HomeMy WebLinkAbout48062-Z Or.=�:a
UffOik Town of Southold 11/3/2022
P.O.Box 1179
CO
W 2a. 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43551 Date: 11/3/2022
THIS CERTIFIES that the building ALTERATION
Location of Property: 650 Old Shipyard Ln., Southold
SCTM#: 473889 Sec/Block/Lot: 64.-2-44
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. 48062 dated 7/13/2022
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:
alterations, including finished room in basement with egress window,to existing single-family dwelling as applied for.
The certificate is issued to McQuade,Brian&Tabitha
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
rized ignature
MillntKTOWN OF SOUTHOLD
�SOFf �oG
��o y BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • 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#: 48062 Date: 7/13/2022
Permission is hereby granted to:
McQuade, Brian
650 Old Shipyard Rd
Southold, NY 11971
To: install an emergency egress window to an existing single-family dwelling as applied for.
At premises located at:
650 Old Shipyard Ln., Southold
SCTM #473889
Sec/Block/Lot# 64.-2-44
Pursuant to application dated 6/9/2022 and approved by the Building Inspector.
To expire on 1/12/2024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO-ALTERATION TO DWELLING $50.00
Total: $250.00
Building Inspector
l�D oF SOGTyo� - -
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [. ] NSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ FINAL�(fg&
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
Ow
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DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
------------------------------------
FOUNDATIONu
(2ND)
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ROUGH FRAMING& C
PLUMBING
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INSULATION PER N.Y.
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STATE ENERGY CODE
ti r sy wea i0 c.
A -
FINAL
ADDITIONAL COMMENTS
-15 C ol BP I a50.00 lo a
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�oS'sffat,r-o TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
?y�o aol� Telephone (631) 765-1802 Fax (631) 765-9502 hqps://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
jD ,
;For Office Use Only E
PERMIT NO. Building Inspector: 4--
JUN 0 g 2022
Applications and forms must be filled out in their entirety. Incomplete BUILDuvu°,Lw j.
,applications will not be accepted. Where the Applicant is hot the owner,an TOWN OF SOUTHOLD
Owner's Authorization form(Page 2)shall be':completed..;
Date:
OWNER(S)OF PROPERTY:
Name: C_ v d �_�____ ___ .- SCTM#1000-
Project Address: -
Phone-#: Email:
. - - ---_ -6.31--_ ®o "
Mailing Address:
CONTACT PERSON:.- ;
Name:
Mailing Address: ® Sl-17O_V1
Phone#: Email: �j�iyc HQ Cd
DESIGN PROFESSIONAL INFORMATION:
Name: bS'C>- f.)SG� L�
MailingAddress:. 17 Z�5— yUt'
Phone# 631 —
`7t5g Email:
-
CONTRACTOR INFORMATION:
Name:
Mailing Address, - 4 ._ .._ U1Y_6%N _/6A)
Phone#: x57 =22-Y, 7.S 76. Email: .k 6%0S, CC)v`1---
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ZAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $ .;e 6"e D00, 0c>
Will the lot be re-graded? ❑Yes ANO Will excess fill be removed from premises? eyes ❑No
1
PROPERTY INFORMATION
Existing use of property: ?¢5'I0C � 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 gNo 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 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 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 210AS of the New York State Penal Law.
Application Submitted By(print name): Br- an _ ❑Authorized Agent ,Owner
Signature of Applicant: Date: 5—ac)
STATE OF NEW YORK)
S
COUNTY OF )
13ri�� I"IC �UC�Ct� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the OWN n,c f
(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
D day of M 20aa—
otary 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
T. 1
V
AP ROVED AS NOTED
DATE: B.P.
FEE: BY:
NOTIFY BUILDING CE�,aRTMENT AT COMPLY WITH ALL CODES OF
765-1862.- 8 AM TO Y PM FOR THE NEW YORK STATE & TOWN CODES OCCUPANCY OR
FOLLOWING INSPECTIONS- AS REQUIRED AND CONDITIONS OF
I. FOUNDATION - TWO REQUIRED USE IS UNLAWFUL
FOR POURED CONCRETE 'ZBA
2. ROUGH = FRAMING & PLUMBING WITHOUT CERTIFICAT
3. INSULATION ' 'VG BOARD OF OCCUP
4. FINAL - CONSTP°.:C`!nI� MUST RUSTEES A�ICY
BE COMPLETE r ".,D,
ALL CONSTRUCTi N'� S,i ALL MEET THE _ni v —EC—
REQUIREMENTSOF I HE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
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