HomeMy WebLinkAbout46611-Z o FEolt Town of Southold 11/13/2021
a y�� P.O.Box 1179
oi :. 53095 Main Rd
y, 0�.+<, Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42525 Date: 11/13/2021
THIS CERTIFIES that the building SHED
Location of Property: 2793 Cox Neck Rd.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-8-7.6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/15/2021 pursuant to which Building Permit No. 46611 dated 7/23/2021
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"accessory shed as applied for.
The certificate is issued to Schwartz,Justin&Allison
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Auth i d Si e
titEot,r�o TOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
C* 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#: 46611 Date: 7/23/2021
Permission is hereby granted to:
Schwartz, Justin
426 W 58th St Apt 4A
New York, NY 10019
To: legalize "as built" accessory shed as applied for.
At premises located at:
2793 Cox Neck Rd., Mattituck
SCTM #473889
Sec/Block/Lot# 113.-8-7.6
Pursuant to application dated 7/15/2021 and approved by the Building Inspector.
To expire on 1/22/2023.
Fees:
AS BUILT-ACCESSORY $353.60
CO-ACCESSORY BUILDING $50.00
Total: $403.60
Buil ing Inspector
110 I.r �o�aOE SOOTy��
TOWN OF SOUTHOLD BUILDING DEPT.
�o • �o
�ycourm��' 765-1802
INSPECTION
x [ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ : ] FOUNDATION 2ND' [ ] SULATIOW AULKING�
[ ] FRAMING /STRAPPING [ FINAL SW % �V(lf
] FIREPLACE'& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ _ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE- INSPECTO ,
FIELD INSPECTION REPORT DATE CONIlV NTS
FOUNDATION(IST)
--------------------------------
FOUNDATION
------------------------`---FOUNDATION (2ND)
F H
ROUGH FRAMING&
PLUMBING CN
44
V\
INSULATION PER N.Y. H
STATE ENERGY CODE
FINAL
ADDITIONAL CQNIMEsis
Z
b
swlx' TOWN OF SOUTHOLD—BUILDING DEPARTMENT
- Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
Telephone(631)765-1802 Fax(631) 765-9502 httl)s://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
l n/n For Office Use Only D [ECROVIE
PERMIT NO, l.0 lSI Building Inspector: n -
V
J U L 1 5 2021
;ir,shy at is P �stialc elk ` - BUILDING DEPT.
Date: ' TOWN OF SOUTHOLD
��`'-s�''�:2i.:�c•1`5`��
Existing use of property:` p E N-(•`A L Intended use of property: RN I V rN 11 AL
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
V'Q^ this property? yDyes D,No IF YES,PROVIDE A COPY.
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•21tliLiti` to E i fi eFrrb�H - r ' d'esc` h a- " i-ar e _ ataa I d e std"ng
o s n to ,iz e o r i it i � ce sa e r a e
i
Application Submitted By.(print name): Q immt'1- /Authorized Agent ❑Owner
Signature of Applicant: Date: 1 • 2 • Z
-STATE•OF NEW YORK)
SS:
COUNTY OF'SLjf- A'Y� )
being duly-sworn,deposes and says that',(s)he is the applicant
(Name of individual signing contract)above named;
(S)he is the A!5 h T
(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 �Lul20c5i-f
Notaryu
AMY E.WILCOX
PROPERTY OWNER AUTHORIZATION NOTARY PUBLIC,STATE OF NEW YORK
(Where the applicant is not the owner) No.01 W uf80
Qualified in Suffolk County
Commission Expires November 30,20-2
t, JUSI--) //�LLISod ScWAAA?-- residing at279 3 N�< rc Ris
���►'✓�'� tj do hereby authorize CCS(-� t✓t11&0A,t`tWr4t S 2`l(cL-T to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
l
ek<fz'�- :14 "�=�
s/2-6 l z L
Owner's Signature Date
Jv.1T.+v SCitW4M,
Print Owner's,Name
2
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
1, �,rsr.� a �cuto� S&fwk-w— residing at 2'713 Co,� l�/ri;I �k
(Print property owner's name) (Mailing Address)
9 4.!(--VCX Z do hereby authorize
(Agent)
COLE ENVIRONMENTAL SERVICES
to apply on my behalf to the
Southold Building Department.
O er's ignature) (Date)
(Print Owner's Name)
o�.
AP ROVED AS NOTED
DATE: 3 B.P.#
FEE: 4!0`31M BY
NOTIFY BUILDINGAT
765-1802 8 AM TO d PM FOR THE ELECTRICAL
FOLLOWING INSPECTIONS: INSPECTION
RE�I�IR��
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONS-, "-)N' MUST
BE COMPLETE �.
ALL CONSTRUCTV :,ALL MEET THE
REQUIREMENTS OF 1 HE 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
T D TOWN ZBA
An'rrwnl n mwN pl aNnIING BOARD
SGUTHOEB49MRUSTEES
NNS-BEC—
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIF,CA_
OF OCCUPANCY
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