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HomeMy WebLinkAbout47993-Z �o��SuffOl,f GN Town of Southold 6/28/2022 P.O.Box 1179 N 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43191 Date: 6/28/2022 THIS CERTIFIES that the building WINDOWS Location of Property: 425 Lake Dr, Southold SCTM#: 473889 Sec/Block/Lot: 59.-5-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/9/2022 pursuant to which Building Permit No. 47993 dated 6/24/2022 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"replacement windows to existing single family dwelling as applied for. The certificate is issued to Faught Lynn Living Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 0 ut o z Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT co TOWN CLERK'S OFFICE 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#: 47993 Date: 6124/2022 Permission is hereby granted to: Faught Lynn Living Trust 2009 Belmont Rd NW#401 Washington, DC 20009 To: Legalize as installed replacement windows at existing single family dwelling as applied for. Additional certification may be required. At premises located at: 425 Lake Dr, Southold SCTM #473889 Sec/Block/Lot# 59.-5-21 Pursuant to application dated 6/912022 and approved by the Building Inspector. To expire on 12/24/2023. Fees: AS BUILT SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 Building Inspector FIELD INSPECTION REPORT DATE COMMENTS ro Dx FOUNDATION (1ST) �H -------------------------------------- FOUNDATION (2ND) z 0 N �r H ROUGH FRAMING& PLUMBING kA N e r INSULATION PER N.Y. STATE ENERGY CODE s FINAL ADDTIONAL COMMENTS �s J?g7v lQ �' O z m . r � ro H � O z x x d b H o�oot cG TOWN OF SOUTHOLD—BUILDING DEPARTMENT H� s= 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 '(( - s V 1'Vp '-7 ® ``� IIIJJJ D PERMIT NO. Building Inspector: - JUN - 9 2022 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an D �s'DE�r*1C� Owner's Authorization form(Page 1)shall be completed. Bim' TO rdl1 OF S�3�J'�II�JLD Date: Ljloha OWNER(S) OF PROPERTY: Name: L'�'i°fV� _ 7�VfT - - SCTM# 1000- Project Address: Ltg L��� , `vt� c��(,�� a pJ Phone#: �, � Email Mailing Address: CONTACT PERSON: Name: - v .CL Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORIVIATION Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: �d�li!t�j -I— MailingAddress: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition 'Alteration ❑Repair 11 Demolition Estimated Cost of Project: ❑Other w;nA©��, -�- caB©mors k99 J— 5 $ Will the lot be re-graded? ❑Yes)'--LAfo Will excess fill be removed from premises? ❑Yes kNo 1 PROPERTY INFORMATION Existing use of property: p, Intended use of property: (� Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? E]Yesl5ilfio 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 Regulation's,for the construction of buildings,, addition's,alterations or for removal or demolition as herein,d6scribea.-The applicant agrees to comply with all applicable laws,ordinances,building code, , `housing code and reguli6ons_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: Date: CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York No.01BU6185050 SS: Qualified in Suffolk County COUNTY OF ) Commission Expires April 14,2M3 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 (70) day of 20r4l ��-/'1�►"� 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 CASEMENT 100 SERIES COMPLY WIT-h. AL! NEW YORK STATE & TOWN CODE: APPROVED AS NOTED � � 3.8 AS REQUIRED AND CONDITIONS O DATE,k. -y .R# SOUT HOLD TOWN ZBA FEE:I S?>_OD 13 y: SOUTHOLD TOWN PLANNING BOARL NOTIFY BUILDING DEPARTIb1ENT AT :;- _...__.:........... SOUTHOLD TOWN TRUSTEES 765-1302 9 AM TO 4 PM FOR THE N`I.S.DEC FOLLOWING INSPECTIONS: I. FOUNDATION - T1,Af0 FFa._r ez� 3. INSULATION 4. FINAL - CONSTRUCIHON WiUST BE COMPLETE FOR C.O. Additional CONSTRUCTION SHALL MiEET ? THE REOWREMENTS OF TME N.11 �'ert1�1C�$ on i STATE CaNSTP��CTIOgs & �4��.RE�,f � 111/Iay �e Require. CD®Es. NOT I� 4. ° a;tILE �.;. DESIGN OR CONST'Ru :Cots CCUPANCi OR ® . USE IS UNLAWFUL THOUT CE `Wl RTIFICATE C�" OF OCOUPAN ; • Made of Andersen-exclusive composite material $Fi rex?",-111j, which is twice as strong as vinyl 200 SERIES PICTURE WINDOW 5.0 ( 1 ) 200 Series picture windows are stationary and designed to be u maximize a view or combined with venting windows to create lai 1 Made of wood protected by vinyl, it's our valueicture window. w. • Our entry-level wood picture window Wood protected by vinyl exterior Narrow profiles let in more light • Standard sizes up to 5' wide and 6' high Need help? Find an Andersen Certified Contractor in your area. CDESIGN ThlIS d1111fVDOW REGtUE�T� InteriorExterior ,� - 200 SERIES DOUBLE-HUNG WINDOW ****1 4.3 (33) ' Andersen@ 200 Series double-hung windows have low-maintenance Shields exteriors clear pine interiors or a white interior finish. They c, most popular sizes and our most requested options for easy selection Cour entry-level wood double-hung Y le-hung Wood protected by vinyl exterior °' ' • Narrow profiles let in more light Standard sizes up to 3'4" wide and b' high Need help? Find an Andersen Certified Contractor in our area. � Y - Exterior DESIGN THIS WINDQW REQUEST A Ql