 C
inAe.I'Of
(A -1 IL
10
y 1�
mw
v1 O
7.
Id
IL
I
1
e 111tr -4
78.87 `
. O p'
5.81'10
GUARANTPRb TO -rIIE IIOLArc TITLE DIV. -
C111CA ,O TI TL5 '"SUPANCr4 COMPAFJV AND
TIIP 501371101-0 SAVINGS RAIJK
SIJRVE'IEyh � hECF.MB&r>! 21.1967• '
VAN -i•(JYI� A SON
LICE fJSEU LAND SUh�+I`YOt?g
nar, r:►Ir>an-r, fJFw Ybt�1<
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall t• s
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted 14 to the Building Inspec-
tor 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 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 $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 . •December 18, 1991
NewConstruction••• ••A••••.•••
• ..... Old or Pre-existing Building .... Vacant Land .............
Location of Property Private Road off Indian Neck La. , Peconic, NY
HouseNo.'***'................................................
Street • •Hamlet
Owner or Owners of Property Dorothy Louise Ricahrds as Executrix of the,�state of
bo'ro�f�y' h1:' Hyhdmah;' tl�i 8 tSAtl:.................... .
County Tax Map No. 1000 Section . , 86• . , , , • , . , • • Block , . 6 9
SubdivisionLot...............•
.................................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 .......... .
Fee Submitted $ .... J.0p, 00
Construction on above described building and permit m
applicable c es and regulations.
Applicant . ... , . ,
Rev. 10-10.78 Gary Flanner Olsen, Esq.
Main Rd., P. 0. Box 706
Cutchogue, NY 11935
�,-�,c • y 3/S
GILL- ca as yy/
CONSENT
TO
INSPECTION
Louise Richards
uwner(s) Name
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at Private Road off Indian Neck La., Peconic, NY
which is shown and designated on the Suffolk
County tax map as District 1000, Section 886 Block 6 Lot 9
That the undersigned (has) (have) filed, I'or caused to be filed, an applica-
tionAn-Itba Southold Town Building lnspecL,,, •o orc;�� car fhe fnllnwing;
1 story frame house and garage ,
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
and ::'11 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.
Dated: Dec. / 15' 1991
�Qa��_(Iignature) - LI
Dorothy Louise Richards
(print name)
(signature)
(print name)
EUIL- . _
TO:�i1 OF :.OFUT'-:OLD, N. Y.
�:OUDI::G CCD.: INSPECTIGi; RD70RT
Loco -�icn
Su; diVision
i 1�D
Oaner(s )
�,•�u7�ci�a_:. �yJ
No. Lots)
Occupancy
0
l gyp e
Ac�:,ilted by
_.. -Ac.,_umncniE;d
o,.m er
by --------------
Key available'
Suffolk Co . Tax No .
Source of request
Date
MEL LING: .
Type of construe tion-- C
Foundation ��-" 'stories
Total rooms, 1st. F1_
Cellar-A�Cra:•:l space
2nd. Fl - 3rd. Fl
Bathro om (s) -
Toilet room(s)
Porch, type— Deck, type
BreezewayPatio, _ e
Garage
Ty-oe Heat% Utility room
al'm Air �-
Fireplace(s) _,�/o,�,E=otT,�a ter
NO. F;: i is 1
Domestic ho twater - Air�ord� tionin�
Other
�� J Type heeter c
ACC7SSO?Y STRUCTURES : e
Garage, type const. J L � '^'�`� �r2�e
Salim -mi d type const.
no pool Guest type ype const.
---------------
i1Tnr
• ivt-t _'J:IJ:
Location
I
Remarks: 94)N
UHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
Asc.— �'icn
Inspected by:,
Art .I co,.
Daze of Insp .
• •Time st-arend
i
TOWN SOUTHOLD kOPERTY,
OF
RECORD
CARD
OWNER
STREET', 14
VILLAGE
DISTRICT
SUB.
LOTled, ,a,
Le
r '
zyr
FORMER O
EV
Ad
f
r.
I
'
`
Sr
TYPE OF BUILDING
.�
RES.Ot O
SEAS.
VL.
FARM
COMM.
I IND.
I CB.
I MISC.
I Est. Mkt. Value'-'' 41,
LAND
IMP.
'TOTAL
DATE
REMARKS
4
a7oo
-.?Vo 0
! 6-1>
3 3 o v
i( b --o
0 ?/
t
AGE
BUILDING CONDITION;
5
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER
,S 30,0
Q
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
.'
Tillable 1
BULKHEAD
v1 Z6
wG
Tillable 2
DOCK
Tillable. 3
3;
Woodland
S 3 4
f
Swampland
Brushland
House Plot
e
Total
.. -
..
_
yi
,. M. Bldg.
_
/Z ' ya n� ✓
Ell
Foy ation
:•.�
Bath
f
+"< *r y -
G
R Extension
3 �/
v.
.� ,
Basement
gprI, 1
Floors
L
"Extension
✓
,. M. Bldg.
_
/Z ' ya n� ✓
xS. {,y�;�ri 4.`.i;Kli�' .r _:'�+---��-:-L-�-d�.
�
Foy ation
:•.�
Bath
f
+"< *r y -
G
R Extension
3 �/
v.
.� ,
Basement
gprI, 1
Floors
L
"Extension
✓
Ext. Walls
(
Interior Finish
Extension
Fire Place
���
Heat
Porch
Roof Type
_
'40
.l
o
`
Porch
Rooms 1st Floor
'k Breezeway
Patio
Rooms 2nd Floor
�' Garage .:
a 3. " Y �-
�.�
�00 �,. "
Draway
'.
Dormer
4 B.
��5'=
�4n.r., r'`$n�f,:3�,a,N�.r� ri_'•M
xS. {,y�;�ri 4.`.i;Kli�' .r _:'�+---��-:-L-�-d�.
�
�.y f*�' �����.,q�T't' ......q„ �..
r
�F°� 1Fi
�2 �r� �. � �-"»,:
�:
+"< *r y -
c' - ,. `. ,i � �.
✓���� 1
-
v.
.� ,
.. M
- .. ._ �. .,..
.� .(C-,,Aa+n -,. .~':,n?^�S,r _
.L� .an.�+rRa�S'�+:4eF+ar•tF6+�•W
... r ....