HomeMy WebLinkAbout46492-Z S100� 44 Town of Southold
9/24/2021
P.O.Box 1179
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o 53095 Main Rd
y�►o� �ao�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42346 Date: 9/24/2021
THIS CERTIFIES that the building WINDOWS
Location of Property: 2775 CR 48,Mattituck
SCTM#: 473889 Sec/Block/Lot: 141.-2-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/17/2021 pursuant to which Building Permit No. 46492 dated 6/25/2021
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 as applied for.
The certificate is issued to Acevedo,Juan&Alicia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
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o�SUEfat K�o TOWN OF SOUTHOLD
�a aye BUILDING DEPARTMENT
H i 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#: 46492 Date: 6/25/2021
Permission is hereby granted to:
Acevedo, Juan
120 Oakland Ave
Deer Park, NY 11729
To: Legalize as-built window replacements only, as applied for. *ZBA required for as-built
deck.
At premises located at:
2775 CR 48, Mattituck
SCTM #473889
Sec/Block/Lot# 141.-2-11
Pursuant to application dated 6/17/2021 and approved by the Building Inspector.
To expire on 12/2512022.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO-ALTERATION TO DWELLING $50.00
Total: $450.00
Building Inspector
FIELD INSPECTION REPORT DATE COMMENTS,
FOUNDATION(IST)
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STATE ENERGY CODE
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
-Tow Hall Annex 54375 Main Road P.O.Box 1-179 Southold,NY-11971-0959 - ------
Telephone(631)765=1802 'Fax(631)765-9502 hgps://www.southoldtownny.gov' _
®ate Received
APPLICATION FOR BUILDING PERMIT
J ,
For Office Use Only. \ //`�� 1�,
PERMIT NO_ Buildinglnspector JU� 7
° - -- --- - -1 2021
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an P, -�T�T`ry r'°�'�sT1
Owner's Auth®rization form(Page 2)shall he completed.
Date:06/16/2021
O�INER(S)OF PROPERTY:
? Name:Juan' R Acevedo' ScTM#1000-*-02-11
ProjectAddress:2775 County_Rd 48 Mattituck, NY 11952
Phone#:631-'983-7689 Email:acevedo78 p .0 Y - -
@raq_
Mailing Address:120 Oakland Ave Deer PArk, Ny 11729
CONTACT PERSON:- - -
Name:Juan R Acevedo
Mailing"Address.120 Oakland Ave Deer Park, NY 11729
Phone#:639-983-7689 Email:acevedo78@aol.com
DESIGN PROFESSIONAL INFORMATION:
Name:John Van Velsor
Mailing Address:74 Josephine Drive Wading River, NY 11792
Phone#:631-929-5789 Email-jvanvelsor@optonline.net
CONTRACTOR INFORMATION:
Name:N/A
Mailing Address:
Phone#: -
DESCRIPTION-OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteratiori ❑Repair ❑Demolition Estimated Cost of Project
EOther As deck mW S Amari m crdrsrrm MW Series wh dms greed to be m caA%_rw air AppyM $ T
Will the lot be re-graded? ❑Yes;®No Will excess fill be removed from premises? ❑Yes ®No
f2 !®mai�• (mi 4 _ _ -- _ -
PROPERTY INFORMATION
Existing use of property: Intended use of property:
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.
B Check Box After Reading: TheownerJmnuactur/designpaiAss"loamlisresponsibleforalldrainageandstormwaterissuesasprovidedby
Chapter 236 afthe Town Cale_APPUCA-HON IS HEREBY MADE to the Building Department for the issuance of a Budding Permit pursuant to the Building Zone
ordinance of the Town of Southold,Suffolk County,New York and other applicable taws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable lavas,ordinances,building code,
!musing code and nWrlaikrs and to admit authorized inspectors on prenises and in budd'irg(s)for necessary inspecdom False statements made herein are
punishable as a Class p rnsdernisawr pansuant to Section 21085 of the New York State Penal Law.
Application Submitted 13 :'nt name):J��� R A v, ❑Authorized Agent ®Owner!
Signature of Appli Date:
7/
STATE OF_NEW YORK) CONNIE'D.BUNCH
SS: Notary Public,State of New York
COUNTY OF ) No.01•BU6185050
Qualified in Suffolk County
• _ Commission_Expires April 14,2
Ad- l� r" /�•C� being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named, -
(S)he is the
(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
day of l.t/ C ,20_b-
Notary Public
PROPERTY OWNER AUTHORIZATM
(Where the applicant is not the owner)
I, residing at
- do hereby authorize to apply-ori
my behalf to the Town of Southold Building Department for approval as described herein.
Ownees Signature Date
Print Owner's Name
2
OCCUPANCY
Additional US IN L[
Vit" "UT CE",
Certification
May Be Required. 01�,- U�MPAS GY
COQ PLY WITH A?-L
L COCES OF
NEW YORK ss ..ATF & TOWN CODES
AS REQUIRED AND CONDITIONS OF APPROVED AS NOTED
SOL"HOLLD TOWN ZBA DATE-
SOUTHOLD TOWN PLANNING BOARD FEE: BY:
SOUTHOLD TOWN TRUSTEES NOTIFY BUILDING DEPARTMENT AT
N.Y.S.DEC 765-1802 8 AM TO 4 PM FOR THE
FO I ',A1 NG INSPECTIONS.
1 -7(_1'LJN�ATION - TWO REQUIRED
=r"R POURED CONCRETE
2 ; - -'-3ri - FRAMING & PLUMBING
�,SULATION
4 r NAL - CONSTRUCTION MUST
�E COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
c Q
UIREMENT S OF THE CODES OF NEW
ORK STATE NOT RESPONSIBLE FOR
--SIGN OR CONSTRUCTION ERRORS.
r i
Dwyer, Nancy
From: acevedo78@aol.com
Sent: Thursday,June 24, 2021 3:14 PM
To: Dwyer, Nancy
Subject: RE: 2775 CR 48
Nancy Window Information:
rW
-American Craftsman Window 8500 series Double hung sizes below
idth:31 1/4 Height:39 7/8
idth:31 1/8 Height:43 5/8
idth:31 1/8 Height:43 5/8
idth:31 3/8 Height:39 7/8
idth:271/2 Height:411/2
Width:271/2 Height:411/2
Thank You
Juan Acevedo
631-983-7689
From: Dwyer, Nancy<nancvd@southoldtownny.gov>
Sent:Thursday,June 24, 20211:11 PM
To:'acevedo78@aol.com'<acevedo78@aol.com>
Subject:2775 CR 48 `
Juan,
As per our conversation, please give send me over the manufacturer and a list of the window sizes for the windows
that were changed.
Additionally,the deck which is existing does require a variance. If you decide to remove it, please call for an inspection
so it can be verified.
If you have any questions, please feel free to reach out to me.
✓'Irancy DivyeY
Building Permits Examiner
Town of Southold Building Department
Annex Building
54375 Main Road
Southold,NY 11971
(631) 765-1802
1