HomeMy WebLinkAbout50726-Z of SOUIyOlo Town of Southold
* * P.O. Box 1179
,0 53095 Main Rd
OOUNV Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46360 Date: 08/03/2025
THIS CERTIFIES that the building WINDOWS IN DWELLING
Location of Property: 4782 Ole Jule Ln Mattituck, NY 11952
Sec/Block/Lot: 122.4-41
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 04/15/2024
Pursuant to which Building Permit No. 50726 and dated: 05/22/2024
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:
Window replacements to a single-family dwelling as applied for.
The certificate is issued to: Robert Whelan,Dixie Gunter
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION:
Auth ri ed ignature
�oSufFot,��o TOWN OF SOUTHOLD
moo- oy BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
SOUTHOLD, NY
y�ol aao��`
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#: 50726 Date: 5/22/2024
Permission is hereby granted to:
Whelan, Robert
4782 Ole Jule Ln
PO BOX 590
Mattituck, NY 11952
To: Install window replacements to a single-family dwelling as applied for per
manufacturers specifications.
At premises located at:
4782 Ole Jule Ln, Mattituck
SCTM # 473889
Sec/Block/Lot# 122.-4-41
Pursuant to application dated 4/15/2024 and approved by the Building Inspector.
To expire on 11/21/2025.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $250.00
CERTIFICATE OF OCCUPANCY $100.00
Total: $350.00
Building Inspector
lam/ OE SOUIyOIo
TOWN OF SOUTHOLD BUILDING DEPT.
couffm 631-765-1802
�d INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATI99ON/CAULKING
[ ] FRAMING /STRAPPING [ FINAL GI/IboW>
[ ] 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 INSPECTO
FIELD INSPECTION REPORT DATE COMMENTS
•o
FOUNDATION(1ST)
y
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FOUNDATION (2ND)
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ROUGH FRAMING& ' l
PLUMBING I
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INSULATION PER N.Y.
STATE ENERGY CODE -1--
FINAL
ADDITIONAL COMMENTS �-
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01SUFFo��� TOWN-OF SOUTHOLD—BUILDING DEPARTMENT
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Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 7654802 Fax (631) 765-9502 hftps://www.southoldto'wnny.giiv
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
`� / _ i ;
PERMIT NO. 50 Building Inspector: �3 2024
APR 1 5
Applications and forms must be filled-out'in their entirety.-incomplete
applications will,not,'be accepted. Where the Applicant is not the`owner,an RI1MDUA hn �
'Owner's Authorization form(Page 2)shall be'completed " "i 'i " !I.-,
Date: t
OWNERS)OF PROPERTY: ' -
Name: — -- SCTM#1000-
Project Address:
Phone#:._Cl� ' '��/-- Email: h�o�Qv'C/
Mailing-Address:,.-
CONTACT"PERSON:
Name:
Mailing Address: deee
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:_
Mailing Address` 15-61
Phone#: Email:
CONTRACTOR INFORMATION:
Name: /v/�
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
other !p//✓0-0A; //1/si�GI�T/Drti/ $
Will the lot be re-graded? ❑Yes XNo Will excess fill be removed from premises? 1Y�❑No
1
i
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 No 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- Southold,Suffolk,County;New York and other applicable Laws;`Ordinanceror Regulations;for the construction of buildings,
additions,alterations orforremoval or demolition as herein described.The,epplicant agrees to complywith 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 210AS of the Newyork State Penal Law.
Application Submitted y(print name /, � i(� ❑Authorized Agent Af wner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF )
7TU�GT�`��G being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)"above named,
(S)he is the &L/(/Gr_
(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 �y
day ofA 1 20aA-
Notary Public
DIXIE GUNTER
NOTARY PUBLIC-STATE OF NEW YORK
No. O1 GU6093375
PROPERTY OWNER AUTHORIZATION Qualified In Suffolk County
(Where the applicant is not the owner) My Commission Expires Jun® 02, 261Ti
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
_ 'R octd
.APPROVED AS NOTED --
DATE:5-AA 24 S.P.# 5 0 7 a
F 5 p.p By,, JzA COMPLY'WITH ALL CODES OF
NEW YORK STATE&TOWN CODES
NOTIFY BUILDING DEPARTMENT AT 'REQUIRED AND CONDITIONS OF
631-765-1802 8AM TO 4PM FOR THE SOU=70WN�
FOLLOWING INSPECTIONS: SOUKUTOWNPIMNINGBOARD
FOUNDATION-TWO REQUIRED TOWNTRUM
FOR POURED CONCRETE
ROUGH-FRAMING&PLUMBING N.Y.S M
INSULATION $OmDHm
FINAL-CONSTRUCTION MUST SCHD
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
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ANY AL TERA T10N OR ADDITION TO THIS.SURVEY IS.A VIOLATION
F SECTION r209,OF .THE/VEIY.YQRK STATE.EDUC,A77ON ZAW
KCEPT AS PER SECTION Y2O9`SUBOIVlSIOJ�t.� 4LL CERrRCA7'IO>'IS - _
SON ARE VALID J"OR THIS MAP AND COPIES TFfEgEOF ONLY F
41D MAP OR COPIES BEAR THE AffRESSE'D SEAL OF THE SURVEYOR 1 Q
NOSE SIGNATURE APPEARS HEREON.
WITIONALLY TO COMPLY WITH SAID LAW THE TERM! 'ALTERED BY' 19 00-
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UST BE USED BY ANY AND ALL SURVEYORS UTIL127NG A COPY 'T`�` o° 4 ;o of
F ANOTHER SURVEYOR'S MAP. TERMS SUCH AS °INSPECFER'AND 4j a •d
tROUGHT rO-DATIE'ARE NOT IN COMPLIANCE WITH THE LAW. / 4: R
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AREAR 25, 146
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FLOOD ZOH,� Flom Pr 2 r.1 .omAno^j rry-PAAe e4
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;t0' CONTOUR LINE IS REFERENCED TO THE FIVE EASTERN
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SURVEY
PROPER TT
AT MA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK I COUNTY N. Y.
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SCALE.- I" = 30"
JUL Y 23, 19.97
SA-I NO. 49618
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(51 6j 765
P. 0. BOX 9
1230 TRAVELER STREET
SOUTHOLDp N.Y. 11971
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WY ALTERATION OR ADDITION TO THIS SURVEY lS A VIOLATION
Ir SECTION 7209.0E THE NEW PORK S..TATE EDUGATJON LAf"l,...
KCEPT AS PER SECTION *09'9UMVISION Z. ALL CE!I ACATIO>`d
BEAN ARE VALID F014 THIS P:9AF' AND COPIES THEREOF ONLY 1t°
10 ,0AP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR r
NDSf SIGNATURE APPEARS HEREON.
DDITIONALL Y TO COWL Y WITH SAID LA W THE TERW 'AL TERED B Y° / ` co v O,00
UST 9E USED BY ANY AND ALL SURVEYORS UTILIZING A COPY
r ANOTHER SURVEYOR'S MAP. TERMS SUCH AS °INSPECTED"AND � �� ✓
rRDUGHT rooATE'ARE NOT IN COWLIANCE WITH THE LAW. / O
AREA = 25, 146 sq. ft.
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; CONTOUR LINE IS REFERENCED TO THE FIVE EAST ERN l
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TOWN OF SOUTH OLD
a SUFFOLK COUNTY. Y
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ti SCALE I" = 30'
JUL Y 23, 1997
618
CONIC YOR
(5161 765
P. 0. BOX 9
1230 TRAVELER STREET
SOUTHOLD? N.Y. 11971
APPROVED AS NOTED
DATE:rJ $B•P# �0��CO COMPLY WITH ALL CODES OF
35o.b� BY: NEW YORK STATE&CON M0 S OF
FEE Fla
TOW N CODES
AND
NOTIFY BUILDING DEPARTMENT AT w,m{ptD1p ms
631-765-1802 8AM TO 4PM FOR THE Inn"NEQ
FOLLOWING INSPECTIONS:
FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
ROUGH-FRAMING&PLUMBING VMS
INSULATION
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 CONSTRUCTION ERRORS
,
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