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HomeMy WebLinkAbout48814-Z g�FFat,�cpG Town of Southold 3/23/2023 P.O.Box 1179 o _ N 53095 Main Rd y�jol �ao� iSouthold,New York 11971 c� CERTIFICATE OF OCCUPANCY No: 43937 Date: 3/23/2023 THIS CERTIFIES that the building ALTERATION Location of Property: 1045 Love Ln, Mattituck SCTM#: 473889 Sec/Block/Lot: 140.-1-21.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/29/2022 pursuant to which Building Permit No. 48814 dated 1/30/2023 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: existing professional office altered to a singleamily dwelling as applied for. The certificate is issued to Mercier TR &B Irr.Trt. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 0 v A rize i nature �o�soFFn� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • g„ 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 #: 48814 Date: 1/30/2023 Permission is hereby granted to: Mercier TR Irry Trt PO BOX 1423 Mattituck, NY 11952 To: Convert professional office into single family dwelling as applied for. Additional certification and / or architectural plans may be required. At premises located at: 1045 Love Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 140.-1-21.1 Pursuant to application dated 12/29/2022 and approved by the Building Inspector. To expire on 7/31/2024. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $550.00 CO-RESIDENTIAL $50.00 Total: $600.00 Building Inspector FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) ------------------------------------- FOUNDATION (2ND) ' z a� gHg�� t�J ` ROUGH FRAMING& G PLUMBING S � R? r r INSULATION PER N. Y: H STATE ENERGY CODE 7 AteAA FINAL ADDITIONAL COMMENTS Cb a cam. oo ��- o � � m — C r � X _ao _ H N O z x d r�oSUFFotKc TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631)765-9502 https://www.southoldtomLmy.gov r�_za�att. Date Received APPLICATION FOR BUILDING PERMIT For Office Use OnlyLD,, 'PERMIT NO. 4SA/ Building Inspector: DEC 2 9 202E Applications and forms must be filled out in their entirety-Incomplete EUILUINGOEPT. applications will not be accepted. Where the Applicant is not the owner,an TOWN 0FSOIl�Q'O Ownees.Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: I. Name:-- "T`� - epcitlr -- SCTM#1000- Project Address: 1. Phone#: 21 Email: ` Mailing Address: V (- . -I-L-F 7--3_ - /14 Air C-, ON - - CONTACT PERSON: Name: 2 Mailing Address: p.Q �r --_.14-7 y7_ /V`_A' l��l��--/l� f�Kz— Phone#: Email: jyJ Ind/'p "1 ?� tlGj 4a" t r- � -�° - DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other [Will the lot be re-graded? ❑Yes 1XNo Will excess fill be removed from premises? ❑Yes J4No 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Fr'�f Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes RfNo IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design professional is responsible foi 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 Clast misdemeanor,pursuant to Section 210 A :45 of the New York State Penal law. Application Submitted By(print name): 1v1c,�' ❑Authorized Agent 4owner Signature of Applicant: Date: CONNIE D.BUNCH Notary Public,State of New York STATE OF NEW YORK) No.01 BU6185050 SS: Qualified in Suffolk County COUNTYOF ) Commission Expires April 14,2 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 (,, � /�� Cl`��day of �� u CPirf1�+�`'`�1 ,20,�a /v`�' �`� � 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 Horton, LisaMarie From: Thomas Mercier <tmercieroffice@gmail.com> Sent: Tuesday, March 21, 2023 4:58 PM To: Horton, LisaMarie Subject: Certificate of Occupancy Re: 1045 Love Lane, Mattituck Permit#48814 Hello Lisa, Regarding the conversion to single family dwelling, no changes to the electric wiring or service were made. I am requesting a CO. Thank you so much. Tom Mercier Thomas R.Mercier P O Box 1423 Mattituck,NY 11952 631-804-5o65 ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1 I APPROVED AS NOTED OCCUPANCY OR DATE- -� 3 B.P.# USE) IS UNLAWFUL FEE��Y NOTIFY BUILDING DEPARTMENT WITHOUT OUT CERTIFICATE 631-765-1802 8AMT04PM FOR THE OF OCCUPANCY FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2 ROUGH-FRAMING&PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ::iy�� �'L.��' WITH ALL C�J(�c5 OFALL CONSTRUCTION SHALL MEET THE NEWYORKSTATE & TOWN CODES REQUIREMENTS OFTHE CODES OF NEW ASFsEC�UI ED AND CONDITIONS OF YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS SOUTHOLD TOWN ZBA SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES d.Y,S.DEC Additional Certification May Be Required. PLUMBER ONTENT BEFTIFICATIORE ON ON LEAD C CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1% LEAD. WI 1p-P-6dr m-O-f oot got At— It: � Z l`� 60� AAU, A400A FY La F'1r 5