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Home My WebLink About46457-Z ,y oS�EfOL,�eaGy Town of Southold 7/18/2021 a P.O.Box 1179 o - .1 53095 Main Rd O4,j Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42166 Date: 7/18/2021 THIS CERTIFIES that the building RAMP Location of Property: 2555 Youngs Ave Unit 17B, Southold SCTM#: 473889 Sec/Block/Lot: 63.1-1-32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/3/2021 pursuant to which Building Permit No. 46457 dated 6/22/2021 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: handicap ramp at existing dwelling as applied for. The certificate is issued to Pfalzer,Dorothy of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED n. ho z d Signature �o�svFFoc c, TOWN OF SOUTHOLD ay BUILDING DEPARTMENT H x TOWN CLERK'S OFFICE 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#: 46457 Date: 6/22/2021 Permission is hereby granted to: Pfalzer, Dorothy 2555 Youngs Ave Unit 17B Southold, NY 11971 To: Construct accessibility ramp at existing dwelling as applied for. At premises located at: 2555 Youngs Ave Unit 17B, Southold SCTM #473889 Sec/Block/Lot# 63.1-1-32 Pursuant to application dated 6/3/2021 and approved by the Building Inspector. To expire on 6122/2022. Fees: ACCESSORY $148.00 CO-ALTERATION TO DWELLING $50.00 Total: $198.00 Building Inspector P - Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, aoA4 :PF&Iza residing at 115 F owdee5 Vo LLA!je (Print property owner's name) (Mailing Address) do hereby authorize (Agent) to apply on my behalf to the Southold Building Department. (Owner's Signature) (Date) (Print Owner's Name) L4 V qg ��Of SOUIyo 11 �p 6 # # TOWN OF SOUTHOLD BUILDING DEPT. `�rourm ' 765-1802 INSPECTION [" ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2NDINSULATION/CAULKING �/'IFINAQ-VVY'alC*o FRAMING/STRAPPING ",AAV [ ] FIREPLACE & CHIMNEY "" [ " ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION° [ ] FIRE-RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE" 1312" INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) r y ---------------------------------- FOUNDATION (2ND) O " 1 ROUGH FRAMING& (� y PLUMBING "\ INSULATION PER N.Y. y STATE ENERGY CODE r 0 14W W VJ ' O FINAL ADDITIONAL COMMENTS f- O (� Z rn O z y t7 y J TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 hos://-,vArw.southoldtoLAMgov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. L&C/!5- Building Inspector.. JUN 3 2021 6— f appl DEPT. ,,pliq�ibhsaq niusf,bd' edoiitinth�ir�,6ntiiei�.'�incothpldte OpIkant is not-4 e,bwh6r,ait,-- ieatloi�s'wmlfri6i-bi� E' TOWN bwnLir`.4 Autliotizat"ion;form{Page 2)shat!1>'e pktid. Date: OVUNER(S)0F'04601Ek7*:- '-': Name: SCTM#1000- Project Address: 4'10Uw ig vc-- Sot Akod eAY'l - - I'I (3__ YAt400 t Phone - ts-1 Email: -re,estP rA L-7,Eiz com ". - 631 1 r'7 Mailing Address: Z 555- Y&&r1G_4 AVEV(IE V041-r I1 _RP.'S&Jr*QL01NY rIT:p CONTACT PERSON. -0 -N I ame: (35 -MailingAddress: 19(5 _bgg 7 im c...-ctd &A Cu LLow!� c Phone#: Email- 6 3 Z-1 7S -z- I J__7 'j, DESIGN,PROFESSIONAL INFORM ATION, Name: Mailing Address: Phone#: Email CONTRACTOR'INFORMATION: Name: - - q__ ka 6a f,-, �7PV '5 Mailing Address: fOY, !2_7 Rd I Phone '73Li - Sz- 6 1 Email: EINewStructure ElAddition ElAlteration EIRepair ElDemolition Estimated Cost of Project: 00ther `-�rc p.,LLI $ a20 Will the lot be re-graded? E]Yes AKIO Will excess fill be removed from premises? E]Yes F,,'�O `PROPERTY INFORMATION~ - - Exi ing use If property: Intend use of property: r,U t tti Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to - - --- - -- - - - - - this property? ❑Yes ❑No IF YES,PROVIDE A COPY. 06eck•Box After,Reading:_"The owner contractor/design professionatrtis iespansible`forall drainage and s£orm eivater issues as provided by`r' ; Chapter 236 of the Town Code.,pPPtlCATION IS HEREBI-"E to the'Butldtng Department for ttie issuance of a,Building Permit pursuant to the Building zone," _Ordtnance"of the-Town of Southold;Suffolk;County,Nevi*o!k and;other,"applicable laws,Ordinances or Regutationf;-for the,coristruction of buildings; ,_` additions,alterations or for removal or demolition as herein described:The applicant agreds to comply with all applicable lavas;ordinances,building code, horusing code and regulations and to admit authoraed inspectois on piemises'and in buildio&)fol necessary inspections:False statements made`hereio are _punishable as a.class A misdemeanor pui's6antto,5ection 210AS 446e New York State Penal law.' Application Submitted By(print name):T64%,w -5 ElAuthorized Agent []Owner Signature of Applicant:" Date: 6 1 JA- STATE OF NEW YORK) SS: COUNTY OF ) Z)5SZ�-^ being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the C®k1 j f'C-C\-Cj L (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 dC� Oaday of .202— tary Public EVE 1„CATMCHWAMBORN PROPERTY OWNER AUTHORIZATION NOTARY PUBLIC,STATE OFNEW YORK Registration No.01GA6274028 (Where the applicant is not the owner) Qualified in Suffolk County Commission Expires Dec.24,20 ' i I I, f`-i'-OA -S IO FAL-TEi2 residing at �5,575 iYeyN6-S "morymr 17 13 yauTj oLD'&/ I do hereby authorize_ ��q ?��- � to apply on my behalf to the Town of Southold Buildily partment f r approval as described herein. V /k zr Owner's Signature >� Date go Sulks C. pE4LZE� Print Owner's Name 2 { I JUN 1 7 2021 'Founders 'Vda e 9�fotttem, mers _ F t 2555 Youngs Avenue, P.O.Qx,94 Scntthold, Wew York 11971 Michael Verity Building Department Southold Town Hall Annex Mr. Verity, v Presently our resident Dorothy Pflazer in Unit 17B is seeking to have a ramp built for entrance into her home because of a medical need. As a part of the process for approval for this construction, insurance carried by Founders Village requires such construction to have a building permit from the Town of Southold. Please be advised that all other requirements needed by Founders Village have been met by Dorothy Pflazer® Therefore, please expedite granting the needed permit so construction can begin. Thank you, L,645 Cr 7895 � 'j I f� �Z L o- d Yet CxPE a ,� . �Y �� 5,Ad Patricia A. O'Neill pCr ' N�M� r,2vs /4 & Founders Village HOA President 15, '�`� 'N+ mp '° ��,"� (631)7651458 JIM�� or 00 t �►� APPROVED AS NOTED O C C U PAN CY 0 DATE: �� B.P. USE IS UNLAWFUL WITHOUT CERTIFICATE FEE:$ O'D BY: NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY , 765-1802 '8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. G(:IMpL`t WITH ALL oOD11_`WN:CODES OF ALL CONSTRUCTION SHALL MEET THE NEW YORK STATE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR AS REOUIRED AND CONDITIONS OF DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TONNZBA SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.`(.S.DEC Additional Certification May$e Required. ` - -I-- - n n - I n - � - I � r- I -17lid- If y� I �I I I li i I I i 1 17 a T Iii � T t �i � �o S� � 70