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