HomeMy WebLinkAbout46674-Z S�FfOL,fcOG` Town of Southold 8/19/2021
o�
m P.O.Box 1179
0
v _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42259 Date: 8/19/2021
THIS CERTIFIES that the building WINDOWS
Location of Property: 2700 Depot Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 102.-2-2.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/28/2021 pursuant to which Building Permit No. 46674 dated 8/10/2021
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 window replacements to existing single family dwelling as applied for.
The certificate is issued to Doroski,Alexandria
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED f) r\ n
\4k\-V�A&K2
t oriz ignature
TOWN OF SOUTHOLD
��� g11FFQl ova
BUILDING DEPARTMENT
a
0 TOWN CLERK'S OFFICE
SOUTHOLD, NY
•.:-...,Z FSS
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#: 46674 Date: 8/10/2021
Permission is hereby granted to:
Doroski, Alexandria
PO BOX 134
Cutchogue, NY 11935
To: Legalize as-built window replacements at existing single family dwelling as applied for.
At premises located at:
2700 Depot Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 102.-2-2.5
Pursuant to application dated 7/28/2021 and approved by the Building Inspector.
To expire on 2/9/2023.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO-ALTERATION TO DWELLING $50.00
Total: $450.00
Building Inspector
FIELD INSPECTION REPORT 'DATE -C6
49
FOUNDATION(1ST) ;
--------------------------- -.......
FOUNDATION (2ND)
;Ir • , D
C) �?
ROUGH FRAMING& ►� I
PLUMBING
INSULATION.PER N.Y. y
STATE ENERGY CODE
17,
FINAL
ADD1tt0-., ,CO
l cl 5-7 V' .
v� z
o�g�fPot t oo TOWN OF SOUTHOLD—BUILDING DEPARTMENT
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 biips://www.southoldtomLmy.lzov
Date Received
APPLICATION FOR BUILDING PERMIT -71
For Office Use Only E Z
PERMIT NO. Building Inspector J U L 2 8 2021
Applications and forrh"must be filted'out in`their entirety._Iricomplete_ '`1" P1T13,�"1�T0 D Wit'�'.
applications will-not be accepted.°Where the Applicant-isnot the-owner,an_
Owner's Authorization form(Page,2),shall be completed._
Date:July 27, 2021
OWNERS)OFPROPERTY: a
;a
Name:Alice Doroski scTM#1000-1.02.100-02.00-002.005
Project Address:2700 Depot Lane Cutchogue NY
Phone#:631 734 6324 Email:captjccpe@optimum.net
MailingAddress:PO. Box 134 Cutchogue, NY 11935
.CONTACT`PERSON:
Name:John Cronin, PE
Mailing Address: PO Box 130 Shelter Island, NY 11964
Phone#:631 252 1167 Email:captjccpe@optimum.net
DESIGN,PROFESSIONAL INFORMATION: k _
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR,INFORMATION:
Name:Albin Brothers Contracting, Inc.
Mailing Address:PO Box 352, Speonk, NY 11972
Phone#:unknown Email:unknown
DESCRIPTION 00'PkdPOSED CONSTRUCTION `
❑New Structure ❑Addition p❑Alteration ®Repair ❑Demolition Estimated Cost of Project:
$Other W1ndouyhe,i71aceWieytT $5600.00
Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes BNo
1
_ P.ROPERTY INFORMATION -
Existing use o
of property:Residential Intended use of property:
�... .. ., . . .. ... ......... Residential._....._ .. ,... ..
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes BNo IF YES,PROVIDE A COPY.
❑'Check.Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm uvater issues as provided by
Chapter 236 of the Town Code.APPLICATION IS HEREBY MADE to the Building Department for the issuance of aBuilding Permit pursuanfto the Building Zone
_Ordinance of the Town of Southold;Suffolk,County,,NewYork and other applicable 1 aini Ordinaries or Regulaiion;;,for'the construction-of buildings,^} ;%.PIMA
'addBions,alterations orfor remaval,oT demolition as herein described.The applicant agrees io coinpW"all applica6le'laws,ordinances building code,
,housin code and r ulations�and to admit'a6ihorized ins "
g eg, pastors an premises and in building(s)for.necF%ary inspecl3ons False statements made,herein are^r ;
punishable as a Class A misdemeanor pursuant to Section220A5 of the New York State Penabtaw.
Application Submitted By(print n e):Kather'ne Doroski BAuthoriied Agent El Owner
Signature of Applicant: Date: July 27, 2021
STATE OF NEW YORK)
SS:
COUNTY OF �FFOCK 1
Katherine Doroski being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent by power of attorney
(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
b day of .2o-2-1
oj—A�
Notary Public
ALEXANDRA M. BINDER
NOTARY PUBLIC-STATE OF NEW YORK
PROPERTY OWNER AUTHORIZATION No.01 816375744
Qualified in Suffolk County
(Where the applicant is not the owner) My Commission Expires 05-29-2022
residing at 27iG�I �( l�i� ►C��i�e t N I
do hereby authorize r,,-+-hen'ig to apply on
my behalf to th own of SouthoR uild'ng Department for approval as described herein.
P� z
Owner's Sign re Dale
Print Owner's Name
OCCUPANCY OR
USE IS UNLAWFUL
APPROVED AS NOTED WITHOUT CERTIFICATE
DATE: OF OCCUPANCY
FEE! 0 e4y;
NOTIFY BUILDING DEPARTrvj,\JT AT
765-1802 8'AM TO 4 PM F *R THE
FOLLOWING INSPECTIONS
1. ,FOUNDATION - TWO REC'!IRED
FOR POURED CONCRE-,�
2. ROUGH - FRAMING & ='_;,MBING
3. INSULATION COMPLY WITH ALL CODES OF
4. FINAL - CONSTRUCTION MUST NEW YORK STATE a TOW
BE COMPLETE FOR �. N CODES
AS REQUIRED AND CONDITIONS OF
-ALL' CONSTRUCTION ��•:!L MEET THE
REQUIREMENTS OF THE: :)DES OF NEW SOUTHOLD TOWN ZBA
YORK'STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOWN PLANNING BOARD
SOUTHOLD TOWN TRUSTEES
N.Y.S.DEC
Additional
Certification
May Be Required,
2700 DEPOT LANE CUTCHOGUE, NY
WINDOW REPLACEMENT PROJECT
(Estimated to have taken place June 2015)
ROOM WINDOW ANDERSEN PRODUCT
Kitchen South casements (2) CR 135
South double hung 244 DH 2840
West double hung (2) 244 DH 2840
East double hung 244 DH 2440
Living Room West bow 5540
West double hung (2) 244 DH 2040
Northwest Bedroom North double hung 244 DH 2840
West double hung (2) 244 DH 2840
Northeast Bedroom North double hung 244 DH 2840
East double hung 244 DH 2840
East Bedroom East double hung (2) 244 DH 2840
Bathroom East double hung 244 DH 2030
TOTAL WINDOWS 17