HomeMy WebLinkAbout46127-Z �o\O55FFO[p��, Town of Southold 6/6/2021
P.O.Box 1179
0
co 53095 Main Rd
04, Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42062 Date: 6/6/2021
THIS CERTIFIES that the building WINDOWS
Location of Property: 625 Victoria Dr., Southold
SCTM#: 473889 Sec/Block/Lot: 78.-9-59
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/6/2021 pursuant to which Building Permit No. 46127 dated 4/26/2021
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:
egress window to existing unfinished basement as applied for.
The certificate is issued to Rudder,Lynda
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
uth rize gnature
TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
H TOWN CLERK'S OFFICE
o • 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#: 46127 Date: 4/26/2021
Permission is hereby granted to:
Rudder, Lynda
625 Victoria Dr
Southold, NY 11971
To: Install egress window to existing unfinished basement as applied for.
At premises located at:
625 Victoria Dr., Southold
SCTM #473889
Sec/Block/Lot# 78.-9-59
Pursuant to application dated 4/6/2021 and approved by the Building Inspector.
To expire on 10/26/2022.
Fees:
CO-ALTERATION TO DWELLING $50.00
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
Total: $250.00
Building nspector
(Colt fff Sao,
# # TOWN°OF-SOUTHOLD BUILDING DEPT.
765-1802
-INSPECTION
[ ] FOUNDATION 1ST [ ] ROU H PLBG.-
[ ] FOUNDATION 2ND [ -j I ULATION/CAULKING
[ ] FRAMING/STRAPPING
[ ] FIREPLACE-& CHIMNEY [ ] FIRE SAFETY'INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) , [ ], ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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DATE INSPECTO
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST)
--------------------------`------� �c
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FOUNDATION(2ND) �
ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y.
STATE ENERGY CODE
S16-
FINAL
r ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD-BUILDING DEPARTMENT
TownHall Annex 54375 MainRoad P. 0. Box 1179 Southold, NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 lit!ps://www.sotitboldto-Wiiiiy.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMITNO. Building Inspector- APR 6 2021
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Date: April 6, 2021
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Name: Lvnda M Rudder SCTM#1000-78.-9-59
Project Address: 625 Victoria Drive, Southold�,
971------- -- ------
Phone#: 631-765-1800 Email:lynda.rudderCcD-town.southold.nv.us
Mailing Address:.625 Victoria_-Drive,Southold', NY 11971
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Name:Lvnda M Rudder
Mailing Address: 625 Victoria Drive, Southold, NY 11971
Phone#:631-765-1800 Email:iyp,da.rudderetow,n,."s"o,uthold.n,v"."u.s
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I R, 9�1,ONAL INIF,,,_
Name:Ron Mever. Earess Pros
Mailing Address: 21 A Edison Ave West Baby�qiq,_NY 11704
Ph I on-e'#:5116-224-7576- E,m ail:Ron@��gE�§§Pros.com
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Name:-Ron Meyer� Egress Pros
Mailing Address:21 A Edison Ave, West Babyj
_qn,_NY 11704
Phone#:516-224-7576 Email:Ron(@ Eg1q§
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STAM,til 0 N,,r,IRE,R
'PROPOSED
...........
EINewStructure ElAddition ElAlteration DRepair ElDemolition Estimated Cost of Project:
[i]Other basement egress window $6,000.00
Will the lot be re-graded? E]Yes WNo Will excess fill be removed from premises? E]Yes 9 No
-IERT�J
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Existing use of property: id intended use of property:
-K�s ent --------ResidenfiLai---
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-4 this property? DYes No IF YES, PROVIDE A COPY.
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'Application SubTi it t ad B, (print name): Lyn�dqV Rudder DAuthorized Agent ROwner
Signature of Applicant: Date: pri
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk
Lynda M Rudder being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Owner
(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
6th day of_ April 20 2021 Ad,
Notary Public
SABRINA M BORN,
PROPERTY OWNER AUTHORIZATION Notary Public,State of New York
No.01 B06317038,Suffolk Couqty
(Where the applicant is not the owner) Commission Expires Dec.22,20.2U
residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
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APPROVED AS NOTED COMPLY WITH ALL DES 01=
NEW YORK STATE OWN CODES
DATE: '� B.P.# I AS REQUIRED A CONDITIONS OF
FEE:. 2,Z5_0 BY: UTHOLDTOWN ZBA '
NOTIFY BUILDING DEPARTME T AT SOUTHOLDTOWN PLANNINGBOARD
765-1802 8 AM TO 4_PM FOR THE
FOLLOWING INSPECTIONS: SOUTHOLD TOWN TRUSTEES
1. FOUNDATION - TWO'REQUIRED N.Y.S.DEC
FOR ,POURED CONCRETE,
2. DOUGH - FRAMING & PLUMBING
3. INSULATION-
4. FINAL - CONSTRUCTION' MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET-THE
REQUIREMENTS OF THE CODES OF NEW OCCUPANCY OR
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
dditional
ication
r $e Required.
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