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
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�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: