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HomeMy WebLinkAboutZ-30897FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold. N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30897 Date: 05/12/05 THIS CERTIFIES that the building DWELLING Location of Property 600 NORTH DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 0006 Lot 027 _ Subdivision Filed Map No. 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- 30897 dated MAY 12, 2005 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 ONE CAR GARAGE* The certificate is issued to LOIS P LESNIKOWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A thorized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING 20DE INSPECTION REPORT LOCATION: 600 17ORTH DR MATTITUCK SUBDIVISION: NAP NO.: LOT (S) NAME OF OWNER (S): LOIS P LESNIKOWSKI OCCUPANCY: SINGLE FAMILY DWELLING LOIS P LESNIKOWSKI ADMITTED BY: JOHN LOCKWOOD ACCOMPANIED BY: LOIS LOCKWOOD KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 106.-6-27 SOURCE OF REQUEST: DEBORAH DOTY - 4/27/05 DATE: 05/12/0 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOKS: IST PLR.: 1 2ND PLR.: 0 3RD PLR.: 0 BATBROON(S): 1.0 TOILET ROOK(S): 0.0 UTILITY ROOK(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATRR: YES TYPE BEATER: STATE UNIFORM TYPE BEAT: OIL OTHER: WARN AIR: YES NOTWATER: LOCATION AIRCONDITIONING: ACCESSORY STRUCTURES. GARAGE, TYPE OF CONST.: ONE 2 CAR GARAGE STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP 457802-COZ-5044 (ADD) INSPECT® BY: DATE Od INSPECTION: 05/03/05 GEORGE GI TIRE START: 11:00AM END: 11:30 AM Form No. 6 TOWN OF SOUTHOLD BUILDING N HALL TOWN O 765-1802 L5 APPLICATION FOR CERTIFICATE OF OCCUPANCY Eli WR21M � L_____f This application must be filled in by typewriter or ink and submitted to the Building Department with the followhi - nFPT ' TOWN IF g(_1,' � I ','It 0 A. For new building 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 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 a 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 $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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 04/27/2005 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 600 North Drive, Mattituck House No. Street Hamlet Owner or Owners of Property: Lois Patricia Lockwood (f/k/a Lesnikowski ) Suffolk County Tax Map No 1000, Section 106 Block 6 Lot _27 Subdivision Filed Map. 41 Lot: M Permit No. Date of Permit. Applicant: Health Dept. Approval: _ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 100.00 __��4.�Ppfieant Sigoature Deborah Doty, Esq. as attorney for for owner CONSENT TO INSPECTION Lois Patricia Lockwood (f/k/a Lesnikowski) the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 600 North Drive, Mattituck which is shown and designated on the Suffolk County Tax Map as District 1000, Section 106 , Block 6 , Lot 27 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: pre—existing C/O nn nna family rani Hence 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: 04/27/2005 CONTACT: Owner at 298-8332 c� (Signature) DPhorah Doty,Ramattorney (Print Name) (Signature) (Print Name) o 0 _ e ey, . _ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ',"' VILLAGE DIST. SUB. LOT M l-1Qt_c FORMER OWNER N E ACR. 1,33 — S W TYPE OF BUILDING RES. JO SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS (a0U z 200 4te70oa (� ,, � cam . M+t lJ'�f 26L,; J/3/ �Y "tj1A4r7� go V M11? -L .1r66 ;2o6 37 do 3 /g 6 yCd 50` 4 Z's- e27 o --y '%412 172, 0 4'00 A3' oe 9`4IR61AC NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable I Tillable 2 " Tillable 3 Woodland Swampland FRONTAGE ON WATER J O' 0 J r 0 Brushland FRONTAGE ON ROAD GI House Plot DEPTHS— BULKHEAD Total DOCK K 3Y I i F LO ■�■■■■■ SSSS■■. MMMEMMIEFENOMIMM■■■■■ ■■onammumn.m.■!!■■■■■■■ ■■■■■ I it E' ■SSit --- 0110■■■■■■ ►�iv��1�■SEl�i■■ISS■SEEN -1i■■■■■■■ ` ` _� �■ ■■■fi! SSSS■1_w YI ®!l �7S■■NICE �S■■■■iiiS■ ' JONE ■N�■E ONE ■■ ■■ ■SS■■ 000010paiiiimr■■N■■■N -. - ■N■■MEN ■■■�l■■■les■■E■E■■ ■ ■E■■■■-�.m■■■�■■i..■■■■■■■■.0 ■■■■■Yae■■■■■■I■S■■■■■■■■■E ■■E■■■■■■■■■ ■■■■iOMMEMEiu■■■■■■iEMENE�ui ■■■N■■S■■E■ ■■ �ExtensionPorch Porch Dormer� '= 2 = Garage, Patio F 564.09' m. IN � 0 � � _ � h L R �s II TABLE OF AREAS BEFORE BOUNDARY LINE ALTERATION LOT M = 59091 SF OR 1.56 ACRES LOT N = 57,523 5F OR 1.32 ACRES AREA. OF PROPERTY BEING EXCNANr ED = 4714 5F AFTER BOUNDARY LINE ALTERATION 1 PARCEL I = 52.509 5F OR 1.21 .A:� RES PARCEL 2 = 63805 5F OR 1.46 ACRES rra., Y Y... JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. L[C. NO. 50202 RIVERBEAD. N.Y. 11901 369-8288 Fac 369-8287 REF.—\Ulp smcr\d\PR0S104-266.pro rvV✓ TY, NY 'Oil4 4 1-12-2005 4X L )od 588013'30"E Lot O 564.09' a- - - . - -_ -- _ - -- Parcell Area 52,804 of or 1.21 acres Lotti $. S84 '23"E 0520' 6 —3BI— — — p s n .58n'03'0"E— 1�]f� _exiso�c�,oper[y_li — - — ——� --- -i propo=e.p property line Lot M Porcel 2_ --- _ _ - Area = 65,805 of or 1.46 acres - - - _ _ _ 5t,' r�.ew�y r, '` ;rem n... stoc.oas rence N89042' 10"W 623.40' Lot L 6RAPHIG iG.ALE 1'- 40' O 40— 'CRE-3 0 ,CRE-3 C r,�TE5 1 Vr \I Y: 7VV 1 PVLL SUFFOLK COUNTY, NY SUR'•:'EYED 05-24-2004 MHP PREPARED 10-14-2004, 1-12-2005 SUFFOLK. COUNTY TAX a 1000-106-6-26 IOCO-106-6-27 APPLICAND Lois Patricia Lockwood Ma Lesoikcwski S88e13'30"E Lot O ---- — — 403 'h --------- --- - --- --- ------------- ��• Parcel I (p Area = 52,809 sf or 1.21 acres ati ` 00 o + n ---------S8942�0.E_ Lot IN — — �68q°03'IG_E —3 _8Q.Qo'_ ___e<Ist'rroperty_i �, - proposed O� z� Bayview Avl5nue A 5TAICE FOUND MONUMENT FOUND FIRE FOUND LOTS 5HOb4I4 HEREON REFER TO MAP OF SNORE .ACRES FILED JANUAR+ 3 1914 MAP Na. 41 AREA = LOT M=5q.Cgl SF CR I.36 ACRE5 LOT 14 = 51523 SF OR 1.32 ACRES C'.ERALL AREA = 116,614 5F CR 2.08 ACRE5 Parcel 2 Area - 65,805 sf or 1.46 acres property Ilne Lot M ------------- N89042' 10"W Lot L GRAPHIC C LOCATION: 600 nlokTq 'WIVE- T-/ / T K CIt- (number & street) (municipality) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: 0 MAP NO.:LOT(S): s p>q 1 ci �} LOcfCo o _F L-ff o ul. /1 Lsdl S �- DC Ufo-8 (type) (owner4eraat) ADMITTED BY: v'flNW L a C� woo -b ACCOMPANIED BY: ,Lo /S act W KEY AVAILABLE: Z 06 i -a w 5-576 SUFF. CO. TAX MAP NO. 1000- 1 y — 6a % SOURCE OF REQUEST: If &I C /0Af , bffOeAW N7) DATE: if—X7— OS DWELLING: _ TYPE OF CONSTRUCTION: W ° ° �`'� # STORIES: % # EXITS: FOUNDATION: C t M E N T 0 cEc CELLAR: ALL CRAWL SPACE: _ TOTAL ROOMS: 1ST FLR: �_ 2ND FLR: 3RD FLR: BATHROOM(S): / TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: oN E GARAGE: DOMESTIC HOTWATER: Xt�5 TYPE HEATER: TYPE HEAT: O%L- WARM AIR: YIES' OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: AIRCONDITIONING: HOTWATER: -, ®Ale- ) A--Chk At7?9<q%Eb 60. STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: a/ -) g O - (`0) -� S Q H . INSPECTED BY: 4aDATE OF INSPECTION: -s ' 3 — V 'I— TIME START: 1 / 4 d 0 END: