HomeMy WebLinkAbout48768-Z ��oSUffa y Town of Southold 8/5/2023
o ``, P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44405 Date: 8/5/2023
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 3500 Nassau Point Rd, Cutchogue Cutchogue
SCTM#: 473889 Sec/Block/Lot: 111.4-33
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/8/2022 pursuant to which Building Permit No. 48768 dated 1/20/2023
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:
landing replacement and deck alterations to existing single-family dwelling as applied for
The certificate is issued to Milone,Patricia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
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Au o ze Signature
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
H z TOWN CLERK'S OFFICE
"oy • o�� 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#: 48768 Date: 1/20/2023
Permission is hereby granted to:
Milone, Patricia
195 N Centre Ave Apt 31
Rockville Centre, NY 11570
To: construct new landing and deck alterations to existing single-family dwelling as applied
for.
At premises located at:
3500 Nassau Point Rd, Cutchogue
SCTM #473889
Sec/Block/Lot# 111.-4-33
Pursuant to application dated 12/8/2022 and approved by the Building Inspector.
To expire on 7/21/2024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $219.60
CO-ALTERATION TO DWELLING $50.00
Total: $269.60
Building Inspector
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631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
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DATE y INSPECTOR
'ELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST) o�
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FOUNDATION (2ND)
ROUGH FRAMING&
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ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
H Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
'y�ol soot � Telephone(631) 765-1802 Fax(631) 765-9502 h!!ps://www.southoldtowpqy.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector:
Applications and forms must be filled out in their entirety.Incomplete DEC 0 8 2022
applications will not be-accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed. BUILDING DEPT '
TOWN OFSOUTHOLD
Date: 12-107/2 2—
OWNER(S)
OWNER(S) F PROPERTY:
Name: ON p SCTM#1000-1L 3
Project Address: d 0 N SS y r d/N f—0
Phone#: 5 r d ? 9 Email: 12 43+M 0 R .
Mailing Address:
CONTACT PERSO�tN:
Name: M'AJZ Scr. wAt? j2 C/-f f
Mailing Address: O G V tip G (
Phone#: 01
7 7 4Email
.x, DESIGN PROFESSIONAL INFORMATION:
Name: a
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION: ,
Name: N
Mailing Address:
Phone#: 3 ( .r 2 9 �"— �� Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
13Jew Structure ❑Addition Alteratio ❑R(�pair ❑Demolition Estimated Cost of Project:
Other A � ee'al�►Oa [_-�D t��� IL GtrG' q S $
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? &Yes ❑No
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 o 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 210.45 of the New York State.Penal Law.
�F,t? J�-Ff2� Z � �
Application Submitted By(print n e : Ly'Authorized Agent ❑Owner
Signature of Applicant:, Date: (�/ d 7/2 2—
STATE
STATE OF NEW YORK)
SS:
COUNTY OF v )— ZI 6KK, 1 /�
�7w' /� 7! being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(Cont(actor,9gent,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
day of .20
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, 9(Lakv6- residing at DU �}S 'T(/ I U/�✓%
do hereby authorize e to apply on
my be alf to the Town of Southold Building Department for approval as described herein.
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