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46477-Z
�=Y" �o��g�FFDi��OG� Town of Southold 7/30/2021 P.O.Box 1179 o s M. 53095 Main Rd Sao Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42209 Date: 7/30/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 190 Woodcliff Dr,Mattituck SCTM#: 473889 Sec/Block/Lot: 107.-8-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/1/1976 pursuant to which Building Permit No. 46477 dated 6/23/2021 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: carport addition to existing single family dwelling as applied for. The certificate is issued to Allar,Karen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED nutorid Signature T �o�SufFa"LL o TOWN OF SOUTHOLD �y BUILDING DEPARTMENT N x 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#: 46477 Date: 6/23/2021 Permission is hereby granted to: Allar, Karen 190 Woodcliff Dr Mattituck, NY 11952 To: build an attached carport. Replaces BP 8830. At premises located at: 190 Woodcliff Dr, Mattituck SCTM # 473889 Sec/Block/Lot# 107.-8-16 Pursuant to application dated 9/1/1976 and approved by the Building Inspector. To expire on 12/23/2022. Fees: PERMIT RENEWAL $7.50 CO-ADDITION TO DWELLING $50.00 Total: $57.50 Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N00 0030 Z Date .......................... E-'V�..........I........... 19.71... Permission is hereby granted to: i:E!�tT'�4'.. ..wife (o-m- s of record) ....................!(jai;t3tuck..................................... ................................................................................ tohe ..crP.=.Qtt................................................................................................ ................................................................................................................................................................ atpremises located at ............................................................................. ...................................................11'rttitIMIC.....X.aY-0......................................................................... ................................................................................................................................................................. pursuant to application dated ..........................5!e�?`►t ............ .. 19.%h.., and approved by the Building Inspector. Fee $I L00............ .............. .. , t.l: Y .:�,_ _.... ... .......... Building Inspector W �� Of SOUTyo # # TOWN OF SOUTHOLD BUILDING DEPT. `�courm�F'` 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. . [ ] FOUNDATION 2ND [ . ] SULATION/CAULKING [ ] FRAMING/STRAPPING [ FINAL CWP,%+ - : [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE . 'Y 10 ')A INSPECTOR r FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) y -------------------------------- FOUNDATION(2ND) q O � H ROUGH FRAMING& PLUMBING H �r f r INSULATION PER N.Y. STATE ENERGY CODE GZ� FINAL ADDITIONAL COMMENTS C40 C-- JJ0 � Z m z x d _ b H FORM NO. Y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CC�� 0 Examined ....... . .. . ...........�........., 19``..1.. 'Application No. ................................ Approved ................�(.........../........ 19.F. 1 Permit No.1�..1( , Disapproved a/c. ...... ...... ......... .(Building Inspector). ........................... APPLICATION FOR BUILDING PERMIT SeT)t 1 76 Date .............................................. .. 19............ INSTRUCTIONS a. This application must be completely filled in by typewriter or, in ink and submitted in triplicate to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. � l!J � ✓�- Cd.�li /� .... ... ....................................C.................... (Signature of applicant, or name, if a corporation) 11oodcliff Drive Y"attituck .................................................................................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................................. ^-,X �7. .................................................................................................................... Name of owner of premises ........'r:J. hr�.?�,Ck.................................................................................... If applicant is a corporate, signature of duly authorized officer. ........................................................................................ (Name and title of corporate officer) Builder's License No. ......PottyA. ............................. Plumber's License No. ................................................ Electrician's License No. ............................................ Other Trade's License No. .............................................. XXXX XXX 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No. ........................ Street and Number .........b PQ? 1.0�-.�,.�'.1 ..f)7;?Ve le( tt ,tuc;k.......................................................................... . ..........,i . Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ' a Exisiting use and occupancy .........D.TeLisr?11;.................................................................................................... b. Intended use and occupancy Safe t� i t�Z carport addlition ................................................................................................................................ 3. Nature of work (check which applicable): New Building• .................. Addition . XIN'Y........ Alteration .............. . . Repair .................. Removal .................. Demolition.................... Other Work ................................................ ... (Description) 4. Estimated Cost I? �� 1111............................Fee ...1., ....................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......oX1.o..............Number of dwelling units on each floor ............................ Ifgarage, number of cars .......412.......................................................:........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories .......... .................................. ............................................................ Dimensions of some structure with alterations or additions: ,Front .............:...................... Rear ............................ Depth Height Number of Stories 8. Dimensions of entire new construction: Front ............1.2.................... Rear .....i.2.................. Depth ....22............... Height .................... Number of Stories .....tj120. ...........................................................................1..1...11................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated .....:.�u.. �. ................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .......nE)............................................ 13. Will lot be regraded .........�Ao.............. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises . T•:d. �;r�1�w�; ..................... Address ... . �r.: .�..t. tr .... Phone No. ...................... Name of Architect .............................................................. Address ................................ .Phone No. ...................... Name of Contractor ...::e.�.r ............................................. Address ................................ Phone No. ...................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 's t, _ - - STATE OF NEW YORK, t S.S COUNTY OF .....Suf:zj3 �. ?a ....•••°•I ....................�1-enry...� G.�...]t!.;,Zr�.............. ......................... being duly sworn, deposes and says that he is the applicant (Name of individual`signing contract) above named. Heis the ...................................... E ....................................................................................................... (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 knowledge and belief; and than the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................... .... day of ...................; ..............., Notary Public, .......................... :LZf�©1.k.......... County �...... % % _��!�� 1111. ... ..��1111. .................. 7 U� (S' nature of applicant) 1