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Home My WebLink About20397-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildi~9 Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20652 Date APRIL 16~ 1992 THIS CERTIFIES that the building. Location of Propert~ 140 PARSONS BLVD. House No. County Tax Map No. 1000 Section 37 Subdivision ALTERATION EAST MARION, N.Y. Street Block 1 Filed Map No. Hamlet Lot 13 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 21, 1992 pursuant to which Building Permit No. 20397-Z dated JANUARY 21~ 1992 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 ALTERATION TO EXISTING ORE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRED FINCKEN~ JR. (owner} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-228702 - MARCH 18~ 1992 Rev. 1/81 // Buflding Inspector FO~ NO. ~ TO~N OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP, MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ 2 0:3 9 7 Z ~o,e .~ ........ .~...Z ~.~,,.~ ~-/-//~ Permission is hereby granted,~: . , , I'/ ~ , / I ~.~.~..~ ....... ~...z/~...Z~~ ............................ ,o.~....~.....~ ~..~...~.~..~ .~....~ ........ ~~.~ ................................. ~ ................................... ......................................... .~.~....~~ ............................................................ County Tox Mop No. 1000 Section ....~....,.Z ....... Block ....... /. ............. Lot No. ,../..~.. ............ pu~.ont to opp,cot,on do,~ ....... ~ .............. .~../ ......... . ,9.~o.d opprov~ ~ ,h. Building Inspector. Building Inspector Rev. 6/30/80 J)- J~ TO~ OF SOUTnOLD 765-1802 ~/..~C~ A~PLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. 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 bui. lding, multiple residences and similar bui%dings 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 ~roperly completed application and a 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 $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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date..~/.~;I.,.f~. New Construction. . Old Or Pre-existing Buildi~ .... ..~,[ .......... ~ooat,on of PropJ~[[. i[[[ Z ~. ~ ........... S~g~/~ ~.. ~Z~¢S .... Z~g..~¢/f ....... House No. ' Street Hamlet p t. .................. ~./Xf;fY.. .~ou,,~,~x~,~o ,000,~,c,~o, .... 3.7 ..... ~o,~ ....... f ........ ~o,.../3 ...... Map ......... .. .Lot. . .... Permi~ No D Of P it ~ ~ ..... ate arm ..... ~ .Applicant Health Dept. Approval ...................... · · .. Undarwriters Approval ............... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Ccrticate ........... THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,a(~ ,t J.~qi(~J 2~i. BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical ~ulpment ~ ~scrlbed below and int~uced by the applicant ~m~ on the a~ve application number in the prem~es of in the.following location; [] Basement [] lat FI. [] 2nd FI. 0~}~' Section Block Lot t~sexaminedon H~I~]~I ~3,/~92 andfoundtobeinco.tplianceu'iththereqairementsofthisBoard. DRYERS SYSTEMS NO. OF FEET E OTHER APPARATUS: 'E R V I C AWG OF CC, COND NO Of HI LEG 80!/TIIOLD, }tY~ 11971, GENERAL MANAGER Per- This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF $OUTIIOLD OFiSICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tIALL SOUTIIOLD, N.Y. 1197I TEL. 765-I 802 Mr. Fred Fincken 140 Parsons Blvd. East Marion, New York 11939 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the foll. owinq reasons. /5/ An application for Certificate of Occupancy i~ not on file. /5/ No Underwriters Certificate on file. /5/ The check is(x>~k~um~xxd/not on file.) $25.00 /~/ No Ilealth Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on Thank you for your cooperation. Building Permit ti --% -0- 3-- _9__ _2_ Z Building Dept. ***/~/ this matter. No Plumber Solder Certificate on file. all permits involving plumbing beinq issued after April 1,1984 ) :OUNDA'TION ~OUNDATION ~OUGH FRAME & .PLUMBING (1st) (2nd) :NSULATION PER N. STATE ENERGY CODE FI;;AL ADDITIONA'L COMMENTS: A b D z=' ~/ B U /)l '7'0 ~92. o USE, IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [~i~SULATION FRAMING FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ~RAMING [] FINAL REMARKS: ~~ ~/'-~ ~-- ..~~~.~ DATE BLDG. DEPTo TOWN OF SOUTHOLD FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ................. 19... Approve~..~./ .... ,19~.,~ Permit No. ~ .~. ~...~. 7,~., Disapproved a/c ..................................... BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. CALL .......... flAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 ets 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 pubhc streets >r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ;ation. c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hail 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 hall have been granted by the Building Inspector. - ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. l'he apphcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ,dmit authorized inspectors on premises and in ... (d~(,,'~'~"~ X,..~.. building for necessary inspections. ,, -- (Si,natc~ of applicant, or name, if a corporation) (Mailing address of applicant) // State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .,/~...~. :~..~.... (as on the tflx roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . .. S. . . d. /. ~__/'(Name and title of corporate officer) Builder's License No...J..~.)../.?.Cd...~./.-./.~.--- ....... Plumber's License No ......................... Electrician's License No ....................... R- ~ t~ Other Trade's License No ...................... Location of land on which proposed work will be done.../2.(7.O. ~.. y. ~. ~..-'. ?.~..J..,~. ........................ .... / ................. .. House Number Street County Tax Map No. 1000 Section ..... ~.7 .... (Name) Hamlet ..... Bloc ........ J ......... Lot. /.3 ..... ..... Filed Map No ............... Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing Use and occupancy usc and occu a .2.. -- b. Intended p ncy ............................................. 3. Nature of work (check whict Repair .............. R~ 4. Estimated Cost .... 5 '~' 5. If dwelling, number of dwelli · If garage, number of cars .. 6. If business, commercial or mi 7. Dimensions of existing stmct Height ............... N Dimensions of same structur~ Depth ................. 8. Dimensions of entire new cor. Height ............. .~ N 9. Size of lot: Front ..... ~f~..~.. I0. Date of Purchase ..... '.D~..~'. · 11. Zone or use district in which 12. Does proposed construction, 13. Will lot be regraded ...... 14. Name of Owner of premises Name of Architect ....... Name of Contractor ....- ..~.; 15. Is this property withi~ *If yes, Southolc Locate clearly and distinctly; property lines. Give street and bloc interior or corner lot. ~TATE OF NEW-XitORK, 2OUNTy~ ....... bore named. le is the ................. f said owner or owners, and is pplication; that all statements conl /ork will be performed in worn to before me this ......... d./.~.. ...... day o :Otary Public ................. NO. applicable): New Building .......... re?al .............. Demolitio~ ~g Onits ............... Number ~e~ occupancy, specify ~atur/e and ext ~re§, if any: Front ....~.' ...5] ....... ~mber of Stories .......... wiih alterations or additions:nFront ...... · · !.. Height .................. stmction: Front .............. ~mberof Stories. . . . · . ~...(.~.~.~... Name of Fo )remises are situated ....... ~. lei{re any zoning law ordinance or · ·; .................. Will excess ' · 4 ................ Address .... ~. ~E ~ ~A-?. ...... Address 300 feet of a tidal wet,and? Tgwn Trusgees Permit may be PLOT DIAG~ 11 build~gs, whether existing or pfc k number or descfiptioh accord~g to (Contract , agent, corporate perform or have per: in this application are true to t in the application filed the~ Addition .~./'....-,:. ' Alt~Yation- ... ......... ..'. ·. ,O, Iaer Work ................ ~ ;",~:~i ~ [ ~ ~, (Description) ........................ .... : ........ dwelling units on each floor ................ ~nt of each type of use ................... lear ~ t Depth . · ~. ............ Rear .................. .. umberofStories ...................... ear .............. Depth ............... . ......... Depth ... f~.~ ............. mcr Owner . .~4. '.. ~ ~ ~i~ j~.' ...... darien: ................................ fill be removed from premises: Yes No .' .. .&r- Phone No .............. Phone No ................ ~m fg.~. f..'..Phone No. ,~ ~.; g.ff .~ equtrod. )osed, and, indicate all set-back dimensions from iced, and show street names and indicate whether sworn, deposes and says that he is the applicant )fficer, etc.) tuned the said work and to make and file this best of his knowledge and belief; and that the ~with. (Signature of applicant)