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Home My WebLink AboutZ-22881FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22881 Date FEBRUARY 23, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 715 LEGION AVENUE MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 142 Block 2 Lot 4 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-22881 dated FEBRUARY 23, 1994 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 GARAGE The certificate is issued to LOUIS LESSARD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-039294 - FEBRUARY 1, 1994 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Al Building Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUT1OLD HOUSING CODE INSPECTION REPORT LOCATION: 715 LEGION AVENUE number S street SUBDIVISION NAME OF OWNER (s) OCCUPANCY SINGLE FAMILY type LOUIS LESSARD MATTITUCK, NEW YORK Ununicipality MAP NO. LOT (;) OWNER ADMITTED BY:, LOIIIS LESSARD towner -tenant) LOUIS LESSARD ACCO.`iPANIED By: KEY AVAILABLE SUFF. CO. TA.'C_MAP NO. 1000-14.2-2-4 SOULZZ OF REQUEST: LOUIS & NANCY LESSARD DATE: JAN. 20, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME 0 STORIES 2' 3 CEMENT BLOCK # AWL XITS FOUNDATION CELLAR �'I' ' CRAWL TOTAL ROOMS: IST FLK. 5 2ND FLK. 3 SPACE FLR. BATHROOM (s) 2 TOILET ROOM (s) UTILITY ROOM _ PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE (WITH INSERT) GARAGE DO!(ESTZC IIOTIdATER TYPE HEATER OFF BOILER TYPE HEAT OIL AIRCONDITIONING_ OTHER:R xx RR00 UNR HOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 2 CAR GARAGE S67IIIIING POOL OTHER: STORAGE, TYPE CONST. STORAGE BUILDING GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE LOCATION DESCRIPTION ART• I SEC. REMARKS: BP #4203Z-COZ-3837, Add. - BP #4989Z-COZ 22843 Add to Acey Garage. COZ-22844 Acey Bldg. BP #2188Z CO Z-22848 - Entryway Add. INSPECTED BY: DATE ON INSPECTION Jan. 25, 1994 TIME START 11:15 END 11:45 r� aJ JAN 2 01'1A i 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 ink and submitted to the building inspector with the following: 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 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 - $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 .. January 20, 1994 New Construction........... Old Or Pre-existing Building.,, xx........... Location of Property ... 7k. .4q&g qn Avenue Mattituck,. N.Y. House No. Street Hamlet Onwer or Owners of Property ........ LOUIS LESSARD County Tax Map No 1000, Section .... !:?....... Block ...?............ Lot ....L .................. Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $..109:RQ................... ........... 'j APPLICANT s �i►e�\ es 4 iy o° ;off 6� p P o�� v s PSP° _SURVEY FOR LOUIS`. LESSARD a NANCY LESSARD MATTITUCK TOWNOF SOUTHOLD SUFE. CO., N.Y. GUARANTEED T0: GUARANTEED TITLE DIVISION OF SCALE; III = 3O AMERICAN TITLE INSURANCE CO . „ , NORTHPORT FEDERAL SAVINGS AND NOTE SEPT. 23, 1964 LOAN ASSN. • ■MONUMENT PRO�l�01'NNA E D LAND SURVEYOR, N.Y. S. Lie NO.12845 RIV RH N r� 3 777t,r a CONSENT TO INSPECTION (s) Name( do(es) hereby state: i_, the undersigned, That the undersigned (is) (are) the owner(s) of the premisesin the Town of Southold located at r% / �j^ G�� / p/V //9 � r , V--, -,hich 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: 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, Dated: rules or regulations of the Town of Southold. \ i 4 ,r (signature) (print name) ' (signature) (print.name) LOCATION: / SUBDIVISION NAME OF OWNER (s) BUILDING DEPARTMENT TOWN OF SOUTIIOLD LOUSING CODE INSPECTION REPORT e 6 street municipality MAP NO. LOT (s) c/c OCCUPANCY "301-g /V-- & C�ylNe2 (type) / ` (owner -tenant) ADMITTED BY:. / (-O xf 0—ps ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP NO. SOUPZO OF REQUEST: �;I ss� r DATE: Zc� DWELLING: TYPE OF CONSTRUCTION ne'lle� # STORIESIop# EXITS FOUNDATION_ O CELLAR CRAWL- SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM -_------- PORCIi TYPE DECK, TYPE PATIO, TYPE BREEZEWAY FIREPL.'kC f GARAGE T DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE IAT WARM AIR OTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST._ �' STORAGE, TYPE CONST. 'E SWRIMING POOL GUEST, TYPE CONST. T_ OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: 6(? ��Q 3 C-0 I R'-�I . LAA ., 'PCW wOr'a z r„_ -I' „ „ rllll� /l 7 V V w Z- % 5- / INSPECTED BY: DAPI: ON INSPECTION TIME START / r END THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8945827 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date FEBRUARY 91,1994 Application No. onfile 95529294/94 H 939294 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of LOUIS LESSARD, 715 LEGION AVENUE, HATTITUCK, H.Y. in thefollowinglocation; ❑ Basement ® 1st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on JANUARY 2 4 ,19 9 4 and found to be in compliance with the ,National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. N. P. OUTLETS 2 1 2 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RIC'PT TIME CLOCKS RILL TRANS. UNIT HEATERS MULTI -OUTLET SYSTEMS NO.OF FEET DIMMERS AMT. K. W. OIL I H. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. AMT. H. P. AMT. WATTS SERVICE DISCONNECT NO. OF S E R V 1 C E AMT. Amp. TYPE METER QUIP• X TVA/ 1 X 3W 3 X 3W 3 X +W NO. OF CC. GOND. A. W. G. Np, OF NI•LEG A• W G• NO. NEUTRALS A. W. G. PER a OF CC. COND. OF NIAEG OF NEUTRAL OTHER APPARATUS: LOUIS LESSARD 715 LEGION AVENUE MATTITUCK, NY, 11952. <iIN WAI MANAQU 11 Per This certificate must not be altered in any manner; return to the office of the OW4 if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. rt SOUTHOLDOPERTY� RECORD CARD /^ I{:-��-��1:,TOWN Al .. OF .-- Z OWNER Y. o. ST EET 115"w VILLAGE ' r ,,i DISTRICT SU LOT i u F fMER OWNER r>` N E ACREAGE N' S W� / TYPE OF BUILDING'' ,� fN RES. a �a SEAS. VL. FARM COMM. I IND. ( CB. ( MISC. I " LAND IMP. TOTAL DATE REMARKS { (fid /x`(00 �gd1% 3 3 �D �U Opp: v YG .`� S10 0 r� 90 0 . ` ,S" /6 6S' a 3 -g. ' 3 ...i K ' e-oe�: 3 Sot k' BUILDING CONDITION i .c AGE NEW NORMAL J BELOW ABOVE t: .. Farm Acre Value Per/Acre Value Tillable 1 77 Tillable 2 ' Tillable: 3 ', Wcodland Swampland Brushland K House Plot. Ili Y R, Total. r 4 G