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
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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
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�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) '
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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
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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
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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
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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.
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