The URL can be used to link to this page

Home My WebLink AboutZ-30896FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30896 THIS CERTIFIES that the building DWELLING Date: 05/12/05 Location of Property 620 NORTH DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473689 Section 106 Block 0006 Lot 026 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- 30896 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* The certificate is issued to LOIS P LESNIKOWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Authorized Signature Rev. 1/81 BUILDI14G DEFARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 620 NORTH DR MATTITUCK. SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): LOIS P LESNIKOWSKI OCCUPANCY: SINGLE FAMILY LOIS P LESNIKOWSKI ADMITTED BY: LOIS LOCKWOOD ACCOMPANIED BY: JOHN LOCKWOOD KEY AVAILABLE: BUFF. CO. TAY MAP NO.: 106.-6-26 SOURCE OF REQUEST: DEBORAH DOTY, ATTY 4/27/06 DATE: 05/12/05 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME B STORIES: 1.5 R EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOKS: 1ST PLR.: 3 2ND FLR.: 1 3RD PLR.: 0 BATHROOM(S): 1.0 TOILET ROON(S): 0.0 UTILITY ROOM(S): PORCH TYPE: YES DECK TYPE: YES PATIO TYPE: BREEZEWAY: FIREPLACE: NONE YES DOESTIC HOTKATER: YES TYPE BEATER: AIRCONDITIONING: TYPE BEAT: OTHER: OIL DARK AIR: YES HOTMATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST. TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BPp9569Z-COZ8962(ADD&DECK) BPp10564Z-COZ13385 (GARAGE ADD) INSPECTED BY: �TE ON INSPBCTION: 05/03/05 GEORGE GILLEN TIME START: 10:30 AM END: 11:00 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN BALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department A. For new building or new use: L 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 New Construction: Date. 04/27/2005 Old or Pre-existing Building: x (check one) Location of Property: 620 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 Subdivision Permit No. Health Dept. Approval: Planning Board Approval Date of Permit. Request for: Temporary Certificate Fee Submitted: $ 100.00 Qom. (95088" r"I'k C 0 t7_30BQG 106 Block 6Lot 26 Filed Map. 41 Lot: N .Applicant: Underwriters Approval: Final Certificate: x _ (check one) ��pp i Signature Deborah Doty, Esq, as attorney for for owner / a o11_ is c_ / _ � , TOWN OF SOUTHOLD PROPERTY RECORD CARD `/j � k� OWNER STREET 'Z VILLAGE DIST. SUB. LOT FORMER OWNER N E ACR. I/.z3g _ S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS U ploo Z o o ' e70 0 6 l ��fG D Y� �O �/� 3/ { a //,�� 13�1 of rage C', ! ✓ f -. c c rn a are a ell J-6 a 2-16 o v'7 oo 8!5- eGFd C G BUILDING CO ITIO NEW aU NORMAL / BELOW B VE e FARM Acre Value Per Acre V lue Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER ` e U r d Brushland FRONTAGE ON ROAD House Plot DEPTH �eKl — BULKHEAD Total DOCK W 4d ti' 6 lyRrl � . y- i�' g ■■ ss. d UU L ' F 3D x=rt� %b_ 7 X 3 _ lDPC /t/Y /.3 � }i : alp COLOR TRIM Foundation 3� �Ba Basement Dinette Ext. Walls 3 e�J 3 6G Fire Place �S % / Type Roof LR. Recreation Ff�f7 Dormer Rooms 1st Floor Driveway 0 Rooms 2nd Floor R ti L / Bath (X - file. sY i Dinette Full Floors K. Interior Finish JW k9c LR. Nd Heat Ff�f7 DR. Rooms 1st Floor BR. Rooms 2nd Floor FIN. B. 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 620 North Drive, Mattituck , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 106 , Block 6 , Lot 26 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 on one fermi 1 reci Aance 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 (Signature) Deborah Dnt-V, Pgq �q AH-nrney (Print Name) (Signature) (Print Name) 3 564.09' -- i —�Y= pp _LLs 19'23"E-1 - 1 u - TABLE OF AREAS II „rFrl, BEFORE BOWIDARY LINE ALTERATION ? L OT M = 5ci,C91 5F OR 1.36 ACRE5 !;. (� \ LOT a 5"7523 5F OR 1.32 ACRES AREA OF PROPERTY BEIN6 EXCH.-NC ED 4,114 =,FII - I AFTER BOUND, RY LINE ALTERATION I . PARCEL I = 52bOa SF OR 1.11 ACRES PARGFL 2 63,505 5F OR 140 ,C REQ, , JOHN C. EHLERS LAND SURVEYC 6 EAST MAINSTREET N.Y.S. LIC. NO. 602 RR'ERI-SAD, N.Y. 11901 369-8288 Fm 369-8287 REF. -\\Hp smer\d\PROS\04-266.pro .66' r c"3 x 4 CV c s I TABLE OF AREAS II „rFrl, BEFORE BOWIDARY LINE ALTERATION ? L OT M = 5ci,C91 5F OR 1.36 ACRE5 !;. (� \ LOT a 5"7523 5F OR 1.32 ACRES AREA OF PROPERTY BEIN6 EXCH.-NC ED 4,114 =,FII - I AFTER BOUND, RY LINE ALTERATION I . PARCEL I = 52bOa SF OR 1.11 ACRES PARGFL 2 63,505 5F OR 140 ,C REQ, , JOHN C. EHLERS LAND SURVEYC 6 EAST MAINSTREET N.Y.S. LIC. NO. 602 RR'ERI-SAD, N.Y. 11901 369-8288 Fm 369-8287 REF. -\\Hp smer\d\PROS\04-266.pro ry � TY, NY C104 4-�z-zoos 4X n Dod Lot 0 S88013'30" E 564.09' ________ __________ 3 _____-_--_-_----_---__ ____T� x Parcel I Area 52,809 sf or 1.21 acres - - - Lot N 9'2 5 , —Je9042 ' 1XE °"axis[�n�rcPetLo-�e Y GSE p: opoaea prcpe,ty be Parcel 2 Area = 65,805 sf or 1.46 acres c s� Lot M _ t - - ---- — c.,00-, nrk a stocxma e N89°42' 10"W 623.40' Lot L 6R.AFHiC SCALE "= 40' G'--- an gp ISG A A I tvr n v: .wv I nv�✓ SUFFOLK COUNTY, NY 5UR'v'EYED 05-24-2004 f`1AF PREPARED 10-14-2004, 1-12-2005 5UFP01-K COUNTY TAX 4 1000-106-6-26 1000-106-6-27 ApPP,IfCANT: Lois 1Pat¢icia Lockwood fWa Lesnikowsk' S88013'30"E Parcel l Area 52,809 of or 1.21 acres Lot O Lot N h r 06 S, - -S89 42'10"E — b8a°o — — — 1 —MUD'— _exls[n�_perciline a; p� propo�eo �z wne Parcel 2 Area = 63,805 of or 1.46 acres �L IC �I 3 z! N89°42' 10"W Baf—fiev'I AnJeffIue NOTES Lot 'A __---- -------- Lot L STAKE FOLIC' A ■ MONUMENT rOUNf? GRAPHIC, PIPE FOUND O LJTS SHOIa14 HEREON REFER TO MAP , -,I- SHORE ACRES FILED JANUARY 3. 1914, MAP N, 41 a REA = LOT M --9091 5F OR 136 AGREE LOT N 51523 5F OR 1.32 AGRE5 ^':'ERALL AREA = IIo.614 5F OR 2.bo 4GRE5 LOCATION: (o as o nyog?—H ) jel V C /4l79"%T7-T I't. (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): 1-01-5 PA^Tf11C4 A Loc -Kw d10D 6 2EIX A L trSN/ OCCUPANCY: ONc' /—'/�r'1 /L �D 7,S 4! CX --K WO a (type) (owner -tenant) ADMITTED BY: ° 5 �-O c ul ° ° D ACCOMPANIEDBY: KEY AVAILABLE: IS "vD SUFF. CO. TAX MAP NO.1000- 104 -6 -- SOURCE OF REQUEST: 14P 1-I 16 iE.80RO U Y DATE: 4 -- ;-7 -o...� DWELLING: TYPE OF CONSTRUCTION: 0 # STORIES: / /.'Z # EXITS: FOUNDATION: Q-E'qte/y-r 8L° CELLAR: FNL-I- CRAWL SPACE: — TOTAL ROOMS: 1ST FLR: 3 2ND FLR: aNE 3RD FLR: BATHROOM(S): % TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: %S DECK, TYPE: _ ES PATIO, TYPE: ---- BREEZEWAY: FIREPLACE: NoA1E GARAGE: YZ7-S DOMESTIC HOTWATER:=' TYPE HEATER: AIRCONDITIONING: TYPE HEAT: O L WARM AIR: yjES HOTWATER: -- OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: DATE OF INSPECTION: S" 3 _ a -S:- TIME START: %0 ' 30 �'C END: , v-'0'0