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Home My WebLink AboutZ-30897 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- 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 CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. thorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 600 NORTH DR MATTITUCK SUBDIVISION: MAP 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: SUFF. CO. TAX MAP NO.: 106.-6-27 SOURCE OF REQUEST: DEBORAH DOTY - 4/27/05 DATE: 05 12 0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3 FOUNDATION: CEMENT BLOCK CEIJUZ: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 1 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTHATER: YES TYPE HEATER: AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: YES HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: ONE 2 CAR GARAGE STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: BP #5780Z-COZ-5044 (ADD) OR INSPECTED BY: DATE ON INSPECTION: 05 03 05 GEORGE GI i TIME START: 11:00AM END: 11:30 AM Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT (� TOWN HALL 765-1802 UU t F_ APPLICATION FOR CERTIFICATE OF OCCUPANCY t This application must be filled in by typewriter or ink and submitted to the Building Department wi the;followhi G. DERT. TOWN9F SOUT,MLD 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 c 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 Applicant Signature Deborah Doty, Esq. as attorney for for owner Co 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 on one familyrps;dence 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 (Signature) DPhorah rk-itV. F.Grr as attorney CONTACT: Owner at 298-8332 (Print Name) (Signature) (Print Name) p i t ., � ; � :' : i ,► ■■■■��/ : i�t®®Ili■■�!Q`e■■■I■■■■■■■ �■■■■■ ■ ■■■2`116HRU■■■■■■■■■■■■ ■■■■■■■ ■■■IRI■■■I■■■■■■■■■■■■ ■■■■■■■ ■■■■■■■■■■■■■■■■■■■ , d Interior Fir�ish Rooms 1st Floor Rooms 2nd-Floor, d o a _ e _ TOWN OF SOUTHOLD PROPERTY RECORD CARD _ S_ OWNER STREET VILLAGE DIST. SUB. LOT Avw, ;. .� rS' /KO G<%� l /v0 f ,v r" FORMER OWNER N E ACR. 3 3 S W TYPE OF BUILDING RES. SEAS. VL FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 0 4 N .116 a 50` 4 a7 Y11-2-/ L � S00 .0 '.0 i "oo 991bD NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER a v Brushiand FRONTAGE ON ROAD 9 v House Plot DEPTH Z. BULKHEAD Total ``DOCK W�C KEYMAP 5GALE I" = bOO S SUBJECT ><_ PARCELu, W = U 1C Q I Y 564.09' nN W �m -----------_- p „ d walk I' u p ®0 V O w—� ,. N g,. N82 '21IlE Io g� 36.66' �9'23!`E I,05. 9 o , c° , oMo 1 �� a _x pp r 8 y lQ I ' L 41 NIO V _Q E N o In O Q +p ry(L 2 - t et be'walk, �''ood .- � °Pe a woll deck x Q w m I de� I� I I choln link t etockode Fence 9ote _x x x ~ 53, TABLE OF AREAS BEFORE BOUNDARY LINE ALTERATION LOT M = SG,OGI 5F OR 1.36 ACRES #!r LOT N = 51,525 5F OR 1.32 AGRE5 AREA OF PROPERTY BEING EXCHANGED = 4,114 SF AFTER BOUNDARY LINE ALTERATION PARCEL I = 52,80G 5F OR 1.21 ACRES PARCEL 2 = 63,805 5F OR 1.46 ACRES ' "�°° ==•"• 50 120 JOIN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 RIVERHEAD,N.Y.11901 369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS104-266.pro t ' lv�v TY, NY '004 4, 1-12-2005 AX # Lot O S88013'30"E -�, 564.09' -- ---------- 4o3' _- ________________ c=___ --- _- ________ �. atone arwe" -------__ w. Parcell - 370 ------ --------------- ---- -------------- Area = 52,804 sP or 1.21 acres - _ ------------- Lot N -_ [_I S'� ' 9• g {-- x �p Lx' _OQ 0 o �7A(�°42'�a'E— — b8ar03— — — —3$n(�(��— — exlstinc�roperttillne - 1 — — `t+"� — e — — c proposed property line - 1 i Lot M Parcel 2 ----_ _ ------- I Area = 63,805 sf or 1.46 acres ------------- - - ------- , ---- -stone drNa" ------ ----' i� / choln link 1 stockode Fence on i N89042'10"W / 623.40' Lot L 6RAPHIG 5GALE I"= 40' ,GRE5 0 40 80 120 yr slv: .�vv I nvLl/ SUFFOLK COUNTY, NY 1 SURVEYED 08-24-2004 MAP PREPARED 10-14-2004, 1-12-2005 SUFFOLK COUNTY TAX u 1000-106-6-26 1000-106-6-21 APPLICANT: Lois Patricia]Lockwood f/k/a Lesnikowski Lot O ►�'� S88013'30'T ---- ----------- //�/��• __--_-__- --------------------------403' ---------------- oa� --- ----------------- - - ?7p- ---------------- //' Parcel I Q' Area = 52,809 sf or 121 or-roe --- Lot N -- 00 00/ o r n 68cL'0510"E exlsti ro ert line - -S89?4210E - - - - - 1 - L - - - I -38Q.00' p ' proposed property line i Lot M .IOnB Parcel 2 -------------------- • Area = 65,605 sf or 1.46 acres -- --- -c-- a w, '00 �0 O I o,� N89042'10"W i r r Y Lot L Bayview Avenue NOTES: STAKE FOUND MONUMENT FOUND o PIPE FOUND GRAPHIC LOTS SHOWN HEREON REFER TO MAP OF SHORE ACRES 0 FILED JANUARY 3, 1914, MAP No. 41 AREA = LOT M =59,091 5F OR 1.36 ACRES LOT N = 51,523 5F OR 1.32 ACRES OVERALL AREA = 116,614 5F OR 2.68 ACRES LOCATION: 600 IVOkT)l 'V I vE- AM TV 7- It Ck- (number& street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): 1-0/.S p9-�j j CI 4 Lock o 0 F L SN 1 lC D vJ5 OCCUPANCY: (type) (owner4eirm-ft) ADMITTED BY: �a/�/v L C �,<J a o ACCOMPANIED BY: KEY AVAILABLE: 106 l-03KWOZZ SUFF. CO. TAX MAP NO. 1000- 1 — --A-1 SOURCE OF REQUEST: �ft&I C Wf , ff,0W M-Y DATE: �e-X7- 0- DWELLING: _ TYPE OF CONSTRUCTION: W° a� j-� 2 # STORIES: # EXITS: 3 FOUNDATION: C t M E N T 0 ch CELLAR: YLL 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: ONE GARAGE: DOMESTIC HOTWATER: >L4�S TYPE HEATER: AIRCONDITIONING: TYPE HEAT: OIL- WARM AIR: YES HOTWATER: -� OTHER: ACCESSORY STRUCTURES: OAIC Avw<=F/E-t> GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST,TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: ? g O - (`o S 0 INSPECTED BY: DATE OF INSPECTION: TIME START: f ` d END: .