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Home My WebLink About45113-Z ��o�1SUFF0[��pGy Town of Southold 6/30/2022 P.O.Box 1179 0 co 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43209 Date: 6/30/2022 THIS CERTIFIES that the building WINDOWS Location of Property: 12555 New Suffolk Ave, Cutchogue SCTM#: 473889 Sec/Block/Lot: 116.-2-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/10/2020 pursuant to which Building Permit No. 45113 dated 8/17/2020 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: replacement windows to exsting singley dwelling as applied for. The certificate is issued to Fitzgerald, Shawn&Nicole of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED th riz ignature TOWN OF SOUTHOLD��o SUFfU1k 19K BUILDING DEPARTMENT 0 TOWN CLERK'S OFFICE oy • 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#: 45113 Date: 8/17/2020 Permission is hereby granted to: Fitzgerald, Shawn 12555 New Suffolk Ave Cutchogue, NY 11935 To: install replacement windows as applied for. I At premises located at: 12555 New Suffolk Ave, Cutchogue SCTM # 473889 Sec/Block/Lot# 116.-2-13 Pursuant to application dated 8/11/2020 and approved by the Building Inspector. To expire on 2/16/2022. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspec Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, alcertificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957)non-conforming uses,or buildings and "pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: (check one) i Location of Property: 2 55S f J ew S(Aeeo ( e— C RT`- t I ue House No. I- � Street amlet Owner or Owners of Property: k6i(A)1J I,+taen-I d Suffolk County Tax Map No 1000, Section Block �� Lot ' ?j Subdivision Filed Map. Lot: Permit No. 503 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: TemporaryCertificate Final Certificate: ", teo ` Fee Submitted: $ J 0 plicant i ature �! f` oy��OFSObIyo --- F # # TOWN OF SOUTHOLD BUILDING DEPT. �y000rm��' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL 0ltloou [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: VJ DATE �/ INSPECTOR J /FIELD INSPECTION REPORT` DAVE CO1kMMNTS 41 FOUNDATION(1ST) FOUNDATION(ZND) . ch ' ROUGH FRAMING& , PLUMBING y .�. INSULATION-PER N..Y. : y STATE ENERGY CODE .FINAL.; . J -AD m TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX: (631)765-9502 �j Survey Southoldtownny.gov PERMIT NO. I Z• Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved L ,20 Mail to: Disapproved a/c 1 Phone: Expiration 20 D Q�. 5V[E Building Inspector APPLICATION FOR BUILDING UILDING PERMIT Q�1� 2020 Date /�j 3 20 ZO INSTRUCTIONS 33�yam, T WAS la l A 'UST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 ,ol,p7ans,°accurate 1 scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. 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,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,ho ing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) i)555nleWs� -c,�&e_,C� ho��P� �y (Mailing address of applicant State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder o wnee Name of owner of premises Ni eo lelq nd d h a wh FJ1zge et,1 e-/ (As on the tax roll or late deed) If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 3 1. Location of land on which p ose or will done: i VP House Number Street HamldV County Tax Map No. 1000 Section ` Block Lot �� Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy primres Id cwe b. Intended use and occupancy_} r l m a l y k-e nW h w i 3. Nature of work(check which applicable):New Building Addition Alteration x Repair Rlemoval Demolition Other Work AAW d✓j _�0,0jS 4. Estimated Cost ! 3, 0 Uy Fee �l/ . 6/b (Description) (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any:Front Rear Depth Height Number of Stories Z Dimensions of same structure with aMratftms or addRierrs: Front N/"� Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories 9. Size of lot:Front h Rear Depth 10.Date of Purchase 40 0!7 Name of Former Owner .4e el'I I 11.Zone or use district in which promises are situated 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO x 13.Will lot be re-graded?YES NO x Will excess fill be removed from premises?YES NO X 14.Names of Owner of premises ICO%' hA401 f ante 025-5-SNew S ill` Phone No. 1031-377,0019 Name of Architect Address Phone No Name of Contractor Address Phone No.YY 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES X NO *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES NO *IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property?*YES NO X *IF YES,PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF 114 4-t being duly sworn,deposes and says that(s)he is the applicant (Name of individual s'' i+ng contract)above named, (S)He is the VAIN wY�� (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 hue to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thi day of 20 otary Public IS re gAplklicant TRACEY L. DWY�R NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2 IV/g0/0W �rlY�rma� (q-nd-et6M 1/60 S�� Loyv qf .e Ltj �-f 11Vl n 010W-frt-firm ami-) Lew Cy , CC,,MPL`( WITH ALL CODES OF p � . I,� TATS & 70WN CODES y 3.P. q:g13�.W fVE.1 r` YCURK S (TIONS OF DATE. �(,., 2"., } yy,,��_ AS RE��UIREG FEE: ILI i�'dl�trZeA NOTIFY ;_, �, r.:.li=t T4�E TOWN P INGBN RD 765-1602 8 A% FOLLOWING INSi F(�Ti0`1 SOUTHO WN TRUSTEES . . FOUNDATION T��`,'ra R[ CUIPED FOR POURED CGI!CRF T E N.'.�.DEC 2. P,OUGH - FRAIMtPLUt181NG 3. It,,dSULA T ION 4. FINAL - CO\!S,,UIJI }ON MUST BE CoMPLE T E ;OR `J.O. ALL CONSTiiUCTION SHAD �JEET THE i C§ FANCY OR p RECUIREi1fiENfS.Ot THE CO'NSIBLES OF F W '. ��E IS C � 1�1F�UL YORK STATE. NOT RESPONSIBLE. FOR DESIGN OR CONSTRUCTION ERRORS. ECT CERTIFICATE