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HomeMy WebLinkAbout17618-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19848 Date APRIL 11, 1991 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 60 ROGERS ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 66 Block Z Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Apphcataon for Building Permit heretofore filed in this office dated NOVEMBER 15, 1988 pursuant to which Building Permit No. 17618-Z dated NOVEMBER 18, 1988 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 ADDITION & ALTERATION TO EXISTING ONE FAMILY DWE:IS,ING The certlf icate is issued to STEPHEN G. & JOAN T. LATHAM (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-096558 - OCTOBER 11, 1989 PLUMBERS CERTIFICATION DATED AUG. Z5, 1989 - JOHN E. WALTERS PLUMBING .~e/~ Building Inspector Rev. 1/81 zosat xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) t i ., NO :.-~.lb~.~ Z Date .......1~?:'.:?!'`~4r....~.~'.........., 19.~~ Permission rs hereby granted to .. is ~..a...~'...~~:~P... ~.~. -e .:...... _ 1 A~~. Gin.-rp-r- ?r......C.K.+.... ~'.~ r. ~! ~.~~ .. ~--c f to ...~iV:Y~?.~4.t.~...~?~4.:~.~!,~....Q.r~c,4..q.......1~!~R...~.4.~ r~-~... .......... ...................... ct premises located at ..,.~ ~......~.,....... ~r.4...... :.....$-~-l.rKC!~-.!~LM~.~ .... ....... ... .... County Tax Map No 1000 Section .. . ~ ~.°.~.. Block . Q........ Lot No ,,11 ~j ...~..... . pursuant to oppiicotion dated ....1~.. ~.S- .. ..., 19.4..a ., and approved by the building Inspector. Fee 3 ..~~'.,~ .. . ............... . Building Inspector Rev 6/30/80 Form No. 6 - ~!`'~~ TOWN OF SOUTHOLD ~ - ""~' ` BUILDTO~D~ARTMENT ~ ,4PfZ (1 199) 765-1802 i, ~ ~§ ,._ r~ APPLICATION FOR CERTIFICATE OF OCCUPANCY ~~°~°°' "- "°"" \. 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: i. 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 farm). 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 2f10 of 19. lead. S. 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. 3. 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. .. 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 ........~-~~/.~d-f-~..:~/.~~'9/. __ _ yew Construction.... ~..... Old Or Pre-existing Building. ...:'~........... •.••.' •. .ocation of Property..la:G..~.~.~GG.~S..'eD:i...S:://'T.~r'GT~....~Y.. /l9?/ .................... House No. Street Hamlet )nwer or Owners of Property....... ..... .. ... ........................... ~.,.,., r., ~r ~,. Nr~., rr„ rnnn e,,...a,... ~~ a~,... r. Z-- r,... ~~ .ubdivision..~%:/JCc-?~N,./.tT/fr~.(............Filed Map............Lot ...................... 'ermit No.~7 ~ /&.y ......Date Of Permit..~~~~~ ~......Applicant ............................. iealth Dept. Approval ..........................Underwriters Approval... ,..................... 'lanning Board Approval ........................ request for: Temporary Certificate........... Final Certicate........... 'ee Submitted: $...~c'.5 ....................... , ~/^ G.~., y ty CD?}y6y~ APPLICANT , • ~ Y o~,'~^ ~FDU, Cp~~ ., :;, ,? C ~ \ ~ ~~~ rn ;1 y ~ 4~ ~AOl V ~ ~~~~ TOWN OF SOQJTHOLD OFFICE OF BUILDIi•IG INSPECTOR P.O. BOX 728 TOWN HALL SOUTHULD, N.Y. 11971 C E R T I F I C A T I O N TEL. 765-1802 ~'1 APR } 11191 Date (rJ/11f~'S7~ v'~S . /~fG' f Building Permit No. Owner ~C+1'1'+~ Y (please print) Plumber Jml•M~ ~.• ~~1~ ~~dld~~(` ~~~A~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. Sworn to befor^_ me this ._,L day of ~.c~[ [~~ 19 ~"~/ notary Public,_:_~G,~County ~t ~O~n~s MMUUb-k (plumber's signature{ Notary Public ~ Ilt)ARD OF FIRE IFNQERWRITERS , , , I ~ ^ - +)ot+r.2l ruMwv of E~acTR-crnr - $$ JOHN $t11EtT. NEW YORK. NEW YORK 1003$ Isla Q{;TO11k:H Y ! .1}i:d4 AMflntionNo.onfiM `'`tk'>^' ,^t~l!?8 m ~,. .. rtas csas swtr only tM oYlM~lol/t~utowtw tl!lcetkd 6okrv and Iat/orlrcod 6y tM optUenet notnsJ on tks okoa op/Bwtion numkor in tMpnmiso! of ;'t'e~tli L+N Is~x~A~s IiQ II(?GKH:r N;u~i), ~•,~.#'.~ "i. :~('li Y'tt+?i„>, y, t .. hstMjothtekyt lnmstgtn; ^ fosemont ~ -At FI. ~ Ynd F1. (ili7' Section Bklck Lot uw aa~amitteBon $:F;131'$Mtill;i[. :t5,7.bN`± ondfound to be in rnmplianre with the requinmentAOf thb BwrJ. tt~ .w.._ _ ..nrr} W11R! OTnIP ..... NAT. .~. K. W. .~......~ AMT. .A.~.. K. W. .. MN. K.W. AMY.` K W. .... MN. H.I. pp ., ~ .)EI ~fJ '1~ i '_ D~f 11t111M ANt1AMd ~Yf 1NQMMC7I litlr tlOCKf ~ IMIR'tAR1Mi ~ AMT. K. W. Ott IA I. K I. AMT. NO. A. W.O. AMi. AAN. AMI; AMIt. tom. AMT. M. I IIO. a' Rin OMMMS AMT. WATT6 ~ ;1) AMT. AAV. 171! ~ i 1/ rW t / tw 7 / 7AY 7/ M' • a A.'M• NO.Of NFIl6 ~•~.~ NO. p mNMiS Oi ~I EIIRY ~ c OTIBR ANAM7Yk ~ - - _.. _ - °ilNr;t.{d[)AKllS: r.--~.!~ (: 1. ti. '.1111 r:,,H;c , Wr,'rr~ fY},If'r.':rt< ... ~ . •> y.. w , tt,Y.C.t:-9 snoxr: rrx'r~tcx'<~t~ i 1yACi{. ~,. iiU±tNX C Ll'.~N2-et ~~~~~ ;iUU9.'fi:)i.IJ, DIY . ' ; `1'i ! II OMAN AIApA~ t ,t _ Psr~ ,.Thit unHNw! ~lar.~f (oli dNgd in unit +wtrgry-tNlra es Ib.. stflaof ~. ewae.N iMOtnct._ knsQ.etors. innN. b! idlmii~,...ltj ila~i!.,~.,.. v tky'T ~"~1,~° z ~~l ~i r~~ To~rrr ,or souTUO~.~ or•E•ICl_ or• 1suILDINC }NSercrolt P,O. I3O7( 1 1 7 9 TOWN !SALE SOUT I TOLD, N.Y. 1 1971 June 1, 1989 Latson Construction 12425 Sound Ave. Mattituck, New York 11952 RE: JOAN & STEVE LATHAM To I~ihcm Thin May Concern, TEL 7G5-180'_ We arc unable to complete your Certificate e€ Occupancy because oL the folloeoing reasons. /_~ An application for Certificate of Occupancy is not nn file. (ENCLOSED) /i~ No [)nder~lriters Certificate on file. /~ '['hc chr_c}: ic, (r~}i7l,`(~~/nut on fiic. J $25.00 /_/ Mo flea! th Dept.. Approval on file. /_/ Nn final insl.ec:~ion has been made. Please contact our office on this matter. Thank you for your cooperation. PuilcIu;cj Permit- 11 I 7 6 I 8 Z IIuilQinq Dept. *`*/{/~tlo Plumber 5oldct. Certificat-c on Life. ( all prrriitu ulvnlv~.ng plum}~inc~ being issued after ~1pr~1 1,1984 ) -1cLD 1;.S: EC:IU;+ ~ IUr'~TE ~) UOMMCNTS ~ 1, m a _._ _ H y FOUIIDATION (1st) _ FOUNDATIOi1 (2nd) - - 2. a - ' ~ z 0 ROUGH FRAME PLUMBING y H 3. ~ ~ ~ m m IiISULATIOPI PER N. Y. '~ STATE ENERGY CODE x a ~'~ y 4 . o ©/ Gv FINAL ~ V- //_ ~+o- o s ADDITIOiIAL COMMEiITS: x ' M x ro H 7i y H H O z r - H x v m H 1 ~ ` ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ~ ~ ROUGH PLBG. [ ) FOUNDATION 2ND [ )INS TION [ ]FRAMING [ FINAL REMARKS: DATE ~ ~'4 r S ~ 7~1P 765-1802 BUILDING DF_P'T. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ }FOUNDATION 2ND [ )INSULATION 0 DATE ~ `~ ~ INSPECTOR .ri1-j [t!I FRAMING [ ] FfNAL i~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL DATE INSPECTOR ~ >~~P 765-iS02 BUILDING DEPT. INSPECTION [ }FOUNDATION 1ST (/~OUGH PLBG. [ J FOUNDATION 2ND [ ]INSULATION [ ] FRAMINGQ~ [ ]FINAL REMARKS: T '~.f.`r'~lG~- ~it-~.c4~ t DATE ~ fNSPECTOR \o~~FF4tkcoG~~ ~' :}C ~ t' ~ ~~ ~ :~ _ yO C9! ~ •Gf/~l ~ ~~'~ TOWN OF SOUTIIOLD UI•i'iCL• OF BUILDING INSPECTOR P O. BO\ 728 TOIYN fiALL SOUTEIOLD, N.Y. 11971 TEL. 7G5-t 803 FEBRUARY 21, X991 JOAN G STEVE LATHAM 60 ROGERS RD. SOUTHOLD, N.Y. 11971 To [•lhom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. ,+~~/ nn application for Certificate of Occupancy is not on file. ENCLOSED / / No Underwriters Certificate on file. /~/ The check is (Qatits~,R4~d/not on file. } $25.00 (_( No [icaith dept. Approval on L-ile. / / Nu (anal inspection has been made. Pleace contact our office on this matter. Thank you for your cooperation. f3uildinq Permit ft I 7 6 I 8 Z ADD 6 ALTER NOV. 18, 1988 Building Rcpt. ***/~( No Plumber Solder Certificate on file. ( all permits involving plumbing being ~~fr. issued after April 1,1984 } 6</' r~ • /~ ENCLOSED COPY OF LETTER SENT 6j-j89 to LATSON CONSTRUCTION 99/ ~.• .~,° ~• C~ , ~ ,~ FORM N0. 7 F ~tji• TOWN OF SOUTHOLD y ~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 gl_DG _DEPT.,,~, „ TEL.: 765-1802 Examined At •P-~-~'"'1n1NPA .« ., 19$~. Approved ~ ~'??~ ~~., 19 Y.~ Penrirt No. j 7 Disapproved a/c BOARD OF HEALTH 3 SETS OF PLANS ..~.. SURVEY ...... CHECK ..................... SEPTIC FORM ............... NOTIFY CALL .... MAC I/L T 0 : S~/ y~q/~T J/^nf~. (Budding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS r Date . !`~. ~..E. ~ ......., 15 i a. This apphnahon must be completely filled m by typewriter or in ink and submitted to the Budding Inspector, wit sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing location of lot and of buildings on premises, relatronship to adjoining premises or public str or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap cation. c. The work covered by ttus application may not be commenced before tssuance of Building Permrt d. Upon approval of this application, the Budding Inspector wdl issued a Budding Permit to the applicant Such per shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used m whole or m part for any purpose whatever untd a Certificate of Occupa~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the tssuance of a Bwlding Permit pursuant to Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of buildings, additions or alterations, or for removal or demoIrhon, as herein descnt The applicant agrees to comply with all applicable laws, ordinances, buildin,gS code, housing code, and regulations, and admit authorized inspectors on premrses and in building for necessary mspectidns ", (Signature of applicant, or name, if a corporation) (MaIImg address of applicant) } ~ rr y State whether applicant is owner, lessee, agent, architect, enganeer, general contractor, electrician, plumber or burp .. ;'~. N. I ~.~ ~''` ..... ....... .... t .... ..... .. ........ . . .. .... .. ..4 ..N ' ( 5-f ~ L~-'-, Name of owner of premrses ..... r,, N :. ~ d , , e e, - , , - ~!, hQ ~ (as on the tar roll or latest deed) If applicant is a corporatton, signature of duly authorized officer .......... .... .. .... ..... .. . .. ....... (Name and title of corporate officer) Bwlder's License No ] ?, ~ (~ ~? .U..' . f'7 .-~-.. . _.~ Plumber's License No . J ~' ~. - • • Electrician's License No. ..2-.~ ~. ~• Other Trade's Licensc No .. ..... ... . 1. Location of land on whuh proposed work will be done .. • , • , , . , , , . , .. . ......... . .. ~ a ..... . ~~ ,~, <. r . ~'.~~. .......... > ~ v-~:~ IFS. ...... . House Number Street Hamlet County Tai Alap No 1000 Section /~r~2e.-.d~.- •~ • : J ~~ Block .. .. .. ...... Lot . ........ . JJam~-- -{~ .... Subdivision s~~.~x%Sl.c:~a 1.~:£~~k ~`S . .. Fled Atop No ... .. .... Lot ... ........ (Name) 2 State eeisUng use and occupancy of premises and intended use and occupancy of proposed construction ~ , a. Evstmg use and occupancy ...... ~ ~ ~.ix s 1^. ~~ 3 ~ + . s: S ~K ... ..... .... ....... .... .. . w,.:r,...~2.z~r.~t,~~ b. Intended use and occupancy ... J. v.~vt . ~ . ....... ........ .......... 3. Nature of work (check which applicable). New Building .. ~ .. Addition . ........ AlteraUOn ~'r.. . . ... Repair ........ ... Removal Demolition Other 1Vork .... ...... . . ........... ... '7 n ~~ ~t ~ ~escnption 4 Estimated Cost ..... ~: S G?~.v .. .. .............. Fe ... 7.... < (to be paid on filing this application) 5. If dwelling, number of dwelling units .... ~ .. Number of dwelling units on each floor ............ . If garage, number of cars ............... .............. .......... .. ..................... . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .......... . .. .. 7. Dimensions of existing structures, if any Front .3, Ct.`. .... :Rear ... 3 ~.~..<.. De th . ii.G. ~..... p Height .... J•q ~ ..... Number of Stones .... .. (.. .' .. ... .... ... ...:... ./ Dimensions of same structure with alterations or additions Front .. ,%~........... Rear ...2, ~, P.. , , , , , , Depth ........... =C: G ........ Height ...... J ~i ~ . .... ....Number of S ones ..... ~-.......... . 8. Dimensions of entire new constriction Front .... S v....... Rear .....z ~ . ~ . ; ::: Depth . 1{'.4> . , , , , . Height . (~! ...... . Nurpber of Stones . .... . ,.~....... ~........ . . 9. Size of lot Front ~. 5 ............. Rear ....... E. S ..... ... Depth . J. ~ ~.i .......... . 10. Date of Purchase ...... ..... ................Name of Former Owner ....... ....... ... ..... . 11. Zone or use district in which premises are situated . ....... ...... ... ..... . ................ ..... . 12. Does proposed construction v~~pp~ate any zomng law, ordinance or regulation ....N C ..................... . 13. Will lot be regraded ..... /~'.c! , , ... ..Will excess~ll be re~oved~f o premises. Yes 14. Name of Owner of premises ..1,~c ~r . t' S. F~::° .~ iRu''9 Address 4•..:~f//~ ~t:. "S`i , s.-r.1!i°~hone No.:2 G S:: 3E.Q .t. Name of Architect `?N"'~.JSf s~:z<Sv~„+.......Address?SZ}5.:'14,,,.1~i~. L~~~~RhoneNo..~3'1:.dNf.1. Name of Contractor ~-.~+~.5~n..tr.r.5.fi+,,.~.~in~.....Address?~."?-b.f,:~~v:.~~_.~.T.Elr~uieNo..~1~:SZ?.:? IS.Is this property located within 300 feet of a tidal wetland? *YES....NO.G: *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly al] buildings, whether existing or proposed, and indicate all set-back dimensions fr property fines Give street and block number or descnption according to deed, and show street names and indicate whet intenor or comer lot. STATE OF NEN YORK, S S COUNTY OF ... .. )c, ~ ~ ... ~ eti~SP!-t . .... .... .... being duly sworn, deposes and says that he is the applic (Name of mdrndual signing contract) above named. I He is the ... ~c.+^ . ~C a+E c+^ ..... .. ....... ....... ............ ............. ... . (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file application, that ail statements contained in this application are true to the best of tits knowledge and belief, and that work will be performed m the manner set forth m the application filed therewith. Sworn to before me this 55 .... .. ~Sl. day of . l:~?n%:..... .. , 19 Notary Public, ....!'~:~~. !1 -.. ~?~ ~!~:".... .. County ~/ ~G;~ HELEN K DF VOE " " " " " " " ' ~ ~~~ NOTARYPU8ttC ~fateofNewYork (Signature of applic. Na 4T078Its, SoRa;x Cous~iy~y Tsrro Expires A4amh 30,19..~.J