The URL can be used to link to this page

Home My WebLink AboutZ-27519FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27519 Date: 01/19/01 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 160 DOGWOOD LA SOUTHOLD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 059 Block 0002 Subdivision Filed Map No. Lot No. (HAMLET) Lot 001 conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 27519 dated JANUARY 19. 2001 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 ENCLOSED PORCH AND CONCRETE PATIO AND ACCESSORY SHED.* The certificate is issued to JOHN LEKAS & WF (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. th rize Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 160 DOGWOOD LA SOUTHOLD SUBDIVISION: NAP NO_: IAT (S) NAME OF OWNER (S): JOHN LEKAS & WF OCCUPANCY: ONE FAMILY JOHN LEKAS & WF ADMITTED BY: JOHN LEKAS ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO_ TAX MAP NO.: 59.-2-1 SOURCE OF REQUEST: WILLIAM F FARRELL, ATTY DATE: 01/19/01 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: 1/2 CRAWL SPACE: 1/2 TOTAL ROOMS: IST FLR.: 4 2ND FLR_: 3 3RD PLR.: 0 13ATHROOK (S) : 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCH TYPE: ENCLOSED DECK TYPE: PATIO TYPE: CONCRETE BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL MARK AIR: HOTNATER: X OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: ACCESSORY SHED GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE NYCRR 9(B) 1242.5(D) ROOFS SHALL BE MAINTAINED IN A WATERTIGHT CONDITION. RRKARRS: BP# 4664Z ADD CO#Z3982 Re -ins ted 1/18/01 INSPECTED BY: DATE ON INSPECTION: 01/16/01 GARY J SH TIME START: 9:30 AM HND: 10:00 AM Form No: 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OP, ink and submitted to the build it A. inspector with the following: for new building or new use: t line: 1. Final survey of property with accurate location of all buildings, property ro�erY streets, and unusual natural or topographic features. e-disposal(S-9 form: 2. Final Approval from Health Dept. of water.supply wera g 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. and installationst,ga certificate boflCode �Compliance multiple rfrom `architect nces and sorlbuild Commercial engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. :3. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings "pre-existing" land uses: 1. .%ccurate 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 applicz If a Certificate of Occupancy is denied, the Building Inspector shall state th( 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 $25.0' 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 - $5.00 over 5 years - $10.00 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.... Y ••.......•• Location of Property... Hamlet House No. Street . .� :) L Ole, s , � f � .i o �JLAIAI;� . - Vis........... . Onwer or Owners of Property.. " " Ch q V. 0 d2•ob........ Lot.4W..a9.q.... County Tax Map No 1000, Section.. .... Block. Subdivision....................................Filed Map ............ Lot ............... Permit No .. .............Date Of Permit ................ Applicant ...................... 0+� Health Dept. Approval..........................Underwriters Approval.................. 027ndr)S1 l :Tanning Board Approval ........................ KQ L Final Certicate........... 5C`it�,Qn "equest for: Temporary Certificate........... 1'ec Submitted: $............................. 1-7 AT Jl ejT A Z:,: OF XK CD_ T" MAP 79-13.. yI� } :�zcca LOT nz-w.�ilL^ Q_ � �1 -.l .4 L.�iCG.S 49 JtWA . V.41(;y3 .RIA ''✓.Q.T� TjYEdIatitFrtu� �.�IJ:+f/.fr c A40 ii:Fa4.d ;0UNT" V.'• FiUV Ei d )t1v� SURVEYED AGA931 fy$!ar L W"AM R. SIMMONS A. !�E1 1 IAC Al. Y..S ROACD B 377 h- IV /6J IAMfSPDRT, L. 1., Y. 11997 FLLE NQ, //, 373 Pecs 23 cnn F40 e I Owner do(es) hereby state: Name(s) CONSENT TO INSPECTION I the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 1(01!z� Np c which is shown and designated on the Suffolk County tax map as District 1000, SectionBlock Lot That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: I r 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: /-// —C,)/ W G (signatu pei j�eN (print name (signa ure) 14A A TOWN OF SOUTHOLD RECORD CARD 0 OWNER STREET 6, VILLAGE DISTRICT SUB. LOT COMM. I IND. I CB. I MISC. I Est. Mkt. Value FORMER OWNER N V E ACREAGE w' Z ( e„�4P F. Pep S C�oLA.- a�-.�N.,:. W-� TYPE OF BUILDING gee ,e, RES. SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS (% o e i 7 O 3 t- dr'2 oG )f6eff --T.— f1parb w E o v S-700— W--�-445 FYQJ,_.._ _._ 5�= 5 U i y r► lCQ , Y �- K f+ itj A,7 L t LeKms' 3 0 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland S Swampland B rush land House Plot Total `.J M. Bldg. a g X 3 8 / Extension Extension Extension Breezeway Garage O. B. i Foundation G /3 ; Bath Basement Floors 4.7 Ext. Walls 8pIc-K. Interior Finish Fire Place t Heat Porch Roof Type Porch Rooms 1 st Floor -- _--_..�-------- -- --- -- --- ----------- - -- - _ __._..- + - ------------------- Patio Rooms 2nd Floor Driveway Dormer i i -+-+-t- i - - — -,- - -- I i Foundation G /3 ; Bath Basement Floors 4.7 Ext. Walls 8pIc-K. Interior Finish Fire Place t Heat Porch Roof Type Porch Rooms 1 st Floor -- _--_..�-------- -- --- -- --- ----------- - -- - _ __._..- + - ------------------- Patio Rooms 2nd Floor Driveway Dormer i ivwa yr SUUTHULU HOUSING CODE INSPECTION REPORT LOCATION: (number street) municipality SUBDIVISION MAP NO. LOT (s) TTS NAME OF OWNER (s) OCCUPANCY type owner—tenant a ' ADMITTED BY: So ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP NO. SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION # STORIES # EXITS FOUNDATION C4-IA_,,,r- /� ,yt 1 CELLAR %fes CRAWL SPACE - TOTAL ROOMS: 1 ST FI.R. 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 WARM AIR HOTWATER !/ OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST, STORAGE, TYPE CONST. f SWIMMING POOL , GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. REMARKS: INSPECTED BY: DATE ON INSPECTION TIME START i,�p*' • END 14),"W DESCRIPTION ARj- SEC. AV � WE s E REMARKS: INSPECTED BY: DATE ON INSPECTION TIME START i,�p*' • END 14),"W