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HomeMy WebLinkAboutZ-36416 StFFOL't Town of Southold Annex 7/25/2013 co� 54375 Main Road C3 ; Southold,New York 11971 'poi �aa. f PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36416 Date: 6/3/2013 THIS CERTIFIES that the structure(s) located at: 6427 Indian Neck Ln, Peconic SCTM#: 473889 Sec/Block/Lot: 86.-6-22 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36416 dated 6/3/2013 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling_ NOTE: BP 8661 shed COZ-7126; BP 20168 screened porch COZ-26298; BP 38158 hot water heater COZ-36415. The certificate is issued to Lemmon, Gerald& Lemmon, Dorothy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Auth Signatur BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 6427 Indian Neck Ln,Peconic SUFF.CO.TAX MAP NO.: 86.-6-22 SUBDIVISION: NAME OF OWNER(S): Lemmon, Gerald&Lemmon, Dorothy OCCUPANCY: ADMITTED BY: Gerald Lemmon SOURCE OF REQUEST: Lemmon,Gerald&Lemmon, Dorothy DATE: 6/3/2013 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: block CELLAR: CRAWL SPACE: X BATHROOM(S): TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: patio BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil FHA WARM AIR: HOT WATER: #BEDROOMS: #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWEVB41NG POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: MIKEV DATE OF INSPECTION: 6/10/2013 TIME START: 10:05am END: 10:45am Form No.6 TOWN OF SOUTHOLD D f BUILDING DEPARTMENT TOWN HALL MAY 2 8 2013 U1 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DEPT. TOWN Of SOLITHOLD This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept.of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building,industrial building,multiple residences and similar buildings 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. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00, Businesses$50.00. ® Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy Of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00,Commercial $15.00 / Date. New Construction: Old or Pre-existing Building: )� (check one) Location of Property: ilk l I�d 14n House No. I Street r f Hamlet Owner or Owners of Property: �r�f j9p(A`1 l emlyon Suffolk County Tax Map No 1000, Section Odd 0 Block 00 Lot oar OQ� Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ lDc ►©o Applicant Signature CONSENT TO INSPECTIONU MAY 2`$ 2013 i BLDG.DEPT. TOWN OF SOUTHOLD Gerald 4f o jh U.M ryton the undersigned, do(es)hereby state: Owne s Name(s) . That the undersi ed is) are the owners of the pr ' es in the Town of Southold, located at�. f !� lVeC an (i l ys ,• which is shown and design ed oa the Suffolk County Taxgap 'as District 10 . , Lots •. . ' Section� g �D Block That the undersigned(has)(have)filed,or cause to.be filed an plication ici the !Ijthd d o Q Buildin '�C�U's�ffice for-the following: That the undersigned do es. hereby-give do(es) y 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 respoct 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 in-subsequent prosecutions.for Violations of the laws,ordinances,rules or regulations of the Town of Southold. l/ I Dated: ( y 3 / 3 (Signature) (Print ame) EC E M. E , s:gn e) , JUN —3 2013 (P nt Name) BLDG.DEPT. TOWN OF SOUTHOLD r y TOWN OF SOUTHOLD PROPERTY RECORD CAR® OWNER STREET e- -Z VILLAGE DISTRICT SUB. LOT L kti 7 - < w� FORMER OWNER 1 Ni J (/c E ACREAGE r�� S v W TYPE OF BUILDING d1 SEAS. VL. RES. (� FAR COMM. I IND. I CB. I MISC. I Est. Mkt. Value- LAND IMP. TOTAL DATE REMARKS / � l 7 J-2 Z, fie: �on� S"D o a / 7 / U i� -� if z l 7�0 /C' /jti .zmw �S wx Z4. Z6 a. r ,(" 0 U ',�.-( � r '� � D U J fl j J b � /7' ? �y�P T/�.0 >��Af✓J'o� /"vr V P.P �ec P.S�LP l, Na u,-7 D �L/sS y///'os'/CR �sli«'_ r 3/ f(af WOOF-- -)mo -- Iv AG BUILDING CONDITION �� a- ?ad p� o-Ads er-E51 Ltma-yl a A no — r� NEW NORMAL BELOW ABOVE FRONTAGE ON WATER,< Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushlond House Plot Total 4 -MAN 1I.R No MEN ON EN ME �Odotion Both Floo• rs Interio• • r Finish Fire Place M LVI Rooms I st Floo• 1 Rooms 2nd Floor ' Dormer From: "Field,Amanda"<Amanda.Fieldgelliman.coms Subject: survey Date: May 30,2013 11:14:39 AM EDT To: "dotlemmonl @gmail.com"<dotlemmonl Qgmail.conu 01 3 Attachments,43.7 KB Hi Jerry and Dot, Here is a copy of the survey I have on hand. Let me know if you need anything else. Best Amanda Field Licensed Real Estate Salesperson Presidents Circle 20121P/Lvwt-Tl 10200 Main Road/P.O.Box 1410 �Co Mattituck,NY 11952 S U _ J? _ Z _ (; / Y-3 631.298.6169 We are the North Fork.. . all things Real Estate for every time in your life! CXg12�Qes»N:i E�ti 67d Mn+p Wormy:�A"trbtl tre.C6V�u rkro7!4 tftrnCist nnam tl1bY.fdt do Mtrnomn b bck.oE b0000702 ti KOCa'O.d6tyri btr+01 trtmtra tri+Dn P+MMDd ClG:t�OXII NtrtOCy�P�fQI LflM1WrO6riS0b QJ.VO4Y.ypt00m COl�M1f•W tl000omD Rtl h,tvatl O»O�DOC4yt?QJ tr�QVnod M1tY4WCOW 0►tVtl00OrpftlwalT.R mamtr'..7�O G4L'lI.LI�CR�`06f1trD/�lC itr1/07II f6l Cb80RlS 0�'tA'��Tbt1b.00rt7 OJff!{O"b 1Md QII0:R4tptl tlit71RlC�U08�9k 07R1COl'w01 C1C"�h _ g V$VB it Ef"'A'A . _ N/b/F IUhk�/yE S!MU-IA11 S %CLOW SbH $ g At 31V*3a E AI.TIB JQ'E tn �-� Right a! Woy 1 V p 210.10 }Oi200 r cyaM1 �y c s C O Omaha'=J t5A o � � u CW QV =O ►� LOCATION: ( (number & street) (municipality) SUBDIVISION: MAC - LOT(S): NAME OF OWNER(S): ` OCCUPANCY: (type) Ile, (owner-tenant) ADMITTED BY: ACCOMPANIED BY: "� KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: OS z DWELLING TYPE OF CONSTRUCTION: C�!- jy�'� # STORIES: #EXITS: FOUNDATION: BASEMENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: . PORCH TYPE: DECK, TYPE: PATIO,TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: . AIRCONDITIONING: TYPE HEAT: o_ej /,:9�,4 WARM AIR: HOTWATER: # OF KITCHENS: FINISHED BASEMENT: YES NO y OTHER: ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: . VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. O{ 0-7 or REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: A:�� END: