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Home My WebLink About47110-Z ��O�OS11FFs(,gCI�Gy Town of Southold 2/4/2022 P.O.Box 1179 C* v' 53095 Main Rd i Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42760 Date: 2/4/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1065 Jasmine Ln, Southold SCTM#: 473889 Sec/Block/Lot: 69.-3-24.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/1/2021 pursuant to which Building Permit No. 47110 dated 11/15/2021 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: entry steps to an existing singley dwelling as applied for. The certificate is issued to Merino Romano LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au o zed Si7 e �o�suFf�l�,cTOWN OF SOUTHOLD Pee BUILDING DEPARTMENT a- 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#: 47110 Date: 11/15/2021 Permission is hereby granted to: Merino Romano LLC 1065 Jasmine Ln Southold, NY 11971 To: Remove existing rear deck at existing single family dwelling as applied for. Additional certification may be required. At premises located at: 1065 Jasmine Ln, Southold SCTM #473889 Sec/Block/Lot# 69.-3-24.3 Pursuant to application dated 11/1/2021 and approved by the Building Inspector. To expire on 5/17/2023. Fees: DEMOLITION $185.80 Total: $185.80 Building Inspector �Of50Uly '__---- ho� o� # # TOWN OF SOUTHOLD BUILDING DEPT. °y�ouNn '' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ .] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING �INAL G4!f4 &_Ck- [ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: bwo �v_ n kfY.c o DATE 1 l0LDj&00lQ INSPECTOR FIELD:INSPECTION I"-PORT.: DATE:, CUMMENTS b FOUNDATION,(IST) y Fcl COD � FOUNDATION'(2ND).: rA ROUGH FRAMING.& y PLUMBING r INSULATION.EER N.Y. . y. STATE ENERGY CODE` Zo 1724 De IS . FINAL .. ADDITIONAL COMMENTS /Bat ,/ : 2 o 7' : ------------ • yy y. • b gUFPo(,� oma° ooa TOWN OF SOUTHOLD—BUILDING DEPARTMENT N� y= Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only -y o PERMIT NO. Building Inspector. Applications and forms must be filled out in their entirety. Incomplete NOV 0 12021 applications will not be accepted..Where the Applicant is not the owner,an BUILDING DEPT. .Owner's Authorization form(Page 2)shall be completed. TOWN OF SOUTHOLD Date: OWNER(S) OF PROPERTY: -------------- Name: SCTM#1000- / C Project Address: O•.._� v � _._,� -5-- v►SQO!1._0.1'I�.. _-"4 a ._ Phone#: 6--P�O.. O-- Email: Mailing Address: )b 65-_ k.►S�+;,1:�_ Lean.2 �J �� ®.� i[9 +. . CONTACT PERSON: Name: Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New StruDeck- Will ctture ❑Addition ❑Alteration ❑Repair Demolition Estimated Cost of Project: ❑0ther 1Jeck $ Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes F-1 No 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 ENO IF YES, PROVIDE A COPY. El Check Box After Reading. The owner/contractor/design profes sional is.responsible for all drainage and storm water issues-as provided.by Chapter 236.of the Town Code. APPLICATION IS HEREBY MADE to the lwilding 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.iegulations and to admit authorized,inspectors on premises and in buildng(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(pri t26--n Agent caner Signature of Applicant:_ - Date.- (_9-1 STATE OF NEW YORK) CONNIE D.BUNCH Notary Public,State of New York SS: No.01 BU6185050 COUNTY OF ) Qualified in Suffolk County Commission Expires April 14,2 "13 1nGn;� �ku,no —amc,4 0 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the 1 YY1 (�cx1�Cf (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 KWUn Li/1 , 20 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 I The locations of wells and cesspools shown hereon are from field observations and or from data obtained from others. I i \ ��s •/ SUffOLK COUNTY DEPARTMENT OF HEALTH SERVICES SINGLE FAMILY DWELLING ONLY Approval of ConstreMed Works H.D. Ref, No. R:3-Sn-.9/ The• 1g 'r �� o� have b eg n saG� supply ct&i mtpectes by�thisT Uepa brant aities at this nd tion o are ��j � v - �••� � _ in comp!iarco.lnth Cha�sye,._as•built plant –t- /S o-• C; � T, A b'�d- DATE — f CHIEF OF GENERAL ENGINEERING SERVICES J/ /T7y��'/�fy'�_ iP�• , S •! ► "' m� �9 SURVEY OF LOT 3 shs ii h� it Y 23 F�tm A�� RREVLLAN.A-�O" CO _ A T SOUTHOLD • or gra Q' TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y .�� or� woo- 7o - ol-Pros p - Sc�le: 1"= 40' ``�• `" Mar. 15, 1993 •� Aug, 17, 1993 (foundation) 7 C:� */0/" tx0� "OZma, -� - `'-'S'; 1�.t%: SP AREA = X8,777 s¢ :t. \ f N�>� 3 0� NEW 4 -��. .t C shut ocaury DEPARTMENT OF HATH SERVICES The water supply and sewage disposal �_ It sx+ Fort APPROVAL of consraUCTM ONLY Prepared in accordance with the mfntmuvn systems for Nils resldsncs r1# conlorfi .Y.S. LIC. NO. 496!8 slandards for 1111@ surveys as eslabllshed fo the standards of The SuffoAt I:ouvlty aFP`" by the L.LA.L.S and approved and adopted SO 2X for such use by The New York State Land Department of Hedth SerWees. ORS, P.C. DATE • REF. N0. Title Associalka. P. O. 9 ELEV� v t MAAN ROAD APPROVED rO SOUTHOLD, ALY. -11971 D E E � U �S NOV 0 1 2021 BUILDING DEPT. TOWN OF SOUTHOLD � APPROVED AS NOTED DATE: I I�"�-rB.P.# FEE:4 BY: NOTIFY BUILDING DEPARTMENT AT C/N11PLY WITH ALL CODES OF 765-1802 8 AM TO 4 PM FOR THE CJEVV YORK S;'ATE & TOWN CODES FOLLOWING INSPECTIONS:.` AS kEQUIRED AND CONDITIONS OF 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE /SOUTHOLD TOWN ZBA - 2. ROUGH - FRAMING & PLUMBING SOUTHOLD TOWN PLANNING BOARD 3. INSULATION 4. FINAL - CONSTRUCTION MUST SOUTHOLD TOWN TRUSTEES BE COMPLETE FOR C.O. N.Y.S.DEC ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Additional Certification May Be Required. i x � b o Z W rt -; °ZZ} w Z C fro W E 3 0 ; c Q it 0 —mo o QU�co r -Ln•win- i±'tl� Q K O 0 ---------- � n f, -------r,--�-i FESS .7S 1ST. FLOOR AMENDMENT I