HomeMy WebLinkAbout51562-Z �O4,�Of SOUTH°� Town of Southold
* P.O. Box 1179
53095 Main Rd
ki Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46480 Date: 09/09/2025
THIS CERTIFIES that the building OTHER
Location of Property: 4030 Nassau Point Rd Cutchogue, NY 11935
Sec/Block/Lot: 11 L-8-20
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 11/15/2024
Pursuant to which Building Permit No. 51562 and dated: 01/16/2025
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" outdoor shower as applied for.
The certificate is issued to: William Isaacson, Patricia Isaacson
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION: Matthew Wolbert 9/8/2025
utho ' ed Sig ature
�aoFSO�Tyo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
• TOWN CLERK'S OFFICE
couffm 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#: 51562 Date: 01/16/2025
Permission is hereby granted to:
William Isaacson
356 S Silver-Pat M Rd
Boca Raton, FL 33432
To:
legalize "as built"outdoor shower as applied for.
Premises Located at:
4030 Nassau Point Rd, Cutchogue, NY 11935
SCTIVI# 111.-8-20
Pursuant to application dated 11/15/2024 and approved by the Building Inspector.
To expire on 01/16/2027.
Contractors:
Required Inspections:
Fees:
As Built Addition/Alteration $500.00
CO-RESIDENTIAL $100.00
Total 600.00
Building Inspector
Town Hall Annex ��� �y Telephone(631)765-1802
54375 Main Road ® :� 4
P. O. Box 1179 C*2 a
Southold,NY 11971-0959 S _rvv�
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D E C E U U E BUILDING DEPARTMENT
TOWN OF SOUTHOLD
S E P - 8 2025
CERTIFICATION
l�eailc�io�g1®epa�¢�ee�$
Tows of Southold
Date:
Building Permit No. 515'6 a
Owner: (tee'M;Ck w -TS cL6-C-S o-X
(Please print)
Plumber: � G�S
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1% lead.
`I D (Pi hers Signa e)
Sworn to before me this �' \
day o �'�' CONNIE D.BUNCH
„ Q Notary Public,State of New York
J W No,.01BU61850,50
Quallffe'd in Suffolk County
Commission'EzpiresAprif 14,2 d� f
Notary Public, County
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�apF 50UTyO
h� �O
# # TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
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[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL WP&V.s awle�
[ ] 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 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST)
--------------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING& Q
PLUMBING
INSULATION PER N.Y.
STATE ENERGY CODE (7
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FINAL
ADDITIONAL COMMENTS U1'
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�o�°SUffa!'r�oo`- TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P.O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631)765-9502 littps://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
• ..ems L-i \J l.� � Y L_1 .
For Office Use Only I{T�)
PERMIT NO., Building Inspector: g '
T? s NOV 16 2024
Applications and forms must be filled out in their entirety.Incomplete
applications will not be.accepted. Where the Applicant is not the owner,an Brp§,�fiia i;,,Ne M4 `,i �Unt
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name: 1'N ay. SCLAC sa a SCTM#1000- Qp—.paQ•C`Xj0
Project Address: tiv'a0 NassaO Pd*.Na V%04 (LAC u No �to�{L 1��35
Phone#: Email:
9bl- aW�- iioo W, ae�ne,�,� ,coy.,
Mailing Address:
'J C1 �343�
CONTACT PERSON:
Name: mark t-xt,.kz
Mailing Address: $ C-X Vo a C�� �� u e N `{ 1 �►35
Phone#: 3—) Email:
(93►- `t— y ba� J,; �-e-k Q:. Nei
DESIGN PROFESSIONAL INFORMATION:
Name: Mar1``C- SGkWar-� z
Mailing Address: q$t{qq S MC'k-,� R o AA Jl- ue N`( I
Phone#: (03�_ 3� `(— �I b a y Email: C)..A;
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑ ew Structure ❑Addition ❑Alteration ❑Repair ❑Demo ition Estimated Cost of Project:
ther 5 —13UfC'� �� tr U/' c $
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes ❑No
1
PROPERTY INFORMATION
Existing use of property:s'(�� intended use of property: S' MF
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 Z36 of the Town Code. APPLICATION IS HEREBY MADE to the Bullding;Department for the Issuance of a Bullding 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 constructlon'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):;-j uthorized Agent ❑Owner
Signature of Applicar- I Date:
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
c� SS: No.01 13U6185050
COUNTY OF Qualifled in Suffolk County
Commission Expires April 14,2�-
being duly sworn,deposes and says that(s)he is the applicant
1
(Name of individual signing contract)above named,
(S)he is the �GL
(Contra or,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 efore me this
ry da of 20 tzr-n 4, 0 I(S 1A "- .
Y
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
residingat 35`o S • S;,ver- P��.._v`�4� �ac�
_do hereby authorize A��� Wei+-T Z to apply on
my behalf to the To yn of. a hold Building Department for approval as described herein.
Owne s Sign fu a Date
C,
Print Owner's Name
2
I
REVISIONS:
SITE DATA
PROPERTY: 21,499 SP 0.494 ac
ESTIMATED AREA OF 4,000 SF
GROUND DISTURBANCE:
I,
wowp-,
NON CONFORMING LOT: R-40
EXISTING: AREA LOT COVERAGE:
I
HOUSE: 1,716 SF
DECK: 578 SF
PORCH: 200 SF
HOT TUB 63.2 SF
OUTDOOR SHOWER: 32.0 SF
1 �
TOTAL: 2589.2 SP o
12.1/o
a m9 METES AND BOUNDS: SURVEYOR: SECCAFICO LAND SURVEYING, PC
o SCTM: 1000-111-08-20
Eo DATE SURVEYED: AUGUST 15 2024
ELEVATIONS REFRENCE: NAVD 1988
r
4'-0" LIATE: R.P. ��� w
FEE G' . By NECOMPLY WITH ALL CODES OF
NOTIFY BUILDING DEPARTMENT AT W YORK STATE &T WN CODE O
631-765-1802 8AM TO 4PM FOR THE AS REQUIRED AND C NDITIONS
OUTDOOR SHOWER FOLLOWING INSPECTIONS:
F
SCALE: 1/4" _ - 1. FOUNDATION-TkOREQUIRED SOUTHO TOWN ZBA
FOR POURED CONCRETE SO LD TOWN PLANNING BOA D w
2. ROUGH-FRAMING&PLUMBING SO OLDTOWN TRUSTEES C)
$. INSULATION � , ,DEC
4. FINAL-CONSTRUCTION MUST Q
BE COMPLETE FOR C.O. OLD HPC
ALL CONSTRUCTION SHALL MEET THE SOHO
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
OCCUPANCY OR
RETAIN STORM USE IS UNLAWFUL
PURSUANTTO CHAP ER 236FF WITH
OF THE TOWNCODE. BUT CERTIFICA
OF OCCUPANCY
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EXISTING SITE PLAN " ao- SCALE:
JOB#:
SCALE: 1" = 10'-0" W� 11/11/2024
5 °q SHEET NUMBER:
.. - S-1