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Home My WebLink AboutZ-27254FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27254 Date: 08/18/00 THIS CERTIFIES that the building Location of Property 6002 INDIAN NECK LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 098 Block 0005 Subdivision Filed Map No. Lot No. DWELLING & ACCESSORIES PECONIC (HAMLET) Lot 017.005 conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 27254 dated AUGUST 18, 2000 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, GREENHOUSE, SHED, AND LARGE CONCRETE BUILDING.* The certificate is issued to GERTRUDE ROSENBERG &Dr.M~]~r~,~,Trustees (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 6002 INDIAN NECK LA PECONIC SUBDIVISION: MAP NO.: NAME OF O~N'ER (S): GERTRUDE ROSENBERG & DR. blEYER __ LOT (S) ~ OCCUPANCY: A-1 RESIDENTIAL GERTRUDE ROSRMB~G & DR. MEYER ADMITTED BY: MR. ROSENBE~ ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: R8.-5-17,$ SOURCE OF REQUEST: GARY FLANNER OLSEN. ATTY, DATE: DS/18/0Q TYPE OF CONSTRUCTION: BRICK 2ND FLR.: __~ TOILET ROOM(S): 1.0 DECK TYPE: FIREPLACE: ONE OIL HOTWATER: # STORIES: 9.0 # EXITS: CELLAR: ~ CRAWL SPACE: 3RD FLR.: FOUNDATION: CONCRET~ TOTAL ROOMS: 1ST FLR.: ._~ BATHROOM(S): 9,0 PORCH TYPE: ENCLOSEQ BREEZEWAY: DOMESTIC HOTWATER: YES TYPE HEATER: TYPE MEAT: OIL WARM AIR: OTHER: *WASNER/DRYER. PANTRY OFF THE KICTHEg UTILITY ROOM(S): * PATIO TYPE: GARAGE: 2 CAR AIRCONDITIONING: STEAM ACCESSORY STRUCTURE$~ GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: WOOD SHE$ SWI~4ING POOL: GUEST, TYPE CONST.: OTHER: GREENEOUSE: LARGE CONCRETE BUILDING: BATH HOUSE VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE UNIFOP, M FIRE PREVENTION & BUILDING CODE DESCRIPTIQ~ , ART. SEC. INSPECTED BY: DATE ON INSPECTION: 08/17/00 TIME START: 9:50 AM END: 10:25 AM BUILDING DEPARTMENT TOWN HALL 765-1802 Co APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildip inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property linea streets, and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar build~ and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a '!pre-existing" land us~s: 1. 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 applica~ If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees · i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - . .25C. 4. Updated Certificate of Occupancy - ~50100 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..August.4,.2000 ..................... New Construction ........... Old Or Pre-existing Buildtng..~.~.~.~.~esidence Location of Property. 6002 Indian Neck Road, Peconic, NY greenhouses, block bldg.,Bath hous~ House No. Street Hamlet Ouwer or Owners of Pronertv The Me~er Rosenberg Living Trust & Gertrude RosenbDig Living Trust County Tax Map No 1000, Section..~..0.0 ....... Block. O~,OQ .......... Lot..~L7..DD5 ......... Subdivision .................................... Filed Map ............ Lot ................. Permit No ................ Date Of Permit ................ Applicant ........................ Health Dept. Approval .......................... Under~rrite~proval .................... Planning Board Approval ........................ // Request for: Temporary Certificate ........... Final ~er ~c~te ........... 100.00 / ~ ,,' ,,/ Fee Submi.tted: $ ............................. .,../..a. ......................... MMfl PO Box Cutchosue, 1Z935 Gl C) CONSENT TO .' INSPECTION G.___q~Flanner Ol__~_sen as attorney for Samuel D. Constan , the undersigned, Owner(s) Name(s) and Phy lis ~g~ do(es) hereby state: That the undersigned (is) (are) time owner(s) of the premises in the Town of Southold located at 6002 Indian Neck Rd. Peconic, NY · which is shown and designated on the Suffolk County tax map as District 1000, Section 098.00 Block 05.00 Lot 017.005 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in'th,, Southold Town 13uxlcling Inspect,,, .o orrt,,o fo.. +h, rnllnwinff: Two and one-half story residence, greenhouses, bl~ock building and bath house That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southoldto enter upon the above described property, including any and ail buildings located thereon, to conduct such inspections as they may deem necessary with respect to thc aforesaid application, including~-inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations o£ the Town or Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtaine/(~ the conduct or such inspections may~beusedas evidence in subsequen/pro~ecutions for vio- lations o~ the laws, ordinances, rules or regulations~/f thjTown or South2. · ~.. //' (~i~natur e) GARY FLANNER 0LSEN AS ATTORNEY (print name) (signature) 2.5'X2.5' BRICK COLUMN ~RICK ~ ~OLUMN N/F BERNHARD T N/F HEATHER SUR VE Y OF' DESCRIBED PROPERTY SITUATE PECONIC, TOWN OF .SOUTHOLD SUFFOLI COUNTY, N.Y. SURVEYED FOR : PHYLISS CONSTAN SAMUEL O. CONSTAN TM 1000-098-05-1Z 005 N SURVEYED JO JUNE, 2000 SCALE I"=100' AREA = 144,79'¢.92 SF OR .3.524 ACRES N/F SEAOYAN CLUB, INC. N 66' ,34' 40" 1,73. 07' FD 60' ~~ 60' 2a' UL ALLEN N 62' 58' 04" E 87' N/F COHEN GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY. LENDING INSTITUTION, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEOUENT Ot4~IERS. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLA TION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COP Y. wood BATH APPROX. H.,#.L' THIS pATE TIE LINE 53" W S 54' 39' 221.3~' NEC K ¢OG 2 1/2 STORY I. )"AUG O0 GUARAN TEED TO PHYLISS CONSTAN SAMUEL D. CONSTAN FIDELITY NATIONAL TITLE INS, CO. SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK, NY 11956 63~ 5835 00R920