HomeMy WebLinkAbout44150-Z �O�Og11FFQ[ Town of Southold 4/10/2023
a _ P.O.Box 1179
0
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40903 Date: 12/9/2019
THIS CERTIFIES that the building WINDOWS
Location of Property: 90 East Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 110.-7-15
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/4/2019 pursuant to which Building Permit No. 44150 dated 9/10/2019
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:
REPLACEMENT WINDOWS ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to McCarty,Michael&Kathleen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Au o 'ze Si ature
°�SUFFo��co TOWN OF SOUTHOLD
BUILDING DEPARTMENT
s TOWN CLERK'S OFFICE
co
oy SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 44150 Date: 9/10/2019
Permission is hereby granted to:
McCarty, Michael
3529 Stephen Ln
Wantagh, NY 11793
To: install replacement windows on existing single-family dwelling as applied for.
At premises located at:
90 East Rd., Cutchogue
SCTM # 473889
Sec/Block/Lot# 110.-7-15
Pursuant to application dated 9/4/2019 and approved by the Building Inspector.
To expire on 3/11/2021.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $250.00
CO -ALTERATION TO DWELLING $50.00
Total: $300.00
Building Inspector
Form No.b
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.
idences and similar buildings and installations, a certificate
5_ Commercial building, industrial building, multiple res
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, 19S7) 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.
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 c� G�
Date. I I J
` New Construction: Old or Pre-existing Building: N (check one)
Location of Property: 5 t �5 n� U
p rtY House No_ Street Hamlet
Owner or Owners of Property: /
Suffolk County Tax Map No 1000, Section l Block Lot 15
Subdivision Filed Map. Lot:
(�( �
Permit No. " g t6o Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: ,
Request for: Temporary Certificate Final Certificate: d/ (check one)
Fee Submitted: $ 40.
pplicant Signature
qql,5,o
oy�00F SOl/lyo -
# * TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm, 765-1802
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INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] - SULATION/CAULKING
[ ] FRAMING /STRAPPING IV FINAL JPMO/�
[ A] FIREPLACE &'CHIMNEY [ ] FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT'PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)-
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATEI3 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
b
FOUNDATION(IST) Cdr
--------------------------------------
FOUNDATION (2ND) COD�
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ROUGH FRAMING& ,y
PLUMBING
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INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
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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 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 —Survey
South oldtownny.gov PERMIT NO. Check
--Septic Form
N-Y.S.D.E.C.
--Trustees
CDC .Application
_'1Qod Permit
Examined '20 SEP - 4 219 Wigle&Separate
,-qi-%&&Identification Form
' STCT -Water Assessment Form
Contact:
Approved 20_fl ,I�JQrn� ai Yo: 0.`�h (�t✓n !r' N��
Disapproved a/c
Phone. 5�� 22l go o
Expiration 20 I 'rptf m i f tb
mil
352Q S•�a�eN ��-
Bui ng ctor Wo, 4 NX /17 q�
APPLICATION FOR BUILDING PERMIT
Date , 20_1q
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 adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. 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 so ever until the Building Inspector•
issues a Certificate of Occupancy. ,
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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,housin code, and e lations, a�d to a it
authorized inspectors on premises and in building for necessary inspections.
I _
(Signature of applicant or name,if a corpo ion)
Alaq 4 �IV 11795
(Mailing address of ap licant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
®WA/RQ
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
t
eand title Qf rporate officer)
Builderse No.
Plumbers Licen o.
Electricians Li n No._
Other•Trad ' License o.
1. Location of land ich propor wo ks Gl�l be d9ne:
House Number Street v-� /1/ Hamlet
County Tax Map No. 1000 Section ' O Block Lot 15
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Sr11" e AG P&; AlAge
b. Intended use and occupancy S�ou�
3. Nature of work(check which applicable): New Building dition Alteration
Repair Removal Demolition Other Worlc Pyre �w
(Description)
Estimated Cost Fee
(To be paid on filing this application)
5. If elling, number of dwelling units Number of dwelling units on each floor
If gar e, number of cars
6. If business, c mercial or mixed o upancy, specify nature and extent of each type of use.
7. Dimensions of exist' struc s, if any: Front Rear Depth
Height Number of Stories
Dimensions of same ructu with alterations or additions: Front Rear
Depth ht Number of Stories
/ensnns of en 're new construction: F t Rear Depth
Number o tories
t: rout Rear Depth
urchase Name of Former Owner
se district in which premises are situated
posed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
r�«tiff
Names of Owner of premises /'4Z-6J1 IYe^ Address '70&S'7'10 C'�64CPho,e No. 5"Kal-t908
Xe of Architect Address Phone No
-/ e of Contractor Address Phone No.
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. N11�
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY. T—
STATE OF NEW YORK)
SS:
COUNTY OF )
%C`�``4 L/ being duly sworn, deposes and says that(s)he is the applicant
(Naive of individual signin contract) above named,
(S)He is the 0 tX//Ve/:_)
(Contractor,Agent, Corporate Officer,etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to snake 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
Th day of 20. .N_
13 atiw Wv Ilk)WUl("-11RAGr=Y L. DWYFR
Notary Public N ARY PUBLIC,STATE OF NEW YORK Signature of Appli t
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,�6�
4
O a
APPRO ED AS NOTED
DATE: b B.P.# s�
FEE: No BY
NOTIFY BUILDING DEPARTMENT- AT-
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION TJG REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
--AnUTH01 n TnVVNYL&NNING BOARD
SOIJ2Q0C USTEES
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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02019 Window World,Inc Printed in USA WC-WWi-500 01/19
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