HomeMy WebLinkAbout51550-Z of sou Tyolo Town of Southold
* * P.O. Box 1179
co �0 53095 Main Rd
'��ouxn N Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 45899 Date: 01/27/2025
THIS CERTIFIES that the building SINGLE FAMILY DWELLING-ALTERATION
Location of Property: 340 Vista PI Cutchogue,NY 11935
See/Block/Lot: 83.-1-19
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 11/13/2024
Pursuant to which Building Permit No. 51550 and dated: 01/14/2025
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" window replacements to existing single-family dwelling as applied for.
The certificate is issued to: Catherine Dunn
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION:
Au hori Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 51550 Date: 01/14/2025
Permission is hereby granted to:
Catherine Dunn
4402 Hurontario Trl
Niagara Falls, NY 14304
To:
legalize"as built"window replacements to existing single-family dwelling as applied for.
Premises Located at:
340 Vista PI, Cutchogue, NY 11935
SCTM#83.-1-19
Pursuant to application dated 11/13/2024 and approved by the Building Inspector.
To expire on 01/14/2027.
Contractors:
Required Inspections:
Fees:
As Built Alteration $500.00
CO-RESIDENTIAL $100.00
Total $600.00
uilding Inspector
C� UF SOUIyO� -
5 TOWN OF SOUTHOLD BUILDING DEPT.
Cau 631-765-1802
FNSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 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:
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
71
FOUNDATION (1ST)
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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�o• gaol Telephone (631) 765-1802 Fax (631) 765-9502 hi!ps://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
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For Office Use Only i NOV 1 2024 r
PERMIT NO. ✓ Building Inspector:
ft9le4r g Departi-n nt
Tevfn
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: /1 //) SCTM# 1000-
Project
Phone#: Q c�
--. _- 3_S� - -�a_.5� Email:
Mailing Address:
CONTACT PERSON:
Name: � +v /v
___ __ -�1 u_C-._ __6J _-
Mailing Address:
phone#: a9, 1-�,vrc Y ((796 [Email: /"��s a
DESIGN PROFESSIOAAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
-Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑A /dition ❑Alteration ❑Repair ❑Demolition Estimated Cgst of Project:
;KOther -r_4g i C d- ns`w
Will the lot be re-graded? ❑Yes YNo Will excess fill be removed from premises? ❑Yes KNo
1
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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 ENO 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.
Application Submitted By(print name): I,4Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK) CONNIE D.BUNCH
SS: Notary Public,State of New York
No.01BU6186050
COUNTY OF ) Qualified in Suffolk Count
Commission Expires April 14,2
�41 S e 3 being duly sworn, deposes and says that(s)he is the applicant
(Name of individual sign) 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
k . t b-,/M
day of , 20� fV\0 l
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
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AP ROVED AS NO D
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BY: OCCUPANCY OR
NO-n BUILDING DEPARTMENT AT USE IS UNLAWFUL
631 765-1802 8AM TO 4PM FOR THE u/�
FOLLOW WITHOUT INSPECTIONS: WITHOUT CERTIFICAT
1. FOUNDATION—T�-'J0 RFO1)1r?Fn
FOR POURED C ONCRE`, OF OCCUPANCY
2. ROUGH—FRAMING& P:-o......: s,.a
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION 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 ONDITIONS OF
SOUTH O TOWN ZBA
..._.SO LD TOWN PLANNING BOARD
-�_SO OLD TOWN TRUSTEES
N. .DEC
UTHOLD HPC
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