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Home My WebLink About43221-Z ip 'f Town of Southold 11/27/2018 P.O. Box 1179 r, 53095 Main Rd %ALh's. -A Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40067 Date: 11/27/2018 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 300 Latham Ln, Orient SCTM#: 473889 Sec/Block/Lot: 15.-9-1.10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/7/2018 pursuant to which Building Permit No. 43221 dated 11/14/2018 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"OUT DOOR SHOWER ADDITION TO 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. PLUMBERS CERTIFICATION DATED 11-16-2018 AV Arnofi ,,Altlo ' e Signature �p F04 Town of Southold 11/27/2018 . P.O. Box 1179 b 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 40068 Date: 11/27/2018 THIS CERTIFIES that the building GENERATOR Location of Property: 300 Latham Ln, Orient SCTM#: 473889 Sec/Block/Lot: 15.-9-1.10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/7/2018 pursuant to which Building Permit No. 43221 dated 11/14/2018 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"ACCESSORY GENERATOR AS APPLIED FOR The certificate is issued to Arnold,William&Cynthia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43221 11-19-2018 PLUMBERS CERTIFICATION DATED uthorized Signature It TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE I& 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#: 43221 Date: 11/14/2018 Permission is hereby granted to: Arnold, William & Cynthia 300 Latham Ln Orient, NY 11957 To: legalize "as built" generator & outdoor shower as applied for. Two Co's will be required. At premises located at: 300 Latham Ln, Orient SCTM # 473889 Sec/Block/Lot# 15.-9-1.10 Pursuant to application dated 11/7/2018 and approved by the Building Inspector. To expire on 5/15/2020. Fees: AS BUILT -ACCESSORY $200.00 ELECTRIC $170.00 CO -RESIDENTIAL $50.00 SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $400.00 CO -RESIDENTIAL $50.00 Total: $870.00 Building 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. - ,- 2 0 — New Construction: Old or Pre-existing Building: v (check one) — Location of Property: -3 d b C,10�AM 0 House No. /Sttre�eet (� Hamlet Owner or Owners of Property: W \k_L.%A ^ Ae-PE)UD Suffolk County Tax Map No 1000, Section 15 Block q I 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: (check one) Fee Submitted: $ Applicant Signature pF SOUryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 • �o roper.richert(cD-town.southold.ny.us Southold,NY 11971-0959 Q ��4UNTY,N� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. William Arnold Address: 300 Latham Ln City- Orient St: New York Zip. 11957 Building Permit#• 43221 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 X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures �] TVSS Other Equipment: "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS" 15KW standby generator with transfer switch Notes: Inspector Signature: Date: November 19 2018 81-Cert Electrical Compliance Form.xls ISO Town Hall Annex Telephone(631)765-1802 54375 Main Roadc Fax(631)765-9502 P.O.Box 1179 +�s,► Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: 11 Building Permit No. 1 Owner: �rV 1 L.L l F�Nn (/Please print) Plumber: -1-" (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. �=�(:;4) 0 (PIumbers Signature) Sworn to before me this (P+h+h day of 20A Notary Public, County TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO OIDW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2Qao2 pF SO(/l�o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] �FINA ULA�TIO�Ny� [ ] FRAMING /STRAPPING [ �4 Y�✓U � '�� [ ] FIREPLACE & CHIMNEY [ ] FIRE Af TNf fN 0EC ION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: I S-0 &AKafu kr '�g G &LA U -A- k% a 1� DATE durbg& INSPECTOR OF SOUry06 # # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 INSPECTION .. 4, ZZI [ ] FOUNDATION 1ST [ ] ROUGH PL13 [ ] 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: 4JW 6--/ 0e, L 141 ��Y�� •C�c� DATE �� INSPECTOR t FIELD INSPECTION REPORT7 DATE COMMENTS • �b FOUNDATION (IST) y ------------------------------------ 'FOUNDATION (2ND) � O a ROUGH FRAMING& PLUMBING `3 • � Q INSULATION PER N.Y: y STATE ENERGY CODE r r FINAL v ADDITIONAL COMMEN -1 D - 00 a� o L- 5 °z d b H 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) 765-9502 Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined , 20�6_ Single & Separate Truss Identification Form Storm-Water Assessment Form 1 Contact: Approved l , 20� Mail to: Disapproved a/c Phone: Expiration 26 , 20 a10HM09 J0 X&0z "JAHG ONUG 11 Bui n ctor Me L - AON APPLICATION FOR BUILDING PERMIT aaDate 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. b. Plot plan showing location of lot and of buildings.2p p relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be jQQm.men efore issuance of Building Permit. d. Upon approval of this application, the Building In -- '..�:yWtYssue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection e. No building shall be occupied or used in wholtny purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work a��of commenced within 12 months after the date of issuance or has not been completed within 18 months fro _� — � o zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspeeter-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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signa t of applicant or name, if a corporation) (Mailing addres§of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder C� Name of owner of premises (As on the 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 License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 15 Block 9 Lot MD Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 51 L EU DELIN,[_ b. Intended use and occupancy ` 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Descr ption) 4. Estimated Cost Fee (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 Rear Depth 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 9,16 Rear f q O l ao Depth W4 f 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated-:-----.._w 12. Does proposed construction violate any zoning I ance-or regulation? YES NO k 13. Will lot be re-graded? YES NO X Will exe owed from premises? YES NO 14. Names of Owner of premises --Addres�-7- Phone No. Name of Architect - dress -- Phone No Name of Contractor 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 * 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 NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public,State of New York (S)He is the No.01BU6185050 Contractor, Agent, Co orate Officer, etc. ua ie .n ( gent � � ) Commission Expires April 14,2�a' 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. Sworn to before me this ,, A day of 1�,DW-O\L-4 20 Notary Public Si a e Applicant BUILDING DEPARTMENT - Electrical Inspector TOWN OF SOUTHOLD wn Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 wPy. � Q 2d1� Telephone (631) 765-1802 - FAX (631) 765-9502 mal , cdV 4,.5, roger.richert(cD town.south old.ny.us AP rON FOR ELECTRICAL INSPECTION .Date: REQUESTED"BY:` _. ._ -.. 1 --- - - - Company Name: R Name: License No.: email: Address: Phone No.: :EUT5`4 6 1 JOB SITE INFORMATION: (All Information Required � S Name: Address: Cross Street: Phone No.: Bldg.Permit#: email: Fax Map District: 1000 Section: �j Block- Lot O BRIEF ESCRIPTION OF WORK (Please Print Clearly) CircleA11 That Apply: Is job ready for inspection?: 9Y [ N Rough In Final Do you need a Temp Certificate?: N Issued On Temp Information: (All information required). Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# New Service-Fire Reconnect- Flood Reconnect- Service Reconnected - Underground -Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION O O Request for Inspection Foan.xls Qn C-j F14Ef Ac, P0A6R s`(s1-1Fr-1 -*-D0Y-34 0�3 - GEE L-oCi-�-r:ED P � 81twc .'II kEOSR JM I +�, Lri\AiJTh'OFi17E0 AL7ERAT1Ut� OF. ADuliti:rl 76 7HiS $URVEY )S A VIOLATI tJ OF f T C ! C�?053 i I ••-� ---- - --- -• 10+ - ------- ! SECT:pN 'i?f,9 Of ?H£ NEW YORK STATE ad nt '�'� EDL%C.A7fU� LAW 204.55 J COP:Es p� _HfS SURVEY IAAP PICT — THE LAN,;, SURVEYOR 5 INKED SEAL ORatr:G o>rR ore: i vua Tat bx EI.e6OS5ED SEAL SHALL NOT 6E CO:4_iCERcG� �'44a •4eea,arc• V l!e�e¢e i TO 8E A VALIC TRUE COPY ' I03 L6S G,dS C-:OARANTEES 1ND;CATED HEREON SHALL RUN s e br9w! I*- o ONLY Tp .'HE PEHSCN FDR WHOM THE SU. .%EY I -3 C.+S.°b' IS P?EPARLG. ANO ON HIS BEHALF TG ,HL o TITLE COMPANY. GOVERNMENTAL AGENCY AND jR fig° LENDING )NS71TUTtON LISTED H:REON. AND ° Lees TO THE ASSIGNEES I � _c 7i.�TICN. GU4RANTE S ARE NOT 7RAhs EF�ABLF. 4nr� 1 LF o 6 ✓ Note ALL SUBSURFACE STRUCTURES. I LOT LO/ (O ° 'NA7Ek SUr-=L r. SANITARY SYSTEMS, { a e O DRAMA6E. CRYWELLS AND VTtUT!ES, Oev Ise Q c 6RA�1 C� j 1,7.93 50.F]' �, SHOWN ARE FROM FIELD OBSERVh-!ON.- / r ' _ AN, OR LATA OBTAINED FROM GTt'.EkS. DRIVEWAY -4W ,►' ' 0.96 ACRES ° THE EktSi rldCF. Or RtGh+TS CF w4Y _ AND/10P EASEMENTS OF RCCORD fr N N- ° ANY NOT SHOWN ARE NOT GUARANTEE', o yL-j la Prem:rse5 known, oJ• O 1� Z • I s� � `( + o h #, GD L4'+-W4 LANE � �• s '4 o O � air brs/• I C/ %�, t � \' o J iT Y ~ ° DRIVEWAY �; °., �� gra - 5 Survey of Lot 10 - C -fit"'j. / ° o� ° Ad4r" " f^ r �• ` \ �/°*, tem. C: �.I�'S ,h'D F10' MAY 3, ?y'3 F:tE NO 59N situote 01 I Imo.✓,- �� , I I i ,fi` `off �� o Orient Ljj Town of Southold Suffolk County, New York Tax Map #1000-15-09-1 .10 October 3, 2018 Scale 1 "= 30' GRAPHIC SCALE :1y ya N Met ( roKto.d t 770 `w svo45! •' 08' 34.35 -- IN FEET -� G t NSfs 5T40 W dR F4RMFRiY OF t� I inch = 30 f u A r ----- % LAND NOW /\A F %p LOT ft COUNTY OF SUFFOLK i LAND SUP.VEYING V Mintovitle@aol,com I y Certified to: JOHN MINTO. L.5 {�.1 $ Q ' j C t OCENSEL PROFE5$r_ AL LAND SLS-,MeC1' t, / Stewart Pie fnsurmce (1mporV 'r"''O'N STATE VC m0 .test �— ..jt PHONE. (631) 724-4832 vn SOBC`5 Z PetrOskeecs stoon es FAX. (635) 724-�455 v C \� •/ Advocates Abs1red, Inc. 33 S,NITHTOWN BOL;LEIIARD SMlTHTOWN, ,N Y. 119'87 D AP PR40 ED AS NOTED 3 FEE: BY- NOTIFY NOTIFY BUILDING DEPARTMENT A 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: RETAIN STORM WATER RU ,G;=, 1. FOUNDATION - TWO REQUIRED i PURSUANT TO CHAPTER 236 9y FOR POURED CONCRETE OF THE TOWN CODE. 2. ROUGH - FRAMING & PLUMBING ' 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. INSELECTRICAL COMPLY WITH ALL CODES C • PECTION REQUIRED NEW YORK STATE & TOWN CO, AS REQUIRED AND CONDITIONS Additional -SOUTH 0 S Certification May Be Required. OCCUPANCY OR `SE IS UNLAWFUL ' ITHOU T CERTIFICATE C"' OCCUPANCY a '. z J t } f e x 4 z 7 [ t i. 3..s a I yii�; w T ewA �� " VIA x � `gam 4 _ f t r, m r. dh' c c 0 'A C K � h i-" i �5/62' AR �A y '15000' 9R 2 f p If ROL EW-10 a GLASS I NG NIA kaw �." U TRAL F LO,�,, ATT�l NE LOAD MA X Lae .s FRAC P wl WHITE WA �, ,A