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o�s�yPrFO(,f�OG Town of Southold 5/10/2018 a y P.O.Box 1179 0 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39639 Date: 5/10/2018 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 300 Latham Ln., Orient SCTM#: 473889 Sec/Block/Lot: 15.-94.10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/27/2018 pursuant to which Building Permit No. 42436 dated 3/6/2018 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: "AS BUILT"ALTERATIONS INCLUDING A THREE SEASON ROOM AND PARTIALLY FINISHED BASEMENT WITH BATHROOM IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Arnold,William&Cynthia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42436 05-03-2018 PLUMBERS CERTIFICATION DATED 04-24-2018 EqXard H. King 0 W 0hod Signature StiFFnt�c TOWN OF SOUTHOLD BUILDING DEPARTMENT a TOWN CLERK'S OFFICE o' • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 42436 Date: 3/6/2018 Permission is hereby granted to: Arnold, William 300 Latham Ln Orient, NY 11957 To: legalize "as built" alterations to an existing dwelling as applied for. At premises located at: 300 Latham Ln., Orient SCTM # 473889 Sec/Block/Lot# 15.-9-1.10 Pursuant to application dated 2/27/2018 and approved by the Building Inspector. To expire on 9/5/2019. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $568.00 CO -ALTERATION TO DWELLING $50.00 $618.00 uilding Inspector Form No.6 TOWN OF SOUTHOLD 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 Building Department with the following: A. For new building 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 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. B. 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 Date. Doi - R-7-o2D IS New Construction: Old or Pre-existing Building: /Y (check one) Location of Property: L a 4l` am House No. Street Hamlet Owner or Owners of Property: A rn o l J Suffolk County Tax Map No 1000, Section ] 5 Block -6 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: (che k one) Fee Submitted: $ Appy 'gnature pF SO(/r�Ql 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G �Q roger.rich ert(, _town.southold.ny.us Southold,NY 11971-0959 C®w '� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Arnold Address: 300 Latham Lane City.Orient st: New York zip: 11957 Building Permit#: 42436 Section: 15 Block: 9 Lot: 1.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 7 Ceiling Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 3 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Swtches 6 Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS" Notes: Inspector Signature: — Date: May 3, 2018 r 0-Cert Electrical Compliance Form.xls so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O Box 1179 Southold,NY 11971-0959 \§ BUILDING DEPARTMENT MAY 4 2018 TOWN OF SOUTHOLD TOWW OF SOMUOLD CERTIFICATION Date: 7 Building Permit No. 4 -3(e Owner: �,LU (Please print) Plumber:r6&/"''4 4, e" A.>-9 (Please print) / I certify that the solder used in the water supply system contains less than 2/10 of I% lead. (Plumbers Signature) Sworn to before me this 21 day of OrtzlL- 20 Notary Public, J�S" COLHI(31 MAPZ-CMAGUIRE ppxpav puma State of NY No.4027232 Quaged Ig NWau County VeM ExpAm April 30.20.17,1"' H O i TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL A t6e#� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ZWL All Jr- DATE �M •w DATE '217*420TINSPECTOR OF SOUTyO� * TOWN OF SOUTHOLD BUILDING DEPT. coum, 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE �� INSPECTOR Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattituck, New York 11952 Fax 631-298-2651 condoneng i neeri ng.com April 12, 2018 Mr Mike Verity Chief Building Inspector Southold Town Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Re: Arnold Residence—300 Latham Lane-Orient Dear Mr. Verity: I inspected the bathroom in the cellar of the building and found the plumbing to be free of leaks. To the best of my knowledge the plumbing is installed in compliance with the Residential Code of New York State. If you have any questions, please call me at 631-298-1986. Yours truly, Condon, P.E. D RPRVE DD APR 12 2018 TOWN OF SOUTHOLD Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattituck, New York 11952 Fax 631-298-2651 April 25, 2018 Mr. John Jarski Building Inspector Southold Town Building Department 54375 Main Road Southold, New York 11971 Re: 300 Latham Lane, Orient, NY Dear Mr. Jarski: Based on my inspection of the cellar of the 300 Latham Lane, Orient, NY building the finished section of the basement has been insulated specified in the plans submitted on 2/28/2018. To the best of my knowledge the installation insulation is in compliance with the NY State Building Code at the time of its completion. If you have any questions regarding this letter, please call me at 631-298-1986. Yours truly, k;� P-- on. P.E. 051684 D MAY _ 4 2018 DD TOWN OF SOUTHOLD s 'r t FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) ,., -------------------------------------- FOUNDATION (2ND) ROUGH FRAMING& PLUMBING y i INSULATION PER N.Y-. y STATE ENERGY CODE AA n� ire. ca •n4; FINAL ADDITIONAL COMMENTS - /8 ! �k ' Ali 4 1114 M ,Pn ✓ 1 L z d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9501' Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 120 ,Single&Separate DD Truss Identification Form . I �/, R FEB 2 7 201 Storm-Water Assessment Form Contact: Gl �e�� Approved 520 i"'' atu -me":-W!5 1 lip��l�l' Disapproved a/c TO - SO Phone:f5A0— "�z?7Ty Expiration Buil ' Ms APPLICATION FOR BUILDING PERMIT Date 'Z , 20 INSTRUCTIONS a. This application MUST be completely"filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. \ h b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector' issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting:the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housin code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. Sign f applicant or name,if a corporation) (Mailing address of a plicant) State whether applicant is owner, lessee agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises (As _'G6 tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's Livens"e�Nd. 1. -Location of land on,which proposed work will be done: House Number Street Hamlet County Tax Map•No. 1000 Section od/5 Block Lot �,�� Subdivision Filed Map No. Lot 2. State existing use and occupancy of pises a d intended use d oc u a cy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable):New Building Addition Alteration&j 'e. Repair Removal Demolition Other Works f t/ (Description) 4. Estimated Cost y (To jb`e paid on filing this application) 5. If dwelling, number of dwelling units I I 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: FrontDepth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOX-"- 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14.Names of Owner of premises_/jj; 64% /IG�f� Address `?V(djj7f�W Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO_r * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NQ?5�- * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: CO being duly sworn, deposes and says that(s)he is the applicant 7idu'al ing contract) above named, (S)He is the (Contract Agyent- orporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK Sworn to before me thisNO.01DW6306900 da of QUALIFIED IN SUFFOLK COUNTY y 20_b[y COMMISSION EXPIRES JUNE 30,2018 Notary Publicature of Applicant t SURVEY OF LOT 10 MAP OF NED � LOT O FILE No. 5909D FUD MAY 3. 1973 SITUATED AT S 88.57'40" E 204.55' ORIENT POINT ` TOWN OF SQU7HOLD asS.FD �a N SUFFOLK COUNTY, -N EW YORK N o S.C. TAX No. 1000-15-09-1.10 1n--i SCALE 1"=40' L v FEBRUARY 22, 2001 ° C>t MARCH 21, 2001 REVISED PROP. WELL h CESSPOOL LOCATION LOT 1,0 SEPT.20, 2001 FOUNDATION LOCATION JANUARY 2002 ADDEDER SEPTICSYSTEM 2002 FINAL RV WELL LOCATION S NOVEMBER 15, 2002 REVISED SEPTIC SYSTEM MEASUREMENTS o4r+c�= '• AREA — 41,781.49 sq. ft. 0.959 cc. 'ov ,S, I. ELEVATIONS ARE REFT3lDNC[D TO N.C.VJL 1922 DATUM _ E705TM10 FIEYATT016 ARE S1gMN THUS:-M0• OGs� 2P Lxssvoal 2. FLAW ZONE WORMATM TAKEN FROM; `———— •, •:• ��0,� i, �F i 0\ FLOOD INSURANCE RATE MAP Mo. 3610300066 6 76D•. ).Y n!f' yy.. 41 O ZONE AE: BASE FLOW ELEVATIONS DETF AI NED y Y•!:-I• T � y row Kl• Amas OF 50P-TF•IR Fla°°:mwAS OF 100-yw mOM MDI AVElVGE ro aq� G+,4�A9 j �1 Nj OFrm or tESs nw+ 1 FDOF OR MTH Dal/MCE ARDS I=THAN 'P '✓�' •A 'T �, C 1 SQUARE MM APO AW-AS POMEM D eY LEVEES F*N 100-YEAR FLOW 4b dl i DI6Vl7MAY- �7 Cc Sm Qp, 14.6• I `� c ( / _ t } j WILUAII(„JNOLD it LATHAM LANE I a .ti - t o r�v\-+. 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ROUGH - FRAMING & PLUMBING �{Epoc, 'n � 3. INSULATION . '� 4. FINAL -CONSTRUCTION MUST i -BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL,MEET THE COMPLY WITH ,ALL CODES O®�� _ ._V ___ . YORK STATE. N RESPONSIBLE FOR M NEW YORK STATE ,' TOWN C0 , DESIGN OR CO TRUCTION ERRORS. AS REQUIRED A OC7NC�6 ___M�,=___ __. � PSE • LDTOWN ZBA _ �.-_.�mA��. =�w:::�w--o-:�v.___,� �..�.__r� - SOUTNOL LANNING BOARD __.�.__.______._ A I.4b GI.D��I7 ------------ S THOLD TOWN TRUSTEES ` WTI Additional Certification May Be Required. 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