HomeMy WebLinkAboutZ-28706 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- 28706 Date: 08/14 02
THIS CERTIFIES that the building DWELLING & ACCESSORIES
Location of Property 720 TOWN CREEK LA SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 064 Block 0001 Lot 014.004
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- 28706 dated AUGUST 14, 2002
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 SCREENED PORCH, ACCESSORY GARAGE AND BARN.*
The certificate is issued to ALMET R & EDWINA LATSON III
(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 REPO
Authorized Sig ture
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 720 TOWN CREEK LA SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): ALMET R & EDWINA LATSON
OCCUPANCY: SINGLE FAMILY ALMET R & EDWINA LATSON
ADMITTED BY; EDWINA LATSON ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.. 64.-1-14.4
SOURCE OF REQUEST. EDWINA G LATSON DATE: 08 14 02
DWELLING:
TYPE OF CONSTRUCTION: WOOD # STORIES: 3.0 # EXITS: 3
FOUNDATION: CONCRETE BLOCK CELLAR: PART CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 6 2ND FLR.: 5 3RD FLR.: 2
BATHROOM(S) : 4.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) :
PORCH TYPE: SCREENED DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: NATURAL GAS AIRCONDITIONING:
TYPE BEAT: NAT GAS WARM AIR: HOTWATER: STEAM
OTHER: BILCO DOOR, 3RD FLOOR UNHEATED, second floor rear summer kitchen
(2) rooms unheated.
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: LARGE WOOD STORAGE, TYPE CONST.: LARGE WOOD BARN
SWIMMING POOL: GUEST, TYPE CONST.: COTTAGE WITH CERT. OF OCC
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION I ART. SEC.
REMARKS: BP904 OTTA E COZ690• BP11549 ENC.PORCH COZ11608
INSPECTED BY: DATE ON INSPECTION: 07 29 02
JO M BOUPIS TIME START: 9:45AM END: 10:35AM
Form No.6 r
TOWN OF SOUTHOLD �UjS
BUILDING DEPARTMENT
TOWN HALL
765-1802 f�U J ---- LS_._. n
APPLICATION FOR CERTIFICATE OF OCCUPANCY j U '
1.1U11 .!tll. 2 3 2002
This application must be filled in by typewriter or ink and submitted to the Building Depart ent Pith the following:
A. For new building or new use: RAW; S{-,1j1Tfi0LD
l. 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.
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 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-$25.00
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00
Date. � f�� �3 �' 00
New Construction: Old or Pre-existing Building: f (check one)
Location of Property: �' /rp e,/ � c'Pn V— I a V-,a r��i—�—��) j
House No. Street Hamlet
Owner or Owners of Property: �"�i. _� 1 l S� (� lid i►,�,�,C
Suffolk County Tax Map No 1000, Section 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 Certificate: ✓ (check one)
Fee Submitted: $ rV
oI � S 9
VJ Q__I 'C � '
`�' � Applica to Signatur
CONSENT
TO
INSPECTION
• �• � � � •, the undersigned,
Owne (s) Name(s)
do(es) hereby state:
;
That the unl&rsigned (is) (are) the owner(s) of the premises in the Town
of Southold located at _ 5
Which is shown and desigmi ated on the Suffolk .
County tax map as District 1000, Section Block 1 . Lot f �f
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
V
tion in'-the Southold Town Building lnspe(;L.,t Orric., row. f6a rnllnwinLf:
n � ,
i
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
i
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 thl t said premises comply with all of the laws, ordinances, rules
i
and regulations)of the Town of Southold.
The undersigned, in consenting to such inspections,_ do(es) so xvith the
knowledge and understanding that any information obtained in the conduct of
such inspections maybe used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated:
(signature)
5
i (print name)
j
(signature)
(print name)
i •
i
i
i
i
1
765-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS �df'L2
Q7L d�-8C
DATE �` INSPECT
y ^.v-�,cares.....Zti'.'y'.t+%.i� `i'aTl�"'U'"'-'.d.k.=o{.i:-�"%"1J"` „- vr+v v�-�.. ».._._,w„/.....�+.s�. - - +�-.,.wv:,.w•-".r.+-++-' ---•-- .��
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765-1802
BUILDING DEFT.
INSPECTION
Y
=J
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING. [ ] FINAL
[ ] FIREPLACE A CHIMNEY
j REMARKS: 4
7 44 XQ / rn�
4z -� 1 :r
�l 41-1
7
3
DATE INSPECTOiR
1
LOCATION: �aiyt¢ 8
(number&street) (municipality)
J
SUBDIVISION: MAP NO.: LOT($):
NAME OF OWNER:
OCCUPANCY: —
(type) (owner-tenant)
ADMITTED BY: _ ��/�_ �� 7, ACCOMPANIED BY:
KEY AVAILABLE: SU F. CO. TAX MAP NO. 1000- —
SOURCE OF REQUEST: DATE: L3 01/
DWELLING:
TYPE OF CONSTRUCT ON: # STORIES: #EXITS:
FOUNDATION: CELLAR: CRAWL SPACE:
TOTAL ROOMS: 1ST FLR: 2ND FLR: > 3RD FLR: GCw J
BATHROOM(S): TOILET ROOM(S): UTILITY.ROOM:
PORCH TYPE: DECK, TYPE: PATIO,TYPE:
BREEZEWAY: - — FIREPLACE: (0ry%'_� GARAGE:
DOMESTIC HO TER:. 2 TYPE HEATER: AIRCONDITIONING:
TYPE HEAT fII W A IR: HOTWATER: -��;7�.,$t�l
OTHER: _ A�
ACCESSORY STRUCTURES: ,1 1
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: . !!��
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION&BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
If
zz
REMARKS:
INSPECTED DATE ON INSPECTION: �v
TIME ART:T / END: (/ I�
S . �
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O N � 1�+ m T — MAP OF
_ _ SUBDIVISON MADE FOR
oM L A TSON
-{ �? - N. 86•YE'O0- W 169.67'
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- - — AT SOUTHOLD
si.7o
LAM -z
TOWN OF SOUTHOLD
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O ; , o cn m in barn rL
SUFFOL K COUNTY N. Y.
y ,�, �'a� 1000 - 64 - 01 - 14.2
3 , �� o �45 ___- - - o f a Scale: 1"= 100"
W�.
i -° T_ M? Z O� i n Z 5 50 1 0 220, 300,
TOWN OF /1
� n
SOUTHOLD Oct. 161 1996
W o _
�NO. _DA TE RF_V/S10A-
J' 661 ,yy �� "� 1 1213019 WIMAIP: & C.FS. Al.,DE I
O es0�w �M 2I111519wTERSADFsD DDF:9
/ I
The location,; o% wells and cesspools
shown hereon are !rom field observations
and or from data obtained from oW r.—:.
NFL. �
cLt
.
na�� •C,J/a����3 4
s� >,
THE TER SUPP ND SEWAGE DISPOSAL r, �.. - ��
FACILIT S FOR AL L S 1! HIS DEVELOPMENT so
COMPLY .ITH 7ylE!STA AR UIREMENTS * ��r, 052`
OFTHC K OU�'V TTt F HEALTH. � l „'"'�" .,�y- •r� ,,,. ,y�
SUFFOLK COUNTY DEPARTM.rNT OFHEALfN SERVICES
HAU.PPA•UGE•, N.Y. �..,Yr JOSEPM FiSCHEITT11f.t. tl e.'•. �'°i '
DATE ° �-` HOBART ROAD
SOUTHOLD, N.Y. 11971
THIS lS TO CERTIFY THAT THE PROPOSED REALTY SUBDIVISION OR ^+ f NE(,�
DEVELOPMENT WR�TSOJ RV THE L'Y J f.�'
L SoU7 b/c�' WITH A ror,AL OF` LOTS WAS APPROVED <Q C }O
ON THEA-SOV D�—ATE WATER SUPPLIES AND SEWAGE DISPOSAL OWNER/APPLICANT �. t• MErin
FACILITIES MUST CONFORM TO CONSTRUCTION STANDARDS kV EFFECT AREA LOT ^_ I _ •49,180 SO. I HELEN LATSON �
AT THE ME OF CONSTRUCTION AND ARE SUBJECT TO SEPARATE
PERMITS PURSUANT TO THOSE STANDARDS THIS APPROVAL SHALL BE C2]
Or 1.129 Acres TOWN CREEK LANEVAL® ONLY F THE REALTY SUBDIVISION/DEVELOPMENT MAP IS AREA L O T = 2.82 A crest SOUTHOLD, N.Y.
DULY FILED WITH THE COUNTY CLERK WITMN ONE YEAR OF THIS DATE. 1
CONSENT 1S HEREBY GIVEN FOR THE FILING OF TMS MAP ON WHICH Q_- LOT NUMBER OF LOTS APPROVED
THIS ENDO EMENT APPEARS IN THE OFFICE OF THE COUNTY CLERK by BY SCOHS. �} \� '
N.Y, lC. N0. 49618
ACCORDA WITH PROVISIONS OF THE PUBLC HEAL TH LAW AND THE SUFFOL hVTYM Y AREA = 3.95 A ores f.T . E.
ECON Sl Y S� ,
l5/6l 76 -`
JOSEPH H. BAER, P.F-
�IREIDIV,1S1uN LF ENVIROPAkENTAL OUALITY P. O. BOX 9
1230 TRA VEL ER STREET
SOUTHOLD, N.Y. 11971
- i
96-176