HomeMy WebLinkAbout46017-Z �Gjo�D"s t Town of Southold 11/13/2021
a y` P.O.Box 1179
0
o l 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42534 Date: 11/13/2021
THIS CERTIFIES that the building OTHER
Location of Property: 4295 Vanston Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 111.-14-38
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/10/2021 pursuant to which Building Permit No. 46017 dated 4/1/2021
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:
pool fence as applied for.
The certificate is issued to McCartney,Joseph&Barbara
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL '
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
r
A ho 'z S gnature
o�SU ��oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
N z 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 #: 46017 Date: 4/1/2021
Permission is hereby granted to:
McCartney, Joseph
162 Pine St
Garden City, NY 11530
To: replace pool barrier as applied for.
At premises located at:
4295 Vanston Rd., Cutchogue
SCTM #473889
Sec/Block/Lot# 111.-14-38
Pursuant to application dated 3/10/2021 and approved by the Building Inspector.
To expire on 10/1/2022.
Fees:
ACCESSORY $100.00
CO- SWIMMING POOL $50.00
Total: $150.00
ding Inspector
OF 50Uly�lo
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] SUL ION/CAULKING `-
[ ] FRAMING /STRAPPING [ ] FINAL : Zcfl
[ ] FIREPLACE & CHIMNEY y [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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DAT414-0-lel INSPECTOR L?o
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FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(2ND)
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PLUMBING V1
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STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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�S°fFo1 TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy • Telephone (631) 765-1802 Fax (631) 765-9502
� htt s://www.southoldtowmiL ov'
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Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector: BAR 1 O 2021
,Applications and.,forVms4rnust be filled•out;°in their,entirety. Incomplete,
applications.wilt•"not fi'e accepted. Where the;Appl cant is not-the'owne'r,an` "'"
,Owner's Authorization'fo„rm(Page 2) 46,,i6mr)Iet4d
Date: 31jo)2 J
ate: o
OVIINER(S) OF PROPERTY:
�,,,
Name: �� �. , .. .
SCTM#1000-
Project Address:
Phone#: I
._.J��. Emai I: O �-✓1�1C. � Q �� !hf• 14—
Mail i ng
Mailing Address:
,CONTACT PERSON:
Name:
Mailing Address: Zr% ._
Phone#: - - J % Email:
'DESIGN PROFESSIONAL INFORMATION."',
Name:
Mailing Address:
Phone#: Email:
�CONTRACT611111 FORMATION•
- ,x
Name:
L'e
Mailing Address:
Phone#: Email: < f_Vet '_
DESCRIPIN F°PROPOSED CO TR
SUCTION'”
TOO
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes ❑No
1
PROPERTY INFORMATION -
Existing use of property: a 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 o IF YES, PROVIDE A COPY.
heck Box After Reading:.The owner/contractor/desigrrprofessional is responsible,forail 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(print name): _ ❑Authorized Agent ❑Owner
Signature of Applicant: _RM Date:-q/1 21121
CONNIE b.BUNCH
STATE OF NEW YORK
Notary Public,State of New York
SS: No.01 BU6185050
COUNTY OF ) Qualified In Suffolk County ''I
Commission Expires April 14.2�'1
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 4�a , 20 Com` f
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
V�
APPROVED AS NOTE
DATE:'- I B.P.#
FEE: BY
NOTIFY. BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMINr & PLUMBING
3. INSULATION
4. FINAL - CON----!-,,-, MUST
BE COMPLFTE
ALL CONSTRUCTI(,r� SHALL MEET THE
REQUIREMENTS OF 11,riE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF :�� r -h ; ; if
NEW YORK STATE & TOWN CODES � '^ � ° t • �Y
EN030SE PGS::. 70 CODE—j
AS REQUIRED AND CONDITIONS OF U'Pdrk'•CO(vlFLET ION
C(lI Duni n rn ei�i�Re BEgRE"WATER"
Sa HleED T60-PU{VNIPIG BOARD
SQUTu�'L-E+94UI'!-TRUSTEES
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
=Y 0F:
_RTY LOCATED AT NASSAU POINT (CUTCHOGUE)
OF SOUTHOLD 3 �, 31�
OLK COUNTY, NEW YORK JC��o`rrl J
M. # 1000-111-14-38
E: 1"=40' ()
THE EXISTENCE OF RIGHT OF WAYS. \
NDS AND/OR EASEMENTS OF RECORD oDAV-,-\c C)."\ Ile-
NOT SHOWN ARE NOT GUARANTEED. -J
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