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HomeMy WebLinkAbout45573-Z ��gUFEtI(cG � Town of Southold 10/9/2021 P.O.Box 1179 y 53095 Main Rd y�� dao`si Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42421 Date: 10/9/2021 THIS CERTIFIES that the building RAMP Location of Property: 2555 Youngs Ave Unit 16E, Southold SCTM#: 473889 Sec/Block/Lot: 63.1-1-30 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/10/2020 pursuant to which Building Permit No. 45573 dated 12/14/2020 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: handicap ramp as applied for. Unit 16E) The certificate is issued to McGowan,Lisa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED tA?ri ignature So�Foc,� TOWN OF SOUTHOLD 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 WORK AUTHORIZED) Permit#: 45573 Date: 12/14/2020 Permission is hereby granted to: Izzo Gloria F Irr Liv Trt 2555 Youngs Ave Unit 16E Southold, NY 11971 To: install a handicap ramp as applied for. At premises located at: 2555 Youngs Ave Unit 16E, Southold SCTM # 473889 Sec/Block/Lot# 63.1-1-30 Pursuant to application dated 12/14/2020 and approved by the Building Inspector. To expire on 12/14/2021. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ADDITIO LING $50.00 otal: $250.00 uilding Inspector aoFSal%, �# TOWN`OF SOUTHOLD BUILDING DEPT. �ycoe�' 765-1802 w INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND= [ ] INSULATIOWCAULKING [ ] FRAMING/STRAPPING [FINAL [ ] .FIREPLACE & CHIMNEY [- ]° FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: a A IVto DATE INSPECTOR V limb. � Aof SOplyo� # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 : INSPECTION - [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION/CAULKING [ ] FRAMING/STRAPPING [ "'FINAL JeAA410 [; ] FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANTCONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE 40 �� INSPECTOR ,,2/1012020 Optimum Re Ramp Printout — — 1 Jacqueline McGowan<b0w9ow123@gmail.com> 12/9/20 6:46 pm Ramp q3 To Marie Stringfellow<marieshing@yahoo.com>• BARRON<ajbarron8@optimum.net>-oneillpd@gmaii.com Hello, ladies.The ramp and railings tbr 16E will be made of wood,and painted to match the building. - '-+ g A white, non- slip surfacing material called tagq coat rubberized non-slip coating will be applied to the surface of the ramp. is it possible to pick up the FV permit tomorrow,so that I may submit my application to the town tomorrow when'l am in Southold? Please let me know. Regards,Jackie FIELD INSPECTION REPOIRT DATE FOUNDATION(1ST) --------------------- .- --------- FOUNDATION(ZND) ' t4 JA CZ ROUGH FRAMING& PLUMBING INSL'I,ATION PER N.Y. r STATE ENERPY COD•I�,; FINAL 0• m J / ��b��FFbCp�oG$ TOWN OF SOUTHOLD—BUILDING DEPARTMENT g Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 Telephone(631)765-1802 Fax(631) 765-9502 hLtps://www.southoldtowm.gov Date Received For Office Use Only 1 Ji i PERMIT N0. '5- Building Insp ctor:'5- DEC 1 2�2� Applications and forms must be filled out in their enter . ncomplete applications will not be accepted. Where the Applicant is not the owner,an .r r Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: Lois M G&DWakL SCTM#1000- Physical Address:a555 �d Lln S 1102AWLA1� ())v1+ E— Phone#: 516 1+57- 1634"?-' mail: b0 A OW UCY iZbh. Vte Mailing Address: 3 ` Ri I Rd ort W06N n l 0)1 m 11050 CONTACT PERSON: Name: c 0 Mailing Address:31 Ifi 1 !tT Pd oyt ACON, I 10 6'0 Phone#: 516 1+5'7_ 531+9 Email ow cw yen zan vy DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Do Mailing Address: ro B 1 Cu4 tie, W 0-3 Phone#: 6b d 46U NZ-5 DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑DemolitionEstimated_Cost of Project: ❑0ther���our o wE $ gO-75 '00 Will the lot be re-graded? ❑YesMo Will excess fill be removed from premises? ❑Yes JgNo 1 PROPERTY INFORMATION Existing use of property: - Intended use of property: - r s� de�-h Zone or use district in which premises is situated: Are there any covenants nd restrictions with respect to this property? ®Yes o IF YES,PROVIDE A COPY. 14 Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal law. Application Submitted By(print name): �Q Is M C �/� ElAuthorized Agent lowner Signature of Applicant: 6"� - Date: STATE OF NEW YORK) SS: COUNTY OF 5'U F--0 L IC ) Lor 5 Mc (TU W A-!✓ 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 �1 day of Da,0ty7/36)L ,2090 Notary Public CAROLINE M MACARTHUR NOTARY PUBUC-STATE OF NEW YORK PR®PER7V OWNER AUDI HORMATON No.01MA6384635 (Where the applicant is not the owner) Qualified in Suffoik County My Commission Expires 12-17-2022 I, residing at u, i 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 S N N O N O (� a O O (D n O 3 v c IF OFFicr,OF CQN!3UMER , CD o ! ' HOME iMPRO�"�.�l��i T ij as 1 CONTRACTOR LICIENSE •r t • } � NAnaE � ' DOUGLAS BURN:3 I ESS NAME _ _ - •r - t� UG BUNS SONS'., ':: " M ;t=`ies that the. A.. ......:....W...a. �� r:�S +u1J/ licensed 77b- o Number ont® i �. is._1T o. *9sr.,.sa ry.n� ; 7t^�u• '.:wrw. N J 12/10/2020 629234931.jpg ac_o O' CERTIFICATE OF LIABILITY RYF 5 o�KSUED AS A MATTE I � � +- �'� ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PRODUCER CHRISTOPHER MANFREDI HOLDER. THIS CERTIFICATE DOES N07 AMEND, EXTEND O PO BOX 1345 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, SOUTHOLD NY 11971 INAICINSURERS AFFORDING COVERAGEINSURER A UTICA FIRST INSURED OAURER BDOUG BURNS CONTRACING INCINSURER C Po BOX 1135 INSURER D CUTCHOGUE NY 11935 INSURER E' COVERAGES NT_ I SUED OR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THEIN URED NAMED ABOVE CT TOFOR THE POLIC PERI D f DICA EO ANY REQUIREMENT.THE INSURANCE A ORnON OF ANY DED BY CS S DESCR BED HEREINEI'SS SUBJECTO AH RESPE LL THE TERMSHEXCLUSIONS AND CONDIT ONS OF SUCH MAY PERTMS ---- UIBT1 PDUCY EFFE 1-N DPA�TIF EX0 RATION POLICIES AGGREGATE LIMITS SHOViIt'1 MAY HAVE BEEN REDUCED BY PAID CLAN POLICY NUMBER DATE 1 r� TYPEINSURANCEGENERALENERAL LIABILITY MED EXP WN Or*D«aOR) f) drwo CLAIMS MADE OCCUR PERSONAL 1 ADV INJURY S 11.00 r GENERAL AGGREGATE $ PRODUCTS-COMPIOPAGO S 2 GENL AGGREGATE LIMIT APPLIES PER S PR6 LOC POLICY JECT COMBINED SINGLE LIMIT s AUTOMDBRE LIABILM (Ea accideM) ISSUED OR ANY AUTO ALL OY0ED AUTOS BODILY on) S (Par person) SCHEDULED AUTOS HVtEDAUTOS BODILY 3N.RIRY = Ti —i {Per accfde(N) NON-OIMIED AUTOS PROPERTY DAMAGE S (PeracadaM) AUTO ONLY-EA ACCIDENT 3 GARAGELIABLRY EA ACC $ ANY AUTO OTHER THAN �' AUTO ONLY AGG S E70CE>tsI1N�.LAL1ANll1Y EACH OCCURRENCE S OCCUR EICLAIMS MADE AGGREGATE S S S DEDUCTIBLE S RETENTION $ wOMUMCO SATTONAND TORY LIMITS ER ETlLOY61B'LIABB TTY f ANY PROPRIETORiIPARTNER/EXECUTTVE E L.EACH ACCIDENT S � �— OFFICERAEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYE S If yes,uarY In and - yea.describe under E .DISEASE•POLICY U)o1iT S 1 SPECIAL PRO OTNER I DESCRIPTION OF OPERATKINS/LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION JACKIE MCGTL VkN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLE2 BEFORE THE EXPIRATIOw DATE THEREOF,THE ISSUING INSURER WiLL ENDEAVOR 1'0 M.AiL3� c DAY„WRITTEN 2555 YOUNGS AVE NOTICE TO THE CERT iFiCATE BOLDER NAMED TO THE LEFT,SUT FAdLURE TO DO SO SHALL UNIT 16E IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND'UPON THE INSURER,ITS AGENTS OR SGUTHOLD !v'Y REPRESENTATIVES AUTHORIZED REPRESENTATIVE ACORD 25(2009101) 4*1988-2009 ACOR CORPORATION. rig}Tts r©servta The ACORD Dame and logo are registered marks of ACORD https:/Imail.google.com/mail/u/1/#7inbox?projector--1 Page 2 of 2 - - ARCHawfURALCOAMEME ---- - -- - -- - X'i'FRTOR WORK FORM T; UNNIM- DETAIL WORK TO BE PERFORMED. Applications may be delayed or rejected due to insorfiicient information. -USE FLOOR PLAN IF NE QED- t 0 L4 L-1- c G 0', ( O PORTABLE RAMPS must be removed aft each use. Any ramp reumbdug in place for 24 hours or more is considered a permanent ramp and must c onfa m to the regulations of both the town of Southold and Founders Village Homeowners AssociatiaL Specifications are outlined in the InfomOation Booklet of House Rutes. ANYAND ALL CHANGES SHALL 8E MADE IMM IN KIND(EXACTLY THE SAME).. CONSTRUCTION DMMS AND PACKAGING WILL BE REMOVED BY THE OWNER CONTRACTOR AND MUST NNOTBE PUT IN FOU MMS`VILLAGE UUMPSTERS. OWNER SItNATURE, D -- - ---- �'E USE QMY APPROVED: f -L I0 u DATE: l Z REJECTED-REASON FOR REJECTION: COPIES TO: AR C0NMUTTEE/OWNER/CONTRACTORM Revised 13/8/16 httwl/webtion webmail.ontimum netMei wmessaee?r=%3CreauesV/o3E%3CmaUO/.2Oactio... 12/4/2017 t McGowin Residencs DAT ' FEFAIV PIN 765- 802 Vhk- �,. S FOL WIN' ESO 1. 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