HomeMy WebLinkAboutZ-22881 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-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.
AllBuilding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOU111OLD
HOUSING CODE INSPECTION REPORT
LOCATION: 715 LEGION AVENUE \l MATTITUCK, NEW PORK,
number 6 street munici
pality
SUBDIVISION MAP_ NO.
LOT (;)
NAME OF OWNER (s) LOUIS LESSARD.
OCCUPANCY SINGLE FAMILY OWNER
(type)
(owner-tenant)
ADMITTED BY: LOUIS LESSARD LOUIS LESSARD
ACCOMPANIED By_
ICY AVAILABLE . SUFF. CO. TA.'C.:MAP NO. 10007-1.42-2-4
SOUnZZ OPk REQUEST: LOUIS & NANCY LESSARD DATE- JAN. 20, 1994
DIdELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 3
• # ESITS
FOUNDATION CEMENT BLOCK CELLAR �'L I
CRAWL- SPACE
TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 3 3RD FLR.
BATHROOM (s) 2 TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE (WITH INSERT) GARAGE
DOMESTIC HOTWATER xx TYPE HEATER OFF BOILER AIRCONDITZONING
TYPE aEAT OIL WARM xx
OTIIER: ROOM ONR HOTWATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST... 2 CAR GARAGE STORAGE, TYPE CONST. STORAGE BUILDING.
SWL`L'1ING POOL GUEST,. TYPE .CONST.
OTIIER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION
T. SEC.
RIiMARKs: BP #4203Z-COZ-3837, Add. - BP #4989Z-COZ 22843 Add to Accy Garage. .COZ=22844 Accy Bldg.
3P='i#2188Z-00 Z-22848. Entrywhy Add.
INSPECTED BY: DATE ON INSPECTION Jan. 25, 1994
TIME START 11: 15 END 11 :45
_ Form No. 6,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
i JAN 2 10199� t TOWN HALL
765-1802 .
TOWN OF S0UTH0tt7 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 appl-ication 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 . . . . . . . . . . .
Y.
Location. of .Property. . .7U .4q&1gn Avenue . . . . . . . . . . Mattituck.. .. . . . . . . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property. . . . . . . .LOUIS .LESSARD . . . . . . . . . . . .
County Tax Map No 1000, Section. . . .i4 . ... . . . ...Block. . . . . . . . . . . . . . . .Lot. . . .• . . . . . . . . . . . ... . . . .
. 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: . . . . . . . . . . ...... . . . . .
sdi6 . . . . . . . . . . . . . . .
Bpi c.o 9t as 8,8 APPLICANT _
1.7
7
qte e5
��•,, hoc � � o0
,.:
�l NOW-
0
O
�..s' " T"tY. A3y.R^;„{�•��i 1'T/Rtif't���.! '1,� {'%ai -..�'.. �O .'.�� ^
T ; ..
O, 0 13
/ 9
V .. .. •O
0
0o
r a,
rDo
v o ? no '• goy:\:.. 0
O o• 01 0�
VX
o r.. 6
5- �O
PAP°
y
S Y
+ter..: va,.aa.8r..�..� � -...yam w•�--- ..
_ ;SURVEY•- FOR
I SSARD a MANGY LESSARD
LOU S:�' LE
� 3
MA'C ATUCK
TOWN �-OF::SOUTHOLD
SUFF CO , N Y GUARANTEED TO:
7 GUARANTEED TITLE DIVISION OF
" AMERICAN TITLE INSURANCE CO .
SCALE; `;I .= 30 NORTHPORT FEDERAL SAVINGS AND
NOTE = SEPT ; 23,: .1964 LOAN Ass'N.
•,a MONUMENT. "'
PR0FESSIONA INEE D
LAND SURV_EYOR,N.Y.S.LI NO.12845
RIV RH N
j JAN 2 `0'1994 f
� , .
CONSENT
TO
INSPECTION
the undersigned,
wner(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 G^� / p�2J
r
whirh 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, rules or regulations of the Town of Southold.
Dated:
(signature)
(print name)
i (signature)
(print.name)
K
BUILDING DEPARPMENT
TOWN OF SOUT11OLD
LOUSING CODE INSPECTION REPORT
LOCATION: ��� �a-y`rhLL1.G Z+7 /w
number 6 street municipality
SUBDIVISION MAP NO. LOT (s)
NAME OF OWNER (s)
OCCUPANCY
(type)
(owner-tenant)
ADMITTED BY: . �DGy� �E,Ss � ACCO.`D'ANIED BY:�Q�,�
KEY AVAILABLE SUFF. CO. TAX MAP N0.
SOUf.;;;; OF REQUEST: �� yLs� �S.S,a r DATr-.-!!
Z.p
DUELLING:
TYPE OF CONSTRUCTION /C STORIES 0 EXITS
FOUNDATION
---5�0• CELLAR CRAWL• SPACE
TOTAL ROOMS: 1ST FLR. 2ND FLR. 3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCII TYPE DECK, "TYPE PATIO, TYPE
BREEZEWAY FIREPLAC ' l d1 eiL '/' GARAGE
��j�� �` �z
DOMESTIC BOT14ATER TYPE HEATER �IP� AIRCONDITIONING ��--
TYPE BEAT /' WARM AIR ROTWATER r-
OTIIER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. g AC STORAGE, TYPE CONST. �- �
�a�� ..,✓' "° ��
SwIlfMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CIIAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION D CRIPTION ART. SEC.
s r
ng
ot-
- al"
ti
REMARKS: - w.?0 3 CIO
21 rgr Co ,
INSPECTED BY: DATE ON INSPECTION / . / / /
TIME START• �'! Llfb j
,'r
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
8045827 BUREAU OF ELECTRICITY
F 85 JOHN STREET. NEW YORK. NEW YORK 10038
Date FEBRUARY 01,1994 Application No.on file 05529294/94 H 039294
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 , MATTITUCK, N.Y.
in thefollowinq location; ❑ Basement ® IRt Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on J AN U A R Y 2 4,19 9 4 and found to be in compliance with the,National Electrical Code.
FIXTURE KEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT[FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
2 1 2 2
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE METER 1-0 2W 1 0 3W 3 B 3W 3,[!AW NO.OF CC.COND. A.W.G. NO;OF HI•lEG A•W-G. NO.OF NEUTRALS A.W.G.
EQUIP. PER B OF CC.COND. OF HI-LEG OF NEUTRAL
OTHER APPARATUS:
G.F.C. II -1 1
LOUIS LESSARD
715 LEGION AVENUE
MATTITUCK, NY, 11952. GENUM MANAGER
11 •
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
57`s}? i ,zt +• ±F, a✓.m s ..{+} rPW�.`
s
r.;. �,� t'4:.. � of "CAR
L- 'Ri- tr` R®1�//R� OFh : UTIi®L® OPERTY REC® f
OWNER '
�, '- •STREET `1� {` VILLAGEDISTRICT, SU LOT
,-� 41:.�r , ✓7 n•V�/�.- ,�.�.7 4-:w 0V.1..• Y �• j G.i.+7.i�lt.
F4 MERTOWNER v 1— , ;N E =r ACREAGE
�. :: r
W r TYPE OF BUILDING
MISC I ' CB. ' I . _
RES. ,
IND D SEAS. - VL. FARM COMJvI , T
%.
LAND -IMP :-TOTAL DATE - REMARKS
3 .3
., . '2�S�D0-
/ - / O a � �� UJ ` Q���lt`'� ✓ x x C ,��� �" drf: "fi.
79
AGE BUILDING CONDI ION
r
�.
NEW NORMAL ,�f� Nj BELOW ABOVE '
1C O
_ c fL 5 'S♦� .-P.a �#t{SAC •:' t , t t �r� _-,
Farm Acre x�t Value„Pe Acre ,Value
', rig
.Ti ills le 1'
. -i - r k: ,, ,'J"ew -.-F. ? ,i r. rq-k'yP - f• ry``�'4 ��
Tillable 2.
Tillable, 3
Wcodland. ti
K �
Swampland
Brushland :
House Plot
�.. $� 1 '�r1. 2�} :l-i';�i _ �yN•.,t' i .R,.J{I�,' fi .1: ..J 'r �� •.,,l G^t �';•{,_ Si_ -.?.� /•,. - F�� �1 IY1 fA;..
_ ��, �y -}}f �\ *f {r 5^l� 1 �Rr � 1�'��" x�=r'�`�:ti' •k'1�;1 `i. ,N�t� t 'f�;:xrt,l.� fs� f'*': .. ••�� ( X�, �.4.
• `'.� L( '*. �p �rJ:r �� � F '£ i� 'kw .? Y& 3. l�.u.�uQ,` :+� � i'.. q h.?
Total rL „ .rt- ��, s Y _t l.v t ���''A J#s-l�r 7' •� �..5
sy r c. ♦; {:x..'rs-.�'�,�. .^5;7+fa-.i� F ri �f t.�'t , }� t, _I- rw, _
,� x J. •l` .T :1�a� .,14. >l � .�-: „1 .1. it .j'� .'�' i. i 1:'. [- {
T S i��'���` -.�u -f `v •�' f ` `.l9 .l.' 'i- 1 :i'' .1. •T. ::[� +F'. �-.-
:Tss.n.t `�y....�' -��'iT-1!' eLKiJ�� _2:?c ti.•113�y. a x�Y-. -E �:•.. ..KS' :�: •o �{ .•. i J ,?? -„ rM,..�
,.e -'.+F.5...."-:!ro�7 a,.2,r•....`..'uii,';:r.,..�:,un�tr.i lf2..!^.R=.s','k''s:E..li,.S'':.i•S:Y!.�:i�-T.Fti..k•.Y.t.C•}}.dr.°i!,-.:..>,�-.�u.N..fic•+•;rj.'.S., Ri!�.',..r.:,r.Y4,,.r.:ptF.r. Y:,..�y} . _Jd(:f v'S,,SY„�;r�,yr.&;;Y.'_k.•i+.J.,��t#yi.1A'!'Er•'{�.r x'A3.,,}A',,.n-t•'%.'.L SbS� _'F:�.�o+-.iln'- t .5 IEz ,,r���? l�: i f6l:iF���,`+.Y�.�f.:T•a NK�..'i.�..4'.tix.;`,,r�...9,Y�1A�.L4t:11r.r.,:3�-':;"�3..(i.-,a7��,'?--�,7'�1'n-'r"~.l,.�,f} .; �Y_.„,jt i1+f,•..i t ,,'r p'R.,:t3r•-rK� r.'.>i..r�;�'wY`-,
'•`'fir1a...';7'...� �ia�a t,I'.f ,t.c{' y,�1r .s F^; ,`,,�4,•^j t� rls L. ,4i; 7 ''E r�J:��F� t4. ,:.r:�t �d�v M.^..�1-tb. �=Y.;E
t +-.,.`.r.0 Y.� n rL.+F:r..R-�..2/r��L. Y:'� 's'•^ a., N.~
/, _ _ t�' :'!r.'r�'�f, ''!,1. 5r: E '',a. 1: •TI t',i/v, .fir`# '' r. '' .{her'9'''H rr-3• F,.
'•�,'SM�.'*F
} -yF. i� :.r- x t.2'7 8-^'- ,5 ,� ; 2 f � }. :�•-�l v -5 e -y- -
�F: •Yi' -.� •'�'fx. •!�-.n 6s '`Es:. r� ;II I.4� .. t ;� - r[Sy,a 'e"w.itt._
ti
' 1 W� er�
/ _ I t<•�. ( 1/_V fit"§1•.�j���G�xC:
/ hll l Q r t s t ��ri�1Kk c,
Ry
Lr
r ,.'•1�R�'w'. ....G_• r f' "{• _ I ¢p y 5 q,E t r a s
' _, ,r- � �- } f�� � ?, r:s*: s t7„•� FT'''k�yx.l� - ,'t r�y 1 ,tj- �:
. yT pt 4 -xff�� if 77
E
,
1
M. B dg. ;3 :� oundot.ion Both a as
``
Ek en 'on I�, y 1. b Basement . ' Floors
QN f wt
2 6 ' ` Ekt. Walls inferior Finish
E ten on C) �( 6' --
Extension { f / r;y; (� Fire Place. Healt f✓L' cz. y
Porch Attic
§,'pF r,{yf ss�y: 4r�k1'`�t a r i. �%y �� '� ��'� Mi - Y .' ,r,,}•, 3�m
r � } Porch Rooms I st Floor }y�, ;•,
'. ., .��Y fi � - L 1c• t Y'Lt7 y;` p i a f� ��y r� '"Sa�.{';El
Breezeway , Patio . Rooms 2nd Floor ,
Garage's ., i / `.'s d2T• Driveway
}�. 6
$9[ �: L'S't r' 'T<s� �,�'`cl, .+� S .e�.� 7rf.i t4.La�M z-.,�Z !.:'.i- 3F,o, :•,n•.
,O"Ba4C> {:
Q.. ' � xS' !.:5 ,i 5 "�✓,. _ / irk .
`<9�* 1� �';, �� ;c..,f �t,..,.�., ,ar!3 'i' ..iy__i*-;: „""x• y#..
y..x
.x ��1..,v't'!� Jn ''E- .'!-`(a�"'T �(• t• ,/ >} _ �' '''4n, 1 zs.'w r-s•' � ..:c. � t�,'.
.(•� '�_b � �'>�}t7 y�Y'�`S. �K' i*y'`M .a.F�l. tr n'S�N i - _ _ �..-'. a�'..
L7� - ka K. ��:.- `='u. '>e '..rT-ifa`}*T :s4�� q;-:' �' ;a.� r. :.:t- .;ir,••': 'i',�zc L t, -1, `;,,,�',E'',. < �.
:'7r may y.r -fib ,+' N `ce3,*„y.a.sSa ..r ' r f'i>t e.7'::���=1:x- 5 T 6s a-q! .,y. ,xSr. ;,: 3r S jL :. .ts ff.5• S.
��'� Y -✓ :,••^,' '1 -a-t�, ;i;�'''7 !'..� s�.�;�''f,K�t, 'r�l--c* �:•a,'s✓ .F^Ty'a,' .+. 7r .�`�,L7 F�," ,�� .{,-: �<f �k`" �401j
s
r''s� ''' .C :.c rf':�i r. ,a•- .ate.z: «:},:s'- '_yy`-i_ .,•t ..:."�i�C-'•S. :7t� v, '•?: c:. t'�i"•war'-' I,rr. :..
- _ ?.✓•�.. c. '•r�' �c r :•�` ':1 r. a'W,,,y�I.: �x-I'�• •i x-�">"a.'�h';�� et c��'•;, .�.J r.,. .?j°�r Z ttE:,
' `§' "TSrt- fil•_ /�'' ''.7„l, tt -.Cg c-t. ',r:-q �a kli 'S 3 v�". z 3�
Fr. r .� ... - • , Y � '�_ i>°'+ Js `"T�y�, 'n:�"- 'v"1�'r� �a., "''P 44- '�'�f�+: Y1 }�':�H 1 wN.�.S 7 : �r> �lN)w7R�-'rr+st.
.._ ...-. .. .. ... ..,,:�.. ., ... .:�. .. :E. ,... :. .''..t�•'y.,r?�r�r .`r�ti. 6 'i�:e���.J.� !•..�.'S'.i. nxe _ -_;c.�. .cf�`. ..c:.}, .. ,,. .., .�t�;
- �. ..r.,c�.-. -r7-- ^.++ram - `� w�•F�T'-at• w -- _