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Home My WebLink About28616-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30837 Date: 03/30/05 THIS CERTIFIES that the building ADDITION Location of Property: 275 HARVEST LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8 .29 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 26, 2002 pursuant to which Building Permit No. 28616-Z dated JULY 31, 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 HOT TUB AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EVELYN PARSONS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2044276 03/22/05 PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 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 L 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: ✓e. (check one) Location of Property: W4 -N-I-& i V&L\� House No. St Hamlet Owner or Owners of Property: _ 1p_u Qz �y p�{�bc��t-, � fl � OO ` Suffolk County Tax Map No 1000, Section 1 a tZo o Block Lot Subdivision_ 4Qr�J .--y, Filed Map. 8 3 3 Lot: 4k3 Permit No. �� ( �j, Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: t/ (check one) Fee Submitted: $ CO Cl0 ?_ � 6 C �—] / Applicant Signature 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. 28616 Z Date JULY 31 , 2002 Permission is hereby granted to: EVELYN PARSONS MATTITUCK,NY 11952 for CONSTRUCTION OF A DECK ADDITION AND PORTABLE HOT TUB AS APPLIED FOR at premises located at 275 HARVEST LA MATTITUCK County Tax Map No. 473889 Section 120 Block 0003 Lot No. 008 . 029 pursuant to application dated JULY 26, 2002 and approved by the Building Inspector to expire on JANUARY 31, 2004 . Fee $ 300 . 00 i r thori ed igna ORIGINAL Rev. 5/8/02 o mss �s�r�s�nrnnss�l rJrJr P s r!@!tJrJ� r� �r n rsI I 11,1151112M31o0 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 5 5 BUREAU OF ELECTRICITY 5 5i 40 FULTON STREET — NEW YORK, NY 10038 e5 5 CERTIFIES THAT �5 5 Upon the application of upon premises owned by c1 5 5 Q.C. ELECTRIC INC. WILLIAM PARSONS P.O. BOX 518 275 HARVEST LANE L5J LAUREL, NY 11948-0518, MATTITUCK, NY 11952 5 e5 Located at 275 HARVEST LANE MATTITUCK, NY 11952 CS 5 Application Number: 2044276 Certificate Number: 2044276 c 5 Section: Block: Lot: Building Permit: BDC: ns11 r5 5 Described as a occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 Outside, 5 55 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 22n Day of March, 2005. 5 Name QTY Rate Rating Circuit Twe 5 5 Miscellaneous 5 5 self contained hot tub fes+ with disconnect 5 Wiring and Devices 5 5 Disconnect l 0 60 amp Pool/Spa 5 S 5 5 5 5 5 5 5 sea, 5 I of I r,5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 M IpLff rL3 PLPLrL3 FMPLrW�� s �� 11v OcPrJffl@rJ�rJE �rJ r P r�tP r� rJ�rJ�rPr Pr1rJrJ rJrJrJ�rJ�rJ�r1rJ�rJ�rJ�rJ�rJ�rJ�cPcPrJ�rPcPcPrJ�tPtPrJ@PrJ�rJ�o frJ�r�rJ�tPrPrJ� 5 BY THIS CERTIFICATE OF COMPLIANCE THE 51 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 i5 5 CERTIFIES THAT S LSA Upon the application of upon premises owned by S5 Q.C. ELECTRIC INC. WILLIAM PARSONS 5 P.O. BOX 518 275 HARVEST LANE c5 LAUREL, NY 11948-0518, MATTITUCK, NY 11952 5 Located at 275 HARVEST LANE MATTrrUCK, NY 11952 r5 C5j Application Number: 2044276 Certificate Number: 2044276 5 5 Section: Block: Lot: Building Permit: BDC: ns11 r5 Described as a occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Outside, 5�f A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed Cj 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other CCU 5 authority having jurisdiction, and found to be in compliance therewith on the Day of 5 22n March, 200>. 5 Namz TY Rate Rain¢ Circuit Toe 5 Miscellaneous 5 L5 self contained hot tub 5 5 with discortlTrCr—"" 5 5 Wiring and Devices 5 Disconnect l 0 60 amp PooL. Spa 5 5 5 5 5 e5 5 sea, I of 1 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 6 ' z 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL TTION K, [ ] FRAMING FINAL( UECk, lyc)T B) [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE /�� INSPECTOR FTR'LD INSPECTION REPORT DATE COhIIVl$1V'!'6 r 1 FOUNDATION (1ST,,_ i a e - FOUNDATION i;1ND1 1 m z I z ROUGH FILMING n- m PLUMBING F DNSULATION PER NY. — STATE ENERGY CODE FINAL j ADDMONAL COMdiENNTS TI C z m I = i r - LJI _ I m s _ 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 3 sets of Building Plane___ TEL:765-1802 Survry_ PERMIT NO. Check Septic Form _ N.Y.S.D.E.C. Trustees Examined .20 Coatart: Approved_ 20_ Mail to:_ Disapproved a/c Phone: _. Building Inspector LT PLICATION FOR BUILDING PERMIT --.. � o,RLC.,. f. Da[e a` 1 200Cy�'• ',I '..:. OLD INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and aubmitted to the Building Inspector with 3 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plant 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 my not be commenced before issuance of Building Permit d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applic=L 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-sower until a Certificate of Occupancy is issued by the Building Inspector. 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. (Sign e of applicant or name,if a corporation) S tieic'.l46sc (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Oti?a 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. L Location of land on which proposed work will be done: House Number Street Hamlet County Tax Ma No. 1000 Section \-c8- O Block 03 Lot O a.8< Subdivision kfit*S \/�tcv=% Filed Map No. Lot Aja (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 5: col the\nj b. Intended use and occupancy_ 3. Nature of work(check which applicable):New Building_ Addition Alteration- Repair__—Removal lterationRepair___Removal Demolition Other Work_ (Description) 4. Estimated Cos[ 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 RearDepth 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: 9P 13.Will lot be re-graded Will excess fill be removed from premises: YES 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15.Is this property within 100 feet of a tidal wetland?*YES NO • IF YES,SOUTHOID TOWN TRUSTEES 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. STATE OF NEW YORK) SS: COUNTY OF S✓I!/ +C 1 Z l e.0 A/ /�'I 'T�7C$Va✓� being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the O ul/ICt" (Contractor,Agent.Corporate 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 nue to the beat of his knowledge and belief,and that the work will be performed in the manner set forth in the application filed therewith. 5 ora to before me th�(a� 2rto day of"JmJ J`�G 200 — J�/l L'7r� ' Notary Public Signa ofApplicmt i J*# ,tary tMr k d�ll��Y,ult Ccmnmiasirn FxamAtol.A NORTH STAR TITLE _<PAGE 11 0FJ19!^<002 09: 54 631-727-0E,2= f�,OCM4-40 2 . O /I MrRI {gyp• A A ns J 14 t— �i 7r.�V I.IA��L Y n ci 72 O F i 4 I THE LOCATION OF WELM SEPTIC TANKS ANO CESSPOOLS SHOWN q'4 RELD OBSERVATIONS AN- _..J:•,fo.;,:7Tl,io:'_UFROMOTHERS. 70 - r8-cb 1 .acr N F K�TMJhKI ;�•Y 31 WW4VM Y�•NAAG.M1,�•in..hw�..b"vNwwlwf/1 f10L SU{NPr:v gMIV•tM..Y.MeM L"n. L/C r T� �D" Or,i.•9sn NPyMtiwnIMMLMYT.ybwyratAAYPM•F / !v MI."Y FMNera tM CCIpIL,OW.I•LL14 Ina4Apq I 10 �AVfr".M"MLN MOwMMIMA.•<M11�Mb•/NSA/iMrn rte AAA? Of 1'r•I�G-` `/ «1T CaW..•.M eRMTN"/.Lwi1p�Ylr OONW?Y'A 4.O rir b w�YN ILY N"41iLMIMM r.YLAyw, r-VT��I ✓rye �•��'fLI r�r I/'r�IfA�^�1 fA'bNMMUnMrW wr•n MYv PM Mw � - I FPl iM�in.+,IMI�p YY1MM MY.AM'IO V•IL�LIIAggLMAYyL M,pA '(% LM. aAwio rLA.waa r�..•b+�.ua n+An.n t `'"�" D[Y p.plarlo Ti• SCALE: A•• . {p• cerrrlpIEc ONLY ro; DE8TIN G,QpmF oS JAEtiY. i�' :;4 �i- IIaoO LAND WMV"OR .r 099TIN a R N,Y9.LIC No 1 .lwmruwAA•AHo TAll I,Q No. RODArvpwf.Al{W WPY tA/I. loon i2a• 03. 08,2q bwAe Ana Yl4pN; Project: Date: Bovis To: Lend Lease From: TECHNICAL SERVICES GROUP Subject: n �Z — — - - - .29. - - — n UNDERWRITEFS CERTIFICATE REQUIRED AAPYR' ,VED AS N07Eg�`'!� �1 NOTIFY BUILDING EPT7fRt MENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: OCCUPANCY OR 1. FOUNDATION - TWO REQUIRED USE IS UNLAWFUL FORPOUREDCONCRETE 2 ROUGH - FRAMING t PLUMBING WITHOUT CERTIFtCRTE 3 INSULATION OFcc, OCCUPANCY 4. FINAL - CONSTRUCTION MUST --- — BE COMPkET_E FO C.O.__ -- ----- ., -- - — *LL,CONSTRUCTI N HALL MEET THE-REQUIREMENTS- 9f iHEPF •• h�}�A ` „ STATE CON TRUC 10 & EN�RG lMME6&ELY CODES. K f RES O SIBLE FO ENCLOSE POOL TO CODE DESIGN OR CONSTRUCTION-ERRORS -UPON Cww,�L£"IOr: BEFORE "WATER" ' Project: Date: Bovis To Lend Lease From: TECHNICAL SERVICES GROUP Subject: _ ZXIoX�2 j!v"1CCA 1� H !'dam 3 p - 4- --�- -�- --��-- �-�- -F_ BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: -7 /3/ 1.2 APPLICANT: DATE SUBMITTED: 1026/,1 SCTM# DISTRICT: 1,000, SECTION: /2o BLOCK: j LOT: __8.,9r. S"IREE'l ADDRESS: 2-?5_ .4 . CI'�CZ'-. SUBDIVISION. �jwE Pau#ICILX PROJECT DESCRIPTION: OZC hV> 1ICT Xe AOA/21T 10 1 TT1 Szb• ESTIMATED PROJECT COST: /DK ARCHITECT/ENGINEER: FAST TRACK?/t!v SINGLE & SEPARATE CERTIFICATION-REQUIRED? 110 NOTES: LOTS 40,000SF-100-24. Lot recognition.(CRL=ATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after ZONING DISTRICT: AC CONFORNUNG? NO REQ. LOT SIZE:�,00y ACT. LOT SIZE:�IpFo�S REQ. LOT COV. 90L ACT. LOT COV, REQ. FRONT p PROP. FRONT i REQ SIDE c,%/4c) ACT. SIDE REQ. REAR 6p PROP. REAR REQ. HEIGHT _ PROP. HEIGHT_ WATER FRONT? No DESCRIPTION: PANEL #: I _ FLOOD ZONE: , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH PT: YES or 16:;N (BED #): DTE:_/ / PERMIT#:R10- TOWN SEPTIC RECEIPT: Y of NEW YORK STATE DEC: PRE-DEC 9/1/75 YES o& SOUTHOLD TOWN TRUSTEES: YES TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES oO NYS ENERGY: YES OR 0 : N 1-4 EGRESS (18 H min.? 4 sq total)_,,4& VENT(SQ. FT. x 4%) LIGHT(SQ. FT. x E%) ^' BUILDING PERMITS OPEN/EXPIRED: BPa 3$39 -Z/C/0 Z- 5 5-1 , HAVE PRE CO'S Y OR N BP -Z/C/0 Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRSTFLOOR: SF SECOND FLOOR: SF OTHER: _SF INIT OTHER TOTAL TOTAL: - SF FEE FEE FEE 1. SF)- ( SF)= SF X $--=$-+$ +$ _ $ 2. ( SF)- ( SF)= SFX $ =$ +$ +$ 4100