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Home My WebLink About26690-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27323 Date: 09/27/00 THIS CERTIFIES that the building ADDITION Location of Property: 195 PARSONS BLVD EAST MARION (HOUSE NO. ) (STREET) (HAMLET) county Tax Nap No. 473889 Section 37 Block 2 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 14, 2000 pursuant to which Building Permit No. 26690-Z dated AUGUST 1, 2000 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FLORENCE A HEESS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Si Pture Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26690 Z Date AUGUST 11 2000 Permission is hereby granted to: FLORENCE A HEESS PO BOX 37 EAST MARION,NY 11939 for NEW DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 195 PARSONS BLVD EAST MARION County Tax Map No. 473889 Section 037 Block 0002 Lot No. 004 pursuant to application dated JUNE 14, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authorized ignature ORIGINAL Rev. 2/19/98 f_ TOWN OF SOUTHOLD 7 — BUILDING DEPARTMEN7,2 —l TO765N1HALL / D,2- 9 2000 APPLICATION FOR CERTIFICATE OF OCCUPANCY "DEFT. A. TOWN OFF SOUTHOLD ) ication must be filled in by typewriter OR ink and submitted to the bu inspector with the following: for new building or new use: 1. Final survey ofpropertywith accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system cont less than 2/10 of 12 lead. 5. Commercial building, industrial building, multiple residences and similar b( and installations, a certificate of Code Compliance from architect or engin( responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Oro B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildii '-'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building ai unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the app] If a Certificate of Occupancy is denied, the Building Inspector shall state reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.0C Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $2` 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 - _ .25C. i 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .'Y4991.00 . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . .. Old OrPre-existingBuilding. . . . . . . . . . . . ./.�p Location of Property... . . . . . l.� �� S. . .�&V-DI , CflS 1q.4kIO/�. . . . . . House No. Street Hamlet o ✓Jc� A . Ff Fess Onwer or Owners of Property.. . Z2 . .. . . . .. . . . . . . . . . . . . . . . . County Tax Map No 110000, Section. . d 3.�.. . . ..Block. .. . . . . . . .Lot. . . . . . . . . . . . Subdivision. �7:!'�yy��N ^,5. �f . . ?. . . . .Filed Map. . "�.7- . . . .Lot. . . . . . . . . . . . . . Permit No. ..X0.6.!U . . . .Date Of Permit. .� .��. . . . . .Applicant. Health Dept. Approval. . . . . . . . . . . .. . o . . .. . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . .. . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . ... . . . . . Fee Submitted: $ o?`��'�. . . . . . .. . . . . . . . . . . . . . Sg S�S APPLICANT Cn -2� e2�3a3 suIwiNa oar. INSPECTION )] FO NDATION iST [ ] ROUGH PLBG.UNDATION 2ND [ ] INSULATION RAMING [ ] FINAL [ ] FIREPLACE & OHIMNEY REMARKS: or DATE INSPECTO M-iso2 BUILDING DEPT. SPECTION [ ""FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY R ARKS: J DATE P//&4-0 INSPECTOR �`L BUILDING PERMIT REVIEW CHECK LIST Applicant/ `, Date Owners Name: t�,ev.,4� lt�eS Reviewed: Architect/ Date Engineer: Submitted: SCTM #: n District: 1,000 Section: ( Block: 1. Lot: ProjectPGII-5�5 p G t Subdivision Location: Name: Single&separate Required certification: Yes/No / e Req. Req. Zoning DistrictA— [Lot size: Actual: l �� 1 [Lot coverage lam' ProposedReq. Req. Req. i [Front Yards / Proposed: ] [Side Yard %r,�_� Proposed: 1 [Rear Yards Proposed: ' 5 ] Project Description: IJPw /Jerx AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes: � 1 �� '� A3 a+3..t iL? .OP�.�r.�7S 73J,r.�► a'�rT ca .; c i ffi 7 U3cn c alt' _. M-1802 BUILDING DEPT. INSPECTION DATION 1ST [ j ROUGH PLBG. ^N 2ND [ ] 1 ULATION -,OWNING [ FIN j ] FIREPLACE A CHIMNEY ' REMARKS. DATE 1 NSPECTO y •___-,f!_LG ___ __.IF ' NSPECTIONREPORT DATE — _ C_O____ME_N_T_S ___ ____�___ FOUNDATION roy ( IST) II ii � ?OUNDATION (2ND) _________________________L---- --- }`o i 40UGH FRAME & II PLUMBING In II II II II II � II _INSULATION PER N. Y. STATE ENERGY CODE II ____-- -_____- ______ - -oe ri ll II FINAL N ii u ii ------------------------ ADDITIONAL COMMENTS: to H H O z r� ro H 43 60 f (y N MAP" QF p2opse-r\( OAOG IV)I SGs2VEYEo f=Ct^C N J e- E S . .4th. Cv -76 _.. oo EA57 MAQ CDN 'q' M "TowN CSF SCU--rt-•OL-0; N_Y. �F � l �Z r1jxu �� Jt-� {y� PP,pp f, Via. . � / t3, = MpN(.3tvtlrt�l? : i .- �:iE.,l��t_,tC CQ.TAx lvfa� fJu SIGt�.IA�"i�t w«-r. tOsJJO, �EG-:.�$7, SL1C. PGL_ !. SUt2VEYEC DEC . -7 1984 Cc'OLS��GIC ULAN �SYL- , C. .07 NCSNIBF'.> 51-oWN t2ESU�2 -co } ..YA.P oF� 55tvc7. 2- GACOINEt�S F-4Y - . r=tt,.6C> IN THe SUFT=01_t _ZO. LtcEt-t�EC> _E _�aNiD Su�zv�Yot2� G+'trrt t4S CQF:pr-l<:U AS MAP NO. 2"75. -- -- - ---- ----- -. ,..- -- - -- -- -------. - — - - -- —-------------- --- . .. .. ........ Q ILI j 5 G..� PQ-0p 1 .� :D i I LOT > jZD MAP BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 ,-3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL, 765-1802 NOTIFY: 9 CALL . . . . . . . . . . . . . . . . . . Examined..d7?h�........ 40A. MAILTO: . . . . . . . . . . . . . . . . . . Approved.............. .., Permit No. glo.. . ... ......... ... . Disapproveda/c .................................. ... ......... ......... .. ... . .... . ...................................................... t` ( r t; 1. i . _ i ... ` _ ................................ (Building Inspector) JUN 14 20M �'• i':.' APPLICATION FOR BUILDING PERMIT 1 I Date. . . . . . . . . . . . . . . . . 20. . . 1-7 INSTRUCTIONS a. 'Ibis application inert be completely mimed in by typewriter or in irk and submitted to theFaiilding Inspecto 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part , this application. 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. Su 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICN IS HEREBY MALE 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 puthorized inspectors on premises and in building for necessary inspections. .............. ........... ... .. . . . . .. .. . .. ..... ... . . (Signature of applicant, or name, if a corporation (Mailing address of applicant)' �9 Stag whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bui .Ihallos ...5.o. ../�.. i �� ........................................ . . . .. . . . .. . . .... . .. .... . Name of neer of premises ... L2G:n/� ...... ...;��.E..�..S..S. .. ................. ....... .. . . . . .... . . . .. . .. . ... . (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. .................... f 4 j�,�Q, s n I. Location of land on which proposed work will be done..1.(. ..!� �W�! / ...�r! llr. . .. . . .... . . .. ... ..... . House Ncuber Street Hamlet County Tax Map No. 1000 Section ....0.3.7.... Block ............... Lot .... ....... . Subdivision .UT. ...ay. Filed Map No. .... Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy off proposed construction: a. Existing use and occupancy ....�i.J!gt/��1%... f�!y[��{��..��[�Gr!�1,�-/."!... .... . .. .... . .. . b. Intended use and occupancy ... 5!!"1 ...�✓JI:!�j`<..bl � f� .Y...l �, ,c',•, At:ii'9. .. . .. .. .. 91t) e i61;G ni." :it.,t:'+'l YRAT014 fi...'i i'im x:11 3. N•rture of work (check winch applicable): New Building .......... Addition ... Alteration .. . .... . . . Repair .. ...... . . .. Removal ............. Damlition ............ Other Work A ✓110..pi%t%it. . . .... .. . . . . (Description) 4. 'Estimated cost: .'51.Qm.......... ..... fee ............................... .. ... . . (to be paid on filing this application) 5. 11 rk elIing, rxni>er of dwelling units ...f/.. ..... Nurber of dwelling units on each floor .... . . . .. .. .. . . . Ifgarage, txnirer of cars .......... ... ...... ....... ............ 6. If lxrsiness, mvrercial or mixed occupancy, specify nature and extent of each type of use.. ... . . 7. Dimensions of existing structures, if arty: Front........... Rear ..T�,,, ,,,,,, Depth r� // .G.. . . .. ..... Ileight . ./.0. . . . . . . . .. . .... . .... Nuaber of Stories ....I/......... .. . . .yy Dimensions of s<-►ne structure with alteration!or additions: Front .....��/l.... Rear j Depth . . . . . .. . . . . . .. .. R &eiglrt ... ...� .. ...r.Q.... Nuober of Stories . .... ........ ( . .. ..... 8. Dimensions of entire new construction: Front ...-fY....l ? . „_o?... Dep0� . .1� s ��// // Rear . .... .. Height . . .fJ�.1/. . .. .. I ........... Number of Stories ..I.yy..../ ............ 9. Size of lot: Front .. .�Q�:� ..... Rear .. .�V.CI.......... Depth ..l. TV. l010. . lkute of Purchase .. ....... ............ Name of Former Owner .......... ................... ...... . ... . 1 1. Zone or use district in wluich premises are situated ...Al. 12. Does proposed construction violate any zoning law, ordinance or regulation: ......... 13. Will lot be regraded .. . ./."..i.... ..,,,,,, Will excess fill be removed from premises; NO 14. Names of Owner of premises .......... ................. Address ........ ...................... Phone No. .. .... ........ Name of Architect . ... ................................. Address ......... ......... No N Fre of� /! ...sem .. .. Address -�� . .jPWO.C.Phone No. 6D 15. Is this property within 300 feet of a tidal wetland? * YG4 .......... No *I F YES, SGLM"D MqN MMM13 PERI✓NT MAY BE RETIRED. PIAT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions F-rOm property lines. Give street and block ember or description according to deed, and slow street narmes arid indicate Acether interior or corner lot. cop rN11" (X "N Y(N(K, SS (JJNIY (A' .. JU I. . . .. . . . .... Nmre ....of.f.in.divid. .ual. sig. .. .ning contract).. .... . ..............being duly sworn, deposes and says that he is the applicant . bove eared, e is Che . . . . . . . 17Zc1�� PJzi . . . . . .. . . . .. . . . .. . ....... .. ....... ... .......... ............... ............ ....... . ... . .. . . .. CrntCractor, agent, corporate officer, etc.) f said owner or owrx,.rs, arxI is duly authorized to perform or have performed the said work and to rake and file this pplicatiou; L11"3( al.l stalerreuts contained in this application are true to the best of his knowledge and belief; haL the work will be performed in Lire manner set forth in the application filed therewith. and worn Lo Vve mr� Lhi s I`. . .h.. . . . . . .d'1y of. .... . .t - 20� � Notary Public ... ;. .. 6e Q .......................... NOTARY PUBLIC, State of New York LYNDBONN (Signature of Applicant) No.01806020832 Ouallfied In Suffolk Coun Term Explres March 8,20 Z, yrs• t '7 W45 7VRel r_- - - - _ ---- -- --- --- -- --- ...... __ _ - = -- . -- - - -- --� __ �'-! 'E --- rs3C \,°U - - ----- - -- - - - -----�- �t��' �� a ✓� ��'� per ��'�� .. __ _ _. _.. ._ _ -- - -- -. _�_�.�.._ � - .w:..�.... --------------- ---------- --- .--- __mss• ____.._ _. ---------------_ _..__. .. _ ------...... -_ ---_ 7-09 Z- `�� _ (oxocy _r.�•�,u.--�Ys,3c 36'� /�(�.... f/�itiT.': 14 7 r m„ .- ---- art-- - - - SURVEY , . ---- ---— -- — _ Nolnr�► tp Ormn m AT - '� ��% ' . _: _ ___ ._..._.. - - - - ---- -- - - - to_4.�M. n , ..FOUNDATION tOCATiON FOUAWMINOWWWNpS BEEN APPROVED. — ------ - ---_. __... --- -- ----------- — ---- — -- _. _—_.— ,I _._ __.__ _ _. �;-ROUGH-•�FfAXi(fNG di l�LdJMBING __ _ .. _ — - - -- --- --. _._A._MU.LATIO�L .__.. _._ _ . _ .. . CERtlE1.CATE. . 4. FINAL - CONSTRUCTION MUST REQUIRED . -----B�C6MPLETEFORC-0:"-- ALL CONSTRUCTION_SHALL MEET —- --- - FTiQUIREMENTS-0F THE N.Y.. CONSTRUCTION & ENERGY _ g T RESPONSIBLE FOR 9 ---- --— ---- — - --- - - - - -- -- ..__ - i - - c S B .9� Eek R - ----- IS Ul Ful. - � I k J _ OF OWUPAN."W,