HomeMy WebLinkAbout51429-Z of SOUryo`o Town of Southold
* * P.O. Box 1179
io 53095 Main Rd
COUNw. ' Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 45885 Date: 01/13/2025
THIS CERTIFIES that the building SINGLE FAMILY DWELLING-ADDITION AND
ALTERATION
Location of Property: 1710 Tucker Ln Southold,NY 11971
Sec/Block/Lot: 59.4-5.1
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 10/10/2024
Pursuant to which Building Permit No. 51429 and dated: 12/03/2024
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:
Sliding glass door installation at the existing single-family dwelling, as applied for.
The certificate is issued to: Keith Benson, Claire Benson
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION:
A thor d Signature
ho't.oFsouyo�o TOWN OF SOUTHOLD
A BUILDING DEPARTMENT
' X_ TOWN CLERK'S OFFICE
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#: 51429 Date: 12/03/2024
Permission is hereby granted to:
Keith Benson
1710 Tuckers Ln
Southold, NY 11971
To:
install new sliding glass door to existing single-family dwelling as applied for.
Premises Located at:
1710 Tucker Ln, Southold, NY 11971
SCTM# 59.4-5.1
Pursuant to application dated 10/10/2024 and approved by the Building Inspector.
To expire on 12/03/2026.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
Total $350.00
Building Inspector
OF SOGly�6 - ---
I
f. " TOWN- OF SOUTHOLD BUILDING DEPT.
°y o�n�a� 631-765-1802
INSPECTION
[ ]- FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] f UNDATION 2ND [ ] INSULATION/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: IM 1 �
DATE /a•%a INSPECTOR
O�NOF SO(/T�°
5N l # TOWN OF SOUTHOLD BUILDING DEPT.
cou�►�a� 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ .] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ 017f'IN AL-
[ ] FIREPLACE & "CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [- ] ELECTRICAL (FINAL)
[. ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: 616t, d0AA119 It, 0I�-
DATE = INSPECTOR
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FIELD INSPECTION REPORT I DATE COMMENTS C
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FOUNDATION (1ST) --
------------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING& rn
PLUMBING _
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INSULATION PER N.Y.
STATE ENERGY CODE
FINAL — _ ----
ADDITIONAL COMMENTS
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�oy'SUFFaI �o� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax (631) 765-9502 https://www,.southoldtowmy.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector: ,
OCT 10 2024
Applications and formii s must be filled ou`t`,m'their`,entirety lnconplete•'
,,applic6ti6ns will,not'be accepted:;Where the Applicant`is riot,the-owner,an Building DePartsnPnt
-"Owner's Authorization form;(P.age 2)shall be completed w a `Town sa l =`�o'uk3old
Date:
,OWNER(S)OF PROPERTY
Name: K SCTM#1000
__ _ - __ _�so_� ___�_____�._ __� _
Project Address:
Phone#: Email:
Mailing Address:
CONTACT PERSON h "
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION
Name:
Mailing Address:
Phone#: Email:
=-CONTRACTOR INFORMATIONS
Name: f'i' l CGhsTMc �v� —�✓�G
Mailing Address:
Phone#: :73` Email:
DESCRIPTION 6F.PR606StD CONSTRUCTION
❑New Structtuure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
E90ther 000r, $
Will the lot be re-graded? ❑Yes 1,1No Will excess fili'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? Dyes El No IF YES, PROVIDE A COPY.
'❑ Check Box After Reading: The"owner/contractor/design professional is responsible forall drainage and storm water Iissues as provided by
Chapter 236 of the TownCode, APPLICATION IS HEREBY MADE to the.Building Department for the issuance ofa.Building Permit pursuant-to the Building Zone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,forthe 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): y�sv ❑Authorized Agent ❑Owner_
Signature of Applica _ Date:
/ CONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
SS: Qualified in Suffolk County
COUNTY OF ) Commission Expires April 14,2 bA
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
day of C444 , 20ZL q
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
/ V
APP 0 EO AS NOTED
DATE• 3 8.�;� a
FEE BY:
NOTIFY BUILDING DEPARTMENT AT U �
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS: C6
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUMBING
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O. re-tI t-c
ALL CONS T"RUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODES
AS REQUIRED AND C NDITIONS OF
SOUTHOL TOWN ZBA
-_.SOUTH D TOWN PLANNING BOARD
SO LD TOWN TRUSTEES
N.Y ,DEC
S OLD HPC
CHD
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICA-�
"T OCCUPANCY
10/9/24,10:49 AM IMG_2640.png
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