HomeMy WebLinkAboutZ-37327 fF Town of Southold Annex 12/16/2014
54375 Main Road
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 37327 Date: 12/16/2014
THIS CERTIFIES that the structure(s)located at: 275 Parsons Blvd, East Marion
SCTM 473889 Sec/Block/Lot: 37.-2-3
Subdivision: Filed Map No. Lot No.
conforms substantiafly to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 37327
dated 12/16/2014 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one fa
jtly dwelling.*
NOTES:BP 2666 addition to dwelling COZ-2247;BP 10534 caMort addition COZ-13725;
BP 35593 carport altered to garage, deck and covered front gpLry additions COZ-35520;
BP 39408 Iteration to dwelling COZ-37326.
The certificate is issued to -Haupt, Stephen Ammon&Haupt, Gail
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.,
PLUMBERS CERTIFICATION DATED
*PLEASE.SEE ATTACHED INSPECTION REPORT.
/i�Korizod Sigwhre
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 275 Parsons Blvd,East Marion
SUFF.CO.TAX MAP NO.: 37.-2-3 SUBDIVISION:
NAME OF OWNER(S): Haupt, Stephen Ammon&Haupt,Gail
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Haupt, Stephen Ammon&Haupt,Gail DATE: 12/16/2014
DWELLING:
STORIES: I #EXITS: 2
FOUNDATION: cement block CELLAR: 2/3 CRAWL SPACE: 1/3
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: I GARAGE:
DOMESTIC HOTWATER: Yes TYPE HEATER: Electric AIR CONDITIONING:
TYPE HEAT: Elec Ht Pump WARM AIR: HOT WATER:
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: Unfinished
OTHER: outdoor shower
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GARYF DATE OF INSPECTION: 11/7/2014
TIME START: 2:15pm END: 2:30pm
513(o
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANC
E
This application must be filled in by typewriter or ink and submitted to the Building Depart t[ith the followin
g:
f_-
OCT 2 9 2014
A. For new building or new use:
I. Final survey of property with accurate location of all buildings,property lines,stre s,an, nus"-natur r—
KDG!Hto
topographic features. TOW N 0 F So UT�do LD
TOWN OF SOUTHOLD
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 formnLt.
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 I% 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.
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.
Certificate of Occupancy on Pre-existing Building- $100.00
Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial $15.00
Date. /0
New Construction: Old or Pre-existing Building: tl� (check one)
Location of Property: AA"44 15L Vb 4�2� InAg_,("Od
House No. Street Hamlet
Owner or Owners of Property: #14U&
Suffolk County Tax Map No 1000, Section Block 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: V"' (check one)
Fee Submitte d: $
Applicant Signature
Oct 08 14 12:11 p p.2
CONSENT TO INSPECTION
Owner(s)Name(s) the undersigned,dID(es)hereby state:
That the under�igned'(is)(are) the owner(s) of the premises in the To-,vn of
Southold, looated 4�_
which is shown afid.d6signated on-t.he Su
CountY Tax Map as District-1000,
SectiP Lot __3
1310' ek
That the undfirsigried(has)'(have)filed,-or cause to be filed, an applir tion.in th
_a e
Southold Town-Building1rispector's Offlix foofio fbilowing: �0.e&F_
That the undemigned do(es) hereby give consent to the Biii1ding Impedors -of the-
Town of Southold to enter v'
build" pon the above desadbed pr9perty, inrjudQ any and all-
mgs located-themn,.to conduct such-insPectiOr� as they may de=neces�hry with
TesperA to the-aibr�said application,ine' luding inspections to deterniine that said p'remisetg
.-ComPlY with aff of the.laws,erdittanoa�, 'rules atidregiilations-of the Town of s'- uthol '
d.
Ile undersigned, in consenting to such inspections,.40(psYso with the knowledge
and understanding tfiaj a'ny,iIA0rmaii6n obtained in the bonduct'd such '
inspectionsmay
be used,iiisubsequent-prosecutions for violations Of the Imys,ordin�bces,tdcs or
rogulations ofthe Town of Southold:"
Dated:
(Signature)
f
unt N
1 (sign
,4iL 1' 11� aturq)
(Print
rjf so
coulm,
OF SOUTHOLD BUILDING DEPT.
TOWN
765-1802
INSPECTIO-N .- � . ,
I FOUNDATION I ST ROUGH PLUMBING
FOUNDATION.2ND INSULATION
FRAMING / STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISlANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION CAULKING
REMARKS:
4L
D AT E INSPECTOR
4�
x
v
TOWN OF 'SOUTHOLD PkOPERTY REC100"''CA-RID
7 _2 - 3
OWNER ST VILLAGE
,REET 7 DIST. UB; LOT
pkso
FOliMtR IOWN�R N E
ACR.
�5 4, S w TYPE OF BUILDING
4 JH -7-,/ pq c
RES. S&S. V . FARM COMM. CB. MICS. Mkt. Value
t
LAND IMP. TOTAL DATE REMARKS
tj V C7-
Zb.
700
h
)3 61-q-7- -7�>O Hai,4k CU
ein c 41, a> hext Ue,(_ C64,11.
4,6 47)
5-4 1A
02
\1 f�,r 1 A-4-9 41-n Ce-4
-L'I 2-4 70 7V q-, -icq�-
5 j'29 116 g tfsL�g�-5
d
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH A
House Plot" BULKHEAD
Total
- TOWN OF SOUTHOLD PROPERTY "1kEQ0,R,
CA
VILLAGE S B LOT.
OWNER STREET DIST. U
FORMER OWNER N E ACR�
S W TYPE OF BUILDING
RES. S EAS. VL. FAR M COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
3) 6 6 1 <6 Q C) 6
0 0
k A
x
0 0 0
f'311
t7
0161W60
N
NEW NORMAL BELOW ABOVE
Z" ;f"O;
FARM Acre Value Per Voluel
Acre
----------------------
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushlond FRONTAGE ON ROAD 6 (J '
House Plot DEPTH
BULKHEAD
DOCK
.0ft M
I A
Z"
�T
-4:
13 E M N P LN I WN ra 2 a a N M M N M N M 0
M Noma
MEN MEMEMENNEEMEMEME
MA
sement
t.-Walls '.Interior Finish
e',Place
Rooms lst Floor
Recreation Room
Driveway
N NOTE. SURVEY OF PROPERTY
L 0 T NUMBERS REFER TO "GA RDINER'S BA Y
ESTA TES, SECTION TWO" FILED IN THE SUFFOLK MON. A T EAST MARION
COUNTY CLERKS OFFICE ON SEPT 23, 1927 FND. TOWN OF SOUTHOLD
AS FILE No. 275.
SUFFOLK COUNTY MY
1000-37-02-03
SCALE: 1 �=30'
0".
OCTOBER 23, 2014
AA
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6% FND.
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C- DEBRA TELLEKAMP
ADVANTAGE TITLE
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UTILITY
POLE PIPE
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AREA 13,000 SO. FT.
TO TIE LINE
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ANY AL 7ERA 77ON OR ADDITION TO 7HIS SURVEY IS A VIOLA 77ON YS. LIC. NO. 49618
OF SECTION 7209OF THE NEW YORK STATE EDUCA77ON LAW. P.C.
EXCEPT AS PER SEC77ON 7209—SUBDIWSION 2. ALL CER77FICA77ONS (6,331. 765-5020 FAX (631) 765-1797
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF BAYVIEW DRIVE P.0.. BOX 909
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR 1230 TRAVELER STREET
WHOSE SIGNATURE APPEARS HEREON SOUTHOLD, N. Y 11971 08-156
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S)-:
OCCUPANCY: (typ I e) (owner-tenant)-
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAPNO. 1000-
SOURCE OF REQUEST: DATE: . .
DWELLING
TYPE OF CONSTRUCTION: STORIES: -NEXITS-.'
FOUNDATION: . Qef-M*-& UoC&- --tAS-9MENT-. -A CRAWL SPACE:
OF BEDROOMS: 1ST FLR: -3 ' 2ND FLR: . 3RD FLR:
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM:
PORCH.TYPE: DECK, TYPE: - I Azs-ot�-�- PIPAI`TlOj-TYPE:
BREEZEWAY:' . FIREPLACE: G. ARAGE:
DOMESTIC HOTWATER: TYPE HEATER: A-IRCONDITIONING:
TYPEHEAT: ARM AIR: HOTWATER:
# OF KITCHENS:___&� y
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURES lave-
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST,TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY: /4��DATE OF INSPECTION:
TIME START:. oi�- END: