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HomeMy WebLinkAbout28746-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPkRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29160 Date: 12/27/02 · ~{IS CERTIFIES that the building ALTERATIONS Location of Property: 115 PARSONS BLVD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 37 Block 2 Sutx~ivision Filed Map No. Lot No. EAST MARION (HAMLET) Lot 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 3, 2002 pursuant to which Building Permit No. 28746-Z dated SEPTEMBER 13, 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 ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to AAINA M SCHALLER ( OWNER ) of the aforesaid building. SUFFOLK COIINT~fDEPARTMENTOF~RAL~APPROVAL ELECTRIC~kL CERTIFICA~ NO. PLUMBERS CERTIFICATION DA'r~ Rev. 1/81 N/A 70702C 12/11/02 12/19/02 MATTITUCK PLUMBING & HEAT Authorized Signat~ 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. 28746 Z Date SEPTEMBER 13, 2002 Permission is hereby granted to: ANNA M SCHALLER 5 HIDDEN OAK RD ARMONK,NY 10504 for : ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 037 pursuant to application dated SEPTEMBER Building Inspector to expire on MARCH 115 PARSONS BLVD EAST MARION Block 0002 Lot No. 005 3, 2002 and approved by the 13, 2004. Fee $ 150.00 A~thorized Signature Rev~ 5/8/02 COPY - TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~ 765-1802 i .... APPLICATION FOR CERTIFICATE OF OCCUPAN Ao 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: 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 oh Fire Underwriters. 4. Sworn statement from plumber certifying. ~ha~ the solder used in system contains less than 2/10 of 1% lead. ~ ~ ~ 5. Commercial building, industrial building, multiple residences and similar buildinga 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 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 buildin~ $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $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 $15.00 Date D~Q~MBFJ{ .19.. ~Q02 .................... New Construction ........... Old Or Pre-existing Building.. ~ .......... Location of Property .1.1.5... ?.~.R.$..O.N.S. X ! ! P.%% ....................... House No. Street Hamlet ANNA SCHALLER Onwer or Owners of Property .................................................................. County Tax Map No 1000, Section .... 3.? ........ Block. 2 .Lot 5 Subdivision .................................... Filed Map ............ Lot ...................... 28746Z Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary C,ertificate .... ~ ...... Final Certicate..,~... APPLICANT ~ C ~'~-~)'~ Warren A. Sambach Sr. Tow. H,3~I, .5.30.q.~ M.l~l Road P. o. Box 117g ~m,lhuht. Hew Yolk I r,.l. phone (516) OFFICE OF THE BUILt.lING INSPECTOI't TOWN OF $OU1'1 IOLO ..._c g r~ ..T._! r ":...C .V, 't' .t o t,r certify tllat the so]der used In the water supply uontaixls l(~sS khan 2/10 of ]% lead. sworn to before me this 12/26/2002 2~:26 516-734-7206 LADE~.IANN ELEC INC PAGE Issue Date 12t 11/2002 Electrical Inspection Certificate Issued To: Anna & Harold Schaller Street: 11~ Parsons Bird VIIIIge: Fast Marion ZJp: Section: Blook: Lot: Contractor: Lademann Electric Inc. 11939 Town: Southold LIc.# 4141-E Was examir~ecl and found to I~ In corl~plla~l~e with ~ National Electrical Co,de. Commercial {.f NVDde©ts [ ! Pool [)~1 lstFloor IX)IndOor !'! Basement [.'JHotTub Residential [-1 DeL Garage i i ,Mtl¢ [ *] 2NI Floor I' i Outdoor' ['*~ Addltlort [-'] Survey Other Equipment Hugo $. Surd President ~x~gh i~On~ ~ Ed $cavelli Final Ir~: 12110t2002 It~: Ed Sca,veal WARREN A. SAMBACH, SR. CONSULTING ENGINEERS - PLANNERS 7675 COX LANE · P.O, BOX 1033 CUTCHOGUE, NY 11935 63 1- (~ 734-7492 September 11 2002 Building Department Town of Southold Town Hall 53095 Main Road Southold NY 11971 Re: Anna Schaller 115 Parsons Blvd. East Marion NY 11939 SCTM_1000 Section: 037 Block: 2 Lot: 2 To Whom it May Concern: The existing structure will remain a single story building and it will be maintained within the existing footprint. Sincerely, Warren A. Sambach Sr. P.E. WaS:S WARREN A. SAMBACH, SR. CONSULTING ENGINEERS · PLANNERS 7675 COX LANE . P.O. BOX 1033 CUTCHOGUE, NY 11935 6 3 1 -- (~[~34-7492 October 16 2002 Building Department Town of Southold Town Hall 53095 Main Road Southold NY 11971 Re: Anna Schaller 115 Parsons Blvd East Marion NY 11939 SCTM: 1000 Section: 37 Block: 2 Lot:5 Permit 28746Z To Whom it May Concern: The deteriorated window in the Study room was replaced with a new window of the same size with thermo pane glass. The existing header was installed in the 1950's with one jack stud nailed to wall stud and the installation is of sufficient strength. Sincerely, Warren A. Sambach Sr. ?.E. was:s Applicant/ Owners Name: Architect/ Engineer: SCTM #: District: 1,000 Sec[jo,,: ~3/ Block: aX. Lot: Reviewed: Submitted: J .OCation: . Stag. lc & separate Required /[,~/]'1~ cemfication: (Yes / No) Rcq. ~o,,.,~,)~..~,: ~~,~,.,~: ,~ ~,.~,: IZ'71~ JFronlY~d }~t Pro~s~J [SideYard 10 Pro.sO: [R~rYard J~ Subdivisi°n36J /9 /~,/' Name: ,,C,~.,t.~t.,6-,~ ~ ~ AGENC3d~ERMITS REQUIRED FOR REVIEW Permit . 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: 76S-~.80Z BUILDING DEPT. INSPECTION [ ] FOUN~ION 1ST [ ] ROUGH PLBG. [ ]/~21JNDATION 2ND [ ] INSULATION [~]/FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ 765-I~02 BUILDING DEPT. INSPECTIO I [ ] FOUNDATION 15T ~'/RO~~BG. [] FOUNDATION 2ND [ ~]~NSULATION [ ] FRAMING [ ]FINAL [ ] FIREPL,A~P~'-&'CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY .REMARKS: &- /'/~,'~/- /? INSPE . BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU~AIriON [ ] FRAMING [~FI~AL [ ] FIREPLAC IM Y REMARKS: ~~/~ ~ "~ ~'~LD FO~DA~ON (IST) STATE ENERGY CODE Disapproved a/c .................................. , ...... .......................... (Buil~dnspecror) APPLICATION FOR BUILDING PERHIT FORIq NO. I 3 SETS OF PLANS ............... TONN OF $OUTilOI~ SURVEY ........... ~: .. .......... BUILDING DEPARTI41tIT CllECK .......... : ~ ................ TO~N H~L SEPTIC FO~ ................... SOUTIIOLD, N.Y. 11971' DEC ......... ~,..~f,~,~ ..... ~*r~*' - NOel : , :' :' ' ~ ' :. " .~ ..... .- "-i; GILL :~ ~IL TO: .................... Petal ~ · · ' ................. ' ~' ....... INS~.UCTIONS a. 'Ibis application mst be c~apletel¥'fillO' in'by typewriter or' in i~ ~ ~itt~' 3 ~rs of pl~, ~ate plot pl~ to ~ale. F~ ~o~ing to ~le. b. Plot plm ~ l~rim of lot ~ ct ~ildi~s ~ pr~s, ~lari~ip Co struts or are~, ~ givi~ a ~tail~ ~ri~i~ of la~ o~ pro~ ~t ~ dr~ ~ the,dia~ ~!~ ~.~r or this a~li~ri~. d. ~ a~l of ~ia a~li~ri~ t~ ~ildi~ tns~cror will is~ a ~ilding Pemic to 'the ~mir ~11 ~ ~pr m ~ ~a avail~le ~r ingci~ rhr~r the ~rk. e. ~ ~ildi~ ~11 ~ ~pi~ or ~ in.~le or in ~rr for ~ ~ ~at~er mrii a ~r~i~ ~ ~all ~e ~n ~ by ~ ~ildi~ I~tor. I~ildi~ ~ Ordi~ o~ ~ T~ o~ ~ld, ~olk ~, ~ Yo~, ~ o~er a~li~le ~a, ~di or ~lati~s, ~or ~ ~r~ci~ of ~ildi~s, ~rida or alteraci~, or for r~al or d~ljrion~ ~ri~. ~ a~li~r ~. ro ~ly ~i~ all a~li~le l~s, ordi~es, ~ilding r~lari~, ~ ro ~ir ~ri~ i~tora ~ ~s ~ in bd!~i~ for ~ces~ in~gi~s. ..... (~ili~ ~ress of a~lic~r) Stare ~m~r a~lic~r ia ~r. les~, ~ent, ~&it~t, engi~r, gemral c~rracror, el~ri~im, pl~r or ~ilde~ ... ........................................................................... . ...................... (~ ~ fl~ r~ mi1 or latest d~) If a~li~r is a m~rati~, ai~e ~ duly mrtmri~ officer. (Nam~ and title of corporate officer) I~ilders License No .......................... Plmt)era Licimse No .......................... Electricimm License NO ...................... Other Trado'. License 1% ..................... Locati~o of land on ~hich proposed york ~ill be ......... ,; .................... ; i:. ~... ~ivi~i~ ......... ~,.~., ......... (~) ~ .... · ............... ~t .... ~,, 2.State ~sting P:~ture of ~otk (ci~ck ddd~ al~li.cable): ~ ~fildl~., ......... ~iti~ .......... Alterati~ ..'~ .... I~ir ............. ~al ............ l~l.id~ ... OCher ~ .............................. (~r i p~ ~ · ..... ............... : .............................. (~ ~ ~id ~ filing this a~li~ti~) If &~lli~, ~,imr of ~11i~ ~ita ....... ~ ....t~r ol&~lling ~mita ~ ead~ H~r ................ If garage, ~tzr of ~ra ............ ~ ........................ If I~i~an, ~rcial or ~ ~, 8~ci~ ~ture a~tent of earl ~ of ~ ...................... Di~nsi~s of ~isti~ at~s, if ~: ~t ................ ~ar ............... ~pth ...... . ........... ~ St iv ' Ibi~t ......................... r of or a ................ ~ .... Bi~nsi~ of ~m st~e ~th alterati~ or ~iti~s; ~'; ............... ~ar ...... ......... ~pth .................... I~i~,t .................... Re~r of ~ories ............... Bi~mnsi~ of entire ~ ~st~ti~: ~t ........... ;.... ~ ~at ~ ......... . ..... ~pth .............. I~i~t . ........ : ............... ~mr of Stories .................... · :, Si~ of lot: ~t ............. . ............ ~ar ......................... ~pth .~...,.,. .............. _. .. . Mte of R~d~a~ ..................... ~ of Four ~er ....................................... , ~ or u~ district in dd~ p~i~a a~ ai~t~ ..................... ~.~ :. ~a ~o~ ~t=ti~ violate a~ ~i~ 1~, o~i~e or re~O,~: ........................ ~, ~ill lot ~ ~ .................... ~ill ~$a fill ~ r~ ~ Fmi~$: ~ ~. ~s of ~r of ~8 ................. ~ ......... ~eas "' ~ ~ ............. ~ of ~dt~t .................................... ~reas .......................... ~.. H~ ~. ; ........... ~ of ~tr~tor ................................... ~resa ' . .......... H~ ~ ............. 5.. Is this p~r~ within ~ f~t of a till x~tl~{ * ~ .......... ~ .... ~ ..... PLOT DIAGRAH l~ate clearly ~ diati~tly all ~ildi~s, drafter ~iating or pro~, ~ i~icate all ~t-~ ~a pro~r~ Ii~a. Oi~ $t~t ~ bl~ ~i~r or ~scripti~ acco~ing to ~, a~ ~ strut ~s ~1 {~ieate ~tl~r interior or co~r lot. (~ of i~ivi~l signing c~tract) (~tractor, a&ent, cor~ra~e officer, etc.) that the ~r~ uill I~ ~rMM in the runlet ~t forth in U~e. a~J. icati~ O!~ tire,U1. ( / v ~ Publ~, S~e of NewYo~