HomeMy WebLinkAbout47554-Z �zz��
�oOS11FFOL� Town of Southold 4/1/2022
o P.O.Box 1179
53095 Main Rd
y� oo� i�r Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 42959 Date: 4/1/2022
THIS CERTIFIES that the building ACCESSORY
Location of Property: 63875 CR 48, Greenport
SCTM#: 473889 Sec/Block/Lot: 40.-1-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/5/2021 pursuant to which Building Permit No. 47554 dated 3/16/2022
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 outdoor shower as applied for.
The certificate is issued to Reba Green LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 3/29/2022 t�arnpeon 1pknbing&Fnating
A o 'ze ignature
o�SUFrotK�o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
z TOWN CLERK'S OFFICE
oy • oma , 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#: 47554 Date: 3/16/2022
Permission is hereby granted to:
63875 Route 48 LLC
209 W 97th St Apt 7B
New York, NY 10025
To: legalize as-built accessory outdoor shower as applied for.
At premises located at:
63875 CR 48, Greenport
SCTM #473889
Sec/Block/Lot#40.-1-21
Pursuant to application dated 5/5/2021 and approved by the Building Inspector.
To expire on 9/15/2023.
Fees:
AS BUILT-ACCESSORY $200.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $250.00
Bu' ing spector
a .
Town Hall Annex 8 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G{.
Southold,NY 11971-0959 '
OWN;,
BUILDING DEPARTMENT RBAR 2 9 2022
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TOWN OF SOUTHOLD BUILDING DEPT.
TOWN OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No.
Owner:
(Please print)
Plumber: oh ,/�� ,. y cr Ar-,
(Please print) LZ
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(Plumbers Signature)
Sworn to before me this Z�
day of 20 ZZ
CASSANDRALCOVELLO
/// Notary Public-State of New York
NO.01C06399661
Qualified in Suffolk County
fAy Commission Expires Oct 28, 2023
Notary Public,. tUl - _'C'opty
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jBUILDING DEPARTMENT
2
Town Hall Annex 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 TOWN OF SOUTHOLD
Telephone(631) 765-1802 Fax(631) 765-9502 hftps://www.southoldtownny.gov
', Date'Received
APPLICATION FOR BUILDING PERMIT
or Office Use Only
-
PERMIT NO. Building Inspector: MAY 5 2021
.i
Applications and forms must be filled out in their entirety.Incomplete
Wplications will n6fbe accepted. Where the Applicant is not the owner,an
'Ownees Authorization form(Page 2)shall be completed.
Date:5/4/21
'OWNER(S)OF PROPERTY:
Name:lucinda barnes SCTM#1000-40-01-21
Project Address:63875 Route 48, Greenport, NY1 1944
Phone#:9176640926 Email:lucybarnes@mac.com
Mailing Address:63875 Route 48, Greenport, NY1 1944
CONTACT PERSON:
Name:Lucinda Barnes
Mailing Address:63875 Route 48, Greenport, NY1 1944
Phone#:9176640926 Email:lucybarnes@mac.com
DESIGN OROFESSIONAL,INFORMATION:
Namelucy Barnes --
Mailing Address:63875 Route 48, Greenport, NY1 1944
Phone#:9176640926 Email:lucybarnes@mac.com
CONTRACTOR INFORMATION:
Namelucy Barnes
Mailing Address:63875 Route 48,Greenport, NY1 1944
Phone#:9176640926 Einail:lucybarnes@mac.com
wra%.nir i ION OF PROPOSED CONSTRUCTION
EINewStructure ElAddition ElAlteration ORepair CIDemolition Estimated Cost of Project:
20therExisting outdoor cedar shower on pebble base,54"x105"x7'tall $500
Will the lot be re-graded? 0 Yes@ No Will excess fill be removed from premises? OYes NNo
PROPERTY INFORMATION
Existing use of property:residential- --- _ _ intended use of property residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
residential this property? ❑Yes ®No IF YES,PROVIDE A COPY.
B Check B6 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 Permitpursuant to the Bullding Zone
Ordinance of the Town of Southold;Suffolk;County,New York and other applicable Laws"Ordinances or Regulations,for theconstruction of buildings,
additions,alterations or for removal or demolition:as herein described.The•applicant,agrees to comply witkall 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 •LMOOa Barnes ❑Authorized Agent @Owner
Signature of Applicant: G i� Date: 5/6/21
STATE OF NEW YORK)
SS:
COUNTY OF S A , L)
Lualio& "rn e-c; 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 20 Z
Notary Public
ISABELLE C.SIMON
Nodly Pubb-SW d NWYah
No.OISI6410657
PROPERTY OWNER AUTHORIZATION WNW in Sint u
1Co� *
(Where the applicant is not the owner) KV
0MUMM Bow I, residing at
do hereby authorize to apply on
my behalf to heTo , o'�thold Brit inDepartment for approval as described herein.
Owner's Signa a Date
dc-/ 1141t. 9
0
Print Owner's Name
2
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Legend
Untitled Map
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63875 County ' • 42
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VILLAGE OF GREENPORT,
�bN11 rcha:•krnn,ln0'.,rrharklh:omokrrlb,.• TOWN OF SOUTHOLD
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ar,l/nn rirr. %? �„�•�� �56po ,� s SUFFOLK COUNTY, NEW YORK
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TAX No. 1000-040.00-01.00-021.000
SCALE 1"=25'
APRIL 17, 2021
AREA = 118,733.00 sq. ft.
.a \ sa 2.726 ac.
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APPROVED AS NOTE®
DATE.3
B.P.# �q 2 °
FEE: BY
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NOTIFY BUILDING "E°ARTMENT AT . .®
765-1802 8 AM T 4 ^^� a.� \
PM FOR THE '
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FOLLOWING INSPECTIONS:
09s Wp.y .0 �0
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I. FOUNDATION - 7WO REQUIRED p
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING , `D®
3. INSULATION \
4. FINAL - CO,NQTR! --SON MUST ,n \
BE COMPLF7 r
ALL CONSTRUCT/: f, :,ALL MEET THE
REQUIREMENTS OF THc CODES OF NEW \
� 4
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
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PON.+w 9
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COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
p�.
tDUTIT.T-97OWM1AWNG BOARD e _
SOUTHGLD-T�b`+NI�TRUSTEES 61
N.Y.S "
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D15@:10.00 l0R:o31.000 BC005•01 ooN SCC110N:010.00 e� �_
OCCUPANCY OR WP OF:DESCRIBED PROPERV `--R:Tn L~ + r
F-No.: NB.-61.5-s-noxi
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U$E IS UNLAWFUL—LSDIRMIED;u:�° ,000-O.00D-DE oo_Dor.DDD —
WC[01 4vECNPoRI,IOwN OP SDOINO
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WITH01 IT f' do ....-i6.t94 •Qax1
OF OCCUPANCY
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