HomeMy WebLinkAboutZ-30372 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
NO: Z- 30372 Date: 08/20/04
THIS CERTIFIES that the building DWELLING
Location of Property 505 LAKE DR SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 059 Block 0005 Lot 020
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- 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 is ONE FAMILY DWELLING WITH SIDE ENTRANCE DECK, REAR DECK, OUTDOOR
SHOWER STALL AND ON-GRADE STONE AND CONCRETE PATIO.*
The certificate is issued to JOHN & BEATRICE LEHNER, TRUST
(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.
A.-CA.�.
Authorized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
.HOUSING CODE INSPECTION REPORT
LOCATION: 505 LAKE DR SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : JOHN & BEATRICE LEHNER, TRUST
OCCUPANCY: SINGLE FAMILY JOHN & BEATRICE LEHNER, TRUST
ADMITTED BY: JOHN AB LEHNER ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 59.-5-20
SOURCE OF REQUEST: JOHN & BEATRICE LEHNER DATE: 08 20 04
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2
FOUNDATION: CONCRETE BLOCK CELLAR: CRAWL SPACE: X
TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0
BATHROOM(S) 1.0 TOILET ROOK(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: DECK TYPE: SIDE ENTRANCE &' rear PATIO TYPE: STONE & CONCRETE ON GRADE
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE BEAT: OIL WARM AIR: X HOTWATER:
OTHER: OUTDOOR SHOWER STALL
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTC:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION I ART. I SEC.
REMARKS:
INSPECTED BY: P� "" -"� DATE ON INSPECTION: 08 11 04
CHRI OPHER M TALBOT TIME START: END:
TOWN OF SOUTHOLD PROPERTY RECORD CAR®
OWNER STREET Jz�" VILLAGE DISTRICT SUB. LOT
John Oe,-nharc) 01,
FORMER OWNER N E 74 ACREAGE
Z-0
S W TYPE OF BUILDING
RES. SEAS. VL. �_ FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
Sao � �eL� U
�6 v / 60
D G) Z z v U 3,0 Q-e)✓ — 6 '�'�-
AGE BUILDING CONDITION
NEW 'NORMAL BELOW ABOVE FRONTAGE ON WATER 07 5: /p
'Farm Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable, 3
Woodland
Swampland
Brushland
House Plot \
Total
I
-zlGx
LA
i I
M. Bldg. y{ 7 S i Z t�� Foundation ``�� Bath
�`.6- . .
Extension I Basement I ( Floors
Extension I Ext. Walls ..a. '.'� Interior Finish
v
I
Extension I Fire Place I Heat
Porch Roof Type
?%6 ,z �O Porch Rooms. 1 st Floor
Breezeway Patio Rooms 2nd Floor
Garage Driveway Dormer
O. B. I
Y
17
.. Foundation Bath
.xtension Basement Floors
ixtension
Ext. Wallsnter
xtension
Fire
Place
�
4, `
Porch Roof Type
Porch Roo
ms Floor
Patio Rooms 2nd Floor
;arage Driveway ; D.
/d a 47 - s- 2 o TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET Jr" VILLAGE DISTRICT SUB. LOT
:o h n 1 e 0-►)hard Vie&. r I e-e K W-,
7r " ram
FORMER OWNER N E ACREAGE
.Asa
S �' W n TYPE OF BUILDING
n r tom- I'G
RES. SEAS. VL. __ FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
ao av 2- 96
orb
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
Swampland
Brushland
House Plot
Tota
.r -�Q'G`.;�''o g�'�rr •"��•A' �:� E{eelj��yj ,' ���` -`• '
Board Of Southold Town Trustees Tt:_
,.� .
SOUTHOLD, NEW YORK 4 :.
�S
July 27, 2001
. DATE: ................................
N� PERMIT NO. ........--..• ' .' .
,..
ISSUED TO ..--JOHN _B.�...&..BEATRICE...B.�....LEH�[ Ii................-...--...--..
` Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter,404 of the Laws of the t�
State of New York [952; and the Southold Town. Ordinance en-
titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS = ..
IN AND ON TOWN WATERS AND PUBLIC LANDS and. the
REMOVAL OF SAND GRAVEL-OR OTHER. MATERIALS FROM
LANDS UNDER TOWN WATERS; and in accordance with the
Jul 25,
Resolution of The Board adopted at a meeting held on ..--.--...y...2.-._..... s
f
: 2001
,.........:., and in consideration of the sum of �......50.00 paid by
' John B. & Beatrice B. Lehner t
_................_.....
......................Southold................................................. . y
:...... N. Y. and. subject to the o'
of ................._............,......................................:.
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
71 Wetland Permit for the construction of a replacement deck
11
servicing• the rear entrance to the existing .house. Replacement ;
of former deck located ground surface level on the bluff. , •;.. .
h the detailed specifications as presented in ;...
: all in accordance with
r ;Kv
l �+ e ortgmatie9-apprcation:
77 ":; LniA •sni.� .� 3fi 1, .:Kla cs
IN WITNESS WHEREOF, The said Board•of Trustees here. ;
'` �; rate'Seal tothe affixed;rand these::presents#o' '
by.causer iW po• h
a majority of the 'laid board=as of 4'4 os;Aatie.,�:
be suliscribed`by '
�'f y '.•t'~ 1•��k_ ram• `i
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
DEC PERMIT NUMBER EFFECTIVE DATE
1-4738-0291 T/00001 8 ember 27 2002
FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATES)
Under the EmAfonmental September 27,2007
Conservation Law
IT•Raw ❑Renewal ❑Modification❑Permit to Construct ❑Perim to rate
❑ Article 15,Tide 6:Protection of Waters [I Article 17,Titles 7,8:SPDES O Article 2J Tide O. BNYCRR 379:
Hazardous Waste Management
• Art1cle-15,Title 16:Water Supply ❑ Article 10:Air Pollution Control
❑ Article 34:Coastal Erosion
❑ Article 16,Title 15:Water Transport ❑ Artiole 23.Title 27:Mined Land Management
Reclamation
.O Article 15,Title 15:Long Island Walla ❑ Article 9B:Floodptaln Management
� Article 24:Freshwater Wetlands
1] Article 15,Title 27: Wild,Scenic and O Articles 1,3, 17, 19, 27,37.6NYCRR
Recreational Rivera O Article 25:Tldal Wetlands 380:Radiation Control
❑SNYCRR 608:Water Ouality Certification ❑ Article 27,Title 7; SNYCRR 360:
Solid Waste Management
PERMIT ISSUED TO TELEPHONE NUMBER
John & Beatrice Lehner tL631) 765-9222
ADDRESS OF PERMITTEE
44 Pine Track Ocala FL 344,72
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
NAME AND ADDRESS OF PR06JECTIFACILITY
p
Lehner Propwtty, 505 Lake Orive Southold SCTM #1000-59-05-20
COUNTY Y TOWN WETLAND N NYTM COORDINATES
Suffolk Southold SO-5
DESCRIPTION OF AUTHORIZED ACTIVITY: RECONSTRUCT EXISTING FRONT ENTRANCE, DECK,STAIRS,
SUPPORT POSTS AND CONSTRUCT A NEW DECK. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE
PLANS STAMPED NYSDEC APPROVED ON W7/2002.`
By acceptance of this permit, the pe►mittee agrees that the permit IS Contingent upon strict compliance With the ECL, all
applicable regulations,the General Conditions specified(sea page 2&3)and any Spraial Condlttons(see
included as part of this permit. page 4+)
PERMIT ADMINISTRATOR: ADDRESS
Region 1 Headquarters
Mark C Carrara Bld . #40 SUNY, Stan Brook NY 11790.2356
AUTHORIZED SIGNATURE LS
ATE
e tertlber Page 1 of 4
27 2002
y�
,�cO
Albert J. Krupeki, President ����%,at Town Hall
��
James_King,Vico-President 53095 Route 25
P.O. Box 1179
Artie Foster
Southold, New York 11971-0959
Ken Poliwoda
Peggy A. Dickerson Telephone(631) 765-1892
Fax(631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
May 26, 2004
Mrs. Suzette Reiss-Lehner
P.O. Box 104
Orient, NY 11957
RE: JOHN B. LEHNER
505 LAKE DR., SOUTHOLD
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 Town Board of Trustees APPROVE the Amendment to
Permit #5371 to include the existing deck on the front of the house, and as depicted on
the survey prepared by John T. Metzger last dated July 18, 2002.
This is not a determination from any other agency.
If you have any questions, please call our office at (631) 765-1892.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:Ims
o��gUFFO(,��o
o� Gyp
h =
Town Hall,53095 Main Road 0 • Fax(631)765-9502
P.O. Box 1179 Telephone(631)765-1802
Southold,New York 11971-0959 ��.( `t►a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
March 25, 2003
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.
Suff. Co. Tax Map #1000-59.-5-20
Former Owner: John B. &Beatrice B. Lehner
Dear Mr. Lehner:
Since the above paperwork is outdated, we are returning herewith your Pre-Co
application and check#596 dated August 21, 2001 in the amount of$100.00.
If you have any questions, do not hesitate to contact this office.
Respectfully,
Southold Town Building Dept.
Encls.
co
y r
Town Hall,53095 Main Road Oy Fax(631)765-9502
P.O.Box 1179 �Jf�l � Telephone(631)765-1802
Southold,New York 11971-0959
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
H l�l ► �-Y' �( S A"rRl CE ja 1.e4 y►.e►^ /►^�S�-tee S
the undersigned,
Owners) 'Name(s)
do(e hereby state:
That the undersigned.4<(are) the owner(s) of the premises in the Town
of Southold located at 1SD 5 .k1h!1rk E J)R1yi',,
which is shown and designated on the Suffolk
County tax map as District 1000, Section Block Lot `24
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:
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-
l.ations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: , 2
signat re)
print name)
(signature)
(print name)
ctl
SURVEY OF PRO ER-TY
51TUATE: PECONIC N
TOWN: 5OUTHOLD
5UFFOLK COUNTY, NY
_� s
SURVEYED: 05-01-00 W E I
AMENDED: Oq-04-00,
Oq-13-00
� CJ
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5UFFOLK COUNTY TAX #
1000-5q-5-20
I
CERTIFIED TO:
i
i
JOHN LEHNER
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AREA = q,688 5F OR 0.22 AGRE5 J OHN C. EHLERS LAND SURVEYOR
= 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
A:PHIG SCALE I"=20' RIVERHEAD,N.Y. 11901
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