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HomeMy WebLinkAbout48462-Z t suF a� Town of Southold 11/16/2022 P.O.Box 1179 o _ 53095 Main Rd o , Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43591 Date: 11/16/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 11875 Route 25,Mattituck Mattituck SCTM#: 473889 Sec/Block/Lot: 141.4-39.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/6/1986 pursuant to which Building Permit No. 48462 dated 11/7/2022 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: reconstruction of an existing porch as applied for. The certificate is issued to Mello,Chad of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED \W1V ut ore Signature QgUFFOr TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • �gr� 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#: 48462 Date: 11/7/2022 Permission is hereby granted to: Mello, Chad 3030 Ole Jule Ln Mattituck, NY 11952 To: Reconstruct porch Replaces BP#14987 At premises located at: 11875 Route 25, Mattituck SCTM #473889 Sec/Block/Lot# 141.-4-39.3 Pursuant to application dated 6/6/1986 and approved by the Building Inspector. To expire on 5/8/2024. Fees: PERMIT RENEWAL $75.00 Total: $75.00 Building Inspector FORK NO. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 14987 Z Date .... .v/. �............� ................... 19. Permission is hereby granted to: ,��. Sv� r .iO...J....-...5,�� � :. e... to ......sG c..—�C33i .'� 1 c -�...... ...... ....��.Z ......................... .... ..x............:... ....1 I .>'./��L. ...... 4=,�-1�=.1..... ................ of premises located at ....u.q!l.. . . .l���.)�.�...j�,.�/�,,—� ..................................................................... ....... .................. 4C -b.c. ................................................................................................................................................................. County Tax Map No. 1000 Section ....a .......... Block ...Q ,...... Lot No. ..�..Wil. ... r pursuant to application dated .... (........................ 19 and approved by the Building Inspector. Fee $...�C)...... � 7&V 46 "*.... ding Inspector Rev. 6/30/80 765-1802 BUILDING DEPL INSPECTION '. [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION �FRAMING [ ] FINAL REMARKS: -OK -a io 5` DATE . INSPECTORV � , l v # # TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ rLATION/CAULKING FRAMING /STRAPPING [ L ,,;, [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]' RENTAL REM KS: tJ DATE INSPECTOR FIELD INSPECTION3 DATE COMMENTS _ -- _ FOUNDATION ( 1st ) i — FOUNDATION ( 2nd ) I 2 . z ROUGH FRAME & PLUMBING U 3 . r� INSULATION PER N . Y . y STATE ENERGY C,ODEx FINAL IN ADDITIONAL COMMENTS : 0 A x r H x d H ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT JUN1986 TOWN HALL SOUTHOLD, N.Y. 11971BLDG. DEPT fi / TEL.: 765 1802 TOWN OF SOUTHOLD Examined . -j.ttZ. LA . . ., 19816 Received . . . . . . . . . . . Approved .�.(,J.t�[,� . G. ., 1 . Permit No. Disapproved a/c . . . . . "'�' `.. . . . . . . . . : . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . �. . . . . . . . . . ., 19k INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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, hou ' g code, and regulations, and to admit.authorized inspectors on premises and in building for necessary ins ect'o S. -- - G . . . . : !1. . . :.... . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . ��L � 7 Name of owner of premises J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . c Other Trade's License No. 11 t3 ?s� 1. Location of land on which proposed work will bed e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �!U1.4-V . . . . . . . . . . ✓.L. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . 1. . . . . . . . . . . . Block . . . Lot . . . . . . . . . . . . . . . .` .'. . .R . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use�and occupancy . . . . . . . . . . . . . . . . . .. . . . . . . . 3. Nature of work (check which applicable): New Building . . . . ... . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair `,. . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . od (Description) 4. Estimated Cost . . . . 4 d rte: r(�. . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . .�. �© . . . . . . . . . . . . . . . . . . . ' (to be paid on filing this application) S. If dwelling,number of dwelling units . . . / . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage,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 ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear Depth . . . . . . . . . ... . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . ... . . . . . . . 11. Zone or-use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. f a a �c�ciV (f 11 s ' z i 1 S TLE OF NW YORK, ' S.S COUNTY OF . . . . . . . . . . . . . . . . -- . i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) r, above named. Heisthe . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 knowledge and belief;and that the work will be performed in the manner set f6rth in the application filed t1herewith. Sworn to before me.this . . . . . . . . . . . . . . . . . . . . . . .day of. . . . . . . . . . . ....9 � Notary Public / . . . . .!l. . . . . . r c Count<< > , HELEN K DE VOE NWjty FU9M Std d NeryWk . . . . . . . . . . . Ift4" E7 WmkCo r_�i� (Signature of applicant)