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Home My WebLink AboutZ-20869FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20869 Date JULY 20~ 1992 THIS CERTIFIES that the building. Location of Property 6065 INDIAN NECK LANE House No. Street County Tax Map No. 1000 Section 86 Block 6 Subdivision Filed Map No. ONE FAMILY DWk~.LING PECONIC~ N.Y. Hamlet Lot 18 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-20869 dated JULY 20~ 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 WITHATTAC~D GARAGE * The certificate is issued to (owners) of the aforesaid building. SUF~'OLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. JOSEPH SHIPMAN & ORS. N/A ~r Rev. 1/81 Location BUILDIZG DEP:ZRT[.~NT T0':i$I OF SOUT[IOLD, N. Y. HOUSING CODE Ii.iSPECTION REPORT 6065 INDIAN NKCKLANK PECONIC, N.Y. [numoe~ & snree~) Subdivision Map No. ki.iunlclpa±ity) Lot( ) Ne~me of Owner(s) JOSEPH Occupancy A~mitted by: Key ~vailable Source of request ONE FAMILY (-type) J. SHIPI~AN JOSEPH SHIP14AN OWNER (owner-zenanr) Accompanied by: SAME Suffolk Co. Tax No. 86-6-]8 Date 7~8~92 D!,r~T T T,'kTf".- Type of construction Foundation BLOCK MASONRY Total rooms, 1st. Fi CEMENT BLOCK Cellar 90Z 5 2nd. F1 2 #stories 1-1/2 Crawl space IOZ 3rd. F1 Bathroom(s) Porch, t~e Breezewaz Type Heat OIL Fireplace(s) ! Domestic hotwater Other Toilet room(s) Deck, typq Garage x 'Warm Air xx No. Fzcits Type heater Patio, type__ Utility room Hotwater ~ Airconditionin~ OFF FURNACE ACCESSORY STRUCTURES: Garage, type const. Swim. ming pool Other Storage, type const. Guest, type const. VIOLATIONS: Location .CHAPTER 45--N.Y- STATE UNIFORM FIRE PREVENTION & BUILDING CODE Descriotion I ~rt-.' Sec. Remarks: . BP ~20834-Z for ~UILBING CO Z-20868 ' ' - ~0~. FIS~R - Time start 9:25 end 9:45 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southo;d, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m m 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. 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 topograph ic featu res. 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. Fees: 1. Certificate of occupancy New Dwe]ling. $25.00, Accessory ~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.00 3. Copy of certificate of occupancy $ 5.'00, over 5 },ears $10.00 4.Vacant Land C.O. $ 20.00 5 .Updated C.O. $ 50.00 Date . .J.u. n. .e . .8. ,. . .1.9.9. 2. .......... New Cons t ruc t i on ...... Old or Pre-existing Building . .X. ......... Vacant Land ............. Location of Property 6065 Indian Neck Road Peconic House No. Street Ham/et Joseph P. Shipman, Carol Ann C_annella, Mary~Ellen Owner or Owners of Property . .O '. [~.~,], 1 ,..~b~o~a,~. J,..~b~-pFte, r~..a.n, cJ. :~.'qb:~ f~.e.D,. ]~D. qq .lp.h. County Tax Map No. 1000 Section ...0,8..6,..0.0, ..... Block 06.00 Lot 018. 000 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 .... X Fee Submitted $. :~ Q.0.~..Q O ..................... Construction on above described building_and permit meets allApplicable codes and regulations. Applicant ......................... Rev. 10-10-78 CONSENT TO INSPECTION JOSEPH P. SHIPMAN , · the undersigned, Owner(~ Name(K) do(es) hereby state: one of That the undersigned (is) ~ the owner(s) of the premises in the Town of Southold located at 6065 Indian Neck Road~ Peconic~ New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 086.0q Block06.00 , Lot 018.000. That the undersigned (has) (l~a~ filed· 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: __ Certificate of Occupancy~on pre-existin~ d. wellin~. 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. Dated: June 8, 1992 ~-~a~-~~ [ / ~signature) ~ Joseph P. Shipman (print name) (signature) (print name) Z 0 ----- 0 ~J Z