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Home My WebLink About4989-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22843 Date JANUARY 21~ 1994 THIS CERTi~'I~S that the building Location of Property 715 LEGION AVENUE House No. County Tax Map No. 1000 Section 142 Subdivision Street Block 2 Filed Map No. MATT1TuCK~ N.Y. Hamlet Lot 4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 1~ 1970 pursuant to which Building Permit No. 4989-Z dated OCTOBER 6~ 1970 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 ADDITION TO ~r~TING ~r~-~ORYC~d%%GE AS APPL{K. FOR. The certificate is issued to T~.?~ LESMARD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRI'£EKS CERTiFiCATE NO. N/A PLUMBERS CERTIFICATION DATE~ N/A //Buirding I~spector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCcuPAnCY No Z-22844 Date JANUARY 21t 1994 THIS CERTIFIES that the building Location of Property 715 LEGION AVEH~E Hous~ No. County Tax Map No. 1000 Section 142 Subdivision ACCESSORY MAT~IT~CKt NI~ YOllK Street Hnml et Block 2 Lot 4 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTO~ i, 1970 pursuant to which Building Permit No. 4989-Z dated OCTOBER 6t 1970 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 8 x 12 ACc~STORAGEB~xk43INGASAPPLIED FOR The certificate is issued to LOUIS LESSAP~ (owner) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF~F. ALTHAPPROVAL N/A UNDERWRITERS C~a~TIFICATENO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FoLrcR~ NO. ~ TOWN OF SOUTHOLD i BUILDING DEPARTMENI~ TOWN CLERK'S OFFICE SOUTNOLD, N. Y, BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK ^UTHORIZED)~ N? §89 Z Permission is hereby granted pursuan~ to application dated .............. i , 19 ........ , and opproved by the Building lnspe.~tor. Fee $ ........................ Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 · ~'~APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR iJk and submitted to the building inspector with ~he following: for new building or ne~ use: l. Final survey of property with accurate location o~ all buildings, property lines, streets, and unusual natural or topographic features. 2.Final Approval from Health Dept. of water supply ~.nd sewerage-disposal(S-9 form). 3.Approval of electrical installation from Board of ~lre Underwriters. 4. Sworn statement from plumber certifying that the sblder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiplei residences and similar buildings and installations, a certificate of Code Complianc~ from architect or engineer responsible for the building. 6.Submit Planning ~oard Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-cgnforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lSnes, streets, building and unusual natural om 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 dwelli~g $25.00, Additions t0 dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.~0, Accessory building $25.00, Additions to accessory building $25.00. Business~ $50.00. 2. Certificate of Occupancy on Pre-existing Building -~ $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 yea~s - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1~.00, Co~ercial $15.00 Date ...~'~ ~,~ ~ ~.~...'~ ~. ~ ~.L/ ;New Construction .... ~.'~ .... Old Or Pre-e~ting Bui~g~...~ ..... ~ ...... , ~ Location of Property ............... ~8.~. f~..~...~.~~ ' ......... or ro e ty ...... .......................... ........ B~oc~ ............ LO~ .................. Subdivision.., ............................... Fi~ ed . · · . Map ..... ~ ....... Lot ......... ealth Dept. Approval .... ~ ....... A~p ~ .~2 .............. HnderwrSrers roval ...... . . ~iann~ng Board Approval ............. ...~. .... .. ~equest ~or: Temporary Cerr~f~cato ...... ..... FSnal CertScat~ ......... . . !ee Submitted: $.. ~.~.,. Form No. 6 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~ Ai~PLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR i~k and submitted to the building inspector with ~he following: for new building or ne~ use: 1. Final survey of property with accurate location oF ali buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply a~d sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the s~lder used in system contains less than 2/10 of 1% lead. ~o Commercial building, industrial building, multiplei residences and similar buildings ~ and installations, a certificate of Code Compliane~ from architect or engineer responsible for the building. '6. Submit Planning goard 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 applination 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 !o C~,_t~.f~ of Occupancy - New dwelling $25.00. Additions to dwelling $25.00, Alterations to dwelling $25~00, Swimming pool $25.0'0, 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 - $5.00 over 5 yea'rs - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1~.00, Commercial $15.00 ~ Date ..~f~...o~....~.~../..79 .~_ New Construction .... ~... Old Or Pr~sting~Bu~g....i.~..~.~.~"~ ............ Location of Property..,~ .............. ~'~..~ ........ .~?-l-~ .~L~.. ........... house No. ~ / ~-~ t fe~zt ~ Hamlet nwer or Owners of Property ...... .~..c~..%~.... ~~..~...~.i .................... County Tax Map No i000, Section ..... /../,.~.'....Block ..... .~'~-'~ .... Lot .... .~..~ ............ Subdivision ................ '~" Fi'ed Map - . . Loft .~ p erm i t...' ./,,~. ~. ~.~, p,~. Permit No ................ Date Of ,..Applicant. ~ealth Dept Approval Underwriters A~ppro~'~. ~lanning Board Approval request! for:. Temporary ~--~Cer t ificat~~.~.~ Final Certica~~~.. ........ · · '"" · 76S-t~02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :)ND [ ] I~ULATION ./ FRAMING ~/'] FINAL REMARKS: ~ DATE /~~~)/~- INsP~j /2/.- ~ ~ TOWN OF soUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ...................... :....~., Permit No ....... Disapproved a/c ............... ~.~.......~i (Building Inspector) Application No ............................. APPLICATION FOR BUILDING PERMIT Date ............ ~..C.....~..... ........... ./. ......... ,19..Z..~/... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink und submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, r, lationship to adjoining pr.emises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which Js part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection tt~.roughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whateVer until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk CoUnty, New York, and other appll.c, oble Lav~, Ordinances or Regulations, for the construction of buildings, additions or alterations or~.~' removal 9*~Semohtion, as herein described The applicant agrees to comply with all applicable laws, ordinances, b~ng code~)a~aU~ing code, on, regulations. .~j;Ignature af applicant, or name, if a co.q~.o, ration) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........~ ~u:..~..~...~.-...~. .............. .: .......... : .................. .: ......................... ..~ ............ .., ............................................................. Nomeo'own'ro'premses . .~ ~.~ 'W..~ .... ~.~ ~ ' ... ............... ¢ .... r ..p ......................................... If applicant is o corporate, signature of duly authorized of/f4cer. (Name and title 'of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ................ ,. ...... Street and Numbs ...~-.~*~..J. /] ~ ~ //--.~ ........ Municipality / 2. State existing use a.nd occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................... b. Intended use and occupancy ..i ............. .~.......C.~l-~. ............. ~... ,~. Lfi~/,~.. G.....__~..C ....................................... 3. Nature of {check which applicable): New Building ..................Addition ...... ~........ Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................. i ..................... 4. Estimated Cost ............... ..~...O...0...~ ........................... Fee ....~.....~..~.'~.... ........................................................................ (to be paid on fi!lng this application) $. If dwelllng, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ........................ ~.. ............................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................... ..~ ...... 7. Dimensions of exist n~i s~ructures, f anv: Front. .... ~ ~ ~ R~n, ~ ~ r3~,,,~ ~.~'~/~' Height ........ ~..~..~..~:~-'Number of Stories .................... /. .......................... ~ ................................................................ Dimensions of sarne~ucture with alterations or additions: Front ............... ~-~..~. ...... ~.. Rear ...........~-..../~....,~.. Depth ........... .~..l~..,~l~ ........ Height ......... /....'~..~Number of Stories ................ _/. ............. T'"'- Height 10. Date of Purchase ..~ .......... /.~...~_~...~ ........... Name of Former Owner ...... /~ ....... ~ !1. Zone or usedstrct nwhch remsesarestuated ~' 12~ Does proposed construction violate a,ny zoning aw ordnance or regul~ation? ............ ~. ................................. 13. Name of Owner of premises ..~-4tr~..,.~'.....l~..~c~',.~Address-~-.~..~...~-~......~Phone No..~,~.~..~'..~'/ Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner Jot. STATE OF NEW)f4j)RK, ! ,, ~ COUNTY OF ..~ .......... ............. ~L~Z~'~~ .............................. being duly sworn, deposes and says that he is the applicant r-.w~ Iq'a ~1: in~gicT~a-T ~]~J~ ~-pp licat ion) above named. He is the .............................. ~ ...........................................~ ....................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the saJd work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and ti,aT the work will be performed in the manner set forth in the application~J~d therewith/~, Swam to before me this ...... o: ........ . , .................... No. 52-8125850, Suf[ol Term Expires MaTch 30,