HomeMy WebLinkAboutZ-30372FORM ~[0. 4
T0~[ OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTIi~
CERTIFICATE OF OCCUPANCY
No: Z- 30372
Date: 08/20/04
THIS CERTIFIES that the building
DWELLING
Location of Property 5g5 LAKE DR
(HOUSE NO.)
County Tax Map No. 473889 section 059
SOUTHOLD
Subdivision
(STREET) (HAMLET)
Block 0005 Lot 020
Filed Map No. __ Lot No.
conforms substantially to the Requirements for a ONE FANILY DWELLING
built prior to APRIL 9, 1957 pursuant to wtuich CERTIFICATE OF
OCCUPANCY NUMBER Z- 30372 dated AUGUST 20, 2004
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued ia ONE FAMILY DWELLING WITH SIDE ENTP-~NCE DECK, REAR DECK, OUTDOOR
SHOWER STALL AND O~-GPJ~DE STONE A/rD CONCRETE PATIO.
T~e certificate is issued to JOHN & BEATRICE LEHNER, TRUST
(O~EE)
of the aforesaid building.
SUFFOLK CODI~TY DEPARTT~IT~ OF HF2%LTH ~-PPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT-
Authorized Signature
Rev. 1/81
ACCESSORY STRUC~3RRS:
u
.-,- ¢.
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. E% I .
DATE: .,, _~.uly _7.?,_ z00t_.
Pursuant 4o the provlslons of Chapter 615 of the L~ws of
the State of New Yorlc, 18.93; and Chapter 404 of the Laws of the
State of New Yort' I952, and fha So~thold Town Ordinance en-
titled "RE~ULATIN6 AND THE PLACIN6 OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, CARAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;~ and in accordance with the
Resolution of The Board adopted afa meeting held on ._J. ~1:)~. 7._5_,..
7.001_ .., end in consideration of the sum of $...50_'.00_ _ paid by
John B. & Beatrice B. Lel~ner
o'F........ $°g.!h~°.!c~ ...... N.Y. s,,b.i ct to the
Terms and Corlclltions listed on the reverse side hereof,
of Soufhold To~n Trustees aufhorlzes and permits the followlrlg:
Wet[a.nd Permit roi- the construction of' a replacement deck
servicing the rear entrance to the existing house. Replacement
of former deck located ground surface level on the bluff. ,..
all in accordance with fha detalJed speci{ications as presented in
:th~ 6rlglnafi~g apiblication. ' -. - ..
IN WITNESS WHEREOF. The said Board of Tru~ees here-
by'ca~sei~ifs ~,brp0raf~ Sea] to b6 aT-F'uced, and thesepresenls 50
be suCsCdbed bY ~ 'maiorffy of the said Board :as of' this dat~.-.
NIE~N YORK STAT; DEPARTMENT OF E.I, ZVIRONME:NTAL CONBERVATION
DEC PERMfT NUMBER
1-4738~2917/00001
FACILITY/PROGRAM NUMBER(Y)
PERMIT
Under the Env~mental
C<3naewallon Law
DATE
27~ 2002
ON DATE(S)
~7, ~G07
T~'P,E OF PERMIT · F~ew n Renewal O Medi~lu~aien'~ permit ie Cu,,a;,~iot [] Permit,to Operate
[3 Ntiele 16, T~e 6: Pro~cllo~ (~ Waters
[] Ntlde-l~. Title 15: Waist Supply
El Nlide, 16. Tltfe 15; Water TranSport
~ A~le lB, ~e I~ L~g I~ W~
~ ~l~e 15. TI~ ~: Wild. ~ one
R~e~ Rlvma
~ 8NY~R ~:~a~ Q~lly G~
~rT {S~ TO
John & B~ L~neq
~PJne Tm~ O~ a,-FL 3~72
[3 ~ 17, l'~tle~ 7, a: SPDE$
El At, cie lg: Air Pollution
[3 Artiole 23. Tale 27: idlrted Land
Recia~
I Article 24: Fmshteatm Wetlands
D A.llale 28: Tidal Wetlands
n Nli~Ia 27, TJUe ?, ON¥CRR
Solid Waale Managemen]
NAME A~D ADDRESS OF PROJECT/FACIUTY
A~Ie 27'i Tills S; ~NYCRR 373;
HazardOus Wasm Management
A~& 1.3, 17, tS.
ITELEPH(~.E NUMBER
(s3 }
TELEPHONE NUMBER
Lehner Properiy~ 505 Lake DriveI Southold~ SCTM #t000-50-05.-2..0 ..........
couNTY · "ITOWN ~ WETLAND # ~ .yTM cooROINATES
Suffolk I ,Southold I $O:.51 ......
I -
DESCRIPTION OF AUTHORIZED ACTIVITY: RECONSTRUCT EXJSTINGFRONT ENTRANCE, DECK, STAIRS,
~ SUPPORT POSTS AND CONSTRUCT A NEW DECK. ALL WORK SHALL 8E DONE IN ACCORDANCE WITH THE
PLANS STAMPED NYSDEC APPROVED oN 9/27/2002.
Ely ac~,~iunce of this permit, the perml~tee agrees Ihat th'e permit is contincjeN upon strict Compli;~nce v~th the ECL, ali
applicable regu~afior~, the General Condilions specified (see page 2 & 3} and any ~ial Conditions (edae
incJuded as ps. It ol this permP;,
PERMIT ADMINISTRATOR:
Mark C Carfare
AUTHORIZED SIGNATURE
ADDRESS
Region 1 Headquarters
· #40,
DATE
NY t 1790-2356
27, 2002
Page I of 4
Albert J. K~-upeki, President
James King, Vice-President
Artie Foste~
Ken Pol~woda
Peggy A. Dicker~on
BOAI~,D OF TO~ACN TRUSTI~ES
TOWN OF SOUTHOLD
Town Hall
53095 Route 25 '
P.O. Box 1179
Southold, New York 11971-0959
Telephone (63[) 7654892
Fax (631) 765-13t~6
May 25, 2004
Mrs. Suzette Reiss4_ehner
P.O. Box 104
Orient, NY 1'~957
RE: JOHN E~. LEHNER
505 LAKE DR., $OUTHOLO
SCTM#59.5-20
Dear Mrs. Reiss-Lehner:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday, May 26, 2004:
RESOLVED, that the Southold Tgwn Board of Trustees APPROVE the Amendment to
Perm)t #5371 to include the existing deck on the front of the house, and as depicted on
the survey preparad by John T. Metzger last dated July 18, 2002.
This is not a determination from any other agency.
If you have any questions, please cai! our office at (631) 765-1892.
Sincerely,
Albert j. Krupski, Jr,
President, Board of Trustees
AJK:tms
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New *York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
March 25,
John Bernhard Lehner, Beatrice B. Revoc. Trust
44 Pine Track
Silver Springs Shores
Ocala, Fl 34472
Re: Preco Application for premises ~, 505 Lake Dr., Southold, N.Y.
Surf. Co. Tax Map #1000-59.-5-20
Fom~er Owner: John B. & Beatrice B. Lehner
Dear Mr. Lerner:
Since the above paperwork is outdated, we are return/rig herewith yonr Pre-Co
apphcation and check #596 dated August 21, 2001 in the amount orS100.00.
If you have any questions, do not hesitate to contact this office.
Respectfully,
Southold Tox~ Build/rig Dept.
Encls.
HaH, 53095 Main Road
P.O. Box 1179
.S0uthold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 17, 2004
John & Beatrice Lehner
44 Pine Track
Silver Springs Shores
Ocala, Florida 34472
Dear Mr. & Mrs. John Lehner:
We are ready to process your Pre-existing Certificate of
Occupancy. Please submit a check for $100.00.
Sincerely,
Southold Town Building Dept.
Connie Bunch
Sr. Clerk Typist
CONSENT
TO
INSPECTION
do(~her~b3
That ~he unders~ned ~(~re) the owner(s) of ~he premises ~ the To~
~T ,~ k~t,~ ~e~ . which is sho~ and designated on ~he Suffolk
County fax map as D~trict 1000, Section
That the undersigned (has) (have) filed, 'or caused f$ be filed, an applica-
tion in fhe Soufhold To~ Building Inspector's Office for the follow.g:
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 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, ordlnances, ltrules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understandinug that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated:
signKt~re)
(print name)
(signafure)
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