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HomeMy WebLinkAbout48590-Z ��o��s�}FfOLKcpG Town of Southold 8/5/2023 a P.O.Box 1179 o _ 53095 Main Rd o ,'fig Southold,New York 11971 1y�lpl � yam i"' CERTIFICATE OF OCCUPANCY No: 44390 Date: 8/5/2023 THIS CERTIFIES that the building DECK Location of Property: 910 Country Club Dr,Cutchogue SCTM#: 473889 Sec/Block/Lot: 109.-3-2.12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/13/2022 pursuant to which Building Permit No. 48590 dated 12/13/2022 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: "as built"deck addition toexisting single family dwelling as applied for. The certificate is issued to Gannon SF Living Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aut oriz d ignature ��o�suF cD TOWN OF SOUTHOLD BUILDING DEPARTMENT H 2 ' TOWN CLERK'S OFFICE "may • oma+ 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#: 48590 Date: 12/13/2022 Permission is hereby granted to: Gannon SF Living Trt 910 Country Club Dr PO BOX 1186 Cutchogue, NY 11935 To: Legalize as built deck at existing single family dwelling as applied for. Additional certification may be required. At premises located at: 910 Country Club Dr, Cutchogue SCTM #473889 Sec/Block/Lot# 109.-3-2.12 Pursuant to application dated 10/13/2022 and approved by the Building Inspector. To expire on 6/13/2024. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $886.40 CO-ADDITION TO DWELLING $50.00 Total: $936.40 Building Inspector souTyolo I # # TOWN OF SOUTHOLD BUILDING DEPT. �ycou631-765-1802 INSPECTION [XFODATION 1ST [ ] ROUGH PLBG.�- DATION 2ND [ ] INSULATION/CAULKING ING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL 0 REMARKS: DATE Y v INSPECTOR ho�aoF souryo� * TOWN OF SOUTHOLD BUILDING DEPT. `'cou631-765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [FINAL De k— [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE INSPECTOR OF SOblyo� # # TOWN OF SOUTHOLD BUILDING DEPT. courm?'�' 631-765-1802 #,510 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL beZ�.- [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: t)te//L— Cm�p&k- DATE INSPECTOR 'IELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) O ------------------------------------ Q FOUNDATION (2ND) z � 0 0 ROUGH FRAMING& S y PLUMBING S � 9J INSULATION PER N. Y-. y STATE ENERGY CODE FINAL i I ADDITIONAL COMMENTS S a� 0 . la, I ayZs Tz Z m t� - b W H O z x r� F-3 x d r� b H =�o�g�fFO(,tcoG TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 oy�01 �ao�� Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only OCTI. 3 2��2 •- �, .�i PERMIT NO. 0 Building Inspector: „ . E'`ILf...� . Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an,. Owner's Authorization form(Page 2)'shall be completed. Date: OWNER(S)OF-PROPERTY:', Name: SCTM #1000- Project Address: Phone#!J,,-l�o - -- -- S —_ _ ...- ------- Email: N�1CQ _ �PJ�L./Ncr Mailing Address: CONTACT"PERSON: Name: -Mailing Address: 4 U )C e617el_14,. _ ------._-.---__-__- Phone# LG�-/-�l--� ��- ---------- Email:- DESIGN PROFESSIONAL INFORMATION: ; Name: Mailing Address: Phone#: Email: _CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF'PROPOSED CONSTRUCTION ❑New Structure El Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 1KOther 16 AGK $ Will the lot be re-graded? ❑YeKNo Will excess fill be removed from premises? ❑Yes)<N'o 1 PROPERTY'INFORMATION Existing use of property: 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 No IF YES, PROVIDE A COPY. ❑ Check Bo'k 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'BuildineDepartment 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 210.45 of the New York State Penal Law. Application Submitted By(print name): < ❑Authorized Agent ,Owner AA- Signature of Applicant: Date: Q STATE OF NEW YORK) CONNIE D.BUNCH Notary Public,State of New York SS: No.01 BU 6185050 COUNTY OF ) Qualified in Suffolk County Commission Expires April 14,20,�` 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 n / 4h day of c) ��t" I 20� 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 )ew-011 APPROVED AS NOTED OCCUPANCY OR USE IS UNLAWFUL DATE:1��,"a�-B.P# �� WITHOUT CERTIFI FEE BY: CATF NOTIFY BUILDING DEPARTM NTAT OF OCCUPANCY 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING. 3. INSULATION lik,f� L,;, 111f1 l-I �� 4. FINAL-CONSTRUCTION MUST fel„ �d�� YO r ALL C,CCyaS OF BE COMPLETE FOR C.O. YORK ST ATE & TOWN CODES '�'S REQUIR D ALL CONSTRUCTION SHALL MEET THE AND CONDITIONS OF REQUIREMENTS OFTHE CODES OF NEW SOUTHOLD TOWN ZBA YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUC ON ERRORS SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.'r'.S.DEC Additional Certification .May Be Required. RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE, , I i tom..—. J' 1y / OCT 1 3 2022 ':_° _ _ - Z'•-�C.,(t - r�° r/I — , .-+1�t y'� —- BULDING DEPT. TOWN OF SGUTHoLD 17 MQ I I lV a __ 11251 two }, I --___ --- - __ _ _____ ► x n coN�. rn_~ SG lacy :V6 Cir CU `1c-H _ ..._-. _._ . _ i i i 3 1 I I i 52E 0 V Em i r -1 - / OCT 1 3 2022 TOWN 1 1 2 l3'�..t ', •i �' x. Gay` ►`i `� � t ., C utc H� V �.1 D R ifi.•�� /