Loading...
HomeMy WebLinkAboutZ-30857FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30857 Date: 04/15/05 THIS CERTIFIES that the building DWELLING Location of Property 280 PINE TREE RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 138 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- 30857 dated APRIL 15, 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 10X10 METAL STORAGE SHED* The certificate is issued to GEORGE LESSARD JR. (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. zed Rev. 1/81 2UTLDI1IG DEPARTMENT TOWN OF SC'UTHOLD HOUSING CODE IUSPECTIC[I REPORT LOCATION: 280 PI14E TREE RD CUTCNOGUE SUBDIVISION: MAP NO.: FAT (S) NAME OF OWNER (S): GEORGE LESSARD JR OCCUPANCY: RESIDENTIAL GEORGE LESSARD JR. ADMITTED BY: GEORGE LESSARD JR. ACCOMPANIED BY: SAME IM AVAILABLE: BUFF. CO. TAX MAP NO.: 13:?. -2-1 SOURCE OF REQUEST: GEORGE LESSARD, JR. 4;";'05 DATE: 03;15%05 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME R STORIES: 1.0 R EXITS: 2 FOUNDATION: CEMENI BLOCK. CELLAR: 3:4 CRAWL SPACE: 1�4 TOTAL ROOMS: 1ST PLR.: 3 2ND PLR.: 0 3RD PLR.: 0 BATEROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: SCREENED PORCH DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: L.P. AIRCONDITIOUENG: TYPE HEAT: OIL WARN AIR: FLOOR HEAT HOTWATER: OTHER: .ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: 10X10 METAL GUEST. TYPE CONST.: %'ICLATIONS: CHAPTER 45 N.Y. STATE UYIIFORM FIRE PREVENTION S RUILDIIIG CODE INSPECTED BY: / � I DATE ON INSPECTION: 04%11;05 GARY J. IIS TINE START: 9:40 AAI END: 10:10 Add .APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled in by typewriter or ink and submitted to the Building Department with the following: A. For net% building or new use: L Final swFVey 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 front Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than '_. 10 of 1 ° u lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance front 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 surrey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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 I. Certificate of Occupancy - Neth dwelling 525.00, Additions to dwelling $25.00, Alterations to dwelling $2.00. Swiniming 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. Cop} of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Prnpert : _;,? g D I Louse No. Date. Old or Pre-existing Building: X (check one) r -°e Road CcC l CJ? 0 Street Harrel Owner or Owners of Property: Geo c - e., -zzC Suffolk Count}' fax Map No 1000, Section 1J O , 00 Subdivision Permit No. Health Dept. .Approval: Planning Board Approval. d Block 007. 00 Lot 004000 Filed Nfap. Date of Permit Applicant Request for: 'I entporary Certificate Fee Suhntitted: S /00.00 Underwriters Approval: Lot: Final Certificate: _I —_ (check one) Ap&rnt Situ1.46re - — /) ,a n, Form No.6 TORN OF SOUTHOLD 8 1 , BUILDING DEPARTMENT I TORN HALL L 765-1802 .APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled in by typewriter or ink and submitted to the Building Department with the following: A. For net% building or new use: L Final swFVey 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 front Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than '_. 10 of 1 ° u lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance front 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 surrey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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 I. Certificate of Occupancy - Neth dwelling 525.00, Additions to dwelling $25.00, Alterations to dwelling $2.00. Swiniming 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. Cop} of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Prnpert : _;,? g D I Louse No. Date. Old or Pre-existing Building: X (check one) r -°e Road CcC l CJ? 0 Street Harrel Owner or Owners of Property: Geo c - e., -zzC Suffolk Count}' fax Map No 1000, Section 1J O , 00 Subdivision Permit No. Health Dept. .Approval: Planning Board Approval. d Block 007. 00 Lot 004000 Filed Nfap. Date of Permit Applicant Request for: 'I entporary Certificate Fee Suhntitted: S /00.00 Underwriters Approval: Lot: Final Certificate: _I —_ (check one) Ap&rnt Situ1.46re - — 0 0 - 1.3,? - .a -/ TOWN OF SOUTHOLD PROPERTY RECORD CARD M-/0 STREET c� ` ; VILLAGE DISTRICT SUB. LOT al hf r l� J o�? f D�OWNER _ FORMEFe OWNER N —• ���e; ree �od< E �.., ACREAGE - Y anu K ew �z- SL. XI1 Aki! W TYPE OF BUILDING RES. D SEAS. I VL. FARM COMM. I IND. CB. MIk. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 34_0- 306 oa 660 sra SLI_ l005 S-Lii 74riio Ilia-J(Anursl+okjSsrwdS-- NIC_ AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE i ON ROAD //4' _ Tillable 1 BULKHEAD Tillable 2 Tillable 3 -DOCK Woodland Swampland Brushlond House Plot Tota I 0. Bldg. t; - C t �f_.' 3 �(/ (� •'i F dation -- C{+r i', Bath �I :xtension Basement j ¢ j,7 Floors :xtension Ext. Walls Interior Finish a - :xtension Fire Place r �. Heat r r ` — PorchP — x / H Soo f Type /A — = -- Porch ��-- I Rooms 1st Floor jU, t 3reezeway Patio Rooms 2nd Floor ;arage Driveway Dormer — ). B. AP N 86.58' 40" E DE E R OFD 6.07' PANE 108.' FDAE_ 250.0• 3' 50' cx�F° N 63. 1 0 0. ASP//A(T A. -,� A GONG S WALK 26.5 Q O `t 9V 20.7 ; BILK �Q) D u f.4 000 s' o xl.a. �Q- GNIMNEY— i13 CHIMNEY v 2,0 2.0 NIF K/R S7 -0R B.Y RES Y ENcto Pgp�szb ��J T77' T0' /yam 'METAL l �A/C CE. T'V MAP,_, �+ p RpEMNENCE OF NIR STOpfAOE (SOUTH `7 U6 • 5V ' 4O ' E RCE CENYY L/NE W /Y 180. 89 v7 Sg • so„ W j NSF C,gBRAL 9.9p GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY, LENDING INSTITUTION, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTIIIIDON. GUARANTEES ARE NOT TRANSFERABLE TD ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS UNAUTHORIZED ALTERATION OR AD0I770J TO THIS SURVEY IS A VIOLA TION) OF S'ECTIOV 7209 OF 774E NEW YORK STATE EDUCATION LAW. SURVEY OF COPIES OF THIS SURVEY MAP NOT BEARING PTO LOT 124 THE LAND SURVEYORS EMBOSSED SEAL SHALL IN NOT BE CONSIDERED TO BE A VAUD TRUE COP Y. MAP OF NASSAU FARMS SITVA 7E CUTCHOGUE (PECONIC), TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. NIXF '10R0g1V 141- y v FENCE2.�, T / N S 86. 58' 40—,,W 14.33' SURVEYED 17 APRIL, 2000 SCALE 1"=40' AREA= 2Z799.68 SF OR 0.523 ACRES TM 1000-138-02-01 SURVEYED FOR GEORGE LESSARD, JR. FM 1 1179 FILED MAR. 28, 1935 SURVEYED BY GUARANTEED TO GEORGE LESSARD, JR. 0OR899 CONSENT TO INSPECTION @o Lrq L L es SGt_ e- d , j- • , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) ( the owner a�f of the�emises in the Town of Southold, located at OMO m e / rec /Coat/, cle-AA which is shown and designated on the Suffolk County Tax Map as District 1000, Section /3d, Oct, Block Oa. 00, Lot 00/ 000. That the undersigned (has) (hayf) filed, or cause to be filed, an application in the Id Town Building Inspector's Office for the following: C V I Jf7 /1!i h 7�CaJ� 04 QCc c-�anc y 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: Alk (Print Name) (Signature) (Print Name) LOCATION: Adv ll (number & street) (municipals SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner -tenant) ADMITTED BY: f- �f� �- - ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUES DATE: DWELLING: TYPE OF CONSTRUCTION: �✓ #STORIES: #EXITS: FOUNDATION:: 3 Z CRAWL SPACE: BSc TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: --� PORCH TYPE: Sem,✓ / DECK, TYPE: ---.-- PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: 1kYPE HEATER: - AIRCONDITIONING: TYPE HEAT: WARM AIR: j j HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: /'Okra GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE OCATION DESCRIPTION ART. SEC. .00 REMARKS: r INSPECTED BY: A, DATE OF INSPECTION: J TIME START: 10 END: �©