The URL can be used to link to this page

Home My WebLink About45940-Z UfFnL/(c. Town of Southold o� o� 3/19/2021 P.O.Box 1179 0 W. 53095 Main Rd 'y,) �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41894 Date: 3/18/2021 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 470 Goose Creek Ln, Southold SCTM#: 473889 Sec/Block/Lot: 79.-1-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/8/2021 pursuant to which Building Permit No. 45940 dated 3/17/2021 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: "as built"conversion of existing parlor to a bedroom in an existing single-family dwelling as applied for. i The certificate is issued to Rubinstein,Richard&Alice of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED th d Signature o�s�FFQi�,� TOWN OF SOUTHOLD BUILDING DEPARTMENT N x TOWN CLERK'S OFFICE Wo • SOUTHOLD, NY 'v 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#: 45940 Date: 3/17/2021 Permission is hereby granted to: Rubinstein, Richard 27 W 55th St Apt 71 New York, NY 10019 To: legalize "as built" conversion of existing parlor to a bedroom in an existing single-family dwelling as applied for. At premises located at: 470 Goose Creek Ln, Southold SCTM #473889 Sec/Block/Lot# 79.-1-5 Pursuant to application dated 3/8/2021 and approved by the Building Inspector. To expire on 9/16/2022. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $457.60 CO-ALTERATION TO DWELLING $50.00 Total: $507.60 Building Inspector FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) y Q � -------------------------------------- FOUNDATION -----------------------------------FOUNDATION (2ND) 1 o � C7 ROUGH FRAMING& ® y PLUMBING r INSULATION PER N.Y. H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS O z m IPX � y _ � O H d r4 b H o�SyfF94 G TOWN OF SOUTHOLD—BUILDING DEPARTMENT f y� N x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765=1802 Fax(631) 765-9502 htWs://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PE IT For Office Use Only - 2 2021 ;.c PERMIT NO. Building Inspector: MAR Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the'owner,an, rP " ."��_;J'11�i Owner's Authorization form(Page 2)shall be completed. , Date': OWNERS)OF PROPERTY: Name:Richard RubinsteinSCTM#1000-07900-01-00-005-000 Project address: 470 Goose Creek Lane Southold NY 11971 _ Phone#:216-403-0002 Email:richardrubinsteiic—, � Mailing Address:27 W 55th Street Apt 71 NY_NY_10019 CONTACT PERSON: Name:Charlene Boyle- Thomas J McCarthy Real Estate Inc _ Mailing Address:46520 Rte 48 Southold NY 11971 Phone#:631-765-5815 Email:charlene.boyle@thomasjmccarthy.com DESIGN PROFESSIONAL INFORMATION: Name:N/A Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:N/A Mailing Address: Phone#: Email: DESCRIPTION'OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition EstimatedCost ofProject: DOther Converted Parlor Into 4th Bedroom $ Will the lotbe re-graded? ❑Yes 9 N Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property:Sin le Family Dwelling Intended use of property:Sin le Family Dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? 0Yes'44§jo IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name):C h a rl e n e Boyle BAuthorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF ) Charlene Boyle being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (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 true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this 24th day of February 20 21 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) Richard Rubinstein residing at 470 Goose Creek Lane Southold NY 11971 I, do hereby authorize Charlene Boyle to apply on my behalf to the Town o thold Building Department for approval as described herein. <�,Z d, 2-24-2021 ner's Signature Date Print Owner's Name 2 NeCARTHY MANACEN[Off, INC. L,Mm (m7R&KMR7� 46520 COUNTY ROAD 48 SOUTHOLD, NY' 11971 DAT JOB NO (631) 765-5815 FAX (631) 765-5816 ATTENTI TO RE WE ARE SENDING YOUXAttached D'Under separate cover via the following items: ❑ Shop drawings ❑" Prints lans ❑ Sampl ❑ Specific/a�tions ❑ Copy of letter ❑ Change order ❑ ` (�1 +� Al-0 �1 2-k L Y THESE ARE TRANSMITTED as checked below: X,or approval ElApproved as submitted 11Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US R F8 SCS .� ol r l L p COPY TO SIGNED: If enclosures are not as noted,kindly notify us at once. Far APPROVED AS NOTED DATE: B.P.# 1 FES: J�"' ;. •, - ® BY: I �=" „ z4 i—�..�,,•, .. — S NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TG FOR THE ar ve, ,sf- ,3: a�, � 2�.d5• ;�Q� n 6 FOLLOWING INSPECTI S: 1. FOUNDATION - TWO.- EQUIRED FOR POURED CCN, ETE 2. ROUGH - FRAMING LUMBING 3. INSULATION r i •- I v MUS � IlD'•` u ., r.zaz _,c.w _ �3�`f ytE/na��yar.c..ac � 4. FINAL - CONS 9 �' ---��a s ';�'`ht t co BE COMPLE7r --�- �:.;•sti.�wtiw N„�---� - -- ,;” ;� ...- N m qGVS N ri K• Y nft� rt ALL CONSTRUCTION - I�,LL vME�T TF�E g •` � � + YI REQUIREMENTS OFT ' ODfS QF I -EtIV Y X,•_W.,m n4 .wa I YORK STATE. NOT R PONSBLFC�R DESIGN OR CONSTR N ,ER RS, is — K, J� '\ r 1.R11f•.I•ny,,.....(n•.NI in '�® • r—� . 3 S --\I 'SsYYiM1K M1 •� O I ,p �rs,as•,"., e a ,is COMPLY WITH ALL CODES O I d NEW YORK STATE & TOWN CO � AS REQUIRED AND CONDITIONS OF - '`'>o,f„aN.�/ `d"' •$�'- '�w� p •4..ill,i�4t 1, D,QCUPANCY ®R' :.,.,,• , � ,,,.,H•, �LooR TOWNPANNINGBOARD US UNLAWFUL TWUSTE WITHOUT CERTIFICAT -� �- OF OCCUPANCY