HomeMy WebLinkAbout45200-Z FF� G Town of Southold 8/14/2021
P.O.Box 1179
o • � 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42239 Date: 8/14/2021
THIS CERTIFIES that the building ALTERATION
Location of Property: 370 Munn Ln., Orient
SCTM#: 473889 Sec/Block/Lot: 17.4-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/13/2011 pursuant to which Building Permit No. 45200 dated 9/14/2020
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:
alterations to a single family dwelling(12 windows and 2 doors replaced)as applied for.
The certificate is issued to Peyton,Elizabeth
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED fl
tho 'ze gnature
SUEFo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
y �A 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#: 45200 Date: 9/14/2020
Permission is hereby granted to:
Peyton, Elizabeth
41 Commerce St
New York, NY 10014
To: Alterations to a single family dwelling (12 windows and 2 doors replaced) as applied for.
Replaces 39067.
At premises located at:
370 Munn Ln., Orient
SCTM #473889
Sec/Block/Lot# 17.4-1
Pursuant to application dated 9/14/2020 and approved by the Building Inspector.
To expire on 3/16/2022.
Fees:
PERMIT RENEWAL $125.00
Total: $125.00
Building Inspector
�SUFFot,r�® TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
vy • , 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#: 39067 Date: 7/31/2014
Permission is hereby granted to:
Peyton, Elizabeth
41 Commerce St
New York, NY 10014
To: alterations to a single family dwelling (12 windows and 2 doors replaced) as applied for.
Replaces 36773.
At premises located at:
370 Munn Ln, Orient
SCTM # 473889
Sec/Block/Lot# 17.4-1
Pursuant to application dated 7/31/2014 and approved by the Building Inspector.
To expire on 1/30/2016.
Fees:
PERMIT RENEWAL $200.00
Total: $200.00
Building Inspector
o�Sv�FQ�� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N 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#: 36773 1 Date: 10/25/2011
Permission is hereby granted to:
Peyton, Elizabeth
41 Commerce Street
New York, NY 10014
To: ,alterations to a Single Family Dwelling;
Window (12) & Door(2) Replacement, as applied for.
At premises located at:
370 Munn Lane, Orient
SCTM # 473689
Sec/Block/Lot# 17.4-1
Pursuant to application dated 10/13/2011 and approved by the Building Inspector.
To expire on 4/25/2013.
Fees:
CO -ALTERATION TO DWELLING $50.00
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00;)
Total: ' $250.00
Building Inspector
Form No.6
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 pFlumber certifying that the solder used in system contains less than 2110 of 1% lead. '.
5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate
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, 1957)non-conforming uses,or buildings and"pre-existing"hind uses:
1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic
features.
2. A properly egmpleted 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 4
1_ Certificaie 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 Budding- $100.00
3. Copy of Certificate of Occupancy-$_25
4. Updated Certificate of Occupancy- $50.00
5• Temporary Certificate of Occupancy -Residential$15.00,Commercial$15.00
Date. l
New Construction: Old or Pre-existing Building: k-11, (check one)
Location of Property: 3z I Al ttAW E Al dO� ,� �
House No. Street Hamlet
Owner or Owners of Property:. d'4,1Zd Cr7rrJ -ate�s?"O✓
Suffolk County Tax Map No 1000,Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit Applicant
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ SO�
Applica it gnature
1
,&OF SOUTyoI
* TOWN OF SOUTHOLD BUILDING DEPT.
um, 765-1802
INSPECTION.
[ ] FOUNDATION IST [ ] R UGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATIOWCAULKING'
[ ] FRAMING /STRAPPING [ ] FINAL V)IA66a JF b004
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
�A�i W VT
.j
DATE INSPECTOR
l
tA ..
40
jWFt�T
FIELD MSPEC rXQN REPORT DATE COMMENTS
FOUNDATION(1ST)
- ---��..-�.-.•-------------
-- -
FOUNDATION(2ND)
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ROUGla FRAMWQ&
PLUMING H
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INSULATION PER N.Y. H
STATE ENERGY CODE
ALA-
FINAL
D R'd✓
ADDITIONAL COMMENTS
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TOWN OF SOUT ER
((�(� (� BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARFOCT
ERTC E � W E Do you have or need the following,before applying?
TOWN HALL / Board of Health
SOUTHOLD, NY 1 1 3 2011 �'���( 4 sets of Building Plans
TEL: (631) 765-180 ` "``���� Planning Board approval
FAX: (631) 765-950k • Survey
SoutholdTown.Nor Fork.net BLDGpf) flTtMIT NO. 34:�73 Check
TOWN 0F_SO`U"T�OOLlllll
Septic Form
N.Y.S.D.E.C.
Trustees
/ Flood Permit
Examined r b 20 ( I Single& Separate `
Stone-Water Assessment Form
lI Contact:
Approved ,20 I Mail to:
•r
Phone- – 2 �Q
Expiration 2- 20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date , 20
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, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspecti s
® Ss�
*(Siaturef applicant or name, if a corporation)
&WA4– A// C;f
(Marling address of applicant) I
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
F_ A
Name of owner of premises ,�
(As on the tax rol or latest deed)
If applicant is a corporation; signature of duly authorized officer
(Name and title•,of:corporate officer)
Builders License No-..?p
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section `� —Block—Y Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use aria occupancy of proposed construction:
a. Existing use and occupancy -qC�da6 r
b. Intended use and occupancy JVaA0,2py Aa✓z ,a®®k.
3. Nature of work (check which applicable): New Building r Addition r Alteration
Repair Removal Demolition Other Work 44/3 A&& 44-"er�•�*
(Description)
4. Estimated Cos f ,066 Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
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 —a-
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front /0 q Rear /6 s' Depth �®
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed 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
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor&e rA:;- I?A40T44w�,-1 Address R®,Bax 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 A-�
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to-seal ie; 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.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF SW FFO- ,,
4,r.s,xr 6Ai4str.JIr,✓ being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named, CONNIE D.BUNCH
Notary Public,State of New York
No.01 BU6185050
(S)He is the Qualifi
(Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14,2_
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 luiowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me thi
'-3 4/ day of 20_j)_
Notary Public I Signa re of Applicant
e 6 u�s A Sok 11-to BTW CA--7Yl--)S�Dr Q
A6-A-01, ,-j - 73 G
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AP' 1 " 2013
BLDG DEPT
TOWN OF SOUTHOLD
= _ Southold Town Building Department
�aooS11FFOL��, K P.O.Box 1179 Permit#: 39067
53095 Main Rd
Southold,New York 11971 Permit Date: 7/31/2014
y�ol gar (631) 765-1802 Expiration Date: 1/30/2016
Parcel ID: 17.4-1
BUILDING PERMIT RENEWAL LETTER
Dated: 9/18/2019
Applicant: Peyton,Elizabeth
Location: 370 Munn Ln, Orient
Work Description: ALTERATION
alterations to a single family dwelling(12 windows and 2 doors replaced)as applied for.
Replaces 36773.
��- -®v
A FEE OF $10 . 0 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: Peyton, Elizabeth
Address: 41 Commerce St
New York,NY 10014
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department,P.O. Box 1179, Southold,New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
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N"'j PLUMBING,
LECTRICAL&CAULKING
STRUCTION &ELECTRICAL
;'MPLETE FOR C.O. i
Fe
-,;Vi RUCTION SHALL MEET THE
O.1'5 "REMENTS OF THE CODES OF NEW
Q4�11 0.4 ry ; STATE. NOT RESPONSIBLE FOR
SIGN OR CONSTRUCTION ERRORS.
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