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Home My WebLink AboutZ-27519 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- 27519 Date: 01/19 01 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 160 DOGWOOD LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 059 Block 0002 Lot 001 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- 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. c //�Ith rized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 160 DOGWOOD LA SOUTHOLD SUBDIVISION: MAP NO.: LOT (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: 1ST FLR.: 4 2ND FIR.: 3 3RD FIR.: 0 BATHROOM(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 BEAT: OIL WARM AIR: HOTWATER: X OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: ACCESSORY SHED SWII4[ING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. NYCRR 9(B) 1242.5(D) ROOFS SHALL BE MAINTAINED IN A WATERTIGHT CONDITION. REMARKS: 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 END: 10:00 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT JA� 2nni I TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildit inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property line.- streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water. supply and sewerage-disposal(S-01 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 build 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. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings "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 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. . . . . . . . . . . . . . 4jo v 74 a/d' N Location of Property. . . .lAq. .. . . . . . . . . . . . ). . . . . . . . .. . . . .11 . .;.y. . . . . . House No. . . .Street aml t S Unwer or Owners of Property. . . . 0.4 tj. . ./. . . . . . . . . County Tax Map No 1000, Section. .6.-.5q: P.Q. . . .Block. . . . .Lot Filed Mzlp. . . . . . . . . . . .Lot. . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . o. . . . . . . . . . Permit No�- - - - o. . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o . . .Applicant. . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . .. . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . r IS "latining Board Approval. . . . . . .. . . .. . . . . . . . . . (_ Final Certicate. . . . . . . . . . . Z-0111 request for: Temporary Certificate. . . . . . . . . . . 1'ec Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . -ic SUED OF CD .s co_Luc TAX MAP!!IA-PA:- • Sic C-59 t=eC-. LOT OkL-,#-CCC, t7 -u .4. 65t'A!A' .S 4C nen eAkjo-.9gewcas,li"Ic SUAVEY EDA449-31, qClav A.40- WILUAM H. SiMMONS.S. Frio Box 377 JAPAIESPORT, L.I.. N.Y. 11947 PLE N .373 PArr. CONSENT TO INSPECTION the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at w �� which is shown and designated on the Suffolk County tax map as District 1000, Section, Block 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: 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. D ate d: —cl/ G� tu ) (print name (signs ure) (print name) .. ,r..rt... .. .. .. .. .............. ._ ..( �..�. TOWN OF SOUTHOLD OPERTY RECORD CARD ''` OWNER STREET VILLAGE DISTRICT SUB. LOT FORMEROWNER F, M. Rorke N E ACREAGEjej- 4 w Z S W ;� p TYPE OF BUILDING Lp RES. SEAS. VL. FARM COMM. I IND. I CB. I MISC.. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS �( # � v v-ti r 9! v• 3e 7e. 1 2,01 3ov 7 0 rr,/ ,airs /jz - - .T e wP 0 o S oo _ _ .:, I 6qoLeKas 3 0 ' ' AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD 7a Tillable 1 BULKHEAD Tillable 2 DOCK Tillable. 3 Woodland Swampland Brushland House Plot Total f r � �4:�.��k,q� .ear Al�;c�`'.4►i?a� �Yr�y,O,�'��' - n .1�. �t 1�,�1 _ ram• ��,�� L'7 Y .i ■■■■■■®■■■■■� j ffV-Y~�J� tit 1 � ■ ®� 1� no t Bldg. ` 73 Foundation Both I :E�,t,ension ' Basement Floors 'Extensi• • ' InterirL. • I • poop ension Fire Place Heat Porch Roof • PorchRooms 1stFloor -'breezeway Patio Rooms 2nd Floor C'eage Driveway Dormer 1vwN Ur SUUTHULU HOUSING CODE INSPECTION REPORT LOCATION: number & street . municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) OCCUPANCY types., owner-tenant a ADMITTED BY: ,fw - S, ACCOMPANIED BY: KEY AVAILABLE SM. CO. TAX HAP NO. SOURCE OF REQUEST: DATE: DWELLING: [;2- TYPE OF CONSTRUCTION �� # STORIES 0 EXITS .Z FOUNDATIONn�r / �.,t- CELLAR CRAWL SPACE �z— TOTAL ROOMS: 1ST FI.R. 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (a) �. UTILITY ROOH PORCH TYPE /�� j �fj DECK, TYPE PATIO, TYPE BREEZEWAY - — FIREPLACE otIA-e—. GARAGE " DOMESTIC HOTWA_TER ES TYPE HEATER AIRCONDITIONING TYPE HEAT �l.LQ WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: ------------------- ----------------------------- ------ ---------------------- --- --------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE. LOCATION DESCRIPTION ART. SEC. All— IF Of ri 11 REMARKS: INSPECTED BY: DATE ON INSPECTION START i3p END /Oi