HomeMy WebLinkAbout46508-Z ,%V &I l/(el Town of Southold 9/19/2021
P.O.Box 1179
CR* z�� 53095 Main Rd
4,�0 o��r' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42339 Date: 9/19/2021
THIS CERTIFIES that the building DECK
Location of Property: 490 Schoolhouse Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 102.-5-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/23/2021 pursuant to which Building Permit No. 46508 dated 6/29/2021
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 deck addition to existing single family dwelling as applied for.
The certificate is issued to Gatz,Peter&Valerie
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Au or zed ig afore
TOWN OF SOUTHOLD
suFFo�,�oo
moo oy BUILDING DEPARTMENT
y 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;WORKAUTHORIZED)
Permit#: 46508 Date: 6/29/2021
Permission is hereby granted to:
Gatz, Peter
PO BOX 1048
Cutchogue, NY 11935
To: Legalize as-built deck to existing single family dwelling as applied for.
At premises located at:
490 Schoolhouse Rd, Cutchogue
SCTM #473889
Sec/Block/Lot# 102.-5-10
Pursuant to application dated 6/23/2021 and approved by the Building Inspector.
To expire on 12/29/2022.
Fees:
AS BUILT- SINGLE FAMILY'ADDITION/ALTERATION $548.00
CO-ADDITION TO DWELLING $50.00
Total: $598.00
Building Inspector
Ag
ESo
�a0 UTy�
# # TOWN. OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[Lr/FOUNDATION 1ST [ ] ROUGH PLBG.
[
]'FQdNDATION 2ND [ Y INSULATIOWCAULKING
FRAMING/STRAPPING [ FINAL be4v-1 lk 61j; 4
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ]3 CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE INSPECTOR
FIELD INS�ECTION REPORT DATE t�U1�.T5
FO A•TION(1ST)
II cpc�rua
----------- ------ -----------
FOUNDATION(2ND) V
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ROUGH FRAMING& �
PLUMBING P H
INK-44IONPEA N.Y. H
STATE ENERGY CODE.
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o�g�fFO(�cD TOWN OF SOUTHOLD—BUILDING DEPARTMENT
H x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy�o ao� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtow=.gov
Date Received
APPLICATION FOR BUILDING PERMIT
(f ( LrJ1 For Office Use Onlyj
PERMIT NO. Building Inspector: JUN 2 3 2021
•_Applications and forrris`must'be-filled-out in their,entitety. Incomplete•'. �rU?,3? rC PTo
application's-will-not be accepted. Where the Applicant,is.'not the owner,an.` �,�:-. - r 7-'
-1
.Owner's Authorization-form,(Page 2)shall kie completed..
Date:
,OWN ER(S),_OF'PROPERTY:
Name: SCTM#1000-
. -.- ------ - ��-C��!Cz.------------ ---- ---- -------- ----- ------- -- -- � `J_-�" l 0----- ----------- -_ _
Project Address: VA
Phone#: T��1_'1�'� �J'-���.._ __-. . ----- -• Email:
Mailing Address:
=CONTACT PERSON;, -
n
Name:
Mailing Address:.__, � x_..1 _Phone#: 6'211-'�(�, ) � Email:
DESIGN:PROFESSIONAL'INFORMATION: "
Name:
Mailing Address:
Phone#: CQ�1_ � (� Email:
,CONTRACTOR INFORMATION: ,E; :'_ - - ' • ;,
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION•OF PROPOSED•CONSTRUCTION,_
❑New Structure ❑Addition ❑Alteration VRepair 1:1 Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes 9No Will excess fill be removed from premises? []Yes 91No
1
_ ,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.
❑ Check Box After,Reading: 'The owner/contractor/design,profess"ional is responsible for all drainageand storm water issues as provided by ry
Chaptei'236 of the Town Code. APPLICATION;IS HEREBY-MADE to`the Building Departmenffor.the issuance,of a Bui1oh Peimit pursuant to the_BuildingZone,
Ordinance of the,Town of Southold,Suffolk,'County,New York and other applicable Laws;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 laws,ordinances,building code,
housing code and regulations and to"admit'authoriied inspectors on;premises and in building(s)`forhecessary inspections.�False statements-made Herein are '
p"unishable as a"Class A misdemeanor,.pursuant to Section 210.45 of the,New York State'Pena6Law.
Application Submitted B pri ame): er� � ❑Authorized Agent growner
Signature of Applicant: Date:
STATE OF NEW YORK) CONNIE D.BUNCH
Notary Public,State of New York
SS: No.01 BU6185050
COUNTY OF (X3i'r011C. ) Qualified in Suffolk County
Commission Expires April 14,20112Y�
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 20r_)_1
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
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SITUATE A7 DIVOSION •- & AEILIC,&1A TITLE INSUM&MCC- Co.
SUQY&Y' Ptzrcp&lzc0 • JUNG IC , 1969
CUIC i10C UE VAW TUYL & SUN
TOWN OF SOUTUOLD , N.Y. � . ��• Ir
LlCr.14550 LAMD SURVGYDIZS
TITLE N? OT- 49970 raRrfiNPDQT , )4EW Yozv-
OR
APPROVED AS NOTED OCCUPANCYUSE IS UNLAWFUL
DATE: B.P.# 5og" WITHOUT CET�F�CA� �
FEE:4 5��.001 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 Additional
4. FINAL - CONSTRUCTION MUST
Certification
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE JAay Be Required.
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOUTHOLD TOWN ZBA
SOUTHOLD TOWN PLANNING BOARD
SOUTHOLD TOWN TRUSTEES
N.Y.S.DEC
i
EXISTING HOUSE JIM DEERKOSKI, PE
- phone: (631) 298-7116
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