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HomeMy WebLinkAboutZ-28706FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUP~-NCY No: Z- 28706 Date: 08/14/02 T~fS CERTIFIES ttuat the building DWELLING & ACCESSORIES Location of Property 720 TOWN CREEK LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 064 Block 0001 Subdivision Filed Map No. Lot No. SOUTHOLD (HA24LET) Lot 014.004 conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which c~TIFICATE OF OCCUPANCY N~3R~BER 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 GAP~AGE AND BD~RN.* The certificate is issued to ALMET R & EDWINA LATSON III (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~RALI~{APPROVAL ELE~-rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~r~u N/A N/A N/A *PLEASE SEE ATTACHED INSPECTION RE~ - - Authorized Si tu-re Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 720 TOWN CREEK LA SOUTHOLD SUBDIVISION: NAP NO.: LOT (S) ~5%1~E OF OWNER (S): ALMET R & EDWINA LATSON ~uPANC"f: SINGLE FAMILY ALMET R & EDWINA LATSON ADMI'I'£~BY: EDWINA LATSON ACC~PANIEDBY: SAME K]~y AVA~I~a28I~E: SUFF. CO. TAX W~P NO.: 64.-1-14.4 SOURCE OF RF~q~ST: EDWINA G LATSON DATE: 08/14/02 DWELLING: · "fPE OF CON~'TRUCTION: WOOD FOUNDATION: CONCRETE BLOCK TOTAL ROOMS: 1ST FhR.: 6 BA'r~tl(O(O (S): 4.0 PORCH ~"fPE: SCREENED BI{EEZEI~AY: TYPE HEAT: NAT GAS WARM AIR: ~r~mu{: BILCO DOOR, 3RD FLOOR UNHEATED, # STORIES: 3.0 # EXITS: 3 CRT.T.~R: PART CRAWL SPACE: · ~)II~ET R(~M(S): 1.0 IITILI~"f RO(~(S): DECK ~"IPE: PATIO TYPE: FII~EPLACE: 1 GARAGE: HOTWATER: STEAM second floor rear s,,mmer kitchen (2) rooms unheated. ACCESSORY STRUCTURES: G~a,i{AGE, 7"fPE OF CONST.: LARGE WOOD STOP, AGE, ~"fPE C~)NST.: LARGE WOOD BARN SWIPING POOL: GUEST, TYPE CG~ST.: COTTAGE WITH CERT. OF OCC OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. BP904ji~BY: MD OIIFIsE C0Z690;~ BP11549 ENC.PORCH C0Z11608 / __ DA~ ON INSPECTION: 07/29/02 TI[~E START: 9:45A34 I~ID: 10:35AM Form No. 6 · vow OF SOUTUOLD 5 BUILDING DEPARTMENT TOWN HALL ~ ~ql\ APPLICATION FOR CERTIFICATE OF OCCUPANCY i .q ! ~ Thlsa hcatlon must be filled lab t ewnter or ink and submi'A~ ....... i',iil,.,~, ,J[JL 2 ~ 2002 ~ ' pp .... y yp ' ,¢u to the ~uiming ~epaa~ent~h the following: t - A. For new building or new use: k ~ ~';"~ :/ ''-'*Ot_O 1. Final su~ey ofprope~y with acc~ate location of all buildings, propeay lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fo~). 3. Approval of electrical installation from Board of Fire Unde~fiters. 4. Sworn statement from plumber ceaifying that the solder used in system contains less than 2/10 of 1% lead. 5. Co~ercial building, industrial building, multiple residences and si~l~ buildings and installations, a ce~ificate of Code Compliance from ~c~tect or engineer responsible for the building. 6. Sub~t Pla~ing Bo~d Approval of completed site plan requirements. ~For e~sting buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-e~sting" land uses: 1. Accurate s~ey ofpropegy showing all propeay lines, streets, building ~d ~usual nat~al or topo~aphic feat~es. 2. A properly completed application and consent to inspect si~ed by the applicant. If a Ce~ificate of Occupancy is denied, the Building ~spector 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ! ~ ~ . 0-'o Old or Pre-existing Building: Date of Permit. Street Date. ~ (check one) HTml~ Block Filed Map. Applicant: Underwriters Approval: Final Certificate: (check one) Lot Lot: -'~pp h'~ant ~[g~tur~,J ' CONSENT TO " INSPECTION O~rne~(s) Name(s) - do(es) hereby s/ate: That the unldersigned (is) (are) the owner(s) of the premises in the Town of Southold located at , which is sho~ and deslgm~ted on the Suffolk County tax map~as District 1000, Section ~ ~ , Block ~ , Lot ~ ~ ~. That the u~dersigned (has) (have) filed, 'or caused robe filed, an applica- tion in'th. Sout~old To~ ~uzlding lnspeu~ .~ o.~ ~.. +h. . That the u~ders~ncd do(es) hereby give consent to Q~e Building Inspectors of the Town of $outhold to enter upon the above described property, including any and all builplngs located thereon, to conduct such inspections as they may deem necessarj with respect to the aforesaid application, ' ..... ' mclud~g-~nspect~ons to determine that said premises comply with all or the laws, ordinances, rules and re~ulations:J or the Town or SouthOld. The undersigned, in consenting ~o such ~sp~ctions,. do(es) so ~th the knowledge and ~nders~anding that any ~rormation obtained In the conduct or such inspection~ may'he used as evidence in subsequen~ prosecutions rot vio- lations o~ the l~ws, ordinances, rules or re~lations or the Town o~ Southold. (print nan{e) (siRnature) 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REIIIIARKS.~/<~~ ~'-/~~,-~. /~~.~ 765-3,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMH.~y / ' ~ "~ '~/'"'~ ' INSPE~OR ';' ':',, (number & street) (municipality) SUBDIVISION: ,~ , ,¢ ~, MAP_I~O.: LOT(S): NAME OF OWNER~): ~c~--c;~., ~.Id ~ ~ ~ / (t~e) ' t (o~-t~t) ~YAVML~LE: ~ , , , ] . SU~F. CO.T~NO. 1,000-~ SOURCE OF ~QUEST: ~/~-/~M DATE: ~/O~ DWELLING: TYPE OF CONSTRUCTION: t-A,)~yO ~ #STORIES: ~ #EXITS: FOUNDATION: ~-t f~. / CELLA=R_: p~'"' CRAWL SPACE: TOTAL ROOMS: BATHROOM(S): _ r.~ TOILET ROOM(S): ~ UTILITY ROOM: PORCH TYPE: ~ DECK, TYPE: PATIO, TYPE: BREEZEWAY: ~ FIREPLACE: ~ ?'Y,-~.~ GARAGE: DOMESTIC .I~OTW~&TER: ~r~q TYPE ItEATER:/V',~ 7' ~ ~RCO~ITIONING: ~, TYPE HEAT~~- WA~R: -- HOTWATER: ~ ~ OTHER: ~/~,~]~/~ ~ ~ ~ ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: ~ ~'/d'v~'~ ~ GUEST, TYPE CONST: ff_O ~/t//~'o~ ~'-.~/C, O '- VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION &'BUILDING CODE LOCATION DESCRIPTION ART. SEC. / RZMARKS: DATE ON INSPECTION: 7/~~'''''~ i~te. 25) ToWN OF sOUTHOLD The Io¢olions of wells and cesspools shown hereon are from field obsetvdlons and or from dala obkTined from ofher~, SUFFOLK HALIPPA'UGE, N, Y. SERVICES 0 Ted Boring DK. SR. SANDY '% ~, SUBDIVISON MADE FOR ~ NJ "~''1'~'~' HELEN M. LA TSON A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 64 - 01- 14.2 Sca/e: I"= 100' _ j 300' e..~ -.... *~ Oct. 16, 1996 ~ DA TE REVISION ~,~,,. ";'%o~-~ '. UI5/97 AREAS ADDED AREA LOT /~_7= ,49/80 sq. fl AREA LOT f7 or= 1,129 Acres 2.82 Acres-+ AREA = 3.95 Acres_+. LOT NUMBER OF bOTS APPROVED BY SCDH$. .i. j OWNER/APPLICANT HELEN LA TSON TOWN CREEK LANE SOUTHOLD, N.Y. gTE KEY MAP SCALD 1 '-SO0' PROPERTY LINE HOUSE ROAD I5161 P. O. BOX I-P30 TRAVELER SOUTHOLD~ N.Y. TYPICAL PLOT PLAN 4961B STREET 11971 96-176