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Home My WebLink About22979-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C~KKTIFICATE OF OC~u~ANCY No Z-23859 Date SEPTEMBER 7, 1995 THIS CERTIFIES that the building. ACCESSORY Location of Property 12425 SOUND AVENUE MATTITU~K NY House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 3 Lot 39 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated A~GUST 15, 1995 pursuant to which Building Permit No. 22979-Z dated AUGUST 30, 1995 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 AN "AS BUILT" ACCESSORY SHED IN T~n~ REQUIRED ~EAR YARD OF A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to S~%RON LATSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A - ' Euilaing fnspector/ FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN 14AU. SOUTHOLD, N.Y. BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE11ON OF THE Vv~RK AUTHORIZED) N-° 22979 Z D~te ........... ~f.....~. ................ pursuant to application dated .............. ~,~..~. J~' .............. 19.....~...' ....... and approved bythe Building Inspector. ............ Rev. 6/30/80 '[OWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the bnilding inspector with the following: for new bnilding 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 installatiou from Board of Fire U.derwriters. 4. Sworn statement from plumber certifying that the solder used in system comtains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings ~nd 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 ail property lioes, 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 therafor in writing to the applicant. Co 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimmit~g pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildia~ - $I00.00 3. Copy of Certificate of Occupancy - $20.00 &. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.O0 Da Ce ...kug~t~ .~1,1~..199 5 ..................... New Construction ........... Old Or Pre-existing Building ................. Location of Property./1.~'.~.2.5~=~Q .u.n.d..A~y.~'p.u.e. ~. MD.t.~ ~ ~.c.k ·. ~.w..Yo~k .. 11.9.52 .................. House No. Street Hamlet Onwer or Owners of Property.. ~hBjro.~l C. Latson ]ounty Tax Map No 1000, Section..1.~i.~0.0 ...... B.[nck...0.~.O~). ....... Lot..Q~9oO.0. Q ............ 9ubdivision .................................... P.ilod Map ............ Lot ...................... Sharon C.Latson by [~ermit No ................ Date Of Permit ................ Applicant..~ili~am.C....Gogg. Sns ...... :tenlth Dept. Approval .......................... Umlerwriters Approval ......................... 'ianning Board Approval ........................ Request for: Temporary Certificate ........... Finni Certicate ........... ............... FIE1.D IH,qPECTIOH REPORT D~TI~ FOUNDATION (IST) FOU~ATIO. STATE ENERGY CODE FINAl. COHMENTS ADD]ETTONAL COMHENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUI~iDATION 2ND [ ] IN~,ULATION [ ] FRAMING ~.,~q~AC STATE OF NEW YORK CERTIFIED TO : FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK SOUTHOLD SAVINGS BANK JOHN LATSOH SHARON LATSON JOHN I000 ' LIC. NO. 49668 ENGINEERS , P. C. AX/6. soUND ~. NOR'f'¢ . SURVEY FOR El SHARON LATSON A'T MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY,N.Y. 141 03 39 SCALE I" = 40' AUG. 6 , 1986 Prepared In accordance wis Ihe mlnlmum standards for lille lurvey$ as eslablbhed by fhe LI.A. L S. and approved and adopte.t fat such, ,u*e by, 'The New York Stale Land Title A~soclaflon. TOWN OF SOUTHOLD BUILDING DEPA[Vf~ EN¥ 'TOWN I~ALL ' SOUI'IIOLD, N.Y. 11,971 TEL.: 765-1~02 APPLICATION FOR BUILDING PERMIT BbARO OF UEALTII ......... 3 sETS OF PLANS ......... SURVEY .................. CIIECK ................... SEt'TIC FORt[ CALl, w,.t. '% ............ tlA[ 1. TO: INSTI~.UCHONS a. This application must be completely filled in by typewriter or itl ink ,~nd submitted to tile l]uilding Inspector, with sets o[ phms, accmaleplo{ plan toscale. Fee accordlng (o schedule. or areas, and giving a detailed description of layou( of pmper(y taus[ be drawn on the diagram which is parl of this appli cation. c. The wink covered by Ibis application may not be commenced before issuance of BuildJt~g PermiL d. U[~on approvalof(hlsapplicn(ion, the Building Inspector willi~sued a Building Permit to theapplica~t. Such permi shall be kep( on the lnemises ~vnilnble EoT inspection (In'oughout the wink. e/ No building shall be occupied or used in whole or in par( for any purpose whatever until a Cedificate of Occupanc~ shall have been Eranled by lhe Building Inspector. APPLICATION IS IIEREBY ~IADE to the BuJldh~g Department for the issuance of a Building Permit ptustmnt to [hfildlng Zone Ordhmnce of the Town of South~kl, Suffolk County, New York, and ol[~er applicable Laws, Ordinances Regula{ions, for (he eonstmctlon of buiklings, additions or alle~afions, or for removal or demolition, as herein described The applicant 8g~ees (o comply with all applicable laws, o~dhmnces, buildbgcode, housing code, m~d zegtdations, and admit au(horized inspecto;s on premises and in building for necessn~ inspections. , // ~ ~z Sharon C. Larson ~y /g////~ P.0. Box 65, Mattituck,'~~kl~p: (Mailing adthess or applicard)~ State whether applkan( is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or huikler. N:,,,,e or ow,er or p,e,,,ises ....... s. h. p.r.o.n.. 9.'..L.a..t 9 ............................................... (as on tile la× toll or latest deed) applicant is a colpolatlon, slgnatme of duly authoriied officer. (Name and title of corporate officer) lit ild¢l s License No .......................... l'lumbet's License No ......................... lzlectuc~a~ s bcense No ....................... Other TIade's Lice,se No ...................... I. LOC~ltion of hind on which proposed work will be done ................................................. ...... 1.24~5..S. 9.u.n.d..A.¥.e.n.r~e.,..i'4.a.~$.iLu.c.k.l New Y6rk 11952 Ilouse Humber Street ilamlet Counly Tax [Xlap No. 1000 Section . ).4.-1.: .0.0 .......... Block 03.00 ' Lot . . 039. 000 Filed ~lal) No, Lot ...... : ........ Subdivision .................................... ............... (Nanle) , Slalc existing use and occupancy o[ premises and intended use and occupancy of proposed construclior]: ]:×islin use and occu mncy ................ ' ' a .... g [ ~'' ....................... ~~ ~ ~ ........ h. h~tenrle({ use m~d o(:cltpallCV ..... .............................. 3. Natme of work (c reck wit ch alq) icable): New Building . . .q ...... Addition .......... Alteration t~epair .............. Removal .............. Demolition .... : ......... Other Wo~k ............... ~ ' . (Description) 4. Eslimaled Cost..~ ........ : ...... .................. Fee ................. ~t~ ~'~[ ..... , ..... (to be paid on t~tltis apl~licatiotD 5. If dwelling, number of dwelling units ............... Number of dwelling traits on each Floor ................ . If garage, lltllllber of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify miture ami exte{lt of each type of use ..................... 7. Dimensions of existing stmctu*es, if nny: F~ont ............... Rear ............. t Depth ............... l leight ............... Nmnber of Slodes ........................................................ Dimensions of shine slmclure with alterations or additions: Front ................. Rear .................. DeI ti .................... Iici,bt ........... . Numb' f eries ..... 8. Dimensions of entire new construciion: Front ...... ~ ...... : Rear .... ~ ......... Deptlt ............... lteigbt ............... Number of Stories ........................................................ Size of k~t: Ih'oat ......... , ............ Rear ...................... Depth ...................... Date of Pm'chase ............................. Name of Fenner Owner ............................. Zone or use district in which premises are situated ...................................................... Does proposed construction violale any zoning law, ordinance or regulation: ................................ Will lot be regraded ....... ; .................... Will excess fill be removed from premises: Yes No N;mm of Owner of premises ........... ; ........ Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone ~o ................ Nallle t)f (}oll[l~lC[()r , ......................... Address ................... Pbolle No ................ Is this proper~7 within 300 feet o[ a tidal wetland? *Yes ........ No ......... *if yes, Southoht Town Trustees Permit may be required. P LOT DI AG RAM 1.ocate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from prope~ ty lines. Give street and block number or description according to deed, ami show street names and indicate whether 10. 11. 12. 13. 15. A_P. PRgl/E0_A$ NOTED 765-1802 9 AM TO 4 P~ FOR THE ,COLLQW'IN G (N'3PECTtONS: 1 ¢':;,UNO~OtV TWO REQUIRED F¢)i.~ p()t ~;~E O C<~NCRETE 4. {::(NAL CONSTRUCTION MUST 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALl. MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS :T^TF. OF NEW Y93.~]<,,~ ,. :o ,u/try ....... (Name of hulividual signing conh'acl) (Contnmtor, admit, corpo~at~ officer, etc,) said owner or owller5, and is duly authorized to perform or have performed the said work and to lllake alld file this qd[cation; that all statcnlents contaJlled Jl~ ~]lis appJicatlon are true to the best of his knowledge alld belief; and that the ,o[k will be pe[formed in the manner set foith in the applicalion filed lherewith, ......... ...... "' 7' N~a~ ~blic, State of N~Y~ ~ ~ -- (Signature of applicant) No. 4952246, Surfak ~ou~ Term ~pires June 12, I~