HomeMy WebLinkAbout46271-Z �O�S11EF0(,�ell Town of Southold 11/10/2021
y� P.O.Box 1179
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53095 Main Rd
o4,, `` � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42515 Date: 11/10/2021
THIS CERTIFIES that the building SHED
Location of Property: 5250 Vanston Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 111.-10-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/30/2021 pursuant to which Building Permit No. 46271 dated 5/18/2021
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:
accessory pool equipment shed as applied for.
The certificate is issued to Vanston Bear LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
u ho ' ed Signature
o�Su�Foc��o_ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
C4 TOWN CLERK'S OFFICE
o . 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#: 46271 Date: 5/18/2021
Permission is hereby granted to:
Vanston Bear LLC
c/o Archway Technology
PO BOX 17754
Denver, CO 80217
To: construct accessory pool equipment shed as applied for.
At premises located at:
5250 Vanston Rd., Cutchogue
SCTM #473889
Sec/Block/Lot# 111.-10-14
Pursuant to application dated 4/30/2021 and approved by the Building Inspector.
To expire on 11/17/2022.
Fees:
ACCESSORY $156.00
CO-ACCESSORY BUILDING $50.00
Total: $206.00
Building Inspector �--
e
=�o��o4Foc,r�p� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowm.gov
r DatelRecerved r
� 3
APPLICATION FOR BUILDING PERMIT
F
For Office Use Only APR 3 0 2021
�7
PERMIT NO. Building Inspector: .f.,,••- -
Applications and forms must be filled'out'in.their.entirety.'Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:1 6-apri 1- 2021
-OWNERS)OF PROP.ERTY:r
Name:Vanston Bear SCTM# 1000-
Project Address:5250 Vanston Road Cutchogue, NY, 11935
Phone#:917-892-6946 Email:beck.trey@gmail.com
Mailing Address:5250 Vanston Road Cutchogue, NY, 11935
CONTACT PERSON:
Name:Paulette Davis- Greystone Construction
Mailing Address:90 North Greenwich St, Montauk, NY 11954
Phone#:6318049150 Email:paulette@hellogreystone.com
DESIGN PROFESSIONAL INFORMATION:
Name:David Ericsson- Lake Flato Architects
Mailing Address:311 3rd st, san antonio, tx, 78205
Phone#:3096784286 Email:dericsson@lakeflato.com
CONTRACTOR INFORMATION:
Name:Paulette Davis- Greystone Construction
Mailing Address:90 North Greenwich St, Montauk, NY 11954
Phone#:6318049150 J Email:paulette@hellogreystone.com
DESCRIPTION OF PROPOSED CONSTRUCTION -
®New Structure ❑Addition ❑Alteration El Repair El Demolition Estimated Cost of Project:
❑0therequipment shed $10,000
Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? ❑Yes ®No
1
PROPERTY INFORMATION
Existing use of property:residentlal Intended use of property:re$IC�Grltlal�___
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 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 210.45 of the New York State Penal Law.
Application Submitted By(pr' t me - BAuthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
COUNTY OF -
eing duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the agent
(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 ther with.Sworn before me this � 1 r Y�
4-61 day of apri l 20
Notfol
blit
JONATHAN D. FOGARTY
PROPERTY OWNER AUTHORMAMN Notary Public o State of New York
(Where the applicant is not the owner) NO.01F06241421
Qualifed in Suffolk County
My Commission Expires May 23,20
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
v Y
SOGTyolo
1 # # TOWN OF SOUTHOLD. BUILDING DEPT.
°lyco �0 765-1802
ANSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ Y] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING rA FINAL�� '✓
[ ]
-FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] -FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE INSPECTOR
DATE FIELD INSPECTION REPORT _ - COMMENTS--
FOUNDATION (1ST) --S '-'3
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FOUNDATION (2ND)
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DATE:,5 B.P.# 41a 6?
FEE: RV:
NOTIFY BUILDING RARTMEN AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED ,iETAIN STORM WATER RUNOFF
FOR POURED CONCRETE PURSUANT TO CHAPTER 236
2. ROUGH - FRAMING & PLUMBING
3. INSULATION OF THE TOWN CODE.
4. FINAL - CONSTR'!r' :0N MUST
BE COMPLETE �� s C.O.
ALL CONSTRUCTION SHALL MEET THE
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
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OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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SAN ANTONIO.TEXAS 78205 cDATE: 12/16/20
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