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HomeMy WebLinkAbout35593-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 4/7/2012 CERTIFICATE OF OCCUPANCY No: 35520 Date: 4/7/2012 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 275 Parsons Blvd, East Marion, SCTM #: 473889 Sec/Block/Lot: 37.-2-3 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 5/4/2010 pursuant to which Building Permit No. 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: existing carport altered to garage, covered front entry addition and deck addition to an existing one family dwelling as applied for. Lot No. filed in this officed dated 35593 dated 5/28/2010 The certificate is issued to Stephen & Gall Haupt (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII&)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35593 Z Date MAY 28, 2010 Permission is hereby granted to: SALLY HAUPT PO BOX 112 EAST MARION,NY 11939 for : CONSTRUCTION OF A COVERED FRONT ENTRY AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 037 pursuant to application dated MAY Building Inspector to expire on NOVEMBER 275 PARSONS BLVD EAST MARION Block 0002 Lot No. 003 4, 2010 and approved by the 28, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 BUILD~G D:EP~TMENT TOWN ~LL 7 s480z APPLICATION FOR CERTIFICATE OF OCC~Cy ~ app~mtion must be ~1~ ~ by ~ewdt~ or ~ ~d sub~a~ to ~e Buil~ ~ent wi~ ~e followi~: ~ For new building or new use: 1. F~ s~ey gf pm~ with a~te l~ation of ~l b~l~ga; prope~ liaes, s~ts, ~d un~ual na~~ to~phc f~mr~. 2.Fi~l ~pmml ~om Hmlth Dept. of water supply ~d sewemge~is~s~ (S_9 f~). 3,~pmval ofel~ immllafion ~m Bo~d 0fFim Unde~fit~. 4.Sworn a~tement ~m ~r ~ffi~ng ~at ~e solder m~ ~ aystem ~nmi~ 1~ ~ ~10 of 1% l~d. of Code ~mpli~ ~om mhit~t or engin~r ~pomible for ~e b~l~ag. 6, Sub~t ~[a~ing Bo~d Ap~I of ~mplet~ site p~ ~mmen~. B. For e~sOng buildings (prior to April 9, 1957) non-confoming us~, or buildings and "preexisting' land uses: 1. Acc~e su~ey ofprope~y showing all prope~y lin~, s~, building and:unusual natumi or topo~phic · 2. A properly ~mplet~. application and consent to insp~t ai~ed by ~e appli~t. If a Ce~ificate of Occup~ey is deni~ the Building Inspector shall state the reasons therefor m whting to ~e applicant. C. Fees l. Ce~ifim~e of Occup~cy - New dwelling $50.00, Ad~tions to dwelling $50.00, ~te~ions to dwelling $50.0~, . Sw~iag ~01 $50.00, A~esso~ building $50.00, Additions to ac~sso~ ~ilding $50.00, Busin~ses $50.00: 2_ ~ifieate of Occupancy on ~re~xisting Building- $100.00 3. Copy ofCe~ificate of O~up~cy. $.25 ~. U~at~ Ce~ificate of Occupancy - $50.00 5. Tempo~ Cenifi~te 0fOecupancy - Residential $15.00, Commercial $15.00 New COnstruction: Location of Property: Date. Old or Pre-existing Building: House No.~_~e~, ~,.,~ ~ Street Suffolk County Tax Map 'No 1000, Section _. ,.~ ~' Block PermitNo. ~ ~'-~--?,~ .DateofPermit. lealth Dept. Approval: >lanning Board Approval: ~.equest for: Temporary Certificate :~e Submitted: $ ~--~0~ Filed Map. Applicant: Underwriters Approval: Final Certificate: (check one) Hamlet (check one) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION ~STRAPPING [ ]FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTOR '~'~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 JNSPECTION [ v~FFOUNDATION 1ST [ ] ROUGH PLBG. [ ] Fo~INDATION 2ND [//]/FRAMING / STRAPPING [ ] FIRE~.~¢E & OHIMN~ INSULATION FINAL FIRE SAFETY INSPECTION [ REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUN.~I~ION 2ND [ ] INSULATION ,~,.--)' [~~~STRAPPI N G /~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUG~H) [ ] ELECTRICAL~FINAL) DATE ~ ~- !O -II INSPECTOR .~r,~ FOUNDATION (IST) FOUNDATION (2ND) . STA~ E~ CODE ~D~ON~ COUNTS . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined .~, 20 ~O ! Approved ~}~, 20 1-0 PERMIT NO. BUILDING PERMIT APPLICATI~)N CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Disapproved a/c Expiration ~ Y6,~'( r ~ ~~B[ /Building Inspecto ~ ~~~PPLICATION FOR BUILDING PE~IT setsd ;:'::dZo721Xd 2 }:dX:l~riter or in i~ ~d submitted to the Building ~spector with4 b. Plot pl~ showing location of lot ~d of buildings on premises, relationship to adjoin~g pre~ses or public streets or areas, ~d wate~ays. c. ~e work covered by this application may not be commenced before issu~ce of Building Pe~it. d. Upon approv~ oft~s application, the Building hspector will issue a Building Pe~it to ~e applic~t. Such a pe~it shall be kept on the pre~ses available for inspection t~oughout ~e work. e. No buil~ng shall be occupied or used in whole or in p~ for ~y p~ose what so ever until the Buil~ng ~spector issues a Ce~ificate of Occup~cy. f. Eve~ building pemit shall expire if the work authohzed has not co~enced wit~n 12 monks after ~e ~te of issu~ce or has not been completed within 18 months from such date. If no zoning amen~ents or o~er re~lations affecting the property have been enacted in the interim, the Building ~spector may authorize, in whting, the extension of ~e pemit for an addition six months. Thereafter, a new pe~it shall be required. ~PLICATION IS HEREBY M~E to the Building Depa~ment for the issu~ce of a Building Pemit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ordin~ces or Re~lations, for the construction of buildings, additions, or alterations or for removal or demolition as here~ described. The applic~t a~ees to comply with all applicable laws, ordinances, buil~ng code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necess~ inspections. (Signature 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 ~-O~ rq ~5~Con~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. L~3C')~) [ ] Plumbers License No. ~C2k~ Electhcians License No. b-IC~ Other Trade's License No. ~ 1. Location ofland!;aa which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision Hamlet Block o~ Filed Map No. 3 Lot Stat~ existing use and occupancy of premises ~ intended use and occupancy of proposed construction: a. Existing use and occupancy [9~a--s ( ~ c .t~ b. Intended use and occupancy ~-~/~,~ c~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~-t~(2X~ 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee g ~CK2) Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front e'~/~r ! Rear c,~ Depth Height [~ cf Numberof Stodes [ Dimensions of same structure with alteration&o,r additions: Front -~: 7J!~:2 ~ ' .Rea~ Depth ,~7/ Height /~'-~ Numberof;'*t~fies '/ 8. Dimensions of entire new construction: Front '7 r~/r Rear ; Depth Height Number of Stories [ 9. Sizeoflot: Front /cO,~ ' Rear /,-°o~ .Depth t//"f~ ~'~ ~ 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__ NO ~" 13. Will lot be re-graded? YES__ NO v/~Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner ofprcvnises~, ~'~coolc Addres~'~ff ~r~,~r :~[~,~ Phone No.~-/6.- Name of Architect I/~'c.~' ("~,w~.o ' Address/Sq /_t,~r~ ~.~..~. one No (,g--52--,~-6/--~2-~- Name of Contractor~ ~,~7~r~, Address~O. ga,~t3'?I,~,~'l~honeNo. F_,.~/-t-f~'5~ogc[ 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 J · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF c~-~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) CONNIE D. BUNCH NO. UI~UO~O~VUv Qual~ in S~lk.~un~_ Commission Exoires ~pm 14, 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 tree 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. Sw. ?rp, to before me thisAA ,~ ,. ~day~of IV~ 20]~ Notary Public Signature of Applicant TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved Disapproved a/c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: (~l- ¢ 9'~ "q~(~) Expiration ][/2~20,}] )1,~  / - Buil~ng Inspector ~ g~l ~ [~ Date ~o/ ~ ,20 / O ~ I INSTRUCTIONS ' ~~mpletely filled in by typewriter or in ink and submitted to the Building Nspector with 4 sets c 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 promises or public streets or areas, and wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such a pe~it shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for ~y pu¢ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Eve~ building pe~it shall expire if the work authorized has not commenced within 12 months ager the date of issuance or has not been completed within 18 months from such date. If no zoning mendments or other regulations affecting the prope~y have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pe~it for an addition six months. Thereafter, a new pemit shall be required. ~PLICATION IS HEREBY M~E to the Building Depa~ment for the issuance of a Building Pe~it pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Re~lations, for the construction of buildings, additions, or alterations or for removal or demolition as heroin described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and re~lations, and to a~it authorized inspectors on promises and in building for necessa~ inspections. (Signature of applicant or name, ifa 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 (Ak on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders LicenseNo. Plumbers LicenseNo. Electricians License No. Other Trade's License 1. Location of land ~n which proposed work will be done: 075' x' House Number Street County TaxMapNo. 1000 Section Subdivision 3-7 Hamlet Block c~ Filed Map No. Lot '~ Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ~._~ f~,,~,~ r_~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee g Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front 6/'~" ! Rear Height /~ q/ Number of Stories [ Dimensions of same structure with alterations or additions: Front - t -~ , . Depth c~/ Height /~-' cf,, Number of StOries 8. Dimensions of entire new construction: Front '7 ( t-/Ir Rear Height Number of Stories 9. Size of lot: Front lc.O,~ t Rear ,&.oo / _Depth l 0. Date of Purchase _Depth Depth 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 __ NO v// 13. Will lot be re-graded? YES __ NO x,~Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner of pre, mises~, Name of Architect Name of Contractor~ 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES__ * 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 t//' * iF YES, D.E.C. PERMITS MAY BE REQUIRED. NO Y 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 t/'/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF~C4-~S: being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) CONNIE D. BUNCH Hotn~ Public, State of Ne~ ¥or~ ~o. OtBU6185050 Qua fled in SuffOlk Counht ~. Commission Exo res April 14, 90 ] ~ 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 tree 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 ~ ^ L];~ __ day of { V ~,4'OZ 20]~) Notary Public Signature of Applicant TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined .20 Approved Disapproved a/c · 2O Expiration .20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the tbllowing, betbre applying? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Flood Pemfit Storu~-Water Assessment Form Contact: Mail to: , ;~ t~]]l Building Inspector i L~ }~IA~ . .! ~.~ 'PLICATION FOR BUILDING PERMIT ~ t~t0g 0£~, Date /Qarc/~ Z- ~ , 20 / / ~ 1~ 0~ s0t~0~ 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 on premises, relationship to a4joining premises or public streets or areas, and wate~ays. c. The work covered by this application may not be commenced betbre issuance of Building Pemit. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such a pemfit shall be kept on the premises available tbr inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ lbr aay purpose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Every building permit shall expire if the work authorized bas not commenced within 12 months ager the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the prope~y have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pennit tbr an addition six months. Thereafter, a new pe~it shall be required. ~PLICATION IS HEREBY M~E to the Building Depa~ment tbr the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suftblk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or lbr 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 necessa~ inspections. (Signature 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 ~4--°o~ o-/¢,, (As onlhe tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders LicenseNo. ~30~C) - H Plumbers License No. /,-),o ¢, < Electricians License No. /,,3 ~o,~ --~ Other Trade's License No. /,Dom -~ Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision Block Filed Map No. Hamlet Lot ,-~ Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy C(X~')o~'% b. Intended use and occupancy C,'¢64,¢ c~-e., 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ,~,~/'5 o O 5. If dwelling, number of dwelling units If garage, number of cars [ Addition Other Work Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front / / ~'~ Rear /] ~"~ Depth ~c/ Height /,~ ~ Number of Stories / Dimensions of same structure with alteratior3s or additions: Front / / / (~ ~' Rear Depth ¢¢ c(', Height_ /,~ Number of Stories / 8. Dimensions of entire new constructiou: Front Rear Height Number of Stories 9. Sizeoflot: Front /O O Rear /OO Depth / c/o 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 NO 13. Will lot be re-graded? YES NO V~Will excess fill be removed from premises? YES__ NO 14. Names of Owner Name of Architect Name of Contractor Address 2¢1 ¢ Ce~rs,~ ~ [~o[ Phone No. ~ 16- ~-( - lC ~ °/ Address I~/ L~{ ~z~,~2'~tPhone No ¢3 I' ~6t- 2~H~ Address~o g~v ~7~ 5~(%~Phone No.(~ [-gh~ -go2q 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. ls this property within 300 feet of a tidal wetland? * YES NO ,,/" * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO v/ 16. Provide survey, to scale, with accurate tbundation 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 t,// · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF beip. g duly sworn, deposes and says that (s)he is thc applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perlbnn 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 day of 20__ Notary Public Signature of Applicant .To w,n Southoid Erosion, Sedlmentat,on & Storm.W. tor Run-off ASSI= $MENT FORM BI ~, c~ I .... . .... ~-- r~vrc~lO~ IN THE STA~ OF N~ Y~. ,Item Number:. (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) ..... Yes No 1 2 9 Will this Project Retain AJI storm-water Run-Off Generated I~y a Two (2") Inch Rainfall on Site? im(mThtD Sro!!_em .w_?l 'n~ud~e all run'°ff ~eated bY site cteaHng and/or construction acth~ee as well as all Site D°es the Site Plan and/or Survey Show All Propased Drainage Structures indicating Stze & Location? / r~ This Item shall inOude all Proposed Grade Changes and Slopes Controlling Surface WaterFIowl -- wm this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Malerial withth any Parcel? __ Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5.000) Square Feet of Ground Surface? r~1 Is there a Natural Water Course Running [hrough the Site? Is this Prelect within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feel of Vertical Rise to __ One Hundred (100')of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Sierra-Water Run-Off into and/or in the direction of a Town dghl-of-way? F~1 _L~ Will this Project Require the Placement of Material, Removal of Vegetatlon and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) -- Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and ' Must be Submitted for Review Prior to Issuance of Any Building Permltl _EXEMPTION: Does this project meet the minimum standards for classification as an Agricultural Project? Note: If Y°u Answerad Yes to this Questten, a Storm-Water, Gfadlng, Drelnage & Eresten Control pten is NOT Requlradl Yes No STATE OF NEW YORK, coum- ............ ss That I, ................................................................................ being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individual signing (:~cument) And that he/she is the CONNIE O, BUNCh ........................................................................................................... t .P. li ,. tate of New Yom (o~.er. co. tre~or ^~enC CorpomLe O~cer e~ I NO. 01BI3~IgSO~30 ...................... ' ' ' Qualified in Suffolk Coun Owner and/or representative o£ the Owner of Owner's, and is duly anthodzed to p~ffonn Po~h'~i~iJ~l~o~J~work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and beliel~ and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; (Signature of App~icanq OWNER FQI~R OW.N~ER ! N RES. '~ S~ ~ ~ 5. VL I~ND IMP. TOTAL TOWN OF SOUTHOLD PROPERTY ,' STREET '~.-7,~ VI LLAGE RECORD CARD l ACR. 'TYPE O]:: BUILDING LOT FARM J cOM~M~. CB. MICS. Mkt. Va[ue DATE REMARKS Tillable Woodland Meodowland House Plat FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH /oo'~ ?,' ..- tzoo 13o' BULKHEAD ~-lr~--~_, ~:?-/vi - vu TOWN OF SOUTHOLD PROPERTY REC;ORU C;ARD OWNER STREET VILLAGE ~:,,; ~O~m OWNER l' N E , ~ S~S. : ~ FA~ ~MM. CB. MISC. Mkt. Value ~ND IMP. TOTAL DATE RE~RKS ~~ .~(; I~o0 ~6(:, ~.-~.~,~,., . N~ NO ~L BELOW ABOVE FA~ Acre VoI~e Per Vol~ Acre ~lloble 1 Tillable 2 Filla~le 3 ~oodland S~land FRONTAGE ON ~ushland FRONTAGE ON ROAD ~ause pl~ DEPTH BULK~D Toto~~ ~ ~ DOCK IIII1 I~1 I 1~II Ii ,I,doll I til I I I i I I I I I I I I~lffll I I I [ I lIE l'll-4--li I1 ~,~ ·~l ~'- ~si~ /~ ~ /~ ~ /~ ~0 ~ j ~ ~ ~ement ~6 ~ Floors ~, :E~ion. ..... Fire Place ~ Heat Type R~f ~ms 1~ Floor B~  Recreation Room Rooms 2nd F[o~ FiN. B. F~mh Dormer B reezew~ Dr i~,eway P~io J Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 August12,2011 BUILDINGDEPARTMENT TOWN OFSOUTHOLD Sall~q(taup/t/ 275.P,,¢,~. ns Blvd Ear:,t,'~a 'r'~n, NY 11939 TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: *Amended plans are required showing deck work. There will I~e additional fees. "'/'Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. -'~A fee of $$0.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) __ Trustees Certificate of Compliance. (Town Trustees#?65-'lSg2) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 35593 - Front entry and garage Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD August16,2011 Sally Haupt 995 Washington Avenue Plainview, NY 11803 RE: 275 Parsons Blvd., East Marion ~ t~-~~ TO WHOM IT MAY CONCERN: *Amended plans are required showing deck work. There will additional fees. Telephone (631) 765 1802 ollowing Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (Contact your electrician) fee of $50.00 __ Final Health Department Approval. __ Plumbers Solder Certificate. (An permits involving plumbing alter 4/1184) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT ' 35593-Z Front entry and garage Town Hall Annex 54375 Main Road P.O. Box 1179 $outhold, NY 11971-0959 Telephone (631) 765-1802 Fax (63 I) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD December 21,2011 Stephen Haupt 995 Washington Avenue Plainview, New York 11803 RE: 275 Parsons Blvd., East Marion NOTE: $284.00 due for as built deck plans TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: __ Application for Certificate of Occupancy. (Enclosed) __ Electrical Underwriters Certificate. (contact your electrician) A fee of $$0.00 __. Final Health Department Approval. __ Plumbers Solder Certificate. (A~I permits involving plumbing after 4/1184) __ Trustees Certificate of Compliance. (Town Trustees # 76~-1892) Final Planning Board Approval. (Planning # ?$$-1938) Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT: 35593-Z covered entry, alter and deck ,Il ~[~I SEP 29 201! BL~G DEPI, ,, , 71'OWN 0¢ $~UTHOLD x~ ~xl ~och ~×le~rnq ~oeb ~×l~rn,~ 4 x 4 ¢¢lumn_~ f.o oxle~lng found, ~/# 5 r~ ~r Exle~,lng Goncro~o el~ ~ X ~ Ovorhood doer door' ~ ~ ~A®tE ~ L---~A-~ OUND A I I/4" = I'-0" I/4" = I'-0" ON LAN ~xl~sln~ ~.ooF ,~nd ~hlnglo~ FRONT EL V. I/4" = I'-0" 2 X 4 In fill ~olls ~Tth I/2" pl~mood oxl~t;In~ ~xi~lnc~ ~11 ~ siding i ~.I®HT &l 4" block. Oo~ol ko oxret:lng found. .,~/ :~ 5 Ce bar LEV. i/4" = I'-0" 5¥T,-1BOLS I EXIeTIN~ CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA Ground Snow , L~ed I Wind Speed 20PSF ..b 110MPH Seismic Design category ~athedng Decay Frost Termi$ depth 3'-0" Moderate to Heavy Winter Design Temp Ice She~ld 7 Air i Flood Undedayment ~ Freezing I Hazan:l reqmrad Index ~ SDC-C Se~era Sllghtto 11 Degrees Yes(Req'd) i +-513 5-1998 Sds < 0.50 Moderate 1. CODE: Stuctumshallbedesigned and built acco~ing totheAF&PAWFCM (W~d Fmme Const~ction Manualfor One and Two Family P~ellings) 2001 2. NYS Reeiden~ Code2007 X 4 In PIll ~11~ ~ll;h [/2II plywood and efdlng ko mc~ch o×le~Tng &lmpeon PD44 Z Max Mort;or lnt;o I~lock 2 X 4 rn Fill ~all5 ~[[h I/2" plywood end siding ~o m,:2bch oxTs~lng ~ ~xls[Ing ~,ooF mhd ¢hlngl~¢ ELEV. I/4" = I'-0" ii VICTOR CUNE0 ARCHITECT P.C. 154 LAUREL ROAD EAST NORTHPORT, NY 11731 (631 ) 261 - 2744 EAST h4A~ION, NY' ~/21/11 A 16 o,c, Sirn~25on ABC~ Cop for ¢och post post on ~op of existing Found, Exrstln<:3 Rrd<~¢ ,// / / / / 4'-[0" 5'-8" f overhen PLAN 1/4" : I'-0" SYMBOLS / ABBREVIATIONS STRUGTURE / CENTER LiNE POINT LOAm FROM ABOVE HIN®EO O00R p,J, : PLOOF~ ,JOIST C.J. = CEILIN¢ JOIST G.T. = C, OLLAR TIES DB, : BOARm ®¥P, = ~HEET~OC~ Carpentry: 1. AIl lumber shell be Douglas fir larch #2 and better (Fb = 875) unleas ctherwise noted. 2. AII lumber ln crawl spacas to be l S" above ecratch coaL Meintain S" min. foundation exposure. 3. Sills to be ACQ and securely flashed with a ~en~lte shield. Aisc provide sill seaVinsulation. Size of sill to be (2) 2" x 6" unless (1) 2" x 8" is nacessmy to match floor heights wt~ the existing structure. 4. At flush frsmlng use 16 gage metei joists hangers by q'eco" or ecluei. 5. All beams, girders, etc. to ha~e min. of 3 "bearing 6. AIl woad sills and wood in cmtect with masonry/concrete to be ACQ treated. 7. All exterior sheathing shell bs neilad as per fastening schedule. Generally, sheathing is of '~ thickness on wails and roof and ~s of calx grade, unless otherwise noted. Sea floor plans for additional nailing or different nailing requirements when a~llcable.. 8. Exterior shnathing to be covered with '~yvek" house wrap or approved equal. JOINT DESCRIPTION Rafter to top plate (toe nail) ( toe nail) Cellln~ joist to parallel Rafter Iface nailed) Ceiling joist laps over partitions Iface nailed) Collar tie to Rafter (faced nailed) Blocking to rafter (toe nailed) Rim board to Rafter (end nailed) NAILING SCHEDULE NUMBER OF NAILS ROOF FRAMING 4 - 8d Comm on Per Joist 4 - 8d Comm on Per joist 4 - 16d Common 4 - 1 Od Common 3 - 1 Od Commo n 2- 8d Each end 2-16d Each end NAIL SPAC lNG Ceiling joist to top plate Each lap Each lap Each connection ROOF SHEATHING Sfructural panels Interior zone 8(I 6" Edge / 12" Field Sfructuralpanels perimeter edge zone 8d 6" Edge/6" Field CEILING SHEATHING Gypsum Wallboard Sd coelers 7" Edge / 10" Field CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA D~lgn Tern p Seismic Ground Snow VVind Speed Design Lead c~egory SDC- C 20PSF 120 MPH ~ds < 0,5(, Frost Te~Tn~te Decay depth 3'.0' Mpearate to Sllet to Heavy M~erate 11 Degrees Ice S helld Underlayrnent required Yes (Req'd) Freezing Hazan:l Index +-513 1. CODE: Structure shall be designed and b~llt according to the AF&PA WFC M ( Wood Frame Construction Manual f~' One and Two Family Dwellings) 2001 2. NYS Re eld entlal C ode 2007 Minimum Uniformly Distributed Design Loads ( Based on Tables R301.5, R301.6, R301.7 ) Use Live Load Dead Load Decks 40 PSF~ ~5 PS~ Stairs 40 PSF 15 PSF Gu ardrails and Handrails 200FSF 15 PSF 12 PSF for attic Roof loading 45 PSF 15 PSF for Cathedral dg Stmctmal Member AIIo'c~ble Deflection Ra:l~m slopes greater than 3/12 No finishad alg At~ached L / 18(] Interior walls and partitions H/~80 Floors and plastered cig. L/360 ~Jl other structural members L/240 Ext, walls ~th plaster or stucco H/360 Ext, walls - wind loads with brittle finish L/240 Ext, walls - wind loads with flexible finishes L/120 ALL CONSTRUOTION SHALL M,-ET THE REQUIR,:biENTo OF THE CODES OF NEW YORK STATE. OC(.;b, OR USE/S UNLAWFUL WITHc UT CERTIFICATE OF OCCL IPANC¥ APPROVED AS NO/ED N©I'I~y BUILDING DEPARTM~T AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING rNSPECTIONS. ~ FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2 ROUGH- FRYING, PLUMING, STRAPPING, ELECTRICAL & CAULKrNG 3, INSU~TION 4 FINAL-CONSTRUCTION&ELECTRiCAL MUST BE COMPLE~ FOR C.O ALL CONS~UCTION SHALL ME~ THE REQUIREMENTS OF THE CODES OF NEW YORKSTATE NOTRESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS or on~ o~h~r persons In occordor, c¢ ~lth ~h¢ 5/24/10 E / 28 / I0 VICTOR CUNEO ARCHITECT P.C. 154 LAUREL ROAD EAST NORTHPORT, NY 11731 (63 l) 261- 2744 PARSONS ~LYD EAST MARION, NY